{"id":505,"date":"2019-03-27T23:18:27","date_gmt":"2019-03-28T06:18:27","guid":{"rendered":"http:\/\/helmckenpainclinic.com\/wp\/?page_id=505"},"modified":"2026-02-20T16:19:40","modified_gmt":"2026-02-21T00:19:40","slug":"procedures","status":"publish","type":"page","link":"https:\/\/helmckenpainclinic.com\/wp\/procedures\/","title":{"rendered":"Procedures"},"content":{"rendered":"\n<p>Our focus is on using advanced techniques in combination with education, physical rehabilitation, CBT strategies and medications to treat a wide range of pain syndromes. <\/p>\n\n\n\n<p>Some types of pain require other specialists to have first ruled out alternative diagnoses. <\/p>\n\n\n\n<p>We have successfully treated people with the following issues:<\/p>\n\n\n\n<p>*Migraine headaches, tension headaches, cervicogenic headaches, trigeminal neuralgia, cranial neuralgias<\/p>\n\n\n\n<p>*Spine facet joint arthritis, discogenic pain, spondylosis, spondylolisthesis, spondylitis, sacroiliac joint pain, spinal stenosis<\/p>\n\n\n\n<p>*Peripheral nerve entrapment, non-surgical or post-surgical shoulder, hip and knee pain<\/p>\n\n\n\n<p>*Peripheral enthesopathies such as posterior pelvic pain arc pain<\/p>\n\n\n\n<p>Some of the strategies we employ include:<\/p>\n\n\n      <div id=\"post-grid-lazy-262\" class=\"post-grid-lazy\"><img decoding=\"async\" alt=\"\" src=\"\" \/><\/div>\n    <script>\n      jQuery('#post-grid-lazy-262').ready(function($) {\n        $('#post-grid-lazy-262').fadeOut();\n        $('#post-grid-262   ').fadeIn();\n      })\n    <\/script>\n    <style type=\"text\/css\">\n      #post-grid-262 {\n        display: none;\n      }\n\n      .post-grid-lazy {\n        text-align: center;\n      }\n    <\/style>\n    <div data-options='{&quot;id&quot;:&quot;262&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;masonry_enable&quot;:&quot;yes&quot;,&quot;view_type&quot;:&quot;grid&quot;}' id=\"post-grid-262\" class=\"post-grid grid\">\n    \n\n\n    <div class=\"grid-items\">\n      <div class=\"item item-4115 skin flat even 0 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1008\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2023\/01\/Screenshot-2023-01-22-at-3.29.15-PM-e1674430602505.png?fit=1024%2C1008&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2025\/05\/29\/diagnostic-medial-branch-block\/\">Diagnostic Medial Branch Block<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        What is a Medial Branch Block? A medial branch block (MBB) is a diagnostic procedure used to determine whether your            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2025\/05\/29\/diagnostic-medial-branch-block\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-1725 skin flat odd 1 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"231\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2023\/01\/Screenshot-2023-01-22-at-3.55.15-PM.png?fit=300%2C231&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2023\/01\/22\/diagnostic-nerve-blocks\/\">Diagnostic nerve blocks<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        A diagnostic nerve block is a procedure in which a small amount of local anesthetic is injected near a specific            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2023\/01\/22\/diagnostic-nerve-blocks\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-827 skin flat even 2 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"308\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/04\/VIAL_100_200_WEB.jpg?fit=308%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/15\/botox-for-migraine-headache\/\">Botox-A<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Botox-A injections are used for chronic migraine headaches and a variety of other pain syndromes.            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/15\/botox-for-migraine-headache\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-788 skin flat odd 3 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"309\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/04\/HOS6648050-original.png?fit=309%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/11\/prolotherapy\/\">Prolotherapy<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Prolotherapy works particularly well for muscles but can also be useful for connective tissues such as joints, ligaments, tendons and            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/11\/prolotherapy\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-785 skin flat even 4 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"309\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/04\/blood.jpg?fit=309%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/11\/platelet-rich-plasma-prp\/\">Platelet Rich Plasma<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Platelet rich plasma (PRP) contains many grown and immune factors that modulate chronic pain.            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/11\/platelet-rich-plasma-prp\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-739 skin flat odd 5 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"309\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/04\/1-e1554519087859.jpg?fit=309%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/05\/pulsed-radiofrequency-neuromodulation-prfn\/\">Pulsed RFN<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Pulsed radiofrequency neuromodulation (pRFN) refers to the application of short pulses of electricity to nerve fibers resulting in reduced ability            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/04\/05\/pulsed-radiofrequency-neuromodulation-prfn\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-502 skin flat even 6 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"309\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/03\/osman-rana-1313818-unsplash.jpg?fit=309%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/03\/27\/cryoneurolysis\/\">Cryoablation (cryoneurolysis)<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Cryoablation, cryoneurolysis, cryoneurotomy, or \"Cryo\" refers to a technique of nerve ablation using the application of extreme cold (usually -20            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/03\/27\/cryoneurolysis\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div><div class=\"item item-241 skin flat odd 7 \">\n        <div class=\"layer-wrapper layout-1277\">\n          <div class=\"layer-media \"\r\n        id=\"\">\r\n        <div\r\n        class=\"element element_1  element-media \">\r\n        <img loading=\"lazy\" decoding=\"async\" width=\"309\" height=\"206\" src=\"https:\/\/i0.wp.com\/helmckenpainclinic.com\/wp\/wp-content\/uploads\/2019\/03\/fire.png?fit=309%2C206&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" \/>    <\/div>\r\n    <\/div>\r\n    <div class=\"layer-content element_3\"\r\n        id=\"\">\r\n        <div class=\"element element_4  title \">\r\n                    <a target=\"\"\r\n                href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/03\/25\/radiofrequency-neurolysis-rfn\/\">Medial Branch Radiofrequency Ablation (RFA)<\/a>\r\n            <\/div>\r\n    <div class=\"element element_5  excerpt \">\r\n        Purpose of the Procedure: Medial branch RFA is a minimally invasive procedure designed to reduce chronic neck or back pain            <\/div>\r\n            <a class=\"element element_6  read_more \"\r\n            target=\"\"\r\n            href=\"https:\/\/helmckenpainclinic.com\/wp\/2019\/03\/25\/radiofrequency-neurolysis-rfn\/\"><\/a>\r\n        <\/div>\r\n    <\/div>\n  <\/div>    <\/div>\n    <div class=\"pagination\">\n      <div class=\"paginate\">\n      <\/div>\n  <style type=\"text\/css\">\n    #post-grid-262 .pagination .page-numbers {\n      font-size: 16px;\n      color: #fff;\n      background: #646464;\n    }\n\n    #post-grid-262 .pagination .page-numbers:hover,\n    #post-grid-262 .pagination .page-numbers.current {\n      background: #4b4b4b;\n 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Some types of pain require [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"class_list":["post-505","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/pages\/505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/comments?post=505"}],"version-history":[{"count":1,"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/pages\/505\/revisions"}],"predecessor-version":[{"id":4176,"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/pages\/505\/revisions\/4176"}],"wp:attachment":[{"href":"https:\/\/helmckenpainclinic.com\/wp\/wp-json\/wp\/v2\/media?parent=505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}