Epidural Steroid Injections, Trigger points, and other methods
Epidural Steroid Injections are the most common treatment utilized within this specialty
for a wide variety of back conditions. Of course many other treatments are also performed,
including: Trigger points, Facet and Sacroiliac Joint Injections, Selective Nerve Blocks,
and Diskography, among others. These are the "tools" of the trade which a pain management specialist
will utilize in the diagnostic and therapeutic workup of the pain condition. Some treatments
may produce better short term than long term relief, and these are used to diagnose what we
call the "pain generator", the cause of the pain producing condition. Other treatments tend
to be more permanent, which are utilized once the cause of the condition has been determined.
A pain management specialist must be both a good diagnostician and injectionist. This means
performing the correct intervention, and performing it properly. Many patients take this
for granted, but the quality of care that exists does vary a good deal. I have seen many
patients who have had epidural injections, when other treatments were most appropriate.
And whatever treatment is being performed, it should be done in such a way to produce the
least discomfort for the patient. While this seams intuitive, I know that techniques vary
greatly from physician to physician. I try to perform my treatments in such a way that
patient discomfort is minimized, if not avoided altogether.
Patients can call for an appointment at any time, or may be referred to our office by a physician or other health care provider.
Fees and Insurance
Our fees consist of the physician's fee and, if treatments are performed in a facility, a facility charge. They are based upon the amount of time spent with the patient as well as the medical complexities and technical skills required for each particular problem. You or your insurance company will be billed after completion of a single procedure or consultation, or after a series of procedures. Fees are payable to Garden State Pain Management, P.A.
Plans accepted include: In Network: Oxford, United Healthcare, Medicare. Out of Network: Blue Cross/Blue Shield, Aetna, Cigna and all other carriers. We also accept insurance for all motor vehicle accidents, and workman's compensation carriers.
Our office personnel can discuss your insurance coverage with you and help make arrangements for payment. Insurance or worker's compensation may cover all or part of the program's charges.
Resources (click to read or download):
Lumbar Facet Injection for Chronic Lower Back Pain
Lumbar Radiofrequency Ablation for Chronic Lower Back Pain
Lumbar Epidural Injections
New Patient Forms
Dr. Koppel performing an Epidural Injection
Radiofrequency Ablation Procedure