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Precision Pain Management at Progressive Spine & Orthopaedics

Our expert spine surgeons provide structured, image-guided pain management for patients with persistent neck, back, or nerve-related symptoms that have not improved with conservative care. At Progressive Spine & Orthopaedics, every injection is performed by experienced spine surgeons using real-time imaging in our Englewood and Clifton surgical centers to ensure accuracy, safety, and meaningful relief.

With advanced imaging and disciplined surgical protocols, our team provides accurate diagnosis and targeted symptom relief within a streamlined, patient-centered framework. To begin planning your treatment, schedule a consultation with us today.

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What Are Spinal Injections?

Spinal injections are minimally invasive procedures that rely on controlled, image-guided placement of corticosteroids or anesthetic medication to reach the specific spinal structure responsible for symptoms. By isolating the affected nerve or joint, they help identify the true pain generator and achieve focused improvement beyond what systemic treatments can provide.

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Key Benefits of Targeted Spinal Injections

Expertise in spinal anatomy and pathology allows our surgeons to deliver a set of clear clinical benefits:

  • Targeted relief: Surgeons place medication directly at the anatomical source of pain, improving accuracy beyond general pain-management approaches.
  • Diagnostic value: Image-guided placement helps confirm which spinal structure is responsible for symptoms, shaping further treatment.
  • Tissue-sparing technique: Small access points and precise pathways minimize disruption to surrounding tissue.
  • Efficient recovery: Most patients return to their usual activities soon after treatment due to the controlled, tissue-sparing nature of the procedure.

Am I a Good Candidate for Spinal Injections?

Candidates often include those with ongoing neck, back, or radiating limb pain that has not improved with physical therapy, medication, or other nonsurgical measures. Individuals with disc herniations, nerve compression, or arthritic facet or sacroiliac joints may be evaluated to determine if injections provide an appropriate next step.

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Types of Spinal Injections We Offer

Progressive Spine & Orthopaedics performs the following surgeon-directed spinal injections:

Epidural steroid injections

These injections place anti-inflammatory medication around irritated spinal nerves to reduce swelling and relieve pain in the neck, back, arms, or legs. They are commonly used for conditions involving nerve compression, including disc herniations and spinal stenosis.

Nerve blocks

Nerve blocks interrupt pain signals traveling from a targeted spinal region, providing temporary relief and helping surgeons confirm the specific source of symptoms. They are frequently used when the pain generator is unclear or when further diagnostic clarity is needed.

Medial branch blocks

This focused diagnostic injection targets the medial branch nerves that supply the facet joints to determine whether these joints are responsible for chronic back pain. If pain relief occurs, the result can guide next steps such as radiofrequency ablation.

Facet joint injections

Medication is placed directly into the facet joints to reduce inflammation and discomfort caused by arthritic degeneration. These injections can provide relief for patients experiencing localized pain worsened by extension or rotation.

Sacroiliac joint injections

Sacroiliac joint injections help diagnose and treat pain originating from the joint where the spine meets the pelvis. They are used when SI joint dysfunction is suspected based on examination or imaging findings.

What Sets Our Spinal Injection Care Apart

Our spine surgeons perform every injection, ensuring procedural accuracy informed by specialized training in spinal anatomy and pathology. Each procedure is completed in a fully equipped surgical center with advanced imaging, sterile protocols, and cohesive surgeon-directed oversight from evaluation through follow-up.

What to Expect During Spinal Injection Treatment

Spinal injections are performed in our surgical centers using fluoroscopy or ultrasound for precise needle placement. After local anesthesia is administered, a fine needle is guided to the targeted nerve or joint, medication is delivered, and patients typically return home soon afterward.

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Spinal Injection Results and Relief Timeline

Most patients resume light activity the same day. Temporary pressure or soreness at the injection site may occur but typically resolves quickly. Pain relief often appears within several days as inflammation decreases, and some patients benefit from a series of injections based on their condition and response.

Conditions These Injections Help Treat

Spinal injections can help manage symptoms associated with many spinal conditions, including:

  • Herniated discs
  • Spinal stenosis
  • Degenerative disc disease
  • Facet joint arthritis
  • Radiculopathy
  • Sacroiliac joint dysfunction
  • Sciatica

Additional Paths to Relief

Patients who do not achieve adequate relief from spinal injections or who require additional support may benefit from additional treatment options offered at our practice:

  • Non-surgical spine care: A structured approach to reducing pain and improving function without surgery.
  • Spine surgery: Comprehensive surgical care for conditions that require a more definitive structural solution.
  • Minimally invasive spine surgery: Advanced techniques that stabilize the spine and relieve pressure with smaller incisions and faster recovery when appropriate.
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Real Patient Testimonials

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Your Consultation

During your consultation, your surgeon reviews your symptoms, imaging, medical history, and previous treatments to determine the underlying cause of your pain. This assessment guides a tailored injection strategy that reflects your condition, anatomy, and treatment goals.

How Much Does It Cost?

Costs depend on your insurance plan, the type of injection recommended, and any out-of-network benefits available to you. Our team will review coverage details, outline anticipated expenses, and provide clear guidance before scheduling your procedure.

Insurance We Accept:

Dr. Rovner and Progressive Spine & Orthopaedics also see personal injury and motor vehicle injury cases, workman’s compensation injuries, and second opinion consultations. 

  • Horizon Blue Cross Blue Shield
  • Aetna
  • Cigna
  • United Healthcare
  • Oxford
  • Health Net
  • Meritain Health
  • Empire Blue Cross Blue Shield
  • Anthem Health
  • Emblem Health
  • Magnacare
  • NYSHIP (Empire Plan)
  • Workers Compensation
  • No-Fault

Unfortunately, we do not accept any of the following insurances:

  • Medicare
  • Medicaid
  • Omnia
  • No Out of Network Benefit

You can always contact us directly if you have any questions.

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FAQs

What types of imaging are used during spinal injections?

Fluoroscopy or ultrasound is used to guide needle placement and ensure accurate delivery of medication.

Can spinal injections delay the need for surgery?

For some patients, injections reduce pain enough to avoid or postpone surgical intervention.

How many injections might I need?

Treatment plans vary, and some patients require more than one injection to achieve meaningful and lasting relief.

Are spinal injections safe?

When performed by spine surgeons in a surgical center, these injections are considered safe and closely monitored.

Can I combine injections with physical therapy?

Many patients benefit from using injections to reduce pain so they can participate more effectively in physical therapy.

When will I feel better after an injection?

Relief may occur within days as inflammation decreases, though timelines vary based on condition and treatment type.

What should I avoid before my injection?

Certain medications, including blood thinners, may need to be paused before the procedure based on surgeon guidance.

How do spinal injections differ from injections performed in a pain clinic?

Spine surgeons perform injections with specialized training in spinal anatomy, pathology, and procedural precision, often using surgical-center imaging and sterile protocols.

What happens if injections do not relieve my pain?

If relief is limited, your surgeon will reassess imaging, review diagnosis, and discuss alternative treatments, which may include additional injections, therapy, or surgical options.

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Connect With Our Spine Specialists Today

Progressive Spine & Orthopaedics offers spine surgeon-directed spinal injections designed to provide targeted, minimally invasive pain relief. If you are ready to address persistent neck or back symptoms with precision-based care, contact our team to schedule your consultation.

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