Interventional Pain Management at Hudson Sport and Spine

At Hudson Sport and Spine, we recognize how life-altering acute and chronic pain can be. That’s why we’ve built a team that integrates the expertise of interventional pain management specialists alongside chiropractic physicians, physical therapists, and rehabilitation experts. Together, we share one goal: helping patients return to the active, fulfilling lifestyle they deserve.

Interventional pain management focuses on reducing pain and inflammation at their source through targeted, minimally invasive procedures. Using precise, image-guided techniques—including spinal and extremity injections, our specialists can calm pain, restore mobility, and create the foundation for long-term healing. By lowering pain levels, patients can fully engage in physical therapy and rehabilitation with greater comfort and faster progress.

Why It Matters
● Faster return to activity: By addressing pain directly, patients can begin restorative therapy sooner.
● Comprehensive care: Our interventional pain specialists work side by side with the entire Hudson Sport and Spine team to create seamless, individualized treatment plans.
● Improved quality of life: The ultimate measure of success is not just less pain, but the ability to get back to work, sports, family, and the activities that bring joy.

Most Common Interventional Pain Procedures:

Epidural Steroid Injections (ESI)
● An epidural steroid injection is the application of cortisone, a powerful anti-inflammatory steroid, into the epidural space, the area surrounding the spinal cord and spinal nerves. By reducing inflammation and swelling around irritated nerve roots, ESIs can relieve pain, tingling, numbness, and other symptoms caused by nerve compression, thus allowing patients to begin or resume physical therapy with greater comfort.
• Can be provided underneath local anesthesia or full sedation in our surgery center.
• Commonly used to manage sciatica, lower back pain, neck pain, and arm
• Performed under fluoroscopic (x-ray) guidance for accuracy and safety.

Facet Joint Injections / Medial Branch Blocks
Facet joints are small joints located between the vertebrae that provide stability and flexibility to the spine. When these joints become arthritic or inflamed, they can cause chronic neck or back pain.

• Facet injections deliver a mixture of local anesthetic and corticosteroid directly into the facet joint.
• Medial branch blocks target the small medial branch nerves that carry pain signals from the facet joints.
• These procedures are diagnostic and therapeutic, helping determine if the facet joint is the source of pain while also providing relief.
• Often used as a precursor to radiofrequency ablation (RFA) if pain relief is only temporary.

Radiofrequency Ablation (RFA)
Radiofrequency ablation is used when chronic spinal pain does not respond to more conservative measures. This minimally invasive procedure uses heat generated by radio waves to interrupt pain signals from the affected spinal nerves.

• Typically performed after successful diagnostic injections (such as medial branch blocks).
• Effective for chronic pain from spinal arthritis, whiplash injuries, failed back surgery, and other spine-related conditions.
• Provides longer-lasting relief compared to steroid injections

Sacroiliac (SI) Joint Injections
The sacroiliac joint (SIJ) connects the spine to the pelvis and often becomes a source of low back or leg pain.
• Injections deliver a strong anti-inflammatory medication (corticosteroid) into the SI joint under fluoroscopic guidance.
• Recommended when patients fail to respond to conservative treatments such as physical therapy, chiropractic care, or medication.
• Provides relief that enables patients to participate in strengthening exercises and long-term rehabilitation.
• RFA of the SI joint can be performed for longer lasting relief.

Extremity / Peripheral Joint Injections
For pain outside of the spine, injections can be given directly into joints such as the shoulder, hip, knee, elbow, or ankle.
• Corticosteroid injections reduce pain and inflammation in joints affected by arthritis, bursitis, tendonitis, or injury.
• Helps patients tolerate physical therapy and functional rehabilitation.
• Performed under local anesthesia, often with computer-guided imaging for precision

Joint “Cushioning” Injections-Visco supplementation

Visco supplementation injections, often called hyaluronic acid (HA) injections or joint “cushioning”, are a safe and effective treatment for joint pain caused by osteoarthritis, especially in the knees.

Osteoarthritis occurs when the protective cartilage within the joint wears down from age, overuse, or injury. As the cartilage deteriorates, the joint loses its natural cushioning and lubrication, leading to stiffness, swelling, and pain.

Visco supplementation works by restoring lubrication to the joint, reducing friction, and helping you move more comfortably.

Spinal Cord Stimulator (SCS) Trials
Spinal cord stimulation (SCS) is a treatment doctors use to help people who have ongoing, hard-to-treat pain, especially in the back, legs, or arms. Pain signals travel from your body up through the nerves and spinal cord to your brain. A spinal cord stimulator is a small device (like a pacemaker for pain) that sends mild electrical pulses to the spinal cord. These pulses “interrupt” or “mask” the pain signals before they reach the brain.

• Trial Period- Before moving forward with a permanent implant, patients usually go through a short trial period lasting 3–7 days. During this time, thin wires (called leads) are placed near the spinal cord and connected to a small external battery worn on a belt. This allows the patient to “test drive” spinal cord stimulation and see how much relief it provides.
• If the trial is successful and the patient experiences meaningful pain reduction, they may become a candidate for a permanent implant. If not, the leads are simply removed, and the patient and physician can explore other pain management options. For those who do move forward, the permanent stimulator is implanted under the skin—usually in the lower back or buttock area—while the wires remain in place near the spine.

TENJET®: AN INNOVATIVE SOLUTION FOR CHRONIC TENDON AND HEEL PAIN

Living with chronic tendon pain or plantar fasciitis can be frustrating and limiting. When everyday movement becomes uncomfortable, it can take a toll on your quality of life. At our practice, we’re proud to offer TenJet®, a next-generation treatment designed to provide lasting relief of chronic pain without traditional surgery.

A MODERN APPROACH TO STUBBORN PAIN

Developed in collaboration with leading researchers at the Mayo Clinic, TenJet represents a major advancement in the treatment of persistent tendon and fascia injuries. Using a targeted, pressurized saline stream, TenJet precisely removes only the damaged tissue responsible for ongoing pain—while leaving healthy tissue intact.

This allows the body to heal naturally, often resulting in faster pain relief, improved strength, and a quicker return to normal activitycompared to standard surgical techniques.

Traditional treatments like rest, anti-inflammatory medication, steroid injections, and physical therapy can help in the short term, but they don’t always address the underlying cause of pain.

TenJet bridges the gap between conservative care and surgery by offering a minimally invasive, tissue-preserving solutionthat targets the root of the problem and stimulates true healing.

KEY BENEFITS OF TENJET
● Minimally Invasive: Performed through a tiny incision, minimizing discomfort and downtime.
● Tissue-Sparing Precision: Selectively removes diseased tissue while preserving healthy structures.
● Outpatient Convenience: Typically done under local anesthesia, no hospital stay required.
● Rapid Recovery: Many patients notice meaningful improvement within a few short weeks.
● Insurance-Friendly: Covered by Medicare and most major insurance plans.

CONDITIONS COMMONLY TREATED WITH TENJET
TenJet has proven effective for a variety of chronic soft-tissue injuries and degenerative conditions, including:
● Tennis Elbow (Lateral Epicondylitis)
● Golfer’s Elbow (Medial Epicondylitis)
● Plantar Fasciitis
● Achilles Tendonitis
● Jumper’s Knee (Patellar Tendonitis)
● Hamstring Tendonitis
● Rotator Cuff Tendonitis
● Hip Tendon and Bursa Pain
● Calcific Tendonitis

FIND OUT IF TENJET IS RIGHT FOR YOU
If you’ve been living with tendon or heel pain that hasn’t improved with standard treatments, TenJet could be a game changer.
To learn more or schedule a consultation, contact our office today to speak with one of our care coordinators, or conveniently 

● Comprehensive approach: Interventional procedures are integrated with physical therapy, chiropractic care, and rehabilitation to maximize outcomes.
● Advanced technology: Procedures are performed at an affiliated state of the art ambulatory surgery center
● Personalized care: Every treatment plan is tailored to the patient’s specific diagnosis, symptoms, and lifestyle goals.

At Hudson Sport and Spine, we believe that pain should not dictate your future. With interventional pain management as part of our comprehensive approach, we provide patients with a clear path toward recovery, movement, and restored quality of life.

Sports Medicine at Hudson Sport & Spine

Sports medicine is a specialty focused on the prevention, diagnosis, and treatment of sports and exercise-related injuries. At Hudson Sport & Spine, we look at the whole picture, combining the strengths of sports medicine, physical rehabilitation, physical therapy, and, when appropriate, regenerative treatments, to help our patients recover fully and get back to the activities they love.

Care for Every Level of Athlete

From the weekend runnerto thecompetitive athlete, our team has worked with people at all levels of fitness and performance. Our physicians are Board Certified in Sports Medicinewith additional fellowship training in Physical Medicine & Rehabilitation (PM&R), as well as Regenerative Medicine.

Most Common Sports Medicine Conditions We Treat
At Hudson Sport & Spine, we see athletes and active individuals with a wide range of injuries. Here are six of the most common conditions we treat:

Rotator Cuff Injuries
Therotator cuff is a group of four muscles and tendons that stabilize the shoulder. Overuse, trauma, or age-related wear can cause tendonitis (inflammation) or partial/full tears of the tendons.
● Symptoms: Shoulder pain, weakness, stiffness, difficulty lifting the arm, and sometimes cracking or grinding sounds.
● Treatment: Physical/Occupational therapy, anti-inflammatory injections, regenerative medicine, TenJet, and in some cases, surgery.

Shoulder Bursitis & Tendonitis

The bursa are fluid-filled sacs that cushion the shoulder joint. When overworked, they can become inflamed (bursitis), often occurring alongside rotator cuff tendonitis.
● Symptoms: Pain with movement, stiffness, limited range of motion, pain radiating to the upper arm.
● Treatment: Activity modification, physical/occupational therapy, targeted anti-inflammatory injections. TenJet treatments

Iliotibial Band (ITB) Syndrome

TheIT band runs along the outside of the thigh from the hip to the knee. Repetitive stress, especially in runners and cyclists, can lead to pain and tightness.
● Symptoms: Pain in the outer knee, hip, or thigh; stiffness with movement; instability when running or walking.
● Treatment: Stretching, strengthening exercises, gait training, activity modification, physical/occupational therapy, targeted anti-inflammatory injections. TenJet treatments, regenerative medicine.

Golfer’s & Tennis Elbow
These conditions (medial and lateral epicondylitis) are caused by repetitive stress to the tendons around the elbow, not just in sports, but also from work or daily activities.
● Symptoms: Pain on the inside (golfer’s) or outside (tennis) of the elbow, stiffness, wrist weakness, and sometimes tingling into the hand.
● Treatment: Activity modification, physical/occupational therapy, anti-inflammatory injections, TenJet treatments, regenerative medicine.

Plantar Fasciitis
A common cause of heel pain, plantar fasciitis occurs when the thick band of tissue on the bottom of the foot becomes irritated from repetitive stress.
● Symptoms: Sharp heel pain, especially with the first steps in the morning; difficulty standing, walking, or running.
● Treatment:Supportive footwear/orthotics, stretching, therapy, physical/occupational therapy, anti-inflammatory injections, TenJet treatments, regenerative medicine.

Knee Injuries & Overuse Conditions
Knees absorb significant stress in both sports and daily life. Common issues include meniscus tears, ligament injuries, and patellar tendonitis (“jumper’s knee”).
● Symptoms: Pain, swelling, instability, and limited mobility.
● Treatment: Physical/occupational therapy, bracing, anti-inflammatory injections, TenJet treatments, regenerative medicine and in certain cases, surgery.

Regenerative Medicine:
Regenerative Medicine represents one of the most exciting advancements in modern orthopedic care. Often referred to as “orthobiologics,” this field focuses on helping the body heal itself by activating its natural repair and regeneration processes.

We specialize in non-surgical alternatives to joint replacement and other invasive orthopedic procedures. Our regenerative therapies, Adult Stem Cell Therapy(link), Platelet-Rich Plasma (PRP) Therapy(link), and Prolotherapy(link), can be used individually or in combination, depending on each patient’s condition and unique biology.

These state-of-the-art treatments help restore function, relieve pain, and promote true tissuehealing rather than masking symptoms. For many patients, regenerative medicine offers a safe, effective pathway to recovery, a genuine alternative to elective joint or spine surgery.

Thanks to modern medical innovations, Adult Stem Cell Therapy offers patients a natural, safe, and effective way to heal from orthopedic injuries and degenerative conditions. Unlike embryonic stem cells, adult stem cells are harvested directly from your own body in a simple procedure that is quick and virtually painless.

These powerful cells can be obtained from adipose (fat) tissue or bone marrow, then precisely reintroduced into the injured area using advanced ultrasound-guided imaging. In many cases, the stem cells are combined with Platelet-Rich Plasma (PRP), a concentrated solution derived from your blood that activates and directs the stem cells to begin the repair process.

The result is a healing matrix that naturally restores function, reduces inflammation, and promotes long-term regeneration of damaged tissue.

If chronic pain, stiffness, or injury is keeping you from the activities you love, there’s a newpath forward. Discover how regenerative medicine can help you move, live, and feel better, starting today.

Platelet-Rich Plasma (PRP) Therapy is a state-of-the-art, minimally invasive treatment that harnesses your body’s own natural healing power. The process begins with a simple blood draw. Your blood is then placed in specialized equipment that separates and concentrates the platelets, tiny but powerful cells responsible for tissue repair and regeneration.

These concentrated platelets are rich in growth factors that signal the body to heal and rebuild damaged tissue. Our physicians use high-resolution ultrasound imaging to precisely identify the injured area and deliver the PRP injection directly to the source of pain or dysfunction.

PRP therapy is commonly used to accelerate healing in joints, tendons, ligaments, and muscles, helping patients recover faster, reduce inflammation, and often avoid or delay the need for surgery.

With PRP therapy, your body becomes its own medicine, stimulating repair, restoring function, and helping you get back to doing what you love.

Prolotherapy is a regenerative injection treatment designed to stimulate the body’s natural healing responseand repair damaged or weakened tissues. It is a safe, minimally invasive option that encourages new tissue growth and restores stability to injured joints and ligaments.

During treatment, a specialized solution, typically containing natural irritants such as dextrose and other healing agents, is carefully injected into the injured or painful area. This controlled irritation activates the body’s repair mechanisms, increasing blood flow, stimulating collagen production, and strengthening the surrounding structures over time.

At Hudson Spine & Sport, our physicians use ultrasound guidanceto ensure each injection is delivered with precision and accuracy, directly targeting the tissue that needs to heal. Prolotherapy is most often used to treat chronic tendon and ligament injuries, joint instability, and pain related to degenerative conditionssuch as arthritis.

By jumpstarting the body’s own regenerative capabilities, Prolotherapy helps restore stability, reduce pain, and improve mobility, allowing patients to return to an active, pain-free lifestyle without surgery.

Most common conditions treated with Regenerative Medicine:

Knee
●Osteoarthritis
●Meniscus tears
●Ligament sprains and partial tears
●Patellar tendinitis (“Jumper’s Knee”)

Shoulder Conditions
●Rotator cuff tears
●Tendinitis or tendinopathy
●Biceps tendinitis
●Shoulder impingement syndrome
●Labral tears

Elbow and Arm Conditions
●Lateral epicondylitis (“Tennis Elbow”)
●Medial epicondylitis (“Golfer’s Elbow”)

Foot and Ankle Conditions
●Plantar fasciitis
●Achilles tendinopathy or partial tears
●Chronic ankle sprains with ligament laxity
●Heel pain syndromes

Hip and Pelvic Conditions
●Hip labral tears
●Gluteal tendinopathy
●Trochanteric bursitis
●Osteoarthritis of the hip
●Sacroiliac (SI) joint pain or instability

Spine and Back Conditions
●Degenerative disc disease (DDD)
●Facet joint arthritis
●Sacroiliac joint dysfunction
●Post-surgical pain syndromes
●Adjacent segment degeneration
●Chronic myofascial pain or trigger points

Hand and Wrist Conditions
●Thumb arthritis
●Wrist tendinitis
●Chronic ligament or tendon injuries