At SCORE, we provide a variety of services to diagnose and treat your condition while helping you achieve a pain-free and healthy lifestyle. We pride ourselves in offering a state of the art facility, providing excellence in medical care by a professional and caring staff.

  • spinal-injections

    Interventional Spine Procedures

    Discography or a discogram is a diagnostic procedure used to help diagnose the source of neck or back pain. There are many structures in the spine which may become painful. A discogram is a test used to identify a painful disc. This test is usually performed when more than one disc looks abnormal on the MRI and surgery is being considered. The goal is to determine which disc is the painful one so that surgery can target the appropriate disc. Read More

    Epidural Steroid Injection
    Epidural Steroid Injections are an effective adjunct to treatment for patients with pain of spinal origin. Commonly, nerves in the neck or back are compressed or irritated near the spine by a bulging or herniated disc, a bone spur, or scar tissue. This causes the nerve to become swollen, causing pain, numbness, tingling or weakness in the arms or legs. The purpose of the epidural injection is to decrease inflammation and provide pain relief, thereby facilitating active rehabilitation. Read More

    Facet Joint Injection
    Facet joint injections are used to treat pain originating from the joints in the spine. The spine is full of joints (called Z-joints or “facet” joints) which allow you to bend forward and back, or nod your head. Like any other joint in the body, these joints have joint fluid and cartilage that can develop arthritis or other painful conditions. Facet joint injections are ways of diagnosing and treating pain coming from these joints. Read More

    Medial Branch Block (MBB) Injection
    Medial branch block injections are a diagnostic procedure used to help diagnose the source of neck or back pain. The medial branch nerves of the spine are tiny nerves whose primary function is to allow sensation from the facet joints. There is a right and left facet joint at each level of the spine. These joints can become painful in the same ways that knee, hip, shoulder, or finger joints do. It is often very difficult to determine if a particular joint is painful based only on MRI and physical exam, so medial branch blocks (and sometimes facet joint injections) serve as diagnostic procedures to help identify where the pain is coming from. Read More

    Sacroiliac Joint injection
    A sacroiliac joint injection is a “cortisone shot” for the sacroiliac joint. The sacroiliac joints are two joints (right and left) which connect the lower spine or coccyx to the pelvis. These joints do not move much, but they can become inflamed and painful, especially after trauma. The only way to determine if a sacroiliac joint is causing pain is to fill the joint with anesthetic and see if the pain disappears. Read More

    Radiofrequency Ablation
    Radiofrequency ablation is used for long term pain relief of spine and sacroiliac joint pain. Facet joint injections, medial branch blocks, and radiofrequency neurotomy are ways of diagnosing and treating pain coming from joints in the spine. Read More