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MANAGE BACK AND NECK PAIN

Pain Injections

  • Trauma
  • Tumors
  • Vascular Disorder
  • Infections of the brain

Pain Injections

Pain injections treat three main back pain problems: radiculopathy, arthritis, and spinal stenosis. Although, they can be used for many other reasons including to help find out what's causing the pain.

Discogram Injections

In a discogram, a contrast liquid is injected into the center of one or more spinal discs using x-ray guidance. This injection may temporarily reproduce the patient's back pain symptoms. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc.

Facet Epidural

If you're suffering from chronic pain in your back, neck, buttock, hip, arm or leg, you're probably researching every possible option for pain management in Spinal injuries, nerve problems, and degenerative conditions can you make your life miserable until you get the underlying causes pinpointed and dealt with.

Epidural Injections

For patients where over the counter medications have proven less than effective at managing pain, epidural steroid injections (ESIs) could be the solution. Epidural steroid injections are just one of the many non-surgical pain management options offered at Coastal Neurosurgery & Spine.

Hip Injections

Hip injection is done to reduce hip pain caused by problems in the bones or cartilage of your hip. The hip pain is often caused by: Bursitis. Arthritis. Labral tear (a tear in the cartilage that is attached to the rim of the hip socket bone)

Interlaminar Injections

In a lumbar epidural injection, a corticosteroid (anti-inflammatory medicine) is injected into the epidural space to reduce inflammation. A local anesthetic (numbing medicine) may also be injected. The most common approach is from the back of the spine. It is called an interlaminar injection.

Medial Branch Injections

A medial branch block is an injection of a strong local anesthetic on the medial branch nerves that supply the facet joints. The facet joints, also known as the zygapophysial joints, are part of the bony framework of the spine

Nerve Block Injections

Nerve blocks, or neural blockades, are procedures that can help prevent or manage many different types of pain. They are often injections of medicines that block pain from specific nerves. They can be used for pain relief as well as total loss of feeling if needed for surgery.

Facet Joint

Are you battling with agonizing arthritis pain or chronic lower back or spine pain (spine page) that conservative treatment just cannot seem to help? Conditions such as facet syndrome and advanced spinal arthritis can leave you with permanent changes in your spinal column -- changes that may cause constant or recurring pain.

SI Joint

Lower back and leg pain can stem from issues with the sacroiliac joint. Pain caused by sacroiliac joint dysfunction can easily be confused with a lumbar disc herniation (sciatica) because it is a similar, radiating pain. An estimated 15% to 30% of all lower back pain problems is due to sacroiliac joint issues.


Dr Poelstra it's a amazing dr!! I recommend this place to anyone with all my heart! The staff it's really sweet and helpful!


~Rachel~

Dr. Poelstra was the answer to my prayers. When I met him, I was broken, but now I am healed and I owe it all to God and the gifting/skill that Dr. Poelstra and his team possess. Thank you!

~Jeff~

Timothy R. Monroe, MD, FAANS

Dr. Monroe is a board-certified neurosurgeon who focuses on treating spinal and intracranial conditions, injuries, and disorders utilizing the newest non-operative and operative treatments available today.

After receiving his undergraduate degree from the University of Notre Dame and his medical degree from Georgetown University, Dr. Monroe completed neurosurgery residency at the Medical University of South Carolina.

Mark Dekutoski, MD

Dr. Mark Dekutoski is an ACGME Spine fellowship trained, ABOS Board certified physician with over two decades of teaching Spine Surgery to Orthopedic, Neurosurgery trainees and practicing Surgeons. His quest for patient centered care and continuous outcome improvement has driven him to be a lifelong student, innovator, developer and mentor for less invasive spine techniques. He has held numerous national and international roles in spine education societies and while practicing, faculty and Professor at Mayo Clinic, Rochester from 1993-2013.