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Do you suffer from chronic back pain or neck pain that interferes with your life? We understand how frustrating it can be to live with debilitating pain. At Orthopaedic Associates USA, our board-certified pain management specialist, Dr. Joel Salamon, is committed to relieving your pain through minimally-invasive, interventional treatments. As a pain management physician, his goal is to help you resume an active lifestyle as quickly and safely as possible.

Pain is unique to each individual, and Dr. Salamon will thoroughly assess your condition based on your personal experience. After determining the cause of your pain, he may use a variety of pain management treatments, including medication or minimally-invasive procedures to provide pain relief or make your pain tolerable.

Joel W. Salamon,
M.D., D.A.B.P.M.


Pain Management

Some of the most common interventional techniques Dr. Salamon performs include:

  • Trigger Point Injections
  • Epidural Steroid Injections
  • Sacroiliac Injections
  • Hip Injections
  • Lumbar Sympathetic Blockade
  • Facet Radiofrequency Denervation
  • Spinal Cord and Peripheral Nerve Stimulator
  • Lumbar Discography

These procedures are performed at our Miami Lakes office, where we have a dedicated, state-of- the-art pain management suite and an experienced registered nurse on site to assist.

Dr. Salamon may also refer you to Dr. Luis Gandara, our physical medicine and rehabilitation specialist, who can help restore your function through a regimen of non-surgical, physician-guided strengthening, stretching, therapy, medications, and injections.

Trigger Point Injections

This office procedure helps to alleviate muscular pain and spasm in conditions such as myofascial pain syndrome, fibromyalgia, failed back surgery syndrome, herniated disc, spinal arthritis, and facet joint irritation. Learn more about trigger point injections.

Epidural Steroid Injections (ESI)

These non-surgical treatments help relieve low back (lumbar), mid-back (thoracic) and neck (cervical) pain. During an epidural, medication is injected near the painful area of the spine. The steroid compound in the injection acts to block common inflammatory chemicals that generate pain signals. Your condition may require a series of three or more injections to ease your neck or back pain and inflammation. There are three methods of delivering epidurals. The method used depends on the location and source of pain.

  • Translaminar ESI – This procedure helps to relieve pain caused by disc herniation and/or nerve impingement.
  • Transforaminal ESI – This procedure tends to specifically alleviate pain that radiates down the legs, as well as back pain.
  • Caudal ESI – This procedure helps to relieve back pain that persists after spinal surgery or when the other epidural approaches would be more difficult. This approach reaches near the area of the surgery while avoiding the surgery site. This approach is also commonly used when performing scar removal procedures called adhesiolysis.

Sacroiliac Joint Injections

This procedure relieves pain that is generated from the sacroiliac joint, including pain within the buttocks, thigh, groin, or hip joint. The sacroiliac joints connect the sacrum, which is located at the end of the spine, to the two large pelvic bones (the iliac bones).

Hip Injections

This procedure is helpful for patients with painful disorders of the hip such as osteoarthritis, contusions, and persistent hip pain after hip pinning surgery. It can also be used to rule in or rule out conditions that can mimic hip pain such as low back pain.

Lumbar Sympathetic Blockade

This procedure helps to alleviate pain generated from diffusely painful disease processes such as peripheral neuropathy, peripheral vascular disease, and complex regional pain syndrome. It blocks the painful signals that are generated from a coalescence of nerves called the ganglia. It can also be used as a diagnostic tool to rule in or rule out complex regional pain syndrome.

Facet Radiofrequency Denervation

This procedure relieves pain that is generated from spinal facet joints. Facet joints allow spinal motion just as the knee joint allows leg motion. It removes the nerves that cause painful irritation from the joint by using radiofrequency, which is a form of heat energy. The facet nerve must be successfully blocked twice as a test to qualify for this procedure. This procedure works very well for conditions such as spinal arthritis. Traumatic insult to the joint itself from twisting or bending-related injuries can also irritate this joint.

Spinal Cord and Peripheral Nerve Stimulation

This procedure is helpful for patients with persistent pain after spinal surgery, peripheral vascular disease, and complex regional pain syndrome. It can also be an option for patients who want to avoid spinal surgery. It alleviates pain by blocking pain signals and increasing blood supply using electrical currents.

Lumbar Discography

This procedure is used to identify which disc or discs generate pain. It is a diagnostic test only, not therapeutic. It helps spinal surgeons know which disc to operate on for fusion-type surgeries. It can be helpful in ruling in or ruling out internal derangement of a disc.

Call us today at 1.800.872.5633 or book an appointment online