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Injections & Nerve Blocks
Learn about injections and nerve blocks, including epidural steroid injections, facet injections, nerve blocks, SI joint injections, trigger point injections, and Botox for migraines at Peak Spine.

Injections & Nerve Blocks in Marlton and Collingswood, NJ

Pain often becomes easier to treat when the source can be identified and targeted directly. Injections and nerve blocks may help patients with spine pain, joint pain, nerve pain, muscle pain, headaches, migraines, sciatica, arthritis-related pain, or pain that travels into the arms or legs.

At Peak Spine & Sports Medicine, we use injections and nerve blocks as part of a careful, opioid-free pain management plan. These treatments may help reduce inflammation, calm irritated nerves, confirm a diagnosis, or improve comfort enough for patients to move, sleep, work, travel, exercise, and return to daily life with less pain.

We provide opioid-free, interventional pain care with an emphasis on education, outcomes, and quality of life. Dr. Milind Patel, Dr. Jill Kalariya, Brian Brown, PA, and our interventional pain management team deliver care through a concierge model that ensures clarity, organization, and a personalized experience.

To schedule an injection or nerve block consultation in Marlton or Collingswood, NJ, call Peak Spine & Sports Medicine at (833) 377-7325 or request an appointment online. Telehealth consultations are available when appropriate. We serve patients in Marlton, Haddonfield, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and nearby communities.

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What Are Injections and Nerve Blocks?

Injections and nerve blocks are targeted procedures used to diagnose or treat specific pain sources.

Some injections place anti-inflammatory medication near an irritated nerve, painful joint, inflamed tendon, muscle trigger point, or spine structure. Other injections use a local anesthetic to temporarily block pain signals and help confirm where pain is coming from.

Injections and nerve blocks may be used for:

  • Back pain
  • Neck pain
  • Sciatica
  • Radiculopathy
  • Herniated or bulging discs
  • Spinal stenosis
  • Facet joint pain
  • SI joint pain
  • Joint pain
  • Shoulder, hip, knee, foot, or ankle pain
  • Muscle spasms or trigger points
  • Occipital neuralgia
  • Chronic migraines
  • Nerve-related pain
  • Pain that has not improved enough with conservative care

The right injection depends on the diagnosis; for example, a patient with sciatica may need a different approach than someone with facet joint pain, SI joint dysfunction, knee arthritis, migraine, or muscle-related pain.

Epidural Steroid Injections

Epidural Steroid Injections may be considered when pain is related to inflammation around a spinal nerve.

This treatment places anti-inflammatory medication into the epidural space around the spine. It may be used for selected patients with radiating arm or leg pain caused by conditions such as herniated discs, bulging discs, spinal stenosis, foraminal narrowing, or radiculopathy.

Epidural Steroid Injections may help patients with:

  • Sciatica
  • Lumbar radiculopathy
  • Cervical radiculopathy
  • Disc-related nerve irritation
  • Spinal stenosis-related nerve pain
  • Pain that travels into the arm or leg

For some patients, reducing nerve inflammation can make walking, sitting, sleeping, therapy, work, or daily activity more manageable.

Facet Joint Injections

Facet Joint Injections may be considered when pain appears to come from the small joints in the back of the spine.

Facet joints help the spine bend, twist, and stabilize movement. They can become painful from arthritis, degeneration, injury, inflammation, or altered mechanics. Facet-related pain often feels more central in the back or neck and may worsen with standing, twisting, bending backward, or certain movements.

Facet Joint Injections may help calm inflammation in or around the joint. They may also help determine whether the facet joint is a meaningful pain source.

Nerve Root / Selective Nerve Blocks

Nerve Root/Selective Nerve Blocks may be used when symptoms suggest a specific spinal nerve root is involved.

This injection is placed near the suspected nerve root using imaging guidance. It may be helpful when pain follows a defined pathway into the arm or leg, especially when imaging shows more than one possible level of concern.

Selective Nerve Root Blocks may help with:

  • Cervical radiculopathy
  • Lumbar radiculopathy
  • Sciatica
  • Disc-related nerve irritation
  • Spinal stenosis-related nerve symptoms
  • Pain that travels into one arm or leg

A meaningful response may provide pain relief and useful diagnostic information.

SI Joint Injections

SI Joint Injections may be considered when pain appears to come from the sacroiliac joint.

The sacroiliac joints connect the lower spine to the pelvis. SI joint pain may feel like lower back, buttock, hip, groin, or upper leg pain. It may worsen with standing, walking, going up and down stairs, getting in and out of a car, or changing positions.

SI Joint Injections may be used to help confirm whether the SI joint is contributing to pain and to reduce inflammation in the area.

Trigger Point Injections

Trigger Point Injections may be considered when tight, irritated, or tender muscle areas are contributing to pain.

Trigger points can feel like knots, spasms, stiffness, aching, or tenderness in the muscles. They may occur in the neck, shoulders, upper back, lower back, hips, or other areas. Some trigger points can also refer pain into nearby regions.

Trigger Point Injections may help calm focal muscle pain and allow patients to move, stretch, strengthen, or participate in therapy more comfortably.

Joint & Extremity Injections

Joint & Extremity Injections may be used for select pain in the shoulders, hips, knees, ankles, feet, elbows, wrists, or hands.

These injections may be considered when pain appears to come from a specific joint, tendon, bursa, or soft-tissue structure. They may help reduce inflammation, improve movement, and make daily activity more manageable.

Joint & Extremity Injections may be discussed for:

  • Knee pain
  • Shoulder pain
  • Hip pain
  • Foot or ankle pain
  • Elbow pain
  • Wrist or hand pain
  • Arthritis-related pain
  • Bursitis
  • Tendon irritation
  • Sports or overuse injuries

The treatment plan depends on the diagnosis, exam findings, imaging when appropriate, and the patient’s goals.

Medial Branch Blocks

Medial Branch Blocks are diagnostic injections used to determine whether facet joints are causing neck or back pain.

The medial branch nerves carry pain signals from the facet joints. During a Medial Branch Block, a local anesthetic is placed near these nerves. If the patient has strong but temporary relief, it may suggest that the facet joints are a major source of pain.

Medial Branch Blocks are often used before Radiofrequency Ablation. If the diagnostic blocks are successful, RFA may be discussed as a longer-lasting treatment option for select patients.

Nerve Blocks

Nerve Blocks are injections placed near a targeted nerve or group of nerves.

They may be used to reduce pain, calm nerve irritation, or help identify whether a specific nerve is contributing to symptoms. Nerve Blocks may be considered for selected headache patterns, occipital neuralgia, peripheral nerve pain, post-surgical nerve pain, or other focal nerve-related pain conditions.

A Nerve Block may be diagnostic, therapeutic, or both. The value of the procedure depends on the pain pattern, exam findings, suspected nerve target, and treatment goals.

Botox Injections for Migraines

Botox Injections for Migraines may be considered for select patients with chronic migraine.

Botox is used as a preventive treatment, not as a rescue medication for a migraine that is already happening. It is injected into specific areas of the head and neck to help reduce migraine frequency and severity over time.

Botox may be discussed when a patient has frequent headache days and meets chronic migraine criteria. Many patients track headache days, migraine days, medication use, triggers, and severity before and during treatment.

At Peak Spine & Sports Medicine, Botox for migraines is considered after a careful review of symptoms, headache frequency, prior treatments, medical history, and insurance requirements.

Who May Be a Candidate for Injections or Nerve Blocks?

Injections and nerve blocks may be considered when pain is persistent, function-limiting, and connected to a source that can be evaluated. A consultation helps determine which injection, if any, best fits the pain pattern.

Patients may be candidates if they have:

  • Neck or back pain
  • Pain that travels into the arm or leg
  • Sciatica
  • Radiculopathy
  • Joint pain
  • Facet joint pain
  • SI joint pain
  • Muscle trigger points
  • Headaches or migraines
  • Occipital neuralgia
  • A clear functional goal, such as walking farther, sleeping better, working comfortably, exercising, traveling, or reducing severe flare-ups
  • Pain that has not improved enough with conservative care

Why Choose Peak Spine & Sports Medicine?

Peak Spine & Sports Medicine is founded on the principle of providing the level of care we would expect for our own family members.

Patients come to our Marlton and Collingswood offices because they want more than a quick visit and another prescription. Our team takes time to understand the source of the pain, how it affects daily life, what has already been tried, and which activities the patient wants to return to.

Peak Spine & Sports Medicine offers:

  • Concierge, white-glove pain management care
  • A non-opioid approach to pain care
  • Ivy League-trained professionals
  • Telehealth consults when appropriate
  • Double board-certified pain management physicians
  • Cutting-edge interventional techniques and technology
  • Advanced spine, joint, nerve, and muscle pain evaluation
  • Image-guided procedures when appropriate
  • Diagnostic and therapeutic injection planning
  • A helpful staff that works to reduce the burden on patients
  • Insurance access for eligible PPO/POS patients with out-of-network benefits

Care is led by Dr. Milind Patel and Dr. Jill Kalariya, double board-certified pain management physicians who perform advanced interventional procedures in the outpatient surgery center. Brian Brown, PA supports patients through conservative care, diagnostic workups, imaging coordination, therapy recommendations, and follow-up planning, helping each patient navigate care with clarity.

Our practice is selective with insurance to prioritize quality over volume. This approach allows our team to dedicate more time to listening, explaining, and coordinating care for each patient, rather than adhering to insurance company schedules.

Visit our Why Choose Us page to learn more.

Schedule an Injection or Nerve Block Consultation in Marlton or Collingswood, NJ

Injections and nerve blocks work best when they are guided by a clear diagnosis. The right treatment depends on whether pain is coming from an irritated spinal nerve, facet joint, SI joint, muscle trigger point, peripheral nerve, joint, extremity, migraine pattern, or another source.

For injections and nerve blocks in Marlton and Collingswood, NJ, contact Peak Spine & Sports Medicine at (833) 377-7325 or schedule a consultation online today. Our team will help determine whether the pain pattern, goals, and insurance benefits make our concierge interventional pain model the right fit.

We proudly serve patients in Marlton, Haddonfield, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding communities.

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Injections and Nerve Blocks Marlton, NJ – FAQs

An injection is a broad term for placing medication into a targeted area. A nerve block is a specific type of injection placed near a nerve or group of nerves to reduce pain signals or help identify a pain source.

They can be used for both. Some injections help reduce inflammation or pain. Others, such as Medial Branch Blocks or Selective Nerve Blocks, may help confirm which structure or nerve is causing symptoms.

Epidural Steroid Injections may help selected patients with radiculopathy, sciatica, herniated discs, bulging discs, spinal stenosis, foraminal narrowing, or other conditions that irritate spinal nerves.

Facet Joint Injections may be used when neck or back pain appears to come from the small joints in the back of the spine. These joints can become painful from arthritis, degeneration, injury, or inflammation.

Medial Branch Blocks are diagnostic injections used to determine whether the facet joints are causing pain. They are often performed before Radiofrequency Ablation is considered.

SI Joint Injections may help diagnose or treat pain from the sacroiliac joint, which can cause low back, buttock, hip, groin, or upper leg pain.

Trigger Point Injections may help when tight, tender muscle areas are contributing to pain, stiffness, spasms, or limited movement.

Yes. Joint & Extremity Injections may be considered for select knee, shoulder, hip, ankle, foot, elbow, wrist, or hand pain when the pain source is localized and appropriate for injection treatment.

Nerve Blocks may help select headache patterns when a specific nerve is contributing, such as occipital neuralgia or pain that begins near the base of the skull.

Botox Injections for Migraines may help selected patients with chronic migraine. It is used as a preventive treatment and is typically considered when headache frequency meets chronic migraine criteria.

Relief varies based on the diagnosis, injection type, medication used, and patient response. Some injections provide short-term diagnostic information, while others may provide longer symptom relief.

Injections may help some patients avoid or delay surgery, but they do not replace surgery when severe compression, instability, progressive weakness, fracture, infection, or another serious structural problem requires surgical evaluation.

No. Peak Spine & Sports Medicine is an opioid-free pain management practice. The team focuses on education, interventional procedures when appropriate, and targeted non-opioid treatment strategies.

Peak Spine & Sports Medicine accepts insurance and primarily works with PPO and POS plans that have out-of-network benefits. The practice does not participate with EPO, HMO, Medicare, or Medicaid plans. The team can help determine whether benefits may apply.