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Interventional Pain Management

Image-guided diagnosis and relief for spine disorders

At a glance

  • GuidanceX-ray/CT image-guided
  • SettingOutpatient — no general anesthesia
  • ApproachDiagnose first, then treat
  • TeamFellowship-trained IR physicians

RMI provides a range of neuro-interventional procedures to diagnose and treat spine disorders — osteoporosis, tumors, compression fractures, infections and chronic back pain — using image guidance rather than open surgery.

Diagnostic procedures

  • Myelography with post-myelographic CT — contrast-enhanced imaging of the spinal cord to find disease or injury
  • Spinal biopsy — image-guided needle sampling to test for cancer in the spinal column
  • Discography with manometry — studying the condition of spinal discs with contrast, CT and pressure measurement
  • Disc aspiration biopsy — X-ray-guided tissue sampling to test discs for infection

Pain management procedures

  • Epidural steroid injections — X-ray-guided steroid delivery to relieve pain from inflamed spinal nerves
  • Nerve or facet blocks — targeted injections that relieve pain originating in or traveling through spinal nerves and joints
  • Vertebral augmentation (vertroplasty/kyphoplasty) — for osteoporotic compression fractures

Because these procedures are guided by live imaging, medication reaches exactly the right spot — more precise, more comfortable, and with faster recovery than alternative approaches.