Pain Management

mane center doctor tampa

Renato Vesga, MD, DABPMR

 

Renato Vesga, MD, FAAPM, is Board Certified in physical medicine and rehabilitation, and in pain medicine.  Dr. Vesga specializes in minimum invasive, multidisciplinary pain treatment options to help our patients choose to live pain free.  We specialize in minimally invasive spine surgery, pharmacological pain management.  We use our vast array of approaches to better serve our patients wide variety of pain conditions.

Chronic pain may be treated with a variety of methods.  It can be treated with injections, physical therapy, lifestyle changes, exercise and psychological treatments.  Patients take an active role in their own treatment. Patients provide feedback to help Dr. Vesga design the most effective plan possible.

spinal injections

needle and syringe before a radiograph

Epidural Steroid Injection delivers anti-inflammatory steroid medication directly around spinal nerve roots. Injections comprise another nonsurgical treatment option for low back pain. They are typically considered as an option to treat low back pain after a course of medications and/or physical therapy is completed, but before surgery is considered. Injections can be useful both for providing pain relief and as a diagnostic tool to help identify the source of the patient’s back pain.

Epidural Steroid Injection video

Facet Blocks: Facet joints are small joints at each segment of the spine that provide stability and help guide motion. Facet joints are small joints at each segment of the spine that provide stability and help guide motion. Facet joints can become painful due to arthritis, back injury, or mechanical stress. A facet joint injection delivers a steroid medication which anesthetizes the joints and blocks the pain. This animated video gives a clear picture of a facet joint injection. can become painful due to arthritis, back injury, or mechanical stress. A facet joint injection delivers a steroid medication which anesthetizes the joints and blocks the pain. This animated video gives a clear picture of a facet joint injection.

Facet Joint Injection video

Radiofrequency Ablation is a minimally invasive procedure that is usually performed with local anesthetic and mild sedation.  As with many spinal injections, radiofrequency neurotomy is best performed under fluoroscopy (live x-ray) for guidance in properly targeting and placing the needle (and for avoiding nerve or other injury).

Radiofrequency Ablation Procedure video

Trigger Point Injection is an outpatient procedure designed to reduce or relieve the back pain caused by trigger points. These small knots can form in muscles or in the fascia tissue leading to myofascial pain.

Trigger Point Injection video

EMG / NCV: When weakness, pain, or a change in sensation occurs along a nerve, an electromyogram – a nerve conduction study – may be performed to determine whether there is degeneration of the nerve or if pressure on the nerve is causing the symptoms.

EMG / NCV video