Interventional Procedures

The staff at Blue Ridge Pain Management has extensive experience in reducing or eliminating your pain. Dr. Charles Buzzanell and his staff can treat many chronic pain conditions. This page lists some of the more common treatment methods. Contact us for more information. Click to learn more about specific treatments:

Caudal Steroid Injection

If you are suffering from low back and radiating leg pain, this injection procedure can relieve your pain. The steroid medication reduces the swelling and inflammation caused by such spinal conditions as spinal stenosis, radiculopathy, sciatica and herniated discs.


Celiac Plexus Block

Dr. Buzzanell performs this procedure to diagnose and reduce any abdominal pain that is caused by conditions such as cancer or pancreatitis. The celiac plexus block is an injection that blocks the nerves serving your abdomen. The procedure is relatively painless after you are given an intravenous (IV) to relax you.


Cervical Epidural Steroid Injection

To relieve pain in your neck, shoulders, and arms caused by a pinched nerve or nerves, Dr. Buzzanell may give you an injection in your cervical spine. The injected medication decreases the nerve inflammation, reducing the pain associated with conditions such as herniated discs, spinal stensis, or radiculopathy.


Cervical Facet Radiofrequency Neurotomy

This minimally invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates any pain from damaged facet joints. Performed with local anesthetic only, this procedure works by sending radio waves to the medial branch nerves, disrupting the signals that carry the pain.


Facet Joint Injection

Facet joints connect each vertebra in your spine to the vertebra above and below it. Located at the back of the spine on both sides, facet joints can cause pain if inflamed. A facet joint block can be diagnostic since it can confirm whether the facet joints are indeed the source of your pain. The injection can also be therapeutic for back or neck pain, since it can relieve the pain and inflammation.


Fascia Ilica Block

Dr. Buzzanell and the staff at Blue Ridge Pain Management perform this procedure to block the pain signals that travel along the femoral nerve from your thigh or knee to your brain. It is commonly used to alleviate pain that can appear after certain leg surgeries, such as a total knee replacement.


Intrathecal Pump Implant

An intrathecal pump relieves chronic pain, but it is a more aggressive treatment. The pump applies small amounts of medicine directly into the intrathecal space (the area surrounding your spinal cord) to prevent pain signals from being perceived by the brain. You may be a candidate for the pump if conservative treatments have failed and surgery is not likely to help.


Lumbar Epidural Steroid Injection

Another treatment to relieve low back and radiating leg pain is this injection that delivers steroid medication to reduce the swelling and inflammation caused by specific spinal conditions. In some cases, you may need to get as many as three injections to get the full benefit of the medication, but many patients get significant relief from only one or two.


Lumbar Radiofrequency Neurotomy

This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, uses radio waves to disrupt the medial branch nerves that carry pain signals. You need local anesthetic for this procedure, which is effective for treating certain types of back pain. Ask Dr. Buzzanell about this procedure.


Lumbar Sympathetic Block

If you have suffered an injury to a joint or limb, you may develop leg pain caused by complex regional pain syndromes. In such cases, Dr. Buzzanell may perform a lumbar sympathetic block to relieve your pain. It’s an injection to block the pain; you may need a series of injections to effectively treat your pain.


Lumbar Transforaminal Epidural Steroid Injection

Spinal conditions such as spinal stenosis, radiculopathy, sciatica and herniated discs cause low back and radiating leg pain. Dr. Buzzanell may perform this injection procedure to relieve that pain. The steroid medication can reduce the swelling and inflammation, thereby easing your pain.


RACZ Caudal Neurolysis (Percutaneous Lisis of Adhesion)

If you are suffering low back and leg pain caused by scarring from a prior back surgery, this procedure can help relieve that pain. After the Blue Ridge Pain Management staff applies local anesthesia, you are placed face down with a cushion under your stomach. You are then given the injection.


Radiofrequency Neurotomy of the Cervical Facets

Delivered through a carefully placed probe, radio waves stun painful nerves in your facet joints, prohibiting them from sending pain signals to your brain. This minimally invasive procedure reduces or eliminates your pain temporarily, and you will only need local anesthesia for the procedure.


Sacroiliac Joint Steroid Injection

Arthritis can be a painful affliction, but if the pain is caused by arthritis where your spine and hip bone meet (in the sacroiliac joint), this injection can relieve your pain. The steroid medication reduces swelling and inflammation in the joint, thus easing your pain.


Sphenopalatine Ganglion Block – Sphenocath aka SPG block

Quick, simple, and comfortable in-office procedure.

Dr. Buzzanell uses the new SPG Nerve block catheter and procedure for administering a sphenopalatine ganglion (SPG) block providing most patients with immediate relief of headache pain with a simple, gentle, comfortable in-office procedure. This device delivers anesthetic through the nasal cavity, effectively delivering an SPG block for migraine pain without the use of needles, or harsh meds. For most, the procedure is comfortable, while others may briefly feel a very slight nasal irritation. This device allows a low risk, simple procedure that is a pain management game-changer for anyone who experiences four or more severe headaches a year.

Spinal Cord Stimulator Implant

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve pain in your back, arms or legs. The electrical pulses prevent pain signals from being received by your brain. You may be an SCS candidate if you suffer from neuropathic pain, and more conservative treatments have failed.


Stellate Ganglion Block

This injection can both diagnose and treat pain coming from your sympathetic nerves. The sympathetic nervous system controls autonomic functions in your body. The stellate ganglion block is commonly used to treat shingles and complex regional pain syndromes in your head, face, neck or arms. You will likely require a series of these injections to treat your pain.