Spine
form of regional anaesthesia involving injection of a local anesthetic into the subarachnoid space

Pain Management Treatment Options 

For many patients, non-surgical treatments are prescribed prior to any consideration of spine surgery. When possible, many of these more conservative approaches can be effective in controlling pain or other symptoms without the risks involved with surgery. Keep in mind that not all treatments are appropriate for all conditions, so options vary for each individual patient. 

The majority of non-surgical spine treatments fall into one of the following types of interventions. For many of these procedures, which are listed more specifically below this overview, your physician may utilize ultrasound, X-ray or other diagnostic technology to locate the precise target site before administering the treatment.

Non-Surgical Spine Procedures

3d rendered illustration - sections of the spine
Ablations

An ablation is a minimally invasive procedure in which the nerve fibers that carry pain signals to the brain are destroyed, often using radiofrequency or heat.

 

Epidural Blocks

An epidural block is a minimally invasive injection into an area known as the “epidural space,” which is just above the Dural membrane that protects the spinal nerves and spinal cord. Epidural injections of long-acting steroid solutions are frequently used for various back conditions.  They are routinely used for individuals with issues of the lumbar spine (lower back) and occasionally used in the cervical spine (neck).

 

Medial Branch Blocks

These minimally invasive anesthetic injections are directed at specific nerves that can generate spinal pain.

 

Transforaminal Injections
Transforaminal injections are similar to epidural injections, but these are prescribed if the pain is distinct to one specific nerve.
Neurosurgeons Group Photo

What Really Matters

When seeking spine care, there are crucial factors to consider so that you can ensure you’re putting your health in the hands of qualified, experiences, compassionate, patient-centered team equipped to offer the most effective, comprehensive care possible.

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Guide to the Spine

Spine Surgeries

Learn more about the different types of spinal surgeries used to treat spine conditions.

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Concentrated female surgeon performing surgery with her team in hospital operating room. Medics during surgery in operation theater.
Concentrated female surgeon performing surgery with her team in hospital operating room. Medics during surgery in operation theater. Spine Surgeries

Learn more about the different types of spinal surgeries used to treat spine conditions.

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Doctor physiotherapist doing healing treatment on man's bac Spine Conditions

Learn more about the different spinal conditions that can cause back and neck pain.

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A neurosurgeon using pencil pointing at lumbar vertebra model in medical office Spine Anatomy

Explore the spine’s anatomy to better understand your back.

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stereotactic radiosurgery machine Stereotactic Radiosurgery

Learn about Riverside’s Stereotactic Radiosurgery services used to treat spinal tumors and metastatic lesions.

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Mature man doing physical therapy exercises using a balance ball with the guidance of his therapist Rehabilitation and Recovery

Discover the importance of rehabilitation after a spine injury or surgery and explore Riverside’s inpatient and outpatient rehabilitation services.

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Sportsman feeling backache at a park Managing Back Pain

Discover at-home treatments to help manage your back pain. 

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Spine Conditions

Doctor physiotherapist doing healing treatment on man's bac
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Ways to Be Referred to Riverside Hampton Roads Neurosurgical & Spine Specialists

Spine Diagnostic & Referral Process

Primary Care

Contacting your primary care provider is often the best place to start when investigating back pain, neck pain or other spine-related concerns. Utilize Riverside MyChart to connect with your primary care provider.

Urgent Care

If you don’t have a regular primary care provider, or your need to be seen during an evening or weekend, visiting an urgent care clinic near you is a convenient choice.

Access Clinic

Our specialized Access Clinics in Williamsburg, Newport News and Gloucester offer same-day or next-business-day appointments for the evaluation and diagnosis of orthopedic and back problems.

Riverside Nurse

For free guidance with your situation, call Riverside Nurse at 1-800-675-6368. Registered Nurses are available 24/7 to triage your symptoms and refer you if needed.