Pain Therapies
Precise, Targeted Relief
Pain doesn’t always come from one place, and it doesn’t always respond to one treatment. Our pain injection therapies bring together four complementary approaches – ultrasound-guided therapy, extracorporeal shockwave therapy, trigger point injections, and nerve blocks – so Dr. Chabla can target the exact source of your pain.
THERAPY OPTIONS
Six Complementary Approaches
Ultrasound-Guided Therapy
Musculoskeletal ultrasound allows Dr. Chabla to visualize soft tissue structures — tendons, nerves, bursae, joint spaces — in real time during a procedure. This live imaging improves the accuracy of injections, reducing risk and improving outcomes. Ultrasound guidance is used across many of the treatments, including PRP injections, nerve blocks, and trigger point injections.
MLS & Robotic Laser Therapy
MLS (Multiwave Locked System) M7 laser therapy is an advanced, non-invasive treatment that uses specific wavelengths of laser light to reduce pain, decrease inflammation, and promote tissue healing. Unlike traditional laser systems, M7 features a fully robotic delivery arm that automatically scans the treatment area, ensuring precise, consistent energy distribution.
Trigger Point Injections
Trigger points are hyperirritable knots within muscle fibers that cause widespread, often referred pain. Trigger point injections target these spots directly — a small needle delivers a local anesthetic (and in some cases saline or a corticosteroid) to release the muscle and interrupt the pain-tension cycle. Most patients notice improvement within 24–72 hours.
Nerve Blocks
A nerve block is a precise injection that interrupts pain signal transmission along a specific nerve pathway, used both to diagnose the source of pain and to deliver meaningful relief. Using ultrasound guidance, Dr. Chabla delivers an anesthetic — and in some cases an anti-inflammatory medication — directly to the targeted nerve.
Stellate Ganglion Block (SGB)
A stellate ganglion block is a precise, ultrasound-guided injection of local anesthetic near a cluster of nerves in the neck that regulates the body’s “fight-or-flight” response. By calming this overactive nervous system signaling, SGB can relieve nerve-related pain of the face, arm, and hand, including complex regional pain syndrome (CRPS). It is also used off-label for post-traumatic stress symptoms and hot flashes. The procedure takes only a few minutes, and most patients return to normal activity the next day.
Lidocaine Infusion Therapy
Lidocaine infusion therapy delivers a low, carefully controlled dose of lidocaine through an IV to quiet overactive pain nerves throughout the body. It can provide relief for neuropathy, fibromyalgia, CRPS, and other widespread or treatment-resistant pain, often lasting days to weeks after each session. Infusions take about an hour in our office, with continuous heart and blood pressure monitoring for your comfort and safety.
CONDITIONS TREATED
What These Therapies Treat
Knee, shoulder, elbow, and hip pain
Plantar fasciitis and Achilles tendinopathy
Neck and back pain
Headaches and migraines
Myofascial pain syndrome
Sciatica and radiculopathy
Chronic regional pain syndromes
What to Expect
Most procedures in this category are performed in 15-30 minutes in-office, and most patients return home the same day. Dr. Chabla will determine which combination of these therapies is right for you based on your imaging, history, and treatment goals.
Safety & Oversight
Ketamine infusion therapy requires careful clinical oversight. Dr. Chabla’s training in anesthesiology means every infusion is administered safely, with continuous monitoring throughout.
