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IMG PROCEDURES & SURGERYS

NTERVENTIONAL PAIN PROCEDURES

(In office and surgery center)

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  • Ganglion Blocks

  • Medial Branch Blocks

  • Facet Joint Injections

  • Radio Frequency Ablations (RFA)

  • SI Joint Injections

  • Epidural Steroid Injections  (ESI)

  • Trans-Foraminal ESI

  • Small and Large Joint Injections (Extremity)

  • PRP (Spine and extremities)

  • Regenerative Medicine (Stem Cell, Exosomes) - Spine and extremities

  • Discogram/Discography 

  • IDET Intradiscal Electrotherapy 

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SURGICAL SPINE PROCEDURES (Only in ASC’s)

 

Surgical procedures of the spine that do not require the placement of surgical implants:

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  • Laminectomy’s, Discectomy’s, Laminotomy’s, Foraminotomy’s

  • Posterior Decompression Surgeries - PDD (C,T,L)

  • Endoscopic Rhizotomy’s (C,T,L)

  • Endoscopic Neurotomy’s( C,T,L)

  • Annuloplasty’s

  • Kyphoplasty’s

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SURGICAL SPINE PROCEDURES (Only in ASC’s)

 

Surgical procedures of the spine requiring placement of surgical inter-body plate, artificial disc or other surgical implant:

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  • Fusions: ACDF’s, PCDF’s, T-LIFT’s, A-LIFT’s

  • Cervical Arthroplasty’s

  • Lumbar Facet Fusion’s 

  • SI Joint Fusion’s

  • Spinal Cord Stimulators (Trial and Permanent Placement)

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SURGICAL EXTREMITY PROCEDURES

(ONLY IN ASC’s)

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  • Fractures - fix and/or repair

  • Non-complex orthopedic surgical “case” with synovectomy/debridement, ORIF, neuroplasty, open or arthroscopic including

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ARTHROSCOPIC SURGERIES OF THE FOLLOWING:

 

  • Shoulder

  • Elbow

  • Wrist  

  • Hand

  • Elbow

  • Hip

  • Knee

  • Ankle/Foot

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Spine Procedures

Our approach begins with a detailed review of MRI or CT scans, a full physical examination, and a comprehensive assessment of the patient’s symptoms. This in-depth evaluation allows our surgeons to pinpoint the exact source of pain and design a personalized surgical plan.

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Each procedure is performed incrementally, one vertebral level at a time, focusing first on the areas causing the most pain. We do not use general anesthesia—instead, we rely on local anesthesia and conscious IV sedation, keeping the patient comfortable and alert, which enables real-time feedback during surgery. This enhances precision and ensures optimal outcomes.

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In the operating room, patients are asked to perform mobility tests to verify pain relief before moving to post-operative care. Following the procedure, patients consult with their surgeon to determine if additional steps from the treatment plan are needed. If necessary, follow-up procedures are scheduled within days, allowing inflammation to subside. During recovery, patients begin a guided walking therapy program to support healing and mobility.

Common Spine Procedures We Perform

 

Depending on your diagnosis and specific needs, your treatment plan may include one or more of the following minimally invasive spine procedures:

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    •    Bone Fragment Removal

    •    Decompression of Pars Defect

    •    Discectomy

    •    External Foraminotomy

    •    Facet Ablation / Rhizolysis

    •    Facetectomy

    •    Foraminotomy

    •    Spinal Hardware Removal

    •    Laminectomy

    •    Laminotomy

    •    Partial Inferior Facetectomy

    •    Pediculectomy

    •    Re-exploration of Spinal Fusion

    •    Resection of Osteophytes (Bone Spurs)

    •    Scar Tissue Removal

    •    SI Joint Debridement

    •    Spinous Process Debridement

 

Our goal is to identify and treat the root cause of your pain using targeted, precise techniques that support long-term recovery and improved quality of life.

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