Fellowship Trained & Board Certified in Pain Medicine

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All Posts Tagged: kyphoplasty

Mid-level Providers In Pain Management

With recent changes in healthcare, you have may noticed the expanding role of mid-level providers on your Pain Management team.  Nurse Practitioners and Physician Assistants are specialized mid-level providers with multiple years of experience and training combined with an undergraduate and master’s degree.  At Cahaba Pain and Spine Care, we currently employ 3 Nurse Practitioners and 1 Physician Assistant. 

Mid-level providers play an important continuing role in your pain management journey.  Nurse practitioners may be involved in new patient visits, follow up visits, telephone encounters, and other routine visits.  When seeing a mid-level provider, be assured we have reviewed your medical record and discussed your health information with the physician. We will go over your diagnoses and past treatment successes and failures in conjunction with the physician to determine the best course of treatment for your pain.

Pain Management Goals

Our team of providers will be there executing and adapting your treatment plan as needed.  Your treatment plan may include Physical Therapy, Medication therapy, appropriate consultations such as surgical referrals. We also perform procedures such as medial branch radiofrequency ablation, epidural steroid injections, lumbar medial branch blocks, sympathetic blocks, botox treatment, spinal cord stimulation, dorsal root ganglion spinal cord stimulation, and kyphoplasty.  Our goal is to use a multi-modal plan to improve your pain, function, and quality of life.

Compassionate Care

We strive to form relationships with our patients and treat them as we would our own family. We believe in a collaborative, compassionate, and holistic approach to pain management.

At Cahaba Pain and Spine, our team of mid-level providers have treated thousands of patients yearly. We are committed to being there for you as a patient and providing quality care. Pain management is a journey and our team would love to help guide you through it.

– Natalie Chism, CRNP with T. Wade Martin, MD

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Low back pain

Kyphoplasty for Vertebral Compression Fracture

Treating Vertebral Compression Fracture

A short video demonstrating Kyphoplasty, a procedure Dr. Martin and I use to repair vertebral body compression fracture. This procedure often produces immediate pain relief and improvement in function. Patients at particular risk of a Compression Fracture include those with Osteoporosis or Cancer.

Patients who suffer compression fractures can be referred directly to our office and will be scheduled for an evaluation without delay.

-Dr. Thoma

Kyphoplasty (Balloon Vertebroplasty)



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How do you perform your spine injections?

How are spine injections performed?

Other than the obvious answer “very carefully,” there are a few things are characteristic of nearly all our spine injections.  We perform the procedures in our office.  The procedures are done after cleaning and sterilizing the skin which minimizes the risk of infection to the patient.  You’ll notice that for this lumbar injection Dr. Thoma is working with a sterile drape placed over the patient’s low back.  The skin was cleaned with the sterilizing solution before the drape was placed.  The patient is lying on his stomach on the procedure table.

Some patients have their injection done while they are awake, and Dr. Thoma will numb up the skin and superficial tissues with lidocaine.  Other patients may receive a valium or even IV sedation for their procedure.  Patients who receive sedation will need a driver and have more specific dietary restrictions on the day of their procedure.

The machine in front of Dr. Thoma is called the C-arm, or fluoroscope.  This transmits low-dose radiation (less than a typical x-ray) so that we can simultaneously view both the needle and the important landmarks of the spine.  Those labels are attached to the photograph.  We use the c-arm for all our spine procedures including epidural steroid injections, radiofrequency ablations, kyphoplasty, spinal cord stimulation, etc.

At Cahaba Pain and Spine Care, we are proud to offer more interventional procedures than most other pain or orthopaedic clinics can.  We have many highly functional patients that come to us for procedures only.  Patients do not need to be on pain medication to have their procedures done here.  If you are interested in referring a patient or scheduling a procedure with us, give us a call today at 205-208-9001

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