Procedural experience

Our division is proud to offer our trainees and patients a diverse range of interventional techniques, including fluoroscopic and ultrasound-based procedures. As a tertiary and quaternary center, we routinely perform challenging and higher risk procedures on complex patients.

Advanced Procedures

  • Minimally Invasive Lumbar Decompression (MILD)
  • Intrathecal Pump Implantation
  • Spinal Cord Stimulator Implantation
  • Spinal Catheter Placement and Infusion Trial
  • Spinal Cord Stimulator Lead Trial
  • Neuromodulation revision
  • Peripheral Nerve Stimulation
  • Sacroiliac Denervation (via SImplicity III)
  • Indwelling Catheters for Infusion Therapy (eg- epidural, intraspinal, lumbar plexus, peripheral nerve)

Sympathetic Blocks

  • Stellate Ganglion
  • Celiac Plexus
  • Lumbar Sympathetic
  • Superior Hypogastric Plexus
  • Ganglion Impar

Head and Neck Blocks

  • Trigeminal (Gasserian and Trigeminal Divisions)
  • Sphenopalantine Ganglion
  • Peripheral Nerve Blocks

Neurolytic Techniques

  • Continuous and pulsed radiofrequency ablation
  • Cryoablation
  • Absolute EtOH injections

Ultrasound Guided Pain Techniques

  • Major bursa and joint injections
  • Stellate ganglion blocks
  • Peripheral nerve blocks
  • Trigger point injections

Infusion and Other Medication Therapies

  • Intrathecal Ziconotide (Prialt)
  • Intravenous Ketamine
  • Intravenous Lidocaine
  • Topical 8% Capsaicin (Qutenza)

Neuraxial Procedures

  • Epidural steroid injections
  • Epidural blood patches
  • Medial branch nerve blocks
  • Facet joint injections
  • Selective nerve root blocks
  • Sacroiliac joint injections
  • Caudal injections

Other Pain Management Procedures

  • Scar injections
  • Trigger point injections
  • Botox injections via the PREEMPT protocol for Migraine Headaches
  • Bier blocks

Faculty Highlights

Stanford Medicine Endowed Director Clinical Professor, Anesthesiology, Perioperative and Pain Medicine Clinical Professor (By courtesy), Neurosurgery
Clinical Professor, Anesthesiology, Perioperative and Pain Medicine