Benefits of Uterine Fibroid Embolization Procedure

  • 90% of patients are satisfied with the outcomes of the UFE procedure.
  • Growth of new fibroids or re-growth of embolized fibroids is rare.
  • There is minimal blood loss and therefore no need for blood transfusions.
  • All the fibroids may be treated during a single embolization procedure.
  • All major insurance companies cover this procedure as a provided benefit.
  • We encourage you to contact your insurance company about:
    • Coverage for the UFE consultation with an Interventional Radiologist. Specifically, is a referral required for consultation and is the Interventional Radiologist of choice in your network?
    • Is pre-certification required for the pre-procedure pelvic MRI?
    • Is pre-certification required for the UFE procedure? Typically, our patients have an overnight stay in the hospital, but are released the next morning. UFE is considered a 23-hour overnight outpatient procedure.

Top Back Pain Treatments


What is the Treatment for Acute Painful Vertebral Compression?

Kyphoplasty is offered for patients with acute painful compression fractures of the spine. These fractures typically cause severe pain and may lead to the patients being wheelchair bound or bedridden, with severely limited daily activities.

What is Kyphoplasty?
The kyphoplasty procedure is a minimally invasive, non-surgical, outpatient treatment performed through one or two needle holes for each spine fracture. The needles are inserted using the latest in high resolution imaging technology. Balloons are inserted through the needle(s) to re-expand the bone; the resultant cavity is filled with a bone cement to internally cast the broken bone. Kyphoplasty procedures typically result in greater than 90 percent of patients experiencing near-complete or complete pain relief.

What are Epidural Steroid Injections (ESI)? 
A minimally invasive outpatient procedure performed by injecting a mixture of a steroid and long-acting anesthetic into the epidural space (a space containing nerves and nerve roots), using X-ray guidance. ESI are typically performed for central (axial) back or neck pain. Some indications for ESI include back pain from degenerative/bulging/herniated discs, spinal stenosis, and spinal nerve root inflammation (such as shingles).

What is a Selective Nerve Root Block? 
A minimally invasive outpatient procedure is an injection of a small amount of steroid and numbing medication around a very specific nerve root/spinal nerve that exits out of the spinal cord. It uses live X-ray guidance (fluoroscopy) to ensure the medication is delivered to the correct location. The main indication for a SNRB is a patient with peripheral (arm or leg) pain, which is felt to be secondary to compression/inflammation of a specific nerve root(s).

What are Medial Facet or Medial Branch Blocks?
Facet blocks and medial branch blocks are typically ordered for patients who have pain primarily in their back coming from arthritic changes in the facet joints or for mechanical low back pain.

A facet block is an injection of local anesthetic and steroid into a joint in the spine. A medial branch block is similar but the medication is placed outside the joint space near the nerve that supplies the joint called the medial branch (steroid may or may not be used).

A medial branch block interrupts the sensory nerve supply to the involved facet joint through the use of a precise administration of an anesthetic agent and steroid. After a local skin anesthetic is applied, the physician uses fluoroscopy (x-ray) guidance to place a needle along the nerves that supply the inflamed joint.

You may require multiple injections depending upon how many joints are involved.

What are Sacroiliac Joint Injections?

SI joint injections are minimally invasive, outpatient procedures performed by injecting a mixture of a steroid and long-acting anesthetic into the SI joint, using X-ray guidance.

Using Ambulatory Phlebectomy For Varicose and Spider Vein Removal


What is Ambulatory Phlebectomy?

Ambulatory (micro) phlebectomy is a procedure that removes and disrupts varicose veins through a series of tiny (micro) skin incisions. We can perform this procedure at the same session as an EVLT procedure, or at a separate time.

Who Needs a Phlebectomy?

Ambulatory (micro) phlebectomy is performed on an outpatient basis for patients with large bulging veins. This procedure is done for the large branches off the greater saphenous vein that would be treated with EVLT.

How is the Procedure Done?

After the leg is prepped and draped using sterile technique, the skin around the varicose veins is numbed with local anesthetic. We then remove/disrupt the varicose veins through a series of tiny incisions. The large bulging veins are then removed.

What Can I Expect after An Ambulatory Phlebectomy Procedure?

When we’re done, small pressure dressings are applied to the incisions and the patient is instructed to wear a thigh-high compression stocking for two weeks. Long-term results of this safe, effective procedure have been shown in the medical literature (and in our own practice) to be excellent.