practice logo
Main Office Number : 903-957-7246
Fax: 903-957-0049

Interventional Pain Management: Advanced Relief Without Major Surgery

Nov 10, 2025
Discover advanced pain relief options that don’t require major surgery. Learn how targeted, minimally invasive interventional pain management treatments can ease discomfort and restore movement.

In 2023, 34.9% of American adults living with chronic pain had high-impact pain, pain that took over their lives, limiting movement, interrupting sleep, and draining their energy. Many in this position assume their only option for relief is major surgery, but that’s no longer the case.

At Silver Spine & Neurological Center - Interventional Pain Management & Spine Surgery, our specialists offer advanced, minimally invasive treatments that target pain at its source. These procedures can reduce or even eliminate pain without long recovery times, helping patients return to the activities they love.

Here’s how interventional pain management works and what makes it a powerful alternative to surgery.

Interventional pain management explained

Interventional pain management focuses on diagnosing and treating pain using precise, targeted procedures. Rather than relying only on medication or surgery, our specialists use image-guided techniques to interrupt pain signals, reduce inflammation, and promote healing.

These procedures are performed on an outpatient basis, meaning most patients go home the same day. They typically involve only small injections or needle placements. This approach allows patients to achieve meaningful pain relief with less risk and downtime than traditional surgery.

Here are some of the procedures we use:

Epidural steroid injections

Epidural steroid injections are among the most common interventional pain procedures. They deliver anti-inflammatory medication directly into the epidural space surrounding spinal nerves. This reduces swelling and irritation that cause radiating pain, such as sciatica or herniated disc pain.

Patients often feel relief within a few days, allowing them to move more comfortably and undertake physical therapy to strengthen their back. The effects can last for weeks or even months, depending on the underlying condition.

Facet joint injections

The small facet joints along the spine can become inflamed because of arthritis, injury, or wear-and-tear. Facet joint injections deliver anesthetic and anti-inflammatory medication into these joints to reduce pain and stiffness.

If the injections provide relief, this also helps confirm that the facet joints are the true pain source. This is an important diagnostic step before considering longer-term treatments such as radiofrequency ablation.

Sacroiliac joint injections

The sacroiliac (SI) joints connect the base of your spine to your pelvis. When these joints become inflamed, they can cause pain in the lower back, buttocks, or legs. SI joint pain is similar to sciatica, which makes an accurate diagnosis essential.

Sacroiliac joint injections deliver medication directly into the affected joint, reducing inflammation and improving mobility. This treatment helps many patients sit, stand, and walk with greater comfort, often within days of the procedure.

Nerve blocks

Nerve blocks are another powerful interventional option. During this procedure, we inject a small amount of anesthetic near specific nerves to prevent pain signals from reaching the brain.

Depending on the type and location of pain, nerve blocks can provide temporary or long-lasting relief. We often use them for headaches, neck pain, back pain, and nerve-related conditions like complex regional pain syndrome (CRPS).

In addition to offering pain relief, nerve blocks can help pinpoint the exact source of pain, guiding further treatment.

Radiofrequency ablation (RFA)

When a nerve consistently sends pain signals even after other treatments, RFA can help. This procedure uses heat generated by radio waves to disable the small nerve fibers that transmit pain.

RFA can help with chronic back or neck pain related to arthritis or facet joint problems. Patients typically experience relief for six months to a year or longer, and nerves that grow back tend to be less sensitive.

RFA is a safe, outpatient procedure that offers long-term benefits without the risks associated with surgery.

Spinal cord stimulation (SCS)

For patients who haven’t found success with other treatments, SCS can provide a breakthrough in pain management. We implant a small device under the skin to send gentle electrical pulses to the spinal cord that interrupt pain signals before they reach the brain.

SCS therapy can reduce pain from conditions such as failed back surgery syndrome, nerve damage, or chronic neuropathy. Before permanent placement, patients typically undergo a trial period to ensure the device provides meaningful relief.

At Silver Spine & Neurological Center, we believe that every patient deserves a customized plan for relief. Our interventional pain management specialists use advanced imaging and diagnostic tools to design precise, minimally invasive treatment plans tailored to each individual’s condition and goals.

We’re also experts in minimally invasive surgical solutions to chronic pain for patients who need them, ensuring that whatever your condition would most benefit from, you can access it here.

Schedule a consultation with Silver Spine & Neurological Center today to explore your interventional pain management options. Call our office or complete the online inquiry form.