(210) 920-8945

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©2016 Alliance Spine and Pain Management, PLLC

RAJESH K. SHARMA, MD

Welcome to My Practice

MEDICAL SERVICES & PROCEDURES

In Pursuit of Greater Health and Wellbeing

As a Pain Management Physician, I have been constantly developing and advancing my medical skills and techniques. I now offer several services and specialized procedures for your convenience. My primary concern is to care for you as a whole person, encompassing complete and total well being.  Get in touch to learn more about the ways in which I can help you have better quality of life!

Headaches and Facial Pain

Whatever its cause, I apply my experience as an Internist, Anesthesiologist, and Interventional Pain Physician to address the multiple causes of these symptoms. Whether from headaches, trigeminal neuralgia, occipital neuralgia or any other source. There are a myriad of treatment modalities to offer to manage these symptoms, and I am adept at finding the best means to improve your symptoms.

Low Back, Neck and Thoracic Pain

Through a holistic approach to medicine, I view each patient as a whole rather than a single symptom to be treated. I favor a multimodal approach to your symptoms to bring about the greatest level of functionality. Your health deserves proper care and attention. Please contact us today to schedule an appointment.

Abdominal, Pelvic and Sacral Pain

The diagnosis and treatment of these symptoms is complex and involved. You deserve to have your condition evaluated with patience and understanding. I have successfully helped manage challenging cases of interstitial cystitis, coccygodynia, as well as other causes for patients who were unable to obtain relief anywhere else. I apply my extensive experience in providing the optimal plan of care for you.

MEDICAL SERVICES & PROCEDURES

In Pursuit of Greater Health and Wellbeing

As a Pain Management Physician, I have been constantly developing and advancing my medical skills and techniques. I offer several services and specialized procedures for your convenience. My primary concern is to care for you as a whole person, encompassing complete and total well being.

Cancer Pain

The changes that may occur when diagnosed with cancer may be profound. The cancer, as well as the treatment for it may cause pain as well as other symptoms that one may have to contend with. I have extensive experience in treating these conditions in an outpatient and inpatient setting, and will provide the greatest amount of comfort with functionality possible.

Neuropathic Pain

Pain from nerves outside the spinal column cause some of the most common and painful conditions we face today. CRPS (Type I and Type II), Post herpetic neuralgia, diabetic neuropathy, piriformis syndrome, carpal tunnel syndrome, paresthetica meralgia are just some of the conditions that may be significantly improved with treatment. You can find the relief you were looking for.

Myofasical Pain

Myofascial pain is a soft tissue pain syndrome (STP) with local and referred pain arising from trigger points. This includes bursitis, tenosynovitis (achilles tendonitis), and enthesopathies (tennis elbow). Generalized STPs include fibromyalgia, and chronic fatigue syndrome. We effectively treat these symptoms with a multimodal therapeutic regimen.

MEDICAL SERVICES AND PROCEDURES

Intraarticular Injections For Pain Management

The injection of steroids is useful to reduce pain and inflammation caused by arthritis. The joints we most often inject are the shoulders, hips and knees. At times injection of biologic substances such as hyaluronic acid and others can also lead to significant improvement in function. Another approach to symptoms related to arthritis include peripheral nerve blockade, followed by radiofrequency ablation. This especially useful in the knees, where first blocking the geniculate nerve followed by radiofrequency ablation can lead to significant improvement, even after knee arthroplasty as seen below.

Intraarticular Hip Injection with Arthrography

Fluoroscopy Guided Epidural Steroid Injections

Pain and Inflammation caused from a lifetime of physical activity, acute injury or chronic degenerative changes are the indications for these procedures. Whether by employing the Translaminar, Transforaminal, or Caudal Approach.

Bilateral L4 Transforaminal Epidural Steroid Injection

Spinal Cord Stimulation

When other surgery may not be an option, this modality is used to treat certain conditions such as CRPS, Post Laminectomy Syndrome, Interstitial Cystitis, and other forms of chronic pain. The trial period lasts a week, where you have full use of the device to see how well it fits your lifestyle and to what extent it improves your symptoms. If it truly changes your life in a meaningful way, we can plan for the permanent implant, which I do as an outpatient procedure in an ambulatory surgery center. 

Spinal Cord Stimulation Trial Lead Placement

Geniculate Nerve Radiofrequency in Knee with Prior Arthroplasty

In Pursuit of Health

MEDICAL SERVICES & PROCEDURES

Vertebral Augmentation

When osteoporosis or cancer cause painful compression fractures, one of the best ways we have to improve spinal stability and decrease pain is vertebral augmentation. Performed at fracture sites in the spinal vertebrae (Baloon Kyphoplasty) or the sacrum (Sacroplasty), these procedures dramatically decrease pain and improve quality of life.

Sacroplasty

Medial Branch Blocks

Right L4 and L5 Medial Branch Blocks

When your pain is primarily axial that is originating from the spine itself, an option to ensuring that this is the source of your pain and potentially improving these symptoms is the performance of medial branch blocks. We can treat the spine in this way at every level, cervical, thoracic, and lumbar. By depositing medication at these sites under fluoroscopic guidance you ensure accurate placement of medication and the best possible results. This block is diagnostic and therapeutic, providing the necessary clinical context with which to consider radiofrequency ablation.

Radiofrequency Ablation

When the Medial Branch Block proves to be successful in managing your symptoms, our next step is to perform Radiofrequency Ablation (RFA) at those same levels. Whereas the medications used in the initial blockade may wear off, we expect that after RFA you should experience six months to a year of relief.

Radiofrequency Ablation Left L3 L4 L5

Call me today to book your appointment.

L4 Kyphoplasty

In Pursuit of Health

MEDICAL SERVICES & PROCEDURES

Sacral Lateral Branch Blocks

Sacroiliac joint dysfunction leads to pain in the low back and hip which is worsened when remaining seated or standing for extended periods of time. Like the medial branch block in the spine, these blocks are also diagnostic and therapeutic. If successful in managing your symptoms, radiofrequency ablation is the next step in making that pain relief last.

Right Sided Dorsal Primary Ramus of L5 block and S1 S2 S3 Lateral Branch Blocks

Sympathetic Nerve Blocks

Ganglion Impar Block

Sympathetic nerve blocks can be used to diagnose or treat pain involving the nerves of the sympathetic nervous system. Examples of conditions for which a sympathetic nerve block might be used include: pain from spasms in the blood vessels, complex regional pain syndrome, coccygodynia, Raynaud's syndrome, interstitial cystitis, perineal pain. Stellate Ganglion Blocks are performed to address symptoms in the head, neck and upper extremities. Superior Hypogastric Blocks are useful to treat pain due to endometriosis, adhesions, and chronic lower abdominal and pelvic pain. Lumbar sympathetic blocks are most commonly  used to treat circulatory insufficiency in the leg and CRPS. Ganglion impar block is useful in addressing perineal, rectal and genital pain.

Minimally Invasive Lumbar Decompression (MILD Procedure)

Tissue Sculptor at L3-L4 debulking Ligamentum Flavum

Minimally Invasive Lumbar Decompression (MILD Procedure) is a safe procedure that can help patients diagnosed with lumbar spinal stenosis (LSS) stand longer and walk farther with less pain. It is a short, outpatient procedure, performed through a very small incision (about the size of a baby aspirin). It is used when the spinal stenosis is caused by an overgrowth of the protective covering over the spinal canal-the ligamentum  flavum. By debulking the ligamentum flavum, you can achieve great improvements in making walking and standing easier. Nearly 80% of patients who have these symptoms, that have not responded to epidural steroid injections have done significantly better for longer after having the MILD Procedure performed.

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