Eligibility & Treatment

The experts at the SpineWorks Pain Center specialize in assessing and diagnosing chronic pain to identify the best type of pain intervention. This speeds pain relief and recovery. For those who may require surgery, SpineWorks helps coordinate additional evaluations to ensure appropriate treatment.


  • Patients with pain symptoms from degenerative disease
  • Patients who have an injury and continue to complain of pain after conventional medical and/or surgical treatments


When a patient is referred to SpineWorks, a single doctor is assigned responsibility for the patient. After the medical records are reviewed, a physical exam is conducted and diagnostic tests are scheduled.

  • Treatment provided only if patients meet certain physical and psychological criteria
  • Variable length treatment plan established


Determining the specific cause of a patient's chronic back and neck pain is much more likely to lead to successful treatment. At SpineWorks, we use the most advanced diagnostic tools available, such as fluoroscopy, diagnostic blocks and discograms.

Personalized Plan of Care

After a diagnosis, a personalized pain treatment plan is created. It often includes input from other disciplines such as physical therapy and clinical psychology.

Treatment options include:

  • Nerve Blocks: Nerve blocks are injections that contain various types of pain-reducing medication designed to prevent a nerve from transmitting the pain signal to the spinal cord.
  • Spinal Injections: The lumbar epidural steroid injection is the most common spinal injection to help relieve low back pain and leg pain by reducing inflammation. While it generally doesn’t relieve all pain, it can reduce pain and break the pain cycle.
  • X-Ray Guidance: Today, nerve block injections are given utilizing curved needles and fluoroscopic (x-ray) guidance to enable the pain specialist to gently direct the needle to its optimum location.
  • Radiofrequency (RF) Lesioning: A revolutionary procedure that brings relief to patients with neck and lower back pain is called radiofrequency lesioning. The doctor directs a small needle to a specific nerve target along the spine. A small RF current heats up the tissue to eliminate the pain pathways.
  • Therapeutic Botox® Injections: Chronic muscle spasm from injury or disease can be a source of pain. Therapeutic Botox can be injected into areas of persistent spasm to help alleviate chronic pain. Botox is a registered trademark of Allergan, Inc.
  • Neurostimulation: Another aggressive method of spine pain relief is neurostimulation. It has been shown to be a way to control pain when no other treatment options are available or effective. A self-contained power pack with a wire electrode is surgically placed under the skin that sends mild electrical impulses to the spinal cord. These impulses block pain signals to reduce pain and can allow the patient to return to more normal function.
  • Intrathecal Pump: This device is a medication delivery system that is surgically placed inside the body. The pump delivers medication directly to pain receptors in the spinal cord. It is a treatment option for patients with cancer pain or chronic pain who are intolerant of oral medications.

For more information about Memorial's SpineWorks Pain Center, call 217-788-3792, or email us.