Interventional Pain Management

When pain persists despite treatment, the next procedure should not be automatic.

You may have already tried therapy, medications, injections, or surgery and still be searching for an explanation and a treatment that actually changes things.

At Alypos, we look closely at why previous treatment may not have worked and what is actually causing your symptoms.

Interventional procedures can then be used with a specific purpose: to confirm a suspected source of pain, treat a precisely identified target, or provide meaningful relief when the underlying problem cannot be fully corrected.

That may include targeted injections, diagnostic nerve blocks, radiofrequency ablation, or peripheral nerve stimulation. In other cases, regenerative treatment or a different approach may be more appropriate.

The procedure follows the diagnosis—not the other way around.

Frequently Asked Questions About Interventional Pain Management

Why might an injection or procedure I had before not have worked?

A procedure can be technically successful and still not address the true source of your symptoms.

The treated area may not have been the primary source of pain, more than one structure may be involved, or the treatment may not have been appropriate for the underlying problem.

We review what was done, how you responded, and what that response may tell us before deciding whether another procedure is worthwhile.

What interventional pain procedures do you perform?

Depending on the findings, treatment may include epidural injections, selective nerve root blocks, diagnostic nerve blocks, medial branch blocks, radiofrequency ablation, sacroiliac joint procedures, sympathetic blocks, peripheral nerve procedures, joint injections, and peripheral nerve stimulation (PNS).

The procedure is selected for the problem—not the other way around.

Do you perform epidural injections?

Yes, when the symptoms, examination, and imaging support a specific spinal or nerve-related target.

An epidural is not a generic treatment for neck or back pain. The reason for performing it—and the anatomy being treated—matter.

Do you perform radiofrequency ablation?

Yes. Radiofrequency ablation can provide longer-lasting relief from certain sources of pain when appropriate diagnostic testing supports the target.

We do not use a predetermined sequence of blocks and ablation simply because a patient has back or neck pain.

Do you offer peripheral nerve stimulation (PNS)?

Yes, for selected patients with pain that can be localized to an appropriate peripheral nerve target.

PNS may be considered when less invasive treatment has not provided adequate relief and the clinical findings support peripheral nerve stimulation.

Are your procedures image-guided?

Yes. All procedures at Alypos are performed with image guidance appropriate to the procedure and anatomy.

Image guidance helps us reach the intended target precisely. Just as important is determining that it is the right target before the procedure begins.

How do you decide between an interventional procedure and regenerative treatment?

They are different tools for different problems.

Some conditions are better suited to an interventional procedure. Others may be better approached with PRP, PRF, BMAC, rehabilitation, or a combination of treatments.

The decision begins with the diagnosis and what we are trying to accomplish—not with a predetermined treatment pathway.

Consultation

Determining whether PRP or PRF is appropriate begins with a consultation focused on candidacy, imaging review when available, and alignment with the patient’s goals.

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