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3505 Richville Road
Manchester Center, VT 05255
Phone: (802) 366-1144
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Injection Therapy

Injection therapy is intended to be a means to an end. The goal is to provide the patient with enough pain relief to bridge from inactivity to physical therapy, where back problems can be better treated with special exercises. For years, spine physicians have used cortisone injections, epidural steroid injections, trigger point injections and nerve blocks to relieve pain in the spine.

Epidural Injectionsspinal injections manchester vermont, spine treatment vermont, spine center vermont, spine care vermont, back pain vermont, neck pain vermont, treatment spine vermont, spine treatment vermont

Epidural injections of cortisone may reduce the inflammation and/or swelling of the nerves in the epidural space resulting in decreased pain, tingling and numbness. The procedure involves inserting a needle of a long lasting steroid (cortisone) through the skin and deeper tissues into the epidural space. The epidural space is the area surrounding the spinal cord and the nerves coming out of it. One or more injections may be needed to relieve symptoms.

Facet Injection

The facet joints act as the hinges in our back, connecting alll the vertebral bones in our back yet still allowing us to bend and twist with ease. The illustration above shows a facet injection in progress.

Sometimes from injury or age, these joints can become irritated or they can develop bone spurs, which makes movement painful. To relieve pain symptoms and restore range of motion, the spine physician may inject medication into the facet joint. The medicine in a way can act like WD40 on a rusty door hinge, restoring movement. Typically injections are done as a way to bridge the patient to therapy so the therapist can help the patient retain mobility after the effects of the medication wear off.

Trigger Point Injections

Trigger points are painful tissues in and around muscles. Pressure can cause an aching or sharp pain sensation. Trigger point injections are the administration of a local anesthetic and steroid medication in the muscles where pain is occurring. The injection may relieve spasms of the muscle and may last from weeks to months.

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A long lasting steroid (cortisone) is injected into the sacro-iliac joint to help decrease inflammation and/or swelling of tissue in the joint space. As a result, patients may experience reduced pain and other symptoms caused by inflammation of the joint. The sacro-iliac joint is located in the low back area. The procedure involves inserting a needle through the skin and deeper tissues into the SI joint. More than one injection may be needed for symptom relief.

Rhizotomy

Rhizotomy is where the physician may use heat or cold to intentionally damage the ability of a problematic nerve to telegraph pain signals to the brain.

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About Taconic Spine | Meet Dr. Robert Giering | Spine Problems | Treatment for spine conditions including: Nonsurgical Spine Care | Physical Therapy | Injection Therapy | Spine Surgery | Educational Resources | Patient Center | Contact information for our locations in Manchester, Bennington and Rutland, Vermont | Sitemap

Our spine center offices serve all of Vermont, including the communities of Burlington, Bennington, Rutland, Manchester, Barre, and Montpelier, upper New York state including Saratoga Springs and Queensbury, New Hampshire and Massachusetts.

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Conditions
You might be surprised to learn that 80 percent of the time, back and neck pain is simply a result of strain or soft tissue injury. Click here to learn about the different conditions related to neck and back pain and how to relieve symptoms through treatment.

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What hurts?
The vast majority of back problems improve on their own or with nonsurgical treatment. There are a few warning signs, however, that may indicate serious spinal problems. Weakness or numbness in a leg or arm, especially if it is severe—and it is getting worse—also points to nerve damage. Nerve damage associated with these symptoms can be permanent if not treated immediately. Numbness, pain or tingling that radiates into the arm or leg is also a source for concern and should be seen within a few days by a spine specialist.

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Click here to learn more about what symptoms mean and when to see a doctor.
Frequently Asked Questions
Do you have neck or back pain?

frequently asked questions about spine - back pain vermont, neck pain vermont, spine center upper new york state, Massachusetts spine center, new hampshire spine center, manchester spine center, bennington spine center, rutland spine centerThe vast majority of back problems improve on their own or with nonsurgical treatment. There are a few warning signs, however, that may indicate serious spinal problems. Please take a moment to view frequently asked questions that can help you understand pain symptoms.

What do my symptoms mean?
What can I do at home to relieve pain?
What are my nonsurgical care options?
What does spine surgery entail?
What is a Regional Spine Center?

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Dr. Rob Giering Bio
Robert W. Giering, MD
Board Certified PM&R
Fellowship trained in Pain Management

dr robert giering, fellowship trained physiatrist vermont, spine physician vermont, upper new york state spine center, Massachusetts spine center, new hampshire spine center, manchester spine center, bennington spine, rutland spine treatmentDr. Rob Giering specializes in developing non-surgical treatment options for back and neck pain patients, including the use of customized spine therapy techniques and spinal injections that relieve inflammation around nerve roots. These injections enable many patients to resolve their symptoms without the need for surgery. Click here to learn more.

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Home Remedies
Taconic Spine emphasizes activity as the key to relief from back and neck pain. The Vermont spine center mails out a free 36-page Home Remedy Book for back pain and neck pain with pain-relieving stretches that can be done on the living room rug while watching TV. These customized exercises make the back stronger, more flexible and resistant to injury. Click here to learn more.
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Minimally Invasive Surgery
New minimally invasive spine surgery tools and techniques used by the spine surgeon at Taconic Spine reduce the length of the incision and enables the person to go home quicker and have a less painful recovery.

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Click here to learn more.

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