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We have the ultimate expertise performing delicate interventional cervical, lumbar and thoracic spinal procedures, joint injections and nerve blocks. Please read below all the services we offer to our Portland and Vancouver patients.

Vertebral augmentation (vertebroplasty)

Recommended as a non-surgical treatment of a fractured spine, vertebral augmentation or vertebroplasty utilizes specialized bone cement to stabilize compression fractures, provide support to weakened vertebrae and thus relieve pain. Read More

Spinal cord and nerve stimulation for failed back syndrome

For sufferers of chronic back and leg pain following back surgery, Columbia Pain & Spine Institute offers multiple treatment options. Read More

Electro diagnosis: nerve conduction studies (NCS) and electromyography (EMG)

Nerve Conduction Studies and Electromyography are diagnostic procedures used by Columbia Pain & Spine Institute staff to evaluate the severity of symptoms and recommend treatment options. In overview, NCS and EMG tests evaluate the electrical conduction of motor and sensory nerves and the electrical activity of skeletal muscles. Read More

Ultrasound guided joint injections and nerve blocks

Joint injections of a steroid or other medications is a common procedure used to help reduce pain and swelling of joints. Ultrasound-guided joint injections utilize proven technologies to help guide the physician to specific pain centers and thus help produce more significant results. Read More

Platelet rich plasma therapy (PRP) – latest advancement of treatment of arthritis, sports related injuries

This exciting medical advancement offers non-surgical pain relief and healing using your body’s natural processes. By delivering a concentration of your own platelets directly to the affected area, PRP boosts your body’s healing power and speeds the repair of injured tissues. Read More

Percutaneous disc decompression – removal of herniated disc material without incision

Non-surgical removal of herniated disc material, called decompression, provides back pain relief by reducing the pressure on the spine’s neural tissue. It is a minimally invasive procedure that uses X-ray guided instruments to remove or dissolve material from a herniated, ruptured or bulging disc. Read More

Diagnostic discography – helps to establish and confirm painful disk and guide levels of fusion

This diagnostic test helps your physician ‘see’ into the interior of your discs to determine the precise point(s) of pain and to help in determining the proper course of treatment. Read More

Epidural steroid injections – caudal, intralaminar or transforaminal

Epidural steroid injections target the ‘sleeve’ surrounding the spinal cord to reduce swelling around the nerves and provide pain temporary relief. Often, that break in pain and swelling allows the body’s natural healing processes to start. Effects can last for several months, and ESI can be repeated periodically at the physician’s recommendation. Read More

Selective nerve blocks – cervical, thoracic and lumbar

Treating your pain requires knowing — precisely knowing — where the source of your pain exists. Selective nerve blocks do that; they help your physician pinpoint the source of your pain — down to the specific nerve and musculoskeletal system. Read More

Facet joint injection – major source of pain in aging spine

Damage to the facet joints — the bone structures behind and between your vertebrae — is one of the leading causes of pain in the elderly population. Not only does facet joint damage cause pain, but it can also severely limit mobility, stability and daily function. Read More

Radiofrequency denervation of facet joints (nerve burning procedure)

Radiofrequency denervation of facet joints utilizes high-voltage electrical current to heat and disrupt the medial branch nerve of the spine and thus ‘block’ pain associated with facet joint damage. The procedure is non-surgical and is typically performed in an office setting with local and intravenous anesthetics. Read More

Stellate ganglion block – treatment of complex regional pain syndrome

The Stellate ganglion block targets nerve tissue on either side of the throat. Like nerve blocks discussed in other sections of this site, the procedure is intended to interrupt or block pain signals from the neck, arms and face from reaching the brain. Read More

Celiac plexus block – alleviation of abdominal pain

The celiac plexus block is a nerve block procedure aimed at managing and relieving pain in the abdomen, typically as a result of cancer or pancreatitis. Read More

Superior hypogastric block – treats pelvic pain

The superior hypogastric block is an injection procedure for relieving pelvic pain when traditional medications are either ineffective or result in unwanted side effects such as nausea. Read More

Botox® injections for headache and spasticity

Botox® is the first and only preventive treatment approved by the FDA for people with chronic migraine headaches, defined as 15 or more headache days each month with each event lasting four hours or more. Our pain specialists at Columbia Pain & Spine Institute can help you determine if Botox® treatments are right for you, and can administer the injections. Read More

Sacroiliac joint injection

Injury to or degeneration of the two sacroiliac joints of the lower back can cause excruciating pain, and the sacroiliac joint injection procedure can help diagnose and treat the condition. Read More

Radiofrequency denervation of sacroiliac joints

Radiofrequency denervation of sacroiliac joints utilizes high-voltage electrical current to heat and destroy the lateral branch nerve of the lower spine and thus ‘block’ pain associated with sacroiliac joint damage. Since the lateral branch nerve does not control muscle or sensory functions, the procedure does not cause any loss of function. Read More

Piriformis injection

Piriformis injections serve double duty as diagnostic tools and as a therapeutic treatment in relieving buttock and sciatica pain. Read More