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Pain Management

Chronic or acute pain from diseases, disorders or accidents can keep you from doing the things you enjoy. Gundersen pain medicine specialists use a team approach to develop a treatment plan that helps you manage your pain and get back to living your life. Treatment plans often combine injection treatments with more conservative therapies such as physical therapy, chiropractic, counseling, or other therapies to maximize function and relief.

Conditions we treat

  • Nerve pain from shingles or other disorders of the nervous system
  • Spine pain from degenerative disc or other spine disorders
  • Joint or muscle pain from arthritis and other conditions
  • Spasticity or muscle tightness caused by multiple sclerosis or spinal cord injuries
  • Post-accident pain
  • Chronic abdominal pain
  • Sports injuries
  • Surgery-related pain
  • Pain from cancer or cancer treatments

Injection treatments we offer

We offer a variety of injection treatments to help lessen your pain. Talk with your primary care doctor or call us to see which option is best for you.

Ultrasound-guided injections - Ultrasound-guided injections allow the clinician to perform precise injections to the area affected by pain. Ultrasound imaging allows for safe and accurate delivery of the pain-relieving medication to the exact target. Ultrasound imaging does not use any radiation and is safe for use during pregnancy.

Nerve blocks - Nerve blocks are injections of medicine to block pain from reaching the brain. They offer immediate relief of acute pain but can also be used to help chronic pain as some injections reduce irritation to allow the nerves to heal. Nerve blocks can help people with chronic pain function better day-to-day.

Low back and leg pain - Lumbar epidural steroid injections - A lumbar epidural steroid injection is a steroid injection that provides temporary pain relief. An epidural can be beneficial for a patient suffering from an acute episode of back or leg pain.

Shoulder, upper back and arm pain - Cervical epidural steroid injections - A cervical epidural steroid injection is an injection of anti-inflammatory medication into the area of your neck near your spine. The injection relieves pain associated with inflammation around the nerves in your neck. Most times, you can return to the comfort of your home just hours after the procedure.

Back and neck pain - Facet joint injections - Medicine is injected into inflamed joints in your vertebrae, helping to reduce inflammation and pain. Many patients experience lessening pain immediately and may also notice longer lasting pain relief.

Lower back, hip, knee and shoulder pain - Large joint injections - Large joint injections reduce pain caused by inflammation in the large joints of your body. This procedure can yield a significant reduction in pain without disrupting your everyday activities.

Radiofrequency ablation (RFA) - Using an X-ray to locate the affecting nerves, our experts use heat to destroy those nerves and stop them from sending pain signals to the brain. Pain relief can last more than a year in some cases. You will be able to resume normal activities after just 24 hours. RFA is now offered for hip and knee pain.

SI Joint injections - Reduces swelling and inflammation around the Sacroiliac joint.

Surgeries we offer

If conservative treatments aren't getting you the pain relief you need, we offer surgical options to lessen your pain symptoms. Gundersen's Pain Medicine team delivers treatments close to home, working closely with you and other Gundersen specialists as needed.

Spinal Cord Stimulator – A spinal cord stimulator is implanted to treat chronic pain syndrome in the arms, hands, legs or feet. Electrical pulses are used to stop pain signals from reaching your brain. Our goal is that, once a spinal cord stimulator is in place, you may return to normal activities of daily living.

Implantable drug pumps – A drug pump is surgically implanted under your skin and is used to distribute pain medication directly to the fluid around the spinal cord. Symptoms can be controlled with a smaller dose of medication than those medicines delivered orally. This option may be used if more traditional methods have failed to relieve your long-term oncology pain.

Pain Medicine and The Injection Clinic are departments of Gundersen Lutheran Medical Center.

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