Pain Management

Interventional Radiology (IR) is a specialty within radiology, which offers therapeutic help for pain management. IR procedures are minimally invasive, and offer patients shorter recovery time and minimal risk when compared to most surgical options.

IR treatments are precisely targeted and because they use a minimally invasive techniques under fluoroscopy and ultrasound to guide a needle or catheter to the source of pain or disease, many procedures can be done on an outpatient basis. In some cases, the patient is even able to continue with their day as usual after their procedure. There are no large incisions to heal, and infection rates are significantly lower with minimally invasive procedures than with open surgery.

IR pain management techniques are very effective for many types of spine and neck pain and some types of musculoskeletal pain. Depending on the source of the pain, IR techniques may be used to diagnose, deliver pain relief, or, in some cases, treat the underlying cause while providing pain relief.

If you’re suffering from chronic or acute pain caused by a known injury or illness, Naadi Healthcare offers many innovative types of IR treatments to provide you with effective pain management.

Reasons for Referral

    • Acute and chronic pain conditions of the
      • Neck
      • Back
      • Joints
    • Cancer Pain
    • Fibromyalgia
    • Disc Disease
    • Spine Conditions
    • Sciatica
    • Spinal Stenosis
    • Recurring Pain from Previous Surgeries


Epidural Steroid Injection
Epidural steroid injections provide diagnostic data and pain relief by delivering local anesthetic (numbing medication) and anti-inflammatory steroid medications into the spinal area on the surface of the spinal column. This procedure may reduce inflammation, resulting in long-term pain relief, and can provide valuable information on the source of your pain.
Facet Joint Injection
A facet joint injection is a procedure that identifies the source of irritation in the small joints at each segment of the spine. These joints provide stability and help guide motion. A cervical (neck), thoracic (upper back) or lumbar (lower back) facet joint injection involves injecting a steroid (anti-inflammatory) medication, which can anesthetize (numb) the facet joints and block the pain.

If multiple levels of pain exist within the facets, several injections may be required to pinpoint the pain source in each location. This pain relief will enable you to undergo necessary conventional treatment, such as physical therapy, to rehabilitate your back.

Kyphoplasty is a procedure designed to relieve back pain caused by compression fractures of the thoracic (mid-back) and lumbar (low-back) spine that have failed to heal normally. These fractures of the vertebrae are most often seen in the elderly population and are usually the result of severe weakening of the bone from osteoporosis. The underlying osteoporosis often results in delayed healing or lack of healing of the fracture. Osteoporosis can also be seen in younger individuals, as a result of long-term use of steroids used to treat diseases such as asthma, lupus, and rheumatoid arthritis. Compression fractures may also occur in vertebra weakened by cancer.
Nerve Root Block
A nerve root block is an injection into the sheath surrounding a nerve root in the spine to decrease your pain temporarily and to define it more precisely. The exam uses therapeutic steroid and local anesthetic (numbing medication) to decrease pain and inflammation. Pain relief from the procedure varies from minimal to long-term, depending on the specific symptoms.

You must have symptoms present for this procedure to be effective. If you are not experiencing symptoms prior to your procedure, please cancel your appointment and reschedule the exam once your symptoms have returned.

Sacroiliac Joint Injection
A sacroiliac joint injection places local anesthetic (pain-relieving medication) in the sacroiliac joint, which is the region of your low back and buttocks where your pelvis joins the spine. Once the sacroiliac joints become painful, they may cause pain in the low back, buttocks, abdomen, groin, or legs. The amount of immediate relief experienced during the injection will help confirm or deny the joint as a source of pain. The cortisone (steroid) will help to reduce any inflammation that may exist within the joint(s).
Trigger Point Injection
Trigger point injections (TPI) are used to detect if hardware implanted in the low back is the source of pain and should be removed. Trigger points are tight knots of muscle that form when muscle fails to relax. Trigger point injections are commonly performed to treat painful areas.
Stellate Ganglion Block
A stellate ganglion block is an injection of a local anesthetic (numbing medication) around the stellate group of nerves in the neck under fluoroscopic (x-ray) guidance or into the celiac group of nerves in the abdomen under CT guidance to relieve pain. The pain relief will affect one side of the head and neck, the upper arm and the upper part of the chest on the same side of the body in a stellate block. A stellate ganglion block may be performed to decrease pain and increase the circulation and blood supply to the affected arm. Celiac blocks may relieve deep abdominal pain in cancer patients.
Percutaneous Vertebroplasty (“percutaneous” means ‘through the skin’) is a minimally invasive procedure designed to relieve back pain caused by osteoporotic compression fractures of the thoracic (mid-back) and lumbar (low-back) spine that have failed to normally heal. By injecting bone cement into the compressed vertebra, the fracture is stabilized, significantly improving or alleviating back pain. Vertebroplasty also prevents further vertebral collapse, which is associated with height loss and spine curvature commonly seen with osteoporosis. With non-surgical therapies like vertebroplasty, you will experience less pain and risk, and will return quickly to previous activity levels.

The fractures are typically caused by decreased bone density also known as osteoporosis, but occasionally tumors arising from the spread of breast cancer, lung cancer, or non-cancerous tumors of bone such as hemangiomas, etc. can be treated to reduce the pain. The procedure is not used to treat ruptured/herniated discs or other types of degenerative spine disease.

Facet Nerve Injection
Facet nerve injections are diagnostic procedures that identify the source of irritation in the nerves that run along the outer edge of the facet joints within the spine. If multiple levels of pain exist within the facets, several injections may be required on different days to pinpoint the pain source in each location.

By anesthetizing these nerves, the physician can determine whether the nerve irritation should be treated with medication or by radiofrequency (RF) rhizotomy. Pain relief varies for each patient ranging from short-term to long-term relief.

Pain Pump Placement
Intrathecal drug delivery, or “pain pump,” Placement: is a method of giving medication directly to your spinal cord. The system uses a small pump that is surgically placed under the skin of your abdomen and delivers medication through a catheter to the area around your spinal cord – similar to an epidural that women may have during childbirth. A pain pump may be a treatment option if all other traditional methods have failed to relieve your long-term symptoms. Because the medication is delivered directly to the spinal cord, your symptoms can be controlled with a much smaller dose than is needed with oral medication. The goal of a drug pump is to better control your symptoms and to reduce oral medications; thus reducing their associated side effects.


1 NW 64th Street 73116 Oklahoma City, OK

About Us

Our mission at Naadi Healthcare is to improve the daily lives of our patients’ by utilizing a comprehensive treatment method accompanied by clinical excellence and an unparalleled patient service.

The premier outpatient Vascular and Interventional Center in Oklahoma.


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