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.

Referrals

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):

Epidural Injections

Lumbar Facet Injection for Chronic Lower Back Pain

Lumbar Radiofrequency Ablation for Chronic Lower Back Pain

Available Treatments

Lumbar Epidural Injections

New Patient Forms

Video Resources:

Dr. Koppel performing an Epidural Injection

Radiofrequency Ablation Procedure