Pain Management

RMRI is proud to offer help for those experiencing chronic pain. We feel that while our imaging technology goes a long way in diagnosis of pain related conditions, it should also go hand in hand with expert treatment.

To that end, we’ve partnered with two of the region’s top specialists in pain management, Dr. Gene Levinstein and Dr. Robert P. Marcincin. If you are experiencing conditions such as chronic headaches, arthritis, nerve pain, bulging or degenerative discs, back and neck pain, fibromyalgia or any chronic pain, count on RMRI for the treatment you need to get back to life.

Pain Management Services

Through extensive training in interventional techniques and minimally invasive medicine, the physicians of RMRI will extensively review your history and work together with you to develop a plan to diagnose, treat and manage pain. Some of the techniques we employ include:


An injection of local anesthetic is injected around the nerves giving the patient pain relief.


A diagnostic study used to determine the exact level of disc disease, in which a needle is inserted directly into the disc, injecting saline and X-ray dye into the disc. The disc is stretched and the patient is assessed for pain.

Epidural Steroid Injection

This is often used to treat conditions such as spinal stenosis, disc herniation or degenerative disc disease. A steroid is injected directly around the dura, (the sac around the nerve roots that contains cerebrospinal fluid). The steroid has been proven to decrease inflammation and swelling around the surrounding nerves.

Facet Block Injection

The facet joints are paired joints in the back that have opposing surfaces of cartilage and surrounding capsule. Injuries and/or aging can cause degeneration. After local anesthesia, a numbing agent and/or a steroid are injected into the facet joint.

Joint Injections

Peripheral joints are in the arms and legs. The shoulders, elbows, wrists, hips, knees and ankles are all peripheral joints. Injections can be done for diagnostic or therapeutic purposes.


A special dye and an X-ray combine to make pictures of the bones and the space between bones in the spine. A myelogram may be performed to find a tumor, infection or problems with the spine such as a herniated disc, or arthritis.

Sacroiliac Joint Injection

The sacroiliac joint is the large connection between the sacrum (the bottom of the spine) and the pelvis. The joint may become inflamed or arthritic. Sacroiliac joint pain can be treated with therapy, heat, ice or direct injections.

Trigger Point Injection

RMRI uses this procedure to relieve muscle pain and stiffness. Think of trigger points as knots in your muscles, preventing you from relaxing properly. With this procedure, local anesthetics and corticosteroids are put directly into each trigger point.

Vertebral Augmentation

Vertebral Augmentation relieves pain almost instantly by stabilizing broken bones in the spine caused by osteoporosis. Using special X-ray equipment, RMRI physicians insert cement called poly-methymethacrylate to stabilize the bone. More than one crushed vertebrae can be treated in a single procedure and surgery is not required.

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