Interventional Pain Management

Chronic pain doesn’t have to be a fact of life. Get the facts about pain management and treatment at Georgetown Community Hospital. We provide interventional pain management for a variety of acute, chronic, cancer-related and post-operative pain. 

When to Seek Help

If you’ve been experiencing pain for three to six months or longer, it might be time to visit Georgetown Community Hospital. Our pain management services can treat a variety of conditions, including:

  • Cancer-related pain
  • Carpal tunnel syndrome
  • Compression fractures of the thoracic and lumbar spine
  • Hip pain
  • Knee pain
  • Low back pain
  • Myofascial and musculoskeletal pain
  • Neck pain
  • Neuropathic pain (nerve pain)
  • Peripheral nerve injuries 
  • Post-surgical pain syndromes
  • Shoulder pain

What To Expect

At Georgetown Community Hospital, we don’t just treat the pain; we treat the person. That’s why treatment starts with a conversation. Our experts learn as much as possible about your symptoms and medical history to customize a plan for your unique case.

To rule out the need for surgery, we perform thorough physical exams and review your treatment history.

Tailored To You

If medications and physical therapy don’t relieve your pain, our experts use advanced interventional pain management treatments.

Joint Injections

Joint injections are shots into a joint in the body, such as the knee, hip or shoulder. Different types of mediciations may be used for joint injections, such as pain relievers and steroid medicines. 

Steroids can be injected directly into a swollen and painful koint to reduce inflammation. A steriod shot can sometimes help with short-term pain relief when other treatments have not worked. If steriod shots help, pain may improve for weeks or even months. 

How are joint injections performed? First, the area over the joint will be cleaned. The doctor may then use a tiny needle to numb the skin in the area where the joint injection will be given. If a tiny needle is used to numb the area, the doctor will use another needle to inject the medicine. The doctor may use a pain reliever, steriod or both. You may feel some pressure or discomfort. 

The procedure takes 10 to 15 minutes. 

Epidurals

An epidural injection is a shot of medicine in your neck or back. It goes into the area around the spinal cord. This type of injection may have both a steroid and a local anesthetic or may only have a steroid. The steroid reduces swelling and pain. The local anesthetic numbs the nerves. Some individuals receive a series of these injections over weeks or months. 

  • Cervical epidurals help with pain, tingling, or numberness in your neck, shoulder or arm. 
  • Lumbar epidurals help with pain, tingling, or numbness in your back, thighs or legs. 

How is a cervical epidural done? The doctor will use a tiny needle to numb the skin where the injection is being given. After the skin is numb, the doctor will use a larger needle for the epidural injection. X-ray will be used to help guide the needle. There may be some pressure, but should not feel pain. The epidural injection takes about 10 to 15 minutes. 

Radiofrequency Ablation 

Radiofrequency ablation uses an electric current to heat up a small area of nerve tissue to stop it from sending pain signals. This procedure can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. 

Spinal Cord Stimulator

A spinal cord stimulator is a type of implantable neuromodulation device. It sends electrical signals to select areas of the spinal cord for treatment of certain pain conditions. This therapy is considered for patients who have a pain condition that has not responded to other treatments. 

Intrathecal Pain Pump

An intrathecal pain pump is a surgically implanted drug delivery system that sends pain medication directly to the spinal cord. This therapy is a treatment recommended to selected patients of chronic pain who have not experienced adequate pain relief from conservative approaches. 

Below is a list procedures offered: 

  • Botox injection for migraines / spasticity
  • Bursa injection
  • Carpal tunnel injection
  • Cervical / Thoracic / Lumbar / Transforaminal / Caudal epidural 
  • Cervical / Thoracic / Lumbar facet block
  • Cervical / Thoracic / Lumbar radiofrequency ablation
  • Genicular nerve block / ablation 
  • Hip / Shoulder / Sacroiliac / Knee injection 
  • Kyphoplasty 
  • Nerve block
  • Occipital nerve block
  • Pain pump trials / implants
  • Small joint injection (hands / feet) 
  • Spinal cord stimulator trials / implants
  • Stellate Ganglion block
  • Sympathetic block
  • Trigger point injection

All procedures are performed under fluoroscopy or ultrasound guidance. 

All Under One Roof

Many pain symptoms can be complicated by other issues, such as depression or anxiety. At Georgetown Community Hospital, we have access to a wide range of specialists and resources to ensure that we treat the entirety of your issues.

If you need an x-ray, magnetic resonance imaging (MRI), computed tomography (CT) scan or other procedure, you can get what you need all at one location close to home.


LOCATIONS

Central Kentucky Interventional Pain Management Center

Vinod Muniswamy, MD, MPH, FAAPMR

1140 Lexington Rd., Ste. 100

Georgetown, KY 40324

HOURS

Monday - Friday, 8:00 am - 4:30 pm

For more information call 502.570.3767