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Clinical Practice

Dr. Guarino designs an individualized treatment plan not only to help decrease pain symptoms, but to provide the tools needed to enhance one’s quality of life. Every evaluation involves consideration of each of the following: surgery, injections, medications, physical conditioning, and psychological care. Ultimate decisions about a care path involve coordination between the patient and the physician. Injections are a particular area of Dr. Guarino's expertise.

A partial list of the injections offered includes the following:

  1. Trigger point injections - the placement of a small needle into hypersentive areas of muscles in order to desensitize
  2. Epidurals in the spine - injections into areas of pain with the intention of reducing and/or eliminating spinal and extremity pain caused by problems such as:
    1. Sciatica
    2. Spinal Stenosis
    3. Spondylosis (arthritis)
    4. Herniated and bulging discs
  3. Facet injections in the spine which could help alleviate symptoms from cervicogenic headache to arthritic or painful spinal joints
  4. Radiofrequency neuroablations
  5. Disc evaluations and treatments
  6. Spinal cord stimulation

Clinical evaluations take place in Dr. Guarino’s office in St. Louis, Missouri. If you would like an appointment, please contact his patient intake coordinator at 314-996-8631. Thank you.

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