No two conditions are the same, so no two treatments should be either. Dr. Gyebi-Foster provides comprehensive pain relief care for patients suffering from a wide range of painful conditions. She works closely with your referring doctor to understand your pain and develop an individualized treatment plan that’s right for you.
Her goal is simple–to help you manage or overcome your pain, and get you back to feeling like yourself.
From steroid injections to nerve-ablation, procedures to ease complex pain without surgery.
Joint Injections are targeted treatments for patients struggling with joint pain caused by arthritis and inflammation. An injection of local anesthetic and steroid medication into the affected joint (such as a wrist, knee, or ankle) relieve inflammation. Sometimes joint fluid is also collected to diagnose the cause of the inflammation.
The Sacroiliac (SI) Joint Injection is an injection at the sacroiliac joints (joints next to the spine that connects the sacrum with the hip on both sides) to treat lower back pain and sciatica symptoms.
The Lumbar Facet Joint Block is an injection into the patient’s facets (the small, bony joints that connect the spine’s vertebrae) to treat general back pain or a vague aching in the legs.
Nerve Blocks such as peripheral blocks or sympathetic blocks are a type of regional anesthesia where an anesthetic is injected near a specific nerve or bundle of nerves to block sensations of pain.
Trigger Point Injections (TPIs) use injections of local anesthetic, saline, and/or a corticosteroid to treat painful knots of muscle that form when muscles do not relax and irritate the surrounding nerves, or “trigger points”.
Epidural Steroid Injections (ESIs) are a treatment for many forms of neck, lower back, arm, or leg pain caused by degeneration of the spine and disc bulging. An injection delivers steroids directly to the epidural space in the spine, reducing inflammation. A local anesthetic and/or saline solution are also administered to act as ‘flushing’ agents, diluting the chemical or immunologic agents that promote inflammation.
Radiofrequency Ablation is used to reduce pain in a targeted area. An electrical current produced by a radio wave is used to heat a small area of nerve tissue to decrease pain signals from that area.
High-tech, fully implantable pain control systems placed on a trial basis for 5 days, and if the patient responds well a permanent device is implanted.
Dorsal Root Ganglion Stimulations (DRG) is a treatment helpful for patients with isolated chronic pain in targeted parts of the body, like the hand, chest, abdomen, foot, knee, or groin. A non-rechargeable pulse generator is implanted along the spine to stimulate the dorsal root ganglia (nerves along the spine that regulate signals and sensations traveling to the brain). After surgery, the pulse generator is programmed to give stimulation based on the pain pattern. Patients can use a small hand-held controller with stimulation settings to manage their pain.
Peripheral Nerve Stimulations (PNS) treats neuropathic pain by placing a wire-like electrode next to one of the peripheral nerves (nerves located beyond the brain or spinal cord). The electrode delivers rapid electrical pulses that are felt like mild tingles (paresthesias). The patient can control stimulation by adjusting the parameters as needed.
Spinal Cord Stimulations are generally used on patients with chronic neuropathic (nerve-related) pain that has not responded to alternative treatment options by blocking pain transmission to the brain and replacing it with a tingling sensation (paresthesia).
A personalized, closely monitored plan for pain relief through medication.
We create and monitor specialized medication plans to help manage and reduce a patient’s pain, with consideration to factors such as the intensity and duration of pain, age, other medical challenges, and other medications being taken.
Like many pain clinics, we prescribe opioids as part of an overall patient treatment plan. While opioids can play a role in managing chronic pain, we strive to find safer and more effective pain management alternatives for our patients.