Mission statement

Providing Patient-Centered care with innovative pain management services. We strive to deliver the most advanced, minimally invasive, diagnostic & therapeutic services available. We seek to enable our patients to restore function, relieve pain and have renewed hope.


At Pain Relief Centers, we offer a variety of services to help patients with chronic pain. Specifically, we use the multidisciplinary pain treatment approach in providing you the greatest chance for improvement and highest quality of care. We eagerly look forward to helping you at one of our clinics in metropolitan Louisville area.


Pain treatment options are tailored to your specific condition and begins with conservative treatment. Initially, conservative treatment typically includes: physical therapy; counselling for anxiety, depression, bipolar, PTSP etc.; weight loss; medication management; and perhaps chiropractic care as appropriate. We definitely encourage the practice of complementary and alternative therapies as we realize “one shoe size doesn’t fit all” for chronic pain patients.

After conservative treatment techniques have been trialed, we may implement interventional treatment options that would include many different types of injections and procedures. Initially, targeted, safe injections are implemented and if inadequate progress is made with these injections then more advanced techniques like spinal cord implants or intrathecal pump implants may be considered.

Epidural Steroid Injections
Facet Joint Injections
Transforaminal Epidural Steroid Injections
Stellate Ganglion Blocks
Occipital Nerve Blocks
Intercostal Nerve Blocks
Sacroiliac Joint Injections
Knee/Shoulder Joint Injections
Trigger Point Injections
Radiofrequency Nerve Ablation
EMG (Nerve Conduction Study)
Infusion Therapy/ Intrathecal Drug Delivery
Opioids and Chronic Pain Management
Osteoarthritis of the Spine
Spinal Cord Stimulation (Medtronic)
Spasticity Management(Intrathecal Baclofen Therapy and Botox Injections)
Medication Management

Epidural Steroid Injections

What is it for?

Epidural Steroid Injections (ESIs) are a common method of treating inflammation associated with back pain, lower back related leg pain, or neck related arm pain. In each of these conditions, the spinal nerves become inflamed due to narrowing of the passages where the nerves travel as they pass down or out of the spine. This narrowing can be caused by a misalignment of vertebrae, joint cysts, bone spurs, disc hernias, and more.

Cervical Epidural Steroid Injection

Caudal Epidural Steroid Injection

Thoracic Epidural Steroid Injection

Lumbar Epidural Steroid Injection

How is it done?

During an ESI, a needle is placed into the back of the epidural space, which surrounds the protective layer of the spinal cord known as the dura. An anti-inflammatory steroid will then be delivered into this area. A contrast dye will be used to insure the steroid is reaching the desired area, and the entire procedure will be done using fluoroscopic (x-ray) guidance. Often, a local anesthetic is added to provide some immediate pain relief.

This is an outpatient procedure, and you can normally return to your regular activity as early as the following day.

What can I expect afterwards?
Typically, the steroid will begin working within 1 to 3 days. Some cases can take up to a week before feeling the benefits. Pain relief will vary between patients, but most report relief lasting several months or more. Other times, if there is no underlying bone or joint issue, one injection can provide long-term pain relief. If your pain is caused by injury to more than one area, only some of your symptoms may be helped by just one injection.



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