Apex Interventional Pain & Spine

10/26/2026

Nerve-related pain can feel very different from ordinary muscle soreness.

Some people describe burning, tingling, numbness, electric-like sensations, or sharp pain that travels along an arm or leg.

A peripheral nerve block places medication near a specific nerve or group of nerves involved in transmitting pain signals. Depending on the clinical situation, the procedure may be used to provide temporary relief, reduce inflammation, or help identify whether a particular nerve is contributing to the symptoms.

Because nerve pain has many possible causes, the first step is determining which structure may be involved.

10/23/2026

Chronic low back pain can have many different causes, which means one treatment does not fit every patient.

The Intracept procedure is designed specifically for selected patients with vertebrogenic pain associated with changes in the vertebral endplates.

During the minimally invasive procedure, radiofrequency energy is used to target the basivertebral nerve, reducing its ability to transmit pain signals. Apex notes that potential candidates commonly have low back pain lasting at least six months, inadequate improvement with conservative treatment, and appropriate MRI findings such as Modic Type 1 or Type 2 changes.

Intracept is not intended for every type of back pain, so determining the pain source and reviewing imaging are important first steps.

Learn More: https://apexinterventionalpain.com/treatments/intracept-procedure/

10/21/2026

When low back pain continues for months, identifying the actual pain generator becomes increasingly important.

One possible source is vertebrogenic pain, which is associated with changes in the vertebral endplates—the structures between the spinal discs and vertebral bones.

The basivertebral nerve carries pain signals from these endplates. In selected patients, MRI findings known as Modic Type 1 or Type 2 changes may support a diagnosis of vertebrogenic pain.

This is not the cause of every case of chronic low back pain. A detailed evaluation and imaging review are necessary to determine whether the basivertebral nerve may be involved.

Learn More: https://apexinterventionalpain.com/treatments/intracept-procedure/

10/19/2026

A sudden pull or sharp pain while lifting may come from overstretched muscles or supporting tissues in the back.

Many uncomplicated strains improve with time and appropriate activity modification. But the symptoms surrounding the pain matter.

Pain that travels down an arm or leg, numbness, tingling, weakness, or symptoms that progressively worsen may point to something beyond a simple muscle strain.

Seek urgent medical care for serious warning signs such as new loss of bladder or bowel control, rapidly worsening weakness, or difficulty walking.

For persistent back pain without emergency symptoms, an evaluation can help determine whether muscles, joints, discs, or nerves may be involved.

10/16/2026

Persistent knee pain is not always caused by a problem isolated to the knee joint.

The nerves surrounding the knee can contribute to pain, and symptoms from the hip or spine may sometimes be felt around the thigh or knee. The American Academy of Orthopaedic Surgeons notes that overlapping hip and spine problems can make determining the true source of pain more complicated.

That is why identifying where the pain is actually coming from matters before choosing a treatment.

At Apex Interventional Pain & Spine, evaluation may include looking at the joints, surrounding structures, nerves, and other possible pain generators based on the individual’s symptoms.

10/14/2026

Not all neck or back pain comes from a disc or pinched nerve.

Facet joints are small joints along the back of the spine that help guide movement and provide stability. When they become irritated or inflamed, pain may worsen with movements such as bending, arching, or twisting.

A facet joint injection places medication directly at the targeted joint. Depending on the situation, it may help determine whether the facet joint is contributing to the pain while also reducing inflammation and discomfort.

Facet injections are not appropriate for every type of spinal pain, so diagnosis comes first.

Learn More: https://apexinterventionalpain.com/treatments/facet-joint-injections/

Experience the expertise of Dr. Mohammed I. Khan, M.D. in facet joint injections. Call now to schedule your appointment and discover personalized pain management solutions.

10/12/2026

Cooler weather often means more time outdoors—raking leaves, cleaning up the yard, decorating, or tackling home projects.

Those activities can involve repeated bending, lifting, reaching, and twisting, which may place extra stress on the lower back when done for long periods or with poor body mechanics.

Before getting started, warm up with a few minutes of easy movement. Keep loads manageable, lift with your legs, avoid twisting while carrying something heavy, and take regular breaks.

If back pain persists, worsens, or starts interfering with walking, sleep, work, or everyday activities, an evaluation can help determine what may be contributing to it.

10/08/2026

A herniated disc occurs when material from inside a spinal disc pushes through a weakened or torn outer layer.

The disc itself is only part of the story.
If the herniation irritates or compresses a nearby nerve, symptoms can appear away from the spine, which is why some patients experience arm or leg symptoms in addition to neck or back discomfort.

Possible symptoms include:
Local or radiating pain
Tingling or numbness
Burning or shooting sensations
Muscle weakness

Age-related disc degeneration is a common contributor. Lifting mechanics, twisting while carrying a heavy load, and trauma can also play a role.

Treatment depends on the location, symptoms, neurologic findings, and severity. Options may range from conservative care and physical therapy to injections or surgery when clinically indicated.

Learn More:
https://apexinterventionalpain.com/pain-conditions/herniated-disc/

10/05/2026

Feeling comfortable with your care also means understanding what is being recommended and feeling confident asking questions along the way.

Thank you, Barbara, for choosing Apex Interventional Pain & Spine.

10/02/2026

A herniated disc occurs when material from inside a spinal disc pushes through a weakened or torn outer layer.

The disc itself is only part of the story.

If the herniation irritates or compresses a nearby nerve, symptoms can appear away from the spine, which is why some patients experience arm or leg symptoms in addition to neck or back discomfort.

Possible symptoms include:

Local or radiating pain

Tingling or numbness

Burning or shooting sensations

Muscle weakness

Age-related disc degeneration is a common contributor. Lifting mechanics, twisting while carrying a heavy load, and trauma can also play a role.

Treatment depends on the location, symptoms, neurologic findings, and severity. Options may range from conservative care and physical therapy to injections or surgery when clinically indicated.

Learn More:

https://apexinterventionalpain.com/pain-conditions/herniated-disc/