Due to the power outage across most of the state, both Casper campuses will be closing for the remainder of the day.

Any patients that were scheduled for imaging this afternoon will be contacted to reschedule. Thank you for your understanding. 

MSK Services

Non-Surgical Pain Management

Joint and spine pain can take a serious toll on your daily life—limiting how you move, work, and enjoy the things you love. Lasting relief starts with finding the true source of your pain, not just managing the symptoms.

At WIVA, our board-certified, fellowship-trained physicians and skilled physician assistants specialize in image-guided musculoskeletal and pain management treatments designed to directly target the root cause of discomfort. No surgery required and very little to no downtime. Working alongside Casper Medical Imaging & Outpatient Radiology under one roof, WIVA combines advanced diagnostic imaging with expert care to deliver accurate diagnoses and highly targeted treatment plans.

Our goal is to eliminate the need for patients to undergo unnecessary surgeries and long recoveries. Our specialized radiologists and physician assistants have years of experience providing diagnostic and therapeutic steroid injections to help you move freely, return to daily activities, and enjoy your life without pain.

What to Expect

From the moment you arrive at Casper Medical Imaging & Outpatient Radiology, we aim to make your experience as pleasant as possible. After check in, our technologists will escort you to the procedure room to discuss the procedure you’re receiving and answer any questions you have. Once we are ready to begin the procedure, we will position you on the procedure table. We will clean and prep the area of skin using sterile technique and numb the skin with local anesthetic. Then utilizing imaging guidance with either ultrasound, fluoroscopy (X-ray), or computed tomography (CT) we will numb the deeper soft tissues with a combination of anesthetic medication. Following removal of the needle we will place a small bandage over the area. 

As always, be sure to follow preparation instructions provided by your physician. They’ll also discuss and provide any post-opp instructions.

FAQ

An image guided procedure allows the radiologist to accurately and safely watch the needle position real-time. Image guidance also allows the radiologist to see the critical nearby anatomic structures allowing for a more successful and safer biopsy.

You may feel some pressure in the joint or soft tissues from the anesthetic medication and injected contrast material. Shortly following the procedure, you may experience some pain and swelling around the injection site. The effects of the anesthetic can last up to a few hours depending on whether the joint/area injected is the main source of your pain. You may feel numb or experience mild weakness in the limb for a few hours after the injection. If you experience discomfort over the first few days after injection, apply an ice pack to the area. We recommend over the counter Tylenol (acetaminophen) if any pain medication is needed.

Depending on the source of your pain you may experience immediate relief from the aspiration. The addition of a corticosteroid can sometimes help with pain and the reaccumulating of fluid.

The skin is cleansed and local anesthetic medication is injected. The discomfort of this injection is short, 30-60 seconds, and then the area is numb.

A small skin incision is then made through which the biopsy needle is placed. Several small sample cores of tissue from the mass or area of interest will then retrieved. Following removal of the needle we will place a small bandage over the incision area. We will keep you for a short period of observation to make sure you are ready to head home after the procedure.

The risks associated with injections and aspirations are very small. Since the treatment is localized to the area of pain most patients experience no significant or lasting complications. The risks associated with soft tissue biopsies are also small. These include damage to adjacent structures, bleeding, infection, and allergic reaction.

Most injections and minimally invasive pain procedures will require around 30 minutes to complete safely.