Interventional Pain Management

Beyond primary care.

Coastal Health Group’s non-opioid interventional pain management offers patients proven, safe options for treatment of chronic and acute pain without the addictive and potentially debilitating side effects, including addiction, often associated with opioid-based pain management.

Coastal Health Group-delivered Interventional Pain Management has proven beneficial for a host of conditions and symptoms that include:

  • Diabetic/peripheral neuropathy
  • Discogenic pain
  • Facet joint arthropathy
  • Facial pain
  • Failed back surgery syndrome
  • Herniated (“ruptured”) disc
  • Muscle strain
  • Osteoarthritis/ autoimmune arthritis
  • Pain associated with Auto-Related Injuries
  • Pain associated with Work-Related Injuries
  • Sciatica
  • Spinal pain (cervical, thoracic, lumbar, sacral)

Coastal Health Group’s current suite of interventional pain management services include:

Epidural Steroid Injections

Epidural steroid injection or ESI, is a minimally invasive procedure used to address neck, arm, back and leg pain caused by inflamed spinal nerves, often due to spinal stenosis or disc herniation.

Spinal Endoscopy

Spinal endoscopy can confirm a diagnosis of scarring around nerve roots, and allow removal or displacement of scarring.  Medications are delivered direct to affected nerves, relieving pain and other symptoms.

Facet Joint Injections

A proven treatment for acute and chronic back pain, facet joint injections combine a local anesthetic and a corticosteroid anti-inflammatory medication to relieve pain and inflammation emanating from the specific joint. Facet joint injections also provide immediate feedback, confirming the source of your pain.

Selective Nerve Root Block

Nerve blocks are used to reduce inflammation and pain. These injections also provide useful information to determine the specific spinal nerve root that is source of the pain.


Discography is a non-surgical back pain diagnostic procedure. It provides an “inside” look into the discs to determine if they are the source of your pain.

Radiofrequency Procedures

The minimally invasive procedure delivers an electrical current produced by a radio wave. It “heats” a small area of nerve tissue, thereby decreasing pain signals transmitted from the impacted area to the brain.

Intrathecal Pumps

A surgically implanted pump delivers pain medications directly to the precise location in the spine from which the pain originates.

Disc Annuloplasty

An annuloplasty is a minimally invasive outpatient procedure especially suited to patients who’ve had no success with other treatments and therapies and wish to avoid the pain and downtime of traditional spinal surgery.

Controlled levels of thermal heat are applied directly to the affected disc.

Trigger Point Injection

This outpatient procedure was developed to reduce and relieve back pain attributed to trigger points. These small knots form in muscles or fascia tissue leading to myofascial pain.

Sympathetic Nerve Blocks

A sympathetic nerve block can be used to treat pain resulting from Complex Regional Pain Syndrome (CPRS), Raynaud’s disease, and types of abdominal pain. This injection targets the sympathetic nervous system, which controls several involuntary body functions, including blood flow, heart rate and sweating.

Sacroiliac Joint Injection

A sacroiliac joint injection serves several purposes. By placing numbing medicine into the joint, the amount of immediate pain relief you experience will help confirm or eliminate the joint as a source of your pain.

Epidural Lysis of Adhesions/Neuroplasty

Epidural lysis of adhesions (LOA) has emerged as a popular treatment for spinal stenosis and failed back surgery syndrome.