Pain Management Injections


Pain management injections have been used for many years to both diagnose and treat chronic pain, nerve irritation, spinal stenosis and many other conditions. Dr. Kenneth Fults and Dr. Janine Islam may administer several different types of injections for pain management. The best one for each East Texas patient will depend on each particular problem.

Pain Recovery Center of Tyler offers pain management injections such as:

Trigger Point Injections

Many patients suffer from sore, sensitive spots in their muscles, otherwise known as trigger points. Trigger points are tight bands of muscles that may be felt as a knot under the skin. Trigger points can restrict movement and cause muscle weakness in many patients.

When other treatment options, such as physical therapy, do not help alleviate muscle pain, a trigger point injection is a viable option. During the injection process, one of our pain physicians will insert a small needle containing local anesthetic or saline, possibly a corticosteroid, into the patient’s trigger point. With the injection, the trigger point is made inactive and the muscle pain is alleviated.

Epidural Steroid Injections

Epidural steroid injections are a common treatment option for many forms of cervical and lumbar pain. An epidural steroid injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, hopefully reducing neck pain or back pain. An epidural steroid injection may help the injury heal by reducing inflammation.

Intra-Articular Facet Injections

A facet block injection can be performed to alleviate pain in cases where the facet joint itself is the cause of pain. Facet injections are an effective pain management treatment option since they have a therapeutic effect as they numb the source of pain and soothe inflammation. If a patient’s pain goes away with a facet block injection, it is often considered a reasonable procedure for the future.


Medial Branch Blocks

A medial branch block is an injection of anesthetic on the medial branch nerves that feed out from the facet joints and carry pain signals to the brain. Typically several layers of the spine are injected by one of our physicians. If the patient experiences pain relief immediately after the medial branch block, then the facet joint may be determined as the source of pain.

Genicular Neurotomy

Genicular Neurotomy is an innovative knee pain treatment designed to help alleviate pain associated with osteoarthritis knee pain and chronic knee pain without the use of surgery.

Genicular Neurotomy involves no steroid or medicated injection. The procedure uses Radiofrequency Ablation (RFA) to stun the painful nerves and prevent pain signals from reaching the brain. The procedure is performed in two stages.

      1. Diagnostic genicular nerve block- a small amount of local anesthetic is placed on the genicular nerves. If the knee pain is diminished, patients will move on to stage.

      2. Genicular nerve ablation- a RF ablation of the genicular nerves is performed.

      Misc. Pain Management Injections

      Besides these treatment options, we also offer epidural lysis of adhesions to destroy scar tissue causing chronic back and neck pain, as well as radiofrequency neurotomy which utilizes radio waves to target specific nerves and temporarily interfere with their ability to transmit pain signals.