Pain Management Services in DFW

Eclipse Imaging & Pain Management Center is a local family-owned business with more than 30 years of experience in treating individuals suffering from pain. Our bilingual staff strives to provide the best in customer service. We ensure a comfortable and compassionate experience for our patients.

Our pain management services treat low back and neck pain, spine pain, facet joint pain, arthritis, migraines, sciatica, and neuropathic pain. Our medical staff will diagnose the cause of your pain and then come up with a safe and effective treatment plan.

Pain Management Services

Click the following to learn more about the services we offer.

  • Facet Injection

    Facet joints are small joints at each segment of the spine that provide stability and help guide motion. The facet joints can become painful due to arthritis of the spine, a back injury or mechanical stress to the back. A cervical (neck), thoracic (upper back) or lumbar (lower back) facet joint injection involves injecting a steroid local anesthetic mixture, which can anesthetize the facet joints and block the pain.

    Facet joint injections usually have two goals: to help diagnose the cause and location of pain and also to provide pain relief.

    Diagnostic goals: By placing numbing medicine into the joint, the amount of immediate pain relief experienced by the patient will help confirm or deny the joint as a source of pain. If complete pain relief is achieved while some of the facet joints are numb it means those joints are likely to be the source of pain.

    The pain relief from a facet injection is intended to help a patient better tolerate a physical therapy routine to rehabilitate his or her injury or back condition and to diagnose the source of pain.
  • Trigger Point Injection

    Overview
    Trigger point injection (TPI) is used to treat extremely painful areas of muscle. Normal muscle contracts and relaxes when it is active. A trigger point is a knot or tight, ropy band of muscle that forms when muscle fails to relax. The knot often can be felt under the skin and may twitch involuntarily then touched (called a jump sign) The trigger point can trap or irritate surrounding nerves and cause referred pain- pain felt in another part of the body. Scar tissue, loss of range of motion, and weakness may develop over time. TPI is used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle) that does not respond to other treatment, although there is some debate over its effectiveness. Many muscle groups, especially those in the arms, legs, lower back, and neck, are treated by this method. TPI also can be used to treat fibromyalgia and tension headaches.

    Procedure
    Medical specialists such as an orthopedist, physiatrist, pain specialist, or neurologist can administer TPI. Injections are given in the physician’s office and takes approximately 30 minutes. Before performing TPI, the physician may give the patient a nerve block to prevent pain from needle penetration. A small needle is inserted into the trigger point and a local anesthetic (e.g.,lidocaine, procaine) with or without a corticosteroid is injected. Injection of medication inactivates the trigger point and thus alleviates pain. Sustained relief usually is achieved with a brief course of treatment. The injection may cause a twitch or pain that lasts a few seconds to a few minutes.

    Aftercare
    Numbness from the anesthetic may last about an hour and a bruise may form at the injection site. Pain can be relieved by alternately applying moist heat and ice for a day or two. In most cases, stretching exercises and physical therapy are performed following TPI.

    Complications
    The patient should contact the physician if redness or swelling develops. There is some risk for puncturing a lung or the membrane.
  • Epidural Steroid Injection (ESI)

    You will be situated on your stomach or on your side, on a table in the fluoroscopic room and made to feel as comfortable as possible. The doctor will identify where the injection should be given and will sterilize the skin with an antiseptic solution. He or she will then inject a local anesthetic to help numb the area before administering the epidural injection. Once the area is numb, the doctor will use imaging guidance to help guide the epidural needle to exactly the right position. When the needle is in place, a contrast material will be injected so the doctor can ensure the distribution of the medication given. Then, your doctor will slowly inject the medication, which is typically a combination of anesthetic and anti-inflammatory drugs (cortisone/steroids).

    When finished, you will be moved into a chair or bed and allowed to rest for a few minutes to an hour. The nurse will make sure you do not have any unfavorable reactions to the medication before you are allowed to leave.
  • Rhizotomy

    The goal of a facet rhizotomy, either a cervical facet rhizotomy or lumbar facet rhizotomy, is to provide pain relief by "shutting off" the pain signals that the joints send to the brain. The pain relief experienced by most patients who have this procedure lasts months or even years.

    How Facet Rhizotomy Is Done
    Patients who are candidates for rhizotomy typically have undergone several facet joint injections to verify the source and exact location of their pain. Using a local anesthetic and x-ray guidance, a needle with an electrode at the tip is placed alongside the small nerves to the facet joint. The electrode is then heated, with a technology called radiofrequency, to deaden these nerves that carry pain signals to the brain.

    The procedure takes about 30-60 minutes. Afterwards, patients are monitored for a short time before being released.

    What to Expect
    Very little preparation is required for a facet rhizotomy procedure:
    • Your physician will give you detailed instructions about whether you can eat before the procedure.
    • In most cases, you can continue to take your usual medications before a rhizotomy. However, make sure you discuss what medications you use with your physician before the procedure.
    • If it requires IV sedation, you will need someone to drive you home after the procedure.
  • Nerve Block

    Nerve blocks usually take only minutes to administer. You will be positioned on a table or other surface to allow the doctor access to the site(s) to be injected. The doctor will then identify the spot the needle needs to be placed, using palpation and/or imaging guidance. He or she will clean the area with antiseptic solution, and then the needle will be inserted at a specific depth to deliver the medication as close to the problematic nerve(s) as possible.

    More than one injection may be required, depending on how many areas of pain you have or how large an area needs to be covered. The doctor will most likely tell you when he or she inserts the needle and when the injection is done. When finished, you will be allowed to rest for 15 to 30 minutes to let the medication take effect. The nurse will also make sure you don't have any unexpected side effects before you leave the doctor's office.
  • Stimulator Trials

    Spinal cord stimulation uses low voltage stimulation of the spinal nerves to block the feeling of pain. It helps you to better manage your pain and potentially decrease the amount of pain medication. It may be an option if you have long-term (chronic) leg or arm pain, and have not found relief through traditional methods. A small battery-powered generator implanted in the body transmits an electrical current to your spinal cord. The result is a tingling sensation instead of pain. By interrupting pain signals, the procedure has shown success in returning some people to a more active lifestyle.

  • Multiple Consultation Locations near you! Fort Worth, Dallas, Southlake, Hurst, Grapevine, and North Richland Hills. Contact our pain management coordinators Michelle or Kristen for more information.

  • For more information about the physicians that utilize our Pain Management Clinic, please visit DFWPainDocs.com.