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What is a Minimally Invasive Spine Specialist?

Posted Thursday, April 24, 2008 by Indiana Spine Group


A minimally invasive spine specialist is a physician that specializes in the treatment of patients with spine disorders.  The focus of their patient care is to diagnose the cause of the spine problem, and then to treat the specific cause of the problem which will usually alleviate the symptoms; i.e. back pain.


A physician who is a minimally invasive spine specialist is usually board-certified in Anesthesiology as well as pain management.  Other terms used for this specialty include pain management, interventional spine specialist or minimally interventional spine specialist



Minimally invasive spine interventions for back and spine pain


For back pain sufferers, interventional pain management techniques can be particularly useful. In addition to a thorough medical history and physical examination, interventional pain management physicians have a wide array of treatments that can be used including the following:

Epidural injections (in all areas of the spine): the use of anesthetic and steroid medications injected into the epidural space to relieve pain or diagnose a specific condition.

Nerve, root, and median branch blocks: injections done to determine if a specific spinal nerve root is the source of pain. Blocks also can be used to reduce inflammation and pain.

Facet joint injections: an injection used to determine if the facet joints are the source of pain. These injections can also provide pain relief.

Discography: an "inside" look into the discs to determine if they are the source of a patient's pain. This procedure involves the use of a dye that is injected into a disc and then examined using x-ray or CT Scan.

Pulsed Radiofrequency Neurotomy (PRFN): a minimally invasive procedure that disables spinal nerves and prevents them from transmitting pain signals to the brain.

Rhizotomy: a procedure in which pain signals are "turned off" through the use of heated electrodes that are applied to specific nerves that carry pain signals to the brain.

Spinal cord stimulation: the use of electrical impulses that are used to block pain from being perceived in the brain.

Intrathecal pumps: a surgically implanted pump that delivers pain medications to the precise location in the spine where the pain is located.

Percutaneous Discectomy / Nucleoplasty: a minimally invasive day care procedure in which tissue is removed from the disc in order to decompress and relieve pressure.

Ozoneucleolysis or Ozone discectomy:  has emerged as an affordable, least invasive approach and costs 2/3 of the price of conventional surgery. Ozone injected inside the affected intervertebral disc under c- arm guidance, causes shrinkage of disc and thus reducing the volume and lessening the pressure on nerves.

For enquiries please contact:

Dr (Maj) Pankaj N Surange


Interventional pain and spine specialist


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