Treatments

We utilize the most advanced medical treatments for chronic pain.


Treatment for chronic pain includes:

Spinal cord stimulation
Careful prescription and monitoring of medications
Implantable drug infusion pumps
(full list below)

Whether your pain is chronic or acute, Dr. Siegfried draws upon his extensive multi-disciplinary experience to help you discover relief.

We understand. We can help.

Interactive Videos of Treatments

Traditional/Interventional

We can employ the latest, most technically sophisticated technology to treat chronic pain. Dr. Siegfried stays abreast of all of the current medical literature and is constantly training in all of the latest techniques. As a former faculty member of one of the most prestigious medical schools in the country, he has access to all of the leading researchers in the field of pain management.

The facilities we use have highest quality, “state of the art” equipment needed to perform procedures in the most precise, most effective and safest manner. This includes the highest quality radiographic imaging devices available. The images generated by these devices are only as good as the person interpreting these images. Many practitioners who use these devices are poorly trained and inexperienced at interpreting the resulting images. Dr Siegfried is expertly trained and has vast experience in this field. In fact, as Director of the pain management postgraduate training program at the College of Physicians and Surgeons at Columbia University, he taught these techniques to doctors in training. The treatment of chronic pain is Dr. Siegfried’s primary focus.

Medical management

  • Antidepressants
  • Anticonvulsants
  • Antiarrythmics
  • NMDA antagonists
  • Calcium channel blockers
  • Topical medications

Radiographically guided spinal injections

(x-ray and CT scan)

  • Epidural block
    • Translaminar (conventional)
    • Transforaminal
  • Selective nerve root block
  • Facet block
    • Intra-articular
    • Medial branch
  • Sacroiliac joint block
  • Discography
  • Radiofrequency neuroablation (nerve destruction)

Manufacturer’s Links (Patient Information)

Ask Me About Square

Other radiographically guided injections

(x-ray and CT scan)

  • Celiac plexus block
  • Hypogastric plexus block
  • Stellate ganglion block
  • Lumbar sympathetic block
  • Ganglion impar block
  • Peripheral nerve blocks
  • Neuraxial blocks (including neurolysis)

Other injections

  • Trigger point injection
  • Subcutaneous infiltration

Intravenous infusions

  • Sodium channel blockers
  • Alpha blockers
  • Intravenous regional sympathetic block

Neuromodulation

  • Spinal cord stimulation
  • Transcutaneous electrical nerve stimulation

Implantable technologies

  • Spinal cord stimulation:  Spinal cord stimulation is a pain relief technique that delivers low voltage electrical current to the spinal cord in order to block the pain signals from reaching the brain.
  • Spinal drug delivery system

?Manufacturer’s Links (Patient Information)

www.poweroveryourpain.com

Minimally Invasive Treatment of Disc Disease

  • Spinal endoscopy (epiduroscopy)
  • Intradiscal electrothermal annuloplasty (IDEA/IDET)
  • Percutaneous nucleoplasty

Manufacturer’s Links (Patient Information)

Minimally Invasive Treatment of Spinal Compression Fractures

  • Vertebroplasty

Ultrasound Guided Procedures

The utility of ultrasound in interventional pain practice is continually expanding and cialis canadian pharmacy our office intends to remain on the cutting edge of this technology.

Currently, Ultrasound Guided Injection is used to treat the following in our office:

  • Epidural steroid injection via caudal approach for disc herniation and spinal stenosis
  • Trigger point injection
  • Suprascapular nerve block for shoulder pain due to suprascapular nerve injury
  • Acromioclavicular joint injection for shoulder pain
  • Glenohumeral joint injection for osteoarthritis
  • Subachromial bursa injection for bursitis
  • Biceps tendon injection for biceps tendonitis
  • Medial epicondyle injection for golfer’s elbow
  • Lateral epicondyle injection for tennis elbow
  • First extensor compartment injection for DeQuervain’s tenosynovitis
  • First CMC injection for osteoarthritis
  • Carpal tunnel injection
  • A1 pulley injection for trigger finger
  • Hip joint injection for degenerative joint disease
  • Greater trochanteric bursa injection for trochanteric bursitis
  • Iliotibial band injection for iliotibial band syndrome
  • Knee joint aspiration and injection for effusion, OA, RA
  • Tarsal tunnel injection for entrapment

Complementary/Alternative

Our office also utilizes non-traditional methods in the treatment of chronic pain . Acupuncture and other therapies have been proven to give patients dealing with chronic pain relief. Dr. Siegfried will develop the treatment plan that works best for you.

Acupuncture Approaches

  • Classical chinese
  • French energetics
  • Electroacupuncture
  • Auricular

Musculoskeletal Treatments

  • Surface Energetics
  • Trigger point deactivation
  • Tendinomuscular treatment
  • Percutaneous electrical nerve stimulation
  • Osteopuncture

Minimally Invasive Surgical

Endoscopic Surgery was developed in the 1980’s and has steadily gained popularity. Dr. Siegfried is one of the few surgeons who has been trained to perform endoscopic surgery of the spine. Dr. Siegfried has teamed up with Dr. Quartararo to perform these surgeries. Doctors Siegfried and Quartararo perform endoscopic spine surgery using a video telescope and miniaturized instruments through a tiny incision.  By minimizing the disturbance to surrounding tissue, postoperative discomfort is reduced and recovery time dramatically shortened.

Current Procedures:

  • Endoscopic Microdiscectomy – In this procedure, a tiny portion of the disc in the spine is removed so that the disc is no longer pressing on the nerve root. Rather than creating a 3-inch or larger incision, as would be the case in traditional surgery, this procedure is performed through a tiny 1/2-inch incision. The combination of a miniaturized video camera, live x-rays and generic viagra fast delivery sophisticated neurological monitoring guides the surgeon so he can successfully remove a tiny piece of the disc without cutting surrounding muscle and bone. The patient goes home within a few hours with one or two band-aids on their back.
  • Endoscopic Lumbar Fusion – This cutting edge procedure is recommended for patients with disc disease who have back pain with or without leg pain. Traditional lumbar fusion surgery would require an 8- to 10-inch incision and would involve significant post-operative pain. But with endoscopic surgery, there are only two incisions that are 2-1/2 inches in length on either side of the spine for a bar to hold the spine in place during healing. Rather than a 4- to 5-day hospital stay, the patient can go home between 12 and 23 hours after the procedure.

For more information on these endoscopic procedures: