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Every procedure at TOPS Institute begins with a diagnosis. Our board-certified interventional pain specialists confirm the structure generating your pain — using examination, advanced imaging and, where appropriate, diagnostic blocks — before recommending any treatment.

We then choose the least invasive option that addresses the cause, with the goal of restoring mobility and function rather than simply masking symptoms.

How We Decide on a Treatment

Treatment is matched to the tissue involved, the severity of your condition, your medical history
and your goals. In practice that usually follows a clear sequence:

Comprehensive consultation — your symptoms, history, imaging and previous treatments.
Diagnostic confirmation — physical examination, imaging review and, where useful, a targeted diagnostic block.
Targeted treatment — an image-guided procedure aimed precisely at the confirmed source.
Rehabilitation and follow-up — so the relief you gain is maintained.

Because the same symptom can arise from several different structures, this order matters.
A procedure aimed at the wrong target rarely helps, however well it is performed.