- Interventional Pain Institute > Procedures > In-Office Treatment Options
In-Office Procedures
1. Chronic Migraine Botox
What it Treats
Chronic migraine Botox injections are used to reduce the frequency and severity of migraines in patients who experience chronic migraines. This treatment is typically recommended for patients who have headaches on 15 or more days per month.
How the Procedure Is Performed
In the office, using sterile technique, the physician injects small amounts of Botox into specific muscles of the head, neck, and shoulders. Injection sites are determined based on standardized migraine treatment protocols and patient-specific headache patterns. Patients may notice gradual improvement over several days to weeks, and normal activities can typically be resumed immediately after the injections.
2. Intra-articular Knee Injection
What it Treats
An intra-articular knee injection performed in the clinic is used to relieve pain and inflammation within the knee joint, often caused by arthritis, meniscus injuries, or other degenerative joint conditions. It can help improve mobility and allow patients to participate more comfortably in daily activities.
How the Procedure Is Performed
In the office, using sterile technique, the physician identifies the appropriate injection site based on anatomical landmarks and palpation of the joint space. A combination of corticosteroid and local anesthetic is injected directly into the knee joint to reduce inflammation and block pain signals. Patients typically experience relief within a few days and can resume normal activities shortly after the procedure, though temporary soreness at the injection site may occur.
3. Occipital Nerve Block
What it Treats
An occipital nerve block is used to relieve pain in the back of the head, scalp, and neck caused by conditions such as occipital neuralgia, chronic migraines, or tension headaches. It can help reduce pain and improve daily function.
How the Procedure Is Performed
In the office, using sterile technique, the physician palpates the greater and/or lesser occipital nerves at the base of the skull to identify the optimal injection sites. A small amount of local anesthetic, sometimes combined with a corticosteroid, is injected near the nerves to block pain signals and reduce inflammation. Patients may experience immediate or gradual pain relief and can typically resume normal activities shortly after the procedure.
4. Piriformis Botox
What it Treats
Piriformis Botox® injections are used to relieve chronic pain and muscle spasm in the buttock and hip region caused by piriformis syndrome. This condition can irritate the sciatic nerve, leading to pain, tingling, or numbness that radiates down the leg.
How the Procedure Is Performed
In the office, using sterile technique, the physician palpates the piriformis muscle to locate tight or spastic areas. Small amounts of Botox are injected directly into the targeted muscle to relax spasm, reduce pressure on the sciatic nerve, and relieve pain. Patients typically experience gradual improvement over several days and can return to normal activities shortly after the procedure.
5. Subacromial Injection
What it Treats
A subacromial injection performed in the clinic is used to relieve pain and inflammation in the shoulder caused by conditions such as bursitis, rotator cuff tendinopathy, or impingement syndrome. It can help improve shoulder mobility and reduce discomfort during daily activities.
How the Procedure Is Performed
In the office, using sterile technique, the physician identifies the subacromial space by palpation and anatomical landmarks. A combination of corticosteroid and local anesthetic is injected into the subacromial space to reduce inflammation and block pain signals. Patients typically experience gradual pain relief and can resume normal activities shortly after the procedure, though mild soreness at the injection site may occur.
6. Trigger Point Injection
What it Treats
A trigger point injection performed in the clinic is used to relieve pain and muscle tightness caused by myofascial trigger points—localized areas of muscle spasm or knots. It is commonly recommended for patients experiencing chronic neck, shoulder, back, or other muscle pain that limits mobility or daily activities.
How the Procedure Is Performed
In the office, using sterile technique, the physician palpates the affected muscle to locate the trigger points. A small amount of local anesthetic, sometimes combined with saline or corticosteroid, is injected directly into the tight or painful muscle areas. The injection helps relax the muscle, reduce pain, and improve range of motion. Patients can typically resume normal activities shortly after the procedure, though mild soreness at the injection site may occur..
Call (225) 769-3636 to Speak with Our Team
Medical Pain Procedures & Treatment Services
by IPI in Baton Rouge, LA
All procedures are performed at Capital Surgery Center, a sterile, controlled outpatient medical facility designed to promote patient safety and reduce the risk of infection.
Capital Surgery Center specializes in same-day (outpatient) procedures, allowing patients to return home the same day following their procedure. Our surgical suites follow strict aseptic and infection-control protocols, including thorough room preparation, use of sterile instruments and supplies, and adherence to established clinical safety standards. Physicians and clinical staff wear appropriate sterile protective equipment and follow evidence-based guidelines throughout every procedure.
Prior to your procedure, our care team will review the process with you, answer any questions, and ensure all necessary safety measures are in place. After your procedure, you will receive detailed post-procedure instructions to support proper recovery at home.
If you have questions or concerns about the procedural process, outpatient care, or safety measures, please do not hesitate to contact our team.

















