• 3315 N Valdosta Rd. Suite A.
    Valdosta, GA 31602
  • Call Us
    229-333-9838
  • Mon - Fri: 9AM - 5PM
    Sat: 12PM - 4PM

Urgent Care

Urgent Care Treatments

The Migraine and Spine Clinic’s Urgent Care is here for your quick relief of migraines, trigger point pain,  and sciatica.  These types of pain disorders commonly present as headaches, radiating pain from the neck to the shoulders or up the back of the head, and lower back pain with or without pain that radiates down into the hips and back of the legs.

Migraine Treatments

Migraines are common and can be debilitating. Migraine attacks extend beyond the well-known head pain, they can also include symptoms of nausea, vomiting, sensitivity to light, sound, touch, and smells, food cravings, fatigue, visual changes and much more. 

 

Nerve Blocks

Our first priority is to treat the pain the patient is suffering with. One of the quickest and most effective ways to treat migraine headache pain is to focus on the nerves that are causing it. We accomplish this through nerve blocks. Nerve blocks are simply injections of a nerve blocking agent (i.e. lidocaine) around a nerve stopping nerve signal transmissions. This causes a feeling of numbness.
What should I expect?

For the Migraine Nerve Block procedures, you’ll be seated on the exam table. The injection itself only takes a minute or two. Patients will receive an injection of nerve blocking agents to the nerve or nerve bundle causing their pain. 

Once the procedure is complete, you will rest in our comfortable recliner for a period of 8-10 minutes. After that period, we will reassess the migraine pain intensity. We advise the patient to take it easy several hours after the procedure. Most patients can drive themselves home and return to normal activity almost immediately. 

Pain relief does vary from person to person; it may be nearly instantaneous for one individual, but take a day or more for another, and can last days to several months. 

Secondary Migraine Symptom Treatment

Migraines are more than just a severe headache. They can cause secondary symptoms that include nausea. Emergency rooms have long treated migraine sufferers with what they nicknamed a “Migraine Cocktail.” This “Migraine Cocktail” usually consists of a pain reliever, an anti-nausea, and an anti-histamine. We believe combining this treatment approach with nerve blocks gives our patients the best shot at aborting the active severe migraine while addressing its secondary symptoms. Our version of the “Migraine Cocktail” is administered as an intramuscular injection typically in the hip and consists of:

Toradol – an anti-inflammatory medication in the NSAID family, similar to ibuprofen.

Phenergan – an-anti nausea medication.

Zofran – an anti-nausea medication. Given as an alternative to Phenergan.

Benadryl – an antihistamine. Histamine plays a role in the inflammatory process.

*These are non-narcotic medications, but can cause drowsiness

Sphenopalatine Ganglion Blocks

The Sphenopalatine Ganglion (SPG) is a group of nerve cells that is linked to the trigeminal nerve, the main nerve involved in headache. Located behind the nose, the SPG carries information about sensation, including pain, and also plays a role in autonomic functions.

The link between the SPG and the trigeminal nerve is important in head pain. If you apply local anesthetics (or numbing medications) to block or partially block the SPG, this can help reduce head and facial pain.

What should I expect?

The day of the procedure you should be able to travel to the office and drive home afterwards. No sedating medications are needed for this procedure. 

Prior to the procedure, your blood pressure and heart rate, and possibly your cheek temperature may be checked. We may numb the nose by having you inhale or applying a local numbing medication. This is done to help make you more comfortable when the catheter is placed.

You will be asked to lie down on your back with your head extended. The catheter device will be gently placed into one nostril, and the catheter will be advanced. The numbing medication will be pushed through the syringe, and then the catheter will be taken out. The procedure will be repeated in the other nostril and in total takes between 10-20 seconds to complete. After the procedure is completed you may be asked to lie down for about 15 minutes and your blood pressure may be checked.

During the procedure you may feel mild pressure, feel like you have to sneeze, or a brief mild discomfort. You may also experience a brief or quick burning sensation. Tearing and a brief temperature change may occur. 

You may experience an immediate reduction in head and/or facial pain, but results can take anywhere from 15 minutes to a few hours to occur.

Neck, Upper Back, and Shoulder Treatments

Neck, upper back, and shoulder pain can present in various ways. Discomfort in these areas can be caused by inflammation in one or more nerves and/or muscle groups. This inflammation can lead to more than just pain. it is very common to experience stiffness and a reduced range of motions (ROM) in the neck and shoulders.

Trigger Point Injections

If you’re suffering from painful muscle tightness and spasms with focused spots of pain, then a trigger point injection procedure may be what you need. The Trigger Point Injection procedure is used to treat one or more specific points of discomfort using a combination of nerve blocking agents (i.e. lidocaine) and anti-inflammatory agents. Common areas to get trigger point pain include the neck, shoulders and upper back.

 

What should I expect?
For the procedure, you’ll be seated. The Trigger Point procedure itself only takes a minute or less. A nerve blocking agent mixed with an anti-inflammatory agent is administered into the areas of discomfort. You will then rest in our recliner for a period of 10 minutes, and then we will reassess the areas treated to see if there has been improvement. Pain relief does vary from person to person and some conditions may take multiple injections several weeks apart to provide optimal relief.  

Nerve Block

One of the quickest and most effective ways to treat radiating neck and shoulder pain is through nerve blocks. Nerve blocks are simply injections of a nerve blocking agent (i.e. lidocaine) around a nerve stopping or reducing nerve signal transmissions. This causes a feeling of numbness or lack of sensation. Nerves coming from the neck and shoulder blade often become inflamed causing this discomfort, but can be safely and easily treated. 

What should I expect?

For the neck and shoulder nerve block procedures, you’ll be seated on the exam table.The injection itself only takes a minute or two. Patients will receive an injection of nerve blocking agents (sometimes mixed with steroid) to the nerve or nerve bundle causing their pain. We may also give an additional injection of a medication known as Toradol (injectable NSAID) for added anti-inflammatory effect.

Once the procedure is complete, you will rest in our comfortable recliner for a period of 8-10 minutes. After that period, we will reassess the migraine pain intensity. We advise the patient to take it easy several hours after the procedure. Most patients can drive themselves home and return to normal activity almost immediately. 

Pain relief does vary from person to person; it may be nearly instantaneous for one individual, but take a day or more for another, and can last days to several months. 

Sciatica Treatments

Sciatica is pain radiating along the sciatic nerve, which runs down one or both legs from the lower back. This is one of the most common causes of back pain. We use a customized treatment approach to give quick relief as well as target the inflamed tissues involved for long lasting improvement. 


Sciatic Nerve Block

A sciatic nerve block is an injection to decrease inflammation and “turn off” a pain signal along the specific distribution of the sciatic nerve. A sciatic nerve block may allow the damaged nerve time to heal, and provide temporary pain relief.

What should I expect?

For the sciatic nerve block procedures, you’ll be positioned on the exam table.The injection itself only takes a minute or two. Patients will receive an injection of nerve blocking agents (sometimes mixed with steroid) to the nerve or nerve bundle causing their pain. We may also give an additional injection of a medication known as Toradol (injectable NSAID) for added anti-inflammatory effect.
 

Once the procedure is complete, you will rest in our comfortable recliner for a period of 8-10 minutes. After that period, we will reassess the migraine pain intensity. We advise the patient to take it easy several hours after the procedure. Most patients can drive themselves home and return to normal activity almost immediately. 

Pain relief does vary from person to person; it may be nearly instantaneous for one individual, but take a day or more for another, and can last days to several months.