Specialties //


  • Arthritis

  • Arm Pain

  • Bone Disorders

  • Cervical Radiculopathy

  • Cervical Spondylosis

  • Cervicalgia

  • Chronic Neck Pain

  • Chronic Low Back Pain

  • Complex Regional Pain Syndrome (CRPS)

  • Degenerative Disc Disease

  • Enthesopathy of Hip (incl. Trochanteric Bursitis)

  • Facet Joint Pain

  • Failed Back Surgery Syndrome

  • Groin Pain

  • Hip Pain

  • Intervertebral Disc Disease

  • Leg pain

  • Low Back Pain

  • Lumbar Radiculopathy

  • Lumbar Spondylosis

  • Occipital Neuralgia

  • Osteoarthritis of the Hip

  • Osteoarthritis of the Knee

  • Osteoarthritis of the Spine

  • Post-Laminectomy Syndrome

  • Radiculopathy 

  • Reflex Sympathetic Dystrophy

  • Sacroilitis

  • Sciatica 

  • Shoulder Pain

  • SI Joint Pain

  • Spinal Stenosis

  • Spondylitis

  • Trigeminal Neuralgia


  • Cervical Epidural Steroid Injection 

  • Cervical Facet Joint Injection 

  • Cervical Medial Branch Block 

  • Discography 

  • Epidural Block, Facet Blocks 

  • Epidural Injection 

  • Epidural Steroid Injections 

  • Facet Block 

  • Facet Joint Injection 

  • Lumbar Epidural Steroid Injection 

  • Lumbar Facet Joint Injection 

  • Lumbar Medial Branch Radiofrequency Neurotomy 

  • Lumbar Selective Nerve Root Block 

  • Myofascial Trigger Point Injection 

  • Nerve Blocks 

  • Nerve Destruction by Neurolytic Agent 

  • Peripheral Nerve Block 

  • Radiofrequency Nerve Ablation 

  • Sacroiliac Joint Injection 

  • Spinal Cord Stimulation 

  • Spinal Injections 

  • Spinal Nerve Block 

  • Steroid Injection 

  • Trigger Point Injection 

  • Knee Injection

  • Knee Radiofrequency Ablations

  • Hip Injections

  • Hip Radiofrequency Ablations

  • Shoulder Injections

  • Dorsal Root Ganglion Stimulation



Spinal injections are performed either to confirm a suspected diagnosis or to reduce pain and inflammation resulting from spinal problems. These injections are performed under fluoroscopy by an interventional spine specialist.

Several types of spinal injections are performed, including epidural steroid injections and facet-sacroiliac joint injections.

An epidural steroid injection is done to relieve pain caused by spinal degeneration, spinal stenosis (narrowing that exerts pressure on nerves), or disc herniation or protrusion. The steroid helps to relieve pain by reducing the inflammation. While some patients attain pain relief with a single injection, others may require multiple injections over a period of time.

Facet-sacroiliac joint injections also are prescribed to alleviate pain. The facet joints connect and stabilize the vertebrae, guiding and restricting movement of the spine. The sacroiliac joint, also known as the SI joint, connects the sacrum (the triangular bone at the bottom of the spine) to the pelvis. The steroid relieves pain by reducing the inflammation.​

What to Expect

You will lie on your stomach on a X-ray table. First, the region of your back requiring injection will be cleaned and prepped. The radiologist will then insert a small needle in the area and, guided by X-ray imaging, will inject a small amount of contrast material to confirm proper needle placement. Once confirmation is made, the radiologist will inject the medicine and remove the needle.

How to Prepare

When you schedule your appointment, we will inform you about any specific preparations depending upon the specific procedure your doctor has ordered. Please contact the Scheduling Department at 951-375-7972 if you have any questions.

Beginning several days before the procedure, you will need to discontinue certain medications.

  • If you are taking Plavix, Coumadin, Warfarin or Pradaxa, must stop 5-7 days prior to your procedure but you MUST check with prescribing physician first before stopping to see if your doctor has an alternative medication or instructions for you.

  • If you are taking Aspirin, Naprosyn, Ecotrin, Ibuprofen, Advil, Motrin, Aleve, Naproxen or Celebrex on a regular basis, we ask you to stop 5-7 days before your exam procedure but you MUST check with prescribing physician first before stopping to see if your doctor has an alternative medication or instructions for you.

  • If you take Lovenox, you must stop 12 hours before your procedure.

  • Stop taking fish oil, flax seed oil, vitamin E, 5 days prior to your procedure.v


  • Assess, plan, organize, and participate in rehabilitative programs​

  • Manual therapy, which uses the massage and manipulation of the body's soft tissues to relieve pain and promote healing

  • Improve mobility

  • General strength training

  • Relieve pain​

  • Increase strength​

  • Improve or correct dialing conditions resulting from disease or injury



Specialty care sports medicine evaluation and treatment of musculoskeletel injuries. Acute and routine appointments available. 


Ongoing research in musculoskeletal injuries, stress fractures and other overuse syndromes.

Dr. Thurman and Dr. Kelling are two of the most sought after authorities in athletic performance, sports related injuries, and in the treatment of chronic pain caused by muscle, joint and spinal issues.  They work closely with their patients to improve their health. They also helps to expand the general understanding of complex health problems through public presentations, research, and teaching.  The Spine & Joint Institute has been created to embody their health care philosophy.

Questions? Send Us A Message.