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Services
Our interventional practice is devoted to the diagnosis and targeted treatment of chronic pain, usually of spinal origin. We are committed to providing accessible care throughout rural central, eastern, and northern Maine at your patients' convenience.
Philosophy: It is our purpose to provide interventional services that would otherwise not be available in the communities we serve. Our patients typically have chronic, consistent, focal pain which has not responded to conservative care (e.g. physical therapy, manual methods, medication). We utilize history, physical examination, and imaging to develop one or several likely diagnoses. If appropriate, targeted injections are performed for diagnostic and/or therapeutic purposes. Depending upon results, injection or denervation can be repeated as needed. Alternatively, patients can be returned to conservative care or referred to another specialist.
Conditions we commonly treat
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Spinal Stenosis
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Disc Herniation
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Radiculopathy (including sciatica)
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Spondylosis
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Sacroiliitis
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Coccygodynia
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Post-laminectomy syndrome
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Post spinal fusion pain
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Hip arthropathy
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Knee arthropathy
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Shoulder pain
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Greater trochanter bursitis
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Spinous process bursitis
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Piriformis syndrome
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Muscular trigger points
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Peripheral neuropathy (e.g. intercostal, occipital, ulnar, femoral, peroneal, meralgia paresthetica)
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Complex Regional Pain Syndrome
Procedures Commonly Performed - Under Fluroscopy
(Under X-ray guidance):
Spinal Cord Stimulation
(Trial)
Epidural Steroid Injection
Cervical, Thoracic, Lumbar, Caudal
Selective Spinal Nerve Injection
Cervical, Thoracic, Lumbar
Intercostal Nerve Injection
Facet Joint Injection
Cervical, Thoracic, Lumbar
Sacroiliac Joint Injection
Piriformis Muscle / Sciatic Nerve Injection
Lumbar Sympathetic Injection
Stellate Ganglion Injection
Hip Joint Injection
Glenohumeral (Shoulder) Joint Injection
Facet Joint Denervation
(Cervical, Thoracic, Lumbar)
Sacroiliac Joint Denervation
Procedures Commonly Performed - withOUT Fluoroscopy
Muscular Trigger Points
Shoulder
(Subacromial, Acromioclavicular, Biceps Tendon)
Greater Trochanter Bursa
Knee Joint
Peripheral nerves
Occipital (greater, lesser)
Peripheral Nerves
Supraspinatus, Ulnar, ilioinguinal, genitofemoral, femoral, lateral femoral cutaneous, common peroneal