Question 1

What is the difference between an interventional pain specialist and a regular pain management doctor?

Accepted Answer

An interventional pain specialist has completed additional fellowship training specifically in minimally invasive procedures such as injections, nerve blocks, and implantable devices. While all pain management doctors can prescribe medications, interventional specialists have expertise in image-guided procedures that target pain at its anatomical source. They use fluoroscopy and ultrasound to precisely deliver treatments to specific nerves, joints, or spinal structures.

Question 2

How long do epidural steroid injections last?

Accepted Answer

The duration of relief varies considerably between patients. Some experience relief lasting several months to a year or more, while others may have shorter-lasting benefit. Typically, a series of 2-3 injections may be recommended initially. The injections aim to reduce inflammation and can help patients engage more effectively in physical therapy for long-term improvement.

Question 3

What is radiofrequency ablation and how long does it last?

Accepted Answer

Radiofrequency ablation uses heat energy to disable the small nerves that transmit pain signals from facet joints or the sacroiliac joint. The procedure typically provides relief lasting 6-18 months, and sometimes longer. As the nerves regenerate, the procedure can be repeated with similar effectiveness. Diagnostic blocks are performed first to confirm you are a good candidate.

Question 4

Am I a candidate for a spinal cord stimulator?

Accepted Answer

Spinal cord stimulators are typically considered after conservative treatments and other interventional procedures have not provided adequate relief. Good candidates usually have chronic nerve-related pain such as failed back surgery syndrome, CRPS, or peripheral neuropathy. A psychological evaluation and trial period are required before permanent implantation to ensure the therapy is effective for you.

Question 5

Will I need to stop taking blood thinners before procedures?

Accepted Answer

Many interventional pain procedures require temporarily stopping blood-thinning medications to reduce bleeding risk. Your pain specialist will provide specific instructions based on the procedure and your medical conditions. This decision is made in consultation with your prescribing physician to balance bleeding risk against the risk of stopping anticoagulation.

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