Chesterfield S.P.I.N.E Center, Clarkson Executive Building, 16216 Baxter Road, Suite 110, Chesterfield, MO 63017

Patient Education

Spinal Conditions

Comprehensive care for spinal conditions, improving mobility, and relieving pain...

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Surgery Handbook

Seamlessly integrate with your electronic health records..

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FAQ

We accept a comprehensive list of insurance providers..

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Blogs

At S3 Spine Center, we understand that circumstances may..

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Pain Management Guide

Comprehensive pain management with medical, physical, lifestyle strategies...

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Braces We Recommend

Picture Archiving And Communication System (PACS)..

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Injection Handbook

Detailed handbook on injection techniques, safety, and effective pain relief.

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Spinal Conditions

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Surgery Handbook

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FAQ

We treat a wide range of spine conditions, including herniated discs, spinal stenosis, scoliosis, degenerative disc disease, and more.

You can schedule an appointment by calling our office, using our online appointment scheduling system, or visiting our reception desk during business hours.

Please bring your ID, insurance card, any relevant medical records, a list of current medications, and any imaging studies related to your spine condition.

Referral requirements depend on your insurance plan. Please check with your insurance provider or contact our office for assistance.

We offer a variety of surgical options, including minimally invasive spine surgery, spinal fusion, laminectomy, and disc replacement.

You can access your medical records through our secure online patient portal or by contacting our medical records department.

We accept most major insurance plans, including private insurance, Medicare, and Medicaid. Please visit our insurance information page for a detailed list.

Preparation for spine surgery typically includes pre-operative tests, stopping certain medications, and following specific instructions provided by your surgeon. Detailed guidelines will be given during your pre-surgery consultation.

Recovery time varies depending on the type of surgery and the individual patient. Your surgeon will provide specific recovery guidelines and estimated timelines during your consultation.

Yes, we offer a range of non-surgical treatments, including physical therapy, pain management, injections, and lifestyle modifications to manage spine conditions.

Blog

Mar 04, 2025

Bone Density and Spine Surgery: Why It Matters for a Successful Outcome

The Role of Bone Density in Spine Surgery Bone density plays a critical role in the success of spine surgery. If your bones are too weak, it can impact the choice of implants, surgical technique, and overall recovery. Patients with osteoporosis or low bone density face a higher ..

Mar 03, 2025

Restoring Strength: How Spine Jack Bone Augmentation Transforms Lives After Compression Fractures

Reclaiming Mobility: How Cement Augmentation with Spine Jack Restores Lives Are you or a loved one suffering from spinal fractures due to osteoporosis? This silent disease weakens bones, increasing the risk of fractures—especially in the spine. A vertebral compression fracture..

Pain Management Guide For Patient

Effective pain management is crucial for enhancing the quality of life for patients suffering from spine-related issues. This guide provides an overview of various pain management strategies, helping patients understand their options and work with their healthcare providers to find the best approach for their needs.

Understanding Pain Management

Pain management encompasses a range of treatments and practices designed to reduce discomfort and improve physical function. It can involve medication, physical therapy, lifestyle changes, and, in some cases, surgical intervention. The goal is to control pain so patients can maintain an active and fulfilling life.

Types of Pain Management

1. Medications

  • Over-the-Counter (OTC) Pain Relievers: Medications such as acetaminophen (Tylenol) and non steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) can help reduce pain and inflammation.
  • Prescription Medications: For more severe pain, doctors may prescribe stronger medications such as opioids, muscle relaxants, or antidepressants which also have pain-relieving properties.

2. Physical Therapy

  • Exercise: Customized exercise programs can help strengthen the muscles supporting the spine, improve flexibility, and reduce pain.
  • Manual Therapy: Techniques such as massage and spinal manipulation can alleviate pain by improving blood flow and reducing muscle tension.
  • Modalities: Use of heat, cold, ultrasound, and electrical stimulation can provide temporary pain relief and reduce inflammation.

3. Interventional Pain Management

  • Injections: Corticosteroid injections, nerve blocks, and epidural steroid injections can deliver powerful anti-inflammatory medication directly to the source of pain.
  • Radiofrequency Ablation (RFA): This procedure uses heat to destroy nerve fibers that carry pain signals, providing long-term pain relief.
  • Neuromodulation: Techniques such as spinal cord stimulation involve the use of electrical signals to disrupt pain signals before they reach the brain.

4. Lifestyle Modifications

  • Healthy Diet: Maintaining a balanced diet can help manage weight and reduce stresson the spine.
  • Regular Exercise: Incorporating low-impact exercises such as swimming, walking, and yoga can improve overall physical health and reduce pain.
  • Posture and Ergonomics: Proper posture and ergonomic adjustments at work and home can prevent and alleviate back pain.

5. Alternative Therapies

  • Acupuncture: This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to relieve pain.
  • Chiropractic Care: Chiropractic adjustments can help align the spine and reduce pain.
  • Mind-Body Techniques: Practices such as mindfulness, meditation, and biofeedbackcan help manage pain by altering the way patients perceive and react to it.

Steps to Effective Pain Management

1. Assessment and Diagnosis

  • Work with your healthcare provider to accurately diagnose the cause of your pain through physical examination, imaging tests, and other diagnostic tools.

2. Developing a Pain Management Plan

  • Collaborate with your doctor to create a personalized pain management plan thataddresses your specific needs and goals.

3. Implementing the Plan

  • Follow your treatment plan consistently, including taking medications as prescribed, attending physical therapy sessions, and making recommended lifestyle changes.

4. Monitoring and Adjusting

  • Regularly review your pain management plan with your healthcare provider to assess its effectiveness and make necessary adjustments.

5. Support and Education

  • Stay informed about your condition and treatment options. Join support groups, attend educational sessions, and engage with resources provided by your health care team.

Contact Information

For more detailed information or to schedule an appointment, please contact:

Chesterfield S.P.I.N.E Center

16216 Baxter Road, Clarkson Executive Building, Suite 110, Chesterfield, MO 63017

Frontenac S.P.I.N.ECenter

10435 Clayton Road, Suite 120, St Louis, MO 63131

Phone: 314-557-DISC, 618-41S-PINE

Email: dr.amit@onlinespinecare.com

Visit our website: onlinespinecare.com

By following this guide and working closely with your healthcare provider, you can effectively manage your pain and improve your overall quality of life

Braces We Recommend

1. Cervical Collar

  • Soft cervical collar: neck pain, muscle pain, whiplash.
  • Rigid cervical collar: Post-operative support, cervical spine fractures, moderate to server neck pain

2. Thoracolumbosacral Orthosis (TLSO)

  • Standard TSLO Brace: Post-surgical recovery, scoliosis, fractures, spinal deformities
  • Custom Molded TLSO:  Severe scoliosis. Kyphosis, post-operatives tabilization.

3. Lumbar braces

  • Soft: Minor lumbar injuries, lower back pain, muscle strain.
  • Rigid: Herniated discs, spinal stenosis, post-surgical support, moderate to severe lumbar injuries.

4. Sacral braces

  • Sacroiliac brace: sacroiliac joint dysfunction, pregnancy-related pelvic pain, lower back pain, lower back pain.

5. Scoliosis braces

  • Boston brace: scoliosis in adolescent and children
  • Milwaukee brace: high thoracic scoliosis, severe spinal curvatures.

6. Kyphosis braces:  Scheuermann’s  disease, postural kyphosis, osteoporosis-related kyphosis

7. Post-surgical braces

  • Custom fit post operative spinal orthoses:  spinal fusion, discectomy, post-operative recovery.

Fracture braces

  • Jewett Hyperextension brace: stable spinal fractures, compression fractures.
  • Cruciform Anterior Spinal Hyperextension(CASH) brace: Thoracolumbar spinal fracture, osteoporosis related fractures.

Spine Injection Handbook

The Spine Injection Handbook is designed as a comprehensive guide for both health care providers and patients, detailing the various types of spine injections available, their purposes, procedures, benefits, and potential risks. This handbook aims to provide clear and concise information to enhance understanding, ensure safety, and improve patient outcomes.

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Chapter 1: Overview of Spine Injections

Purpose of Spine Injections:

  • Pain relief
  • Diagnostic purposes
  • Inflammation reduction
  • Functional improvement

Common Conditions Treated:

  • Herniated discs
  • Spinal stenosis
  • Sciatica
  • Facet joint pain
  • Degenerative disc disease

Chapter 2: Types of Spine Injections

Epidural Steroid Injections (ESI)

  • Purpose: Reduces inflammation and pain relief.
  • Procedure: Injection of corticosteroids into the epidural space.
  • Indications: Herniated discs, spinal stenosis, sciatica.
  • Risks: Infection, bleeding, nerve damage.

FacetJoint Injections

  • Purpose: Pain relief and diagnostic tool.
  • Procedure: Injection of a steroid and anesthetic into the facet joint
  • Indications: Facet joint pain, arthritis
  • Risks: Infection, allergic reaction, temporary increase in pain

Sacroiliac Joint Injections

  • Purpose: Pain relief and diagnostic purposes.
  • Procedure: Injection of steroids and anesthetic into the sacroiliac joint.
  • Indications: Sacroiliac joint dysfunction, lower back pain.
  • Risks: Infection, bleeding, allergic reactions.

 Nerve Root Blocks

  • Purpose: Diagnostic tool and pain relief.
  • Procedure: Injection of anesthetic and steroid near a specific nerve root.
  • Indications: Radicular pain, herniated discs.
  • Risks: Infection, nerve damage, temporary increase in pain.

 Trigger Point Injections

  • Purpose: Relief of muscle pain and spasms.
  • Procedure: Injection of anesthetic or saline into trigger points.
  • Indications: Myofascial pain syndrome, muscle spasms.
  • Risks: Infection, bleeding, pain at the injection site.

Chapter 3: Pre-Injection Guidelines

Patient Assessment

  • Medical history review
  • Physical examination
  • Imaging studies (MRI, CT, X-ray)

Pre-Procedure Instructions

  • Medicationadjustments (e.g., blood thinners)
  • Fasting requirements
  • Arranging transportation

Chapter 4: The Injection Procedure

Preparation:

  • Sterile environment
  • Patient positioning
  • Local anesthesia application

Injection Steps:

  • Needleinsertion under fluoroscopic or ultrasound guidance
  • Medication administration
  • Post-injection monitoring

Post-Procedure Care:

  • Observation period
  • Activity restrictions
  • Pain management guidelines

Chapter 5: Potential Risks andComplications

Common Risks:

  • Infection
  • Bleeding
  • Allergic reactions
  • Nerve damage

Managing Complications:

  • Immediate intervention strategies
  • Follow-up care
  • Emergency protocols

Chapter 6: Patient Education and Follow-Up

Patient Instructions:

  • Post-injection care
  • Activity modifications
  • Signs of complications

Follow-Up Appointments:

  • Evaluation of injection efficacy
  • Further treatment planning
  • Long-term management strategies

Chapter 7: Conclusion

Summary of Benefits:

  • Effective pain relief
  • Improved quality of life
  • Enhanced diagnostic accuracy

Future Directions

  • Advances in injection techniques
  • Emerging therapies
  • Research and clinical trials

Appendices

  • Glossaryof Terms
  • Frequently Asked Questions
  • Patient Resources and Support Groups
  • Patient Resources and Support Groups-References and Further Reading

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