Procedures Offered

Our treatments are therapeutic, and facilitate the localized chronic pain you are experiencing.

Dr Siefferman outside medical office

Procedured performed

We live in an era where we have access to incredible medical technology that guides us while doing these procedures. You can always feel safe.

Ultrasound-guided injections and diagnostics

The ultrasound-guided injection is a minimally invasive procedure for musculoskeletal pain conditions (tendinitis, bursitis, neuritis, etc.). It allows the doctor to see - via screen – the internal destination of the injection.

Trigger point injections

Trigger point injections help relieve muscle pain in places like the neck, lower back, arms, and legs. Trigger points are the knots you feel in your muscles – one particular spot that constantly hurts. A simple injection procedure follows.

Botulinum Toxin Injections

More popularly known as Botox, this injection blocks signals from the nerves to the muscles, so that they loosen. This procedure is famous for use on wrinkles and other signs of aging, but it also commonly used for migraines and other forms of muscle tightness.
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Peripheral Nerve Blocks

Peripheral Nerve Blocks are used for pain originating from a nerve, a condition also known as neuralgia. Nerve injury can be caused by trauma, compression, ischemia, or toxic exposure. A local anesthetic is injected with a steroid to stop pain along the nerve.

Spine injections, Epidurals

Spinal injections are used either for relieving pain at the injection’s focus-point, or for diagnosing the location of pain on other parts of the body. Epidurals – named for the space of the back where they are performed – are often used to relieve lower back pain. The doctor uses an X-ray for guidance – this is called fluoroscopy.

Spinal Cord Stimulator trial and implantation

Spinal Cord Stimulation intercepts signals to the brain that indicate pain. A pacemaker-like device is implanted onto the body and sends signals to the spinal cord. This procedure is useful for those with chronic back, leg, or arm pain.

Peripheral joint injections

Peripheral Joint Injections are used to relieve inflamed joints. The joint in injected with an anti-inflammatory corticosteroid, non-invasively. The effects of the procedure are generally seen within the two days that follow.

Lidocaine and Ketamine Infusions

Lidocaine is an intravenous infusion used for chronic pain, with minimal side effects. Ketamine infusion is also used intravenously to treat neuropathic pain. Both are becoming increasingly of more common use in Pain medicine.

Regenerative Medicine

Regenerative medicine gives the possibility of creating pain relief while avoiding surgery. Prolotherapy, in particular, is used for ligament and tendon reconstruction, to ease the pain in joints. Platelet-rich plasma therapy is also used to alleviate inflammation, and speed up the healing of injuries.

  • Platelet Rich Plasma
  • Prolotherapy