Our Treatments

Evaluation

Your first visit with us we do a comprehensive evaluation. It is helpful for us to receive information ahead of time, such as:

Previous treatments for pain

Recent X-rays, scans, or laboratory studies

Pertinent medical records from other providers

A list of current and previous medicines, their doses, and how they worked

An accurate list of past procedures, surgeries, and medical problems

Commonwealth Pain and Spine patient scan

Plan of Care

The more information we have, the faster we can develop a plan to treat you. You will be required to sign a routine “Controlled Substance” Agreement. This is a common practice in pain clinics throughout the country. It allows us to provide you with the appropriate pain medicine while limiting potential for abuse or side effects. We encourage you to read it completely and clarify any questions. You will be asked to adhere to its conditions.

Follow-up visits will last for approximately 15 minutes. We make every effort to keep appointments on time for your convenience. Vital signs and an interval history will be collected.

If procedures are appropriate for your treatment, generally they can not be done the same day since most insurance plans require pre-approval. Many procedures are done using light sedation. You will need to bring someone to drive you home. As a rule, most common procedures are completed within 30-45 minutes from start to finish.

You will be expected to pay for any deductibles and co-pays on your insurance before being seen. Please make arrangements ahead of time. Major credit cards are accepted. We make every effort to ensure each visit is efficient and worthwhile.

Commonwealth Pain & Spine Louisville Megazine
Commonwealth Pain & Spine nurse

Procedure Videos

Cervical Epidural Steroid Injection

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Lumbar Transforaminal Epidural Steroid Injection

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

Cervical Facet Radiofrequency Neurotomy

This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

Medial Branch Block

This diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Lumbar Radiofrequency Neurotomy

This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

Download Forms

CP&S Epidural Steroid Injection Form

CP&S Intra-Articular Joint Injections Form

CP&S MBB Form

CP&S Occipital Nerve Block Form

CP&S Radio frequency Ablation Form

CP&S Spinal Cord Stimulation Form

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