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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We are Doctors and Physiatrists who believe in a balanced and multi-disciplinary approach to diagnose and treat the pain our patients are dealing with.

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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. 

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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.

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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. 

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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.

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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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I Love the way they all listen to you no matter what it's about. I Love how they make sure your feeling fine & how they find other ways to help you. They are a wonderful team & I am so glad I found them.

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Dr Rao is MY Absolute Favorite Doctor! Love him! His staff at Mt Airy and in Frederick, Maryland are the best of the best. Caring, kind and very friendly. I would recommend anyone to seek out Dr Rao and his staff in a heartbeat.

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I LOVE this place. Dr B. and Dr Rao saved my life. In 2014, I could only walk about 15ft and had to use a wheelchair. It happened so quickly to me. I had extreme pain in my back, and legs. My other pain management wouldn't help at all.

Kathleen Tibbs

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At Pain and Spine Specialists we are dedicated to providing the highest quality of care to our patients. We provide tailored services with each individual’s comfort in mind.

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 (301) 703-8767
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Please note: We accept Workers Compensation Insurance and Personal Injury Patients 

Please note: We accept Workers Compensation Insurance and Personal Injury Patients 

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