Pain Relief Procedures for Back Pain and Neck Pain

Surgery isn’t the only treatment for chronic back pain and neck pain. At NeurosurgeryOne, we are dedicated to helping patients alleviate their back pain and neck pain in the most conservative way possible. That’s why we have two Interwest Rehabilitation physiatrists on staff who specialize in nonsurgical pain relief options.

If you have chronic back pain or neck pain, we can help you determine the best course of treatment, surgical or otherwise.


What nonsurgical procedures can help my back pain or neck pain?

Not all chronic neck pain and back pain requires surgery. At NeurosurgeryOne, we always exhaust nonsurgical options before recommending surgery. If conservative therapies such as over-the-counter pain medication, physical therapy, and an anti-inflammatory diet don’t work, we may recommend:

  • Epidural steroid injections and nerve blocks to reduce inflammation (thereby reducing pain) and help isolate potential pain generators.
  • Facet injections, using steroid to reduce pain in these inflamed and degenerative joints.
  • Radiofrequency neurotomy, which involves cauterizing small nerves to block pain signals.


What types of back pain and neck pain can be treated without surgery?

Many types of neck pain and back pain respond well to nonsurgical pain relief, including:

  • Facet joint syndrome (the breakdown of joint cartilage in the spine)
  • Headaches
  • Bulging discs
  • Sciatica
  • Sacroiliac (lower back) joint pain
  • Whiplash


Will nonsurgical procedures help my back pain or neck pain?

Back pain and neck pain are two of the biggest causes of lost productivity and diminished quality of life. We understand that if you’ve had back pain or neck pain for any length of time, you want relief—and fast. We use a combination of physical exams and diagnostic testing to determine if nonsurgical pain relief is likely to be successful.

At NeurosurgeryOne, our physiatrists are specially trained in electromyography (EMG), an office-based diagnostic test that evaluates how well the electrical signals between nerves and muscles are working. EMG helps our physicians determine if there is damage caused by a pinched nerve in the spine. With this added information, our physicians can then determine the best course of action for your spine pain.

In cases for which we recommend injection therapy for neck pain or back pain, this will be done at an outpatient surgery center, in a sterile environment, and under X-ray guidance. We also typically use sedation during the procedure for maximum patient comfort.


What is a physiatrist?

A physiatrist is a medical doctor who specializes in physical medicine, rehabilitation, and pain medicine. These spine specialists focus on the body’s musculoskeletal system, which includes bones, joints, muscles, ligaments, tendons and nerves, to restore function, reduce pain and improve quality of life for patients.


How do you know whether I need spine surgery?

At NeurosurgeryOne, we explore nonsurgical treatments for spine conditions first, if appropriate. (Some spine conditions need immediate surgery.) As part of our comprehensive treatment approach, we work with our physiatrists to understand if nonsurgical pain procedures will benefit you.

But nonsurgical options don’t work for everyone. That’s why it’s best to seek care from spine specialists who offer a full array of treatment options. If nonsurgical treatments can’t help, our board-certified neurosurgeons who have extensive spine surgery experience will present your surgical options. We strive to provide you with all the information you need to make an informed decision. We are the only neurosurgery practice in Colorado with the breadth and depth of expertise to offer all of these treatments within the same practice:

  • Comprehensive spine surgery, including minimally invasive cervical disc arthroplasty and complex deformity spine surgery
  • Epidural steroid injections
  • Therapeutic nerve blocks
  • Radiofrequency neurotomy
  • Neuromodulation for pain
  • Peripheral nerve surgery