Procedures Offered

We are experts in a broad array of state-of-the-art therapies to treat the specific chronic pain you are experiencing.

Dr Siefferman outside medical office

Procedures performed

Combining the latest medical technology with our collective expertise, we use all the resources at our disposal to investigate and treat the underlying cause of your symptoms. Employing both established and innovative procedures, we provide optimal care while at all times promoting your safety and well-being.


Ultrasound-guided injections

The ultrasound-guided injection is a safe, minimally invasive procedure for musculoskeletal pain conditions (tendinitis, bursitis, neuritis, etc.). Ultrasound imaging allows the doctor to see the needle as it is directed toward the injection point – inside a joint, for example.


Trigger point injections

Trigger point injections help relieve muscle pain at specific locations. 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, Botulinum Toxin injection blocks signals from the nerves to the muscles, allowing the muscles to relax and lengthen. This procedure is used cosmetically to temporarily reduce wrinkles and other signs of aging, but it is 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 both for relieving pain at the injection point, and for diagnosing the location of pain in other parts of the body. Epidurals are often used to relieve lower back pain. In administering an epidural, the doctor uses X-ray imaging to guide the needle – a method called fluoroscopy.


Neuromodulation

We offer a variety of central and peripheral neurostimulator options. Some are temporary with long term effects, others are longer term treatment options. Both peripheral and 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 painful inflamed joints. An anti-inflammatory corticosteroid is injected into the affected joint. Improvement of symptoms is usually seen within two days.


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 neurologic pain. Both are becoming increasingly more common 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
  • Bone Marrow Aspirate (BMAC)
  • Percutaneous Tenotomy
  • Nerve Hydrodissection

Acupuncture

Acupuncture is a safe & effective treatment to perform alone or alongside other treatments including therapy, injections & surgery. Two main forms, energetic and regenerative. In the energetic model, meridian points are utilized to facilitate the flow of energy channels that help restore the body. In the regenerative model needling stimulates the tissue in the region of pain & this causes the body to respond with a healing response like when you first have an injury.


Diagnostic Ultrasound

Real time diagnostic ultrasound helps your practitioner see the injury dynamically. It can be more accurate than an MRI for the diagnosis of soft tissue injuries such as rotator cuff tear or tennis elbow. With an ultrasound board certified physician, you can expect to go over results immediately & ask questions about treatment options.


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