Over 80% of people will develop back pain at some point in their lives. A large number of these patients will improve with time, conservative therapy, or medications. However, if your neck pain or low back pain does not improve after several weeks, a more in-depth workup is necessary. Dr. Todd Koppel, at Garden State Pain Management, has over his 20+ years in practice, developed a comprehensive treatment plan to diagnose the cause of the condition, and alleviate it with minimally invasive therapies. If your neck and back pain has persisted, please call us to schedule an appointment at any of our three locations, including Clifton, Newark, and Elizabeth, New Jersey.
Any of the structures in the neck can be a cause of persistent neck pain. These can include the muscles, joints (known as the facet joints), supporting ligaments and tendons, spinal cord and nerves, and the cervical disks. Dr. Koppel has seen many patients who underwent epidural injections needlessly, whereby the condition warranted other treatments. Every patients is personally examined to determine the most likely cause and an individualized treatment plan instituted.
Dr Koppel performs the most state of the art minimally invasive therapies to alleviate the condition. Treatments for the most common conditions include:
Myofascial Pain: Chronic neck pain may be muscular in nature. Many patients with ongoing neck pain have at least a component of muscle pain contributing to their condition. This can be diagnosed with Trigger point injections. If this brings temporary benefit, long term relief can include various ablation therapies. For example, Botulism Toxin injections are FDA approved for chronic cervicalgia and associated muscle tension headaches.
Facet Joint Disease: Dr Koppel sees many patient’s who have this condition, and were mis-diagnosed. Facet medial branch blocks are utilized to diagnose the condition. If temporary benefit is obtained, then various ablation techniques exist to achieve permanent benefit.
Abnormalities of the cervical disks can involve many different disorders including:
Cervical Disk Degeneration
Cervical Disk Hernations
MRI studies only give a part of the picture and may reveal disk abnormalities that are not causing pain. The best way of determining if a disk is causing the pain is to undergo a diagnostic diskography. This test will determine which disk, if any, is causing the pain. Dr Koppel has had a number of patients who were able to avoid surgery. However, if one or more disks are determined to be the cause of the pain, then various minimally invasive discectomy procedures exist, which can alleviate the herniation without surgery: Minimally Invasive Therapies