Injection Therapies

Injection therapy is a minimally invasive treatment used to treat acute and chronic back pain. A non-surgical treatment, many patients successfully experience relief from their chronic back pain symptoms.

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Pain and Spine Specialists

4.7

Kathy W.

17:23 14 Jan 22

PASS office personnel are always courteous and efficient. They take the time to listen to your concerns and proceed for treatment.

Prison stories with D.

20:16 13 Jan 22

Jill R.

14:23 13 Jan 22

I love Pain and Spine! Everyone is always so friendly, and Dr Jeremiah is amazing!

Ta Y.

03:49 08 Jan 22

Jim_Mary C.

21:53 06 Jan 22

Professional, friendly, and efficient

Diane M.

15:26 06 Jan 22

Liz D.

15:07 04 Jan 22

I have had nothing but wonderful experiences since beginning treatment at PASS. Everyone - receptionists, nurses, and my nurse practitioner Isaac have been terrific, good listeners and really pay attention to my overall health. Isaac had me talk to Dr. Rao about a procedure I was going to have, and Dr. Rao explained it very clearly, answered my questions and allayed my fears. I just had the procedure done yesterday by Dr. B and it was quick and not uncomfortable. I feel I am finally in good hands at PASS and that my quality of life is the best it can be. /Update on 1/4/2022 - I would like to add that my nurse practitioner, Ester, is a wonderful addition to PASS for me. She listens and responds to any concerns I have and is very respectful and responsive about those concerns. I feel a great deal of mutual trust and respect from her, and always leave the office feeling that she is looking out for me and providing me the best “quality of life” measures that she can. I feel safe and well-treated as one of her patients.

PENNY W.

23:27 21 Dec 21

I really appreciate the time they give you and they listen to what I need to say. Their whole team are the best!! Merry Christmas!

Amy H.

15:34 21 Dec 21

Everyone that I have had any contact with from the receptionists to the assistants to the doctors have been pleasant to talk to. They are helpful, knowledgeable and caring. It's hard to find a doctor where the entire staff is such a pleasure to interact with. I would recommend them to anyone that has chronic pain.

Harry W.

19:34 16 Dec 21

RAW INK Tattoo - Bobby W.

16:13 14 Dec 21

Paul D.

02:59 04 Dec 21

Wery happy with the whole operation

Peggy I.

14:21 02 Dec 21

Christi B.

15:57 22 Nov 21

John T.

03:03 12 Nov 21

My first visit here but they definitely seem to want to help you and everything you are dealing with so definitely much appreciated

Misty C.

19:26 09 Nov 21

I started going to Pain and Spine specialists back in 2019 . Dr. Hites was my doctor. I loved the medical assistants at the Washington office , I always felt bad for them there was always one or two at the most for a very high patient volume just seemed like those poor girls were always going going going . I used to get injections and the woman(her name escapes me I think it was Jane or Jen or something similar) that was in the room with me always made me feel so comfortable and she had a great personality it helps to have people like that when someone is sticking needles in your neck. I feel like my cervical pain has in fact improved from the time I started to the time I finished. Injections do help .All in all this place serves it's purpose despite the stigma that comes with admitting your in pain management . I am thankful to the staff at Pain and Spine and would recommend them to anyone if your seeking real help not just looking for medications.

Scorpio L.

13:32 22 Oct 21

Dorothy W.

14:20 14 Oct 21

Betty M.

06:12 08 Oct 21

Helpful

Rashawn J.

01:38 05 Oct 21

I would like to first say that my experience with the staff at Pain and Spine Specialist of Maryland ~Rockville did not start on the day of my visit. It started the day I called to schedule the appointment. After transitioning from a pain and spine doctor in Columbia, MD; in which I had an unfavorable experience, the intake staff member at Pain and Spine Specialist made the scheduling a breeze. They were able to get me in within a week. I have been in so much pain due to a car accident in June 2021. With ongoing treatments from chiropractors, physical therapy, and the initial spine doctor; my body had begun to feel increasing pain. I needed relief. Needless to say, I found everything I've been needing at the Pain and Spine Specialist of Maryland.The entire staff was friendly and empathetic to my plight. From the front to the back. Dr. John was very thorough and informative. He listened and gave me options without dismissing my feelings and concerns. He actually took the time with me and answered me and my husband's questions and made sure he met my needs. Although this was my initial visit, I can honestly say that it was the most impressive in comparison to the 3 visits I'd had elsewhere. I did not leave the office crying because I felt like a number. However, I left that office today feeling hopeful and as much as I was in pain, the staff sent me off with a smile on my face and a reasonable plan of action for my treatment. Thank you all so much for your professionalism andcare! It means so much to me and my hubby.

Darla F.

14:08 30 Sep 21

The staff was very professional but friendly. They listened to me, they clearly wanted to help me manage my pain. This is very refreshing after so much time dealing with most of the medical professionals who cannot relate at all to a chronic pain issue.

Rick T.

21:40 29 Sep 21

Me & my wife just recently started going here. We've had 2 visits so far & each time was pleasant. Dr. John treats us both. Me for back issues & my wife for back & neck issues. He explains everything & actually listens to us when we have questions about our care. They don't try to push things on you that haven't worked in the past like injections. He asked what has worked in the past in order to be able to function on a daily basis & set up our care to where we were comfortable. Staff is wonderful & the place is very clean. Also, even tho we've only been here twice for appointments they are on time & haven't had to wait to be seen. The last place we were going to was never on time & the Dr there pushed things on us that didn't work before & we weren't comfortable with & after voicing our concerns he acted like he knew what was best & didn't want to hear from us about what had worked in the past. None of that at PASS!! They actually listen to the patient & that is almost unheard of these days.

Chara D.

18:58 23 Sep 21

The staff and Dr are all great. Can't say anything about the Pas other than Jeremiah he is so caring as the Dr also. Would send anyone to them great bunch of people.

Neil M.

23:45 17 Sep 21

Alley the scheduling person was incredible. I was in so much pain , she was patient and had empathy , she got an appointment for me the next day! Dr Rao was awesome! He listened to my issues and was very understanding and treated with the appropriate injections and meds to help healThe last place couldn’t answer the phones and got disconnected after a ridiculous message 3 times in a row. Glad I found this pain/ spine management practice!

Terry G.

10:34 04 Sep 21

Great Doctors!Worth the drive for me to get there!

Home » Treatments » Injection Therapies

Epidural Steroid Injections

Epidural Steroid Injections (ESI’s) are the most commonly used injection therapy for back pain. They are injections delivered with anesthetic and a steroid in the epidural region of the back. The inflamed nerves in the epidural space are able to be treated with the ESI, reducing swelling and the pain.

Medial Branch Blocks

This is a diagnostic procedure to help identify the source of pain by injecting local anesthetic around the medial branch nerves for immediate pain relief. After a second confirmatory MBB, the next procedure is Radio Frequency Ablation for RFA.

Radio Frequency Ablation

This procedure follows two successful Medial Branch Blocks. The results of an MBB are used as a diagnostic reflection to how successful a Radio Frequency Ablation procedure will be for the patient. It can take 6-8 weeks for the patient to obtain optimal benefits.

Trigger Point Injections

Trigger Point Injections (TPI’s) are used to treat the pain directly. Trigger point pain usually produced uncomfortable and painful muscle spasms. The injection is directly administered to the trigger point (cluster of muscles) allowing the muscles to relax.

Hip Injections

Using X-Ray guided fluoroscopy, a combination of steroid and anesthetic directly administered to the respective hip joints. Helps reduce inflammation and minimize pain. Can also mitigate pain from radiating to other areas of the body.

Shoulder Injections

Using X-Ray guided fluoroscopy, a combination of steroid and anesthetic directly administered to the shoulder joint. Helps reduce inflammation. Can also mitigate pain from radiating to other regions of the body.

Knee Injections

These help reduce inflammation in the knee joint by injecting a medication into the joint space. These are performed in a series of 3 for optimal relief.

Sacroiliac Joint Injections

This injection helps reduce inflammation of the sacroiliac joint nerves by injecting an anti-inflammatory steroid into the joint space. This is done in a series of 2-3 and can take 3-7 days for noticeable relief.

Occipital Nerve Block

This is an injection of steroid (or other medication) around the greater and lesser occipital nerves that are located on the back of the head just above the neck. The medication from this injection typically starts working in 3-5 days and can last from several days to a few months.

Facet Joint Injections

A facet injection is used to treat back and neck pain by injecting medication directly into the joint. A facet injection will not provide permanently pain relief.

Stellate Ganglion Block

This is an injection of medication that can help relieve pain in the head, neck, upper arm and upper chest. Some patients may experience relief for days to weeks.

Lumbar Sympathetic Block

This injection can help relieve lower back or leg pain (sciatica). Relief usually begins 2-3 days after the injection.

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At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to quality care, and that is why you can find us conveniently located throughout Maryland, Pennsylvania, and Virginia.

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