Outpatient Pain Management: Chronic Pain Treatment

A focus on complete, long-term pain relief

Patients receive a thorough physical examination, medical history review and diagnostic testing. Physicians then develop an appropriate treatment plan.

Although our physicians may recommend pain medications for some patients, they use procedures and interventions that offer complete and longer lasting pain relief. These treatments can reduce complications that sometimes accompany ongoing medication use.

Treatment options include:


To relieve pain for patients with cancer, needle-like probes are inserted into tumors. Gas is circulated through the probes, freezing the tumors.

Epidural Blood Patch

A patient’s own blood is injected into the epidural space (an area in the spinal column). This relieves headaches that follow injections in the spinal column. The blood stops the leak of spinal fluid into the epidural space.

Epidural Injections

Injections into epidural space reduce inflammation, which relieves pain. Epidural injections treat conditions including:

  • Low Back Pain 
  • Lumbar Spinal Stenosis 

Facet Joint Injections

Facet joints provide stability to and guide motion in the spine. An injection of steroid medication into these joints can block pain.

Intra-articular Injections

Steroid injections into joints relieve pain. Intra-articular injections often are used to relieve symptoms of osteoarthritis.

Morton's Neuroma Injections

This painful condition is caused by an enlarged nerve between the third and fourth toes. A series of injections of a small amount of alcohol can help harden the nerve and relieve pain.


For joint pain caused by injury. A concentrated sugar solution is injected into the affected area, close to tendons and ligaments. The injections irritate the area, causing inflammation. The body rushes blood, nutrients and cells to the area, which heal damage – including the initial injury - creating a collagen scar.

Nerve Blocks

A nerve block interrupts how pain signals are sent to the brain. A substance, such as alcohol or phenol, is injected into or around a nerve or into the spine.

Neurolytic Injections

Alcohol or phenol is inserted near nerve tissue to destroy the structures that carry pain impulses.

Sacroiliac Joint Injection

Anesthetic and steroid medication is inserted into the sacroiliac joint (a joint at the lower end of the spine) to numb pain and reduce swelling. This is often done as a diagnostic test to determine the source of pain.

Spinal Tumor Radiofrequency Ablation

This revolutionary procedure relieves pain from metastatic and benign tumors growing in the spinal column, pressing on nerves and causing compression fractures.  With the STAR™ Tumor Ablation System, physicians guide a specialized probe through a small incision along the vertebrae into the tumor. The probe delivers radiofrequency heat that shrinks or destroys the tumor without affecting the surrounding area. The result is rapid and lasting pain relief enabling a much higher quality of life for the patient.

Trigger Point Injections

Anesthetic, and sometimes steroid medication, is inserted into tight, knotted muscles to relieve pain.

Physician Spotlight

Raed Al-Rajabi, MD

Clinical Focus
Oncology Clinical Trials Research

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