Procedures & Treatment Options
Procedures &
Treatment Options.
Treatment options are considered after clinical evaluation and are selected based on each patient's diagnosis, history, functional goals, and prior treatment response. Not all procedures are appropriate for every patient.
Guidelines
When Are Procedures Appropriate?
Not all patients need procedures. Diagnosis comes first. Most pain conditions improve with appropriate conservative care—physical therapy, activity modification, and appropriate medication management. Procedures are selected when conservative care has been attempted, symptoms persist, and clinical evaluation identifies a specific target that may respond to intervention.
Treatment decisions are individualized. Conservative care is often the appropriate initial approach. When procedures are considered, they are selected based on your clinical findings, diagnostic evaluation, and functional goals—not on available technology or procedure volume. This evidence-informed approach ensures treatment matches your specific diagnosis and presentation.
Relevant reading: Pain Without Imaging Findings and Conservative Care vs Injections vs Surgery
Spine Procedures
- Cervical epidural steroid injections →
- Lumbar epidural steroid injections →
- Transforaminal epidural steroid injections →
- Interlaminar epidural steroid injections →
- Caudal epidural steroid injections →
- Selective nerve root blocks
- Facet joint injections / medial branch blocks →
- Radiofrequency ablation →
- Kyphoplasty →
- Sacroiliac joint injections →
Peripheral Nerve & Musculoskeletal
Advanced Pain Procedures
Medication & Conservative Care
- Cortisone & steroid injections →
- Medication management when clinically appropriate
- Physical therapy coordination
- Review of imaging and prior treatment history
- Multimodal pain management planning
Accepting Virtual Consultations
Earlier evaluation for spine, nerve, and joint pain when travel, disability, recent injury, or long wait times make in-person care difficult.
Approach
Treatment Planning.
Treatment recommendations are based on the patient's history, physical examination, imaging when available, prior treatment response, medical history, and overall clinical context. Procedures are image-guided and performed following appropriate clinical evaluation.
Dr. Dardashti's approach emphasizes careful diagnostic evaluation, clear communication, and evidence-informed decision-making. Treatment options are tailored to each patient's clinical presentation and functional goals.
Limitations
Important Limitations.
Not all procedures listed are appropriate for every patient. Treatment recommendations are individualized and based on formal clinical evaluation. Response to treatment varies and cannot be predicted in advance. This content is for general informational purposes only and does not constitute medical advice or a guarantee of any specific treatment outcome.
Dr. Dardashti sees patients in Mission Hills, California, serving patients from the San Fernando Valley, Santa Clarita Valley, and surrounding Los Angeles communities.