Spine & Joint Treatment Center

Dr. Majid Khalaf
Certified in prescribing Suboxone for detox.


The most important step in the treatment of pain is the localization of the source, or pathway, of pain. While many treatment options exist today, no single approach is suitable for everyone. The Spine & Joint Treatment Center of Florida treats patients with pain symptoms through a variety of innovative individualized treatment plans and state of the art care at treatment centers in both Vero Beach and Jupiter, Florida.
Dr. Khalaf’s area of practice is Interventional Pain Management (IPM). He will treat individuals suffering pain from many causes including:
Please call, email, or stop in, so that we can get acquainted or to ask any questions you might have!

Chronic Pain
Sensitive nerve endings pick up pain signals and carry these messages along nerves to the spinal cord and then onto the brain. All along these complex pathways, there are biological “gates” that can be either opened or closed. It is when these gates are jammed open that chronic pain cycles begin.
Contact UsPain management has evolved significantly in recent years through the adoption of new interventional pain techniques and therapies. The use of blunt, curved needles helps avoid destroying tissue and damaging nerves.
Pain management had primarily been a medication, rather than injection centered treatment approach. Today, Interventional Pain Management relies heavily on accurate diagnosis of pain generators and a targeted response to reduce suffering.
Trigger Point Injections
A procedure designed to reduce or relieve the back pain caused by trigger points. These small knots can form in muscles or in the fascia tissue leading to myofascial pain.
Racz Catheter (Epidural Neurolysis)
RACZ Epidural Neurolysis is an injection (or series of injections) into the spine, as therapy for chronic back pain.
Sympathetic nerve blocks
A sympathetic nerve block is an injection of local anesthetic into or around the sympathetic nerves. The nerves are located on the either side of spine, in the lower back.
Peripheral nerve blocks
Peripheral nerve blocks are a type of regional anesthesia. The anesthetic is injected near a specific nerve or bundle of nerves to block sensations of pain from a specific area of the body. Nerve blocks usually last longer than local anesthesia.
Transforaminal ESI
A transforaminal injection is an injection of long acting steroid into the opening at the side of the spine where a nerve roots exits. This opening is known as a foramen. There is a small sleeve of the epidural space that extends out over the nerve root for a short distance.
Facet joint blocks
Facet joints can become painful due to arthritis, back injury, or mechanical stress. A facet joint injection delivers a steroid medication which anesthetizes the joints and blocks the pain.
Diagnostic / therapeutic selective nerve blocks
A selective nerve root block (SNRB), is primarily used to diagnose the specific source of nerve root pain and, secondarily, for therapeutic relief of low back pain and/or leg pain.
Spinal cord stimulation, discograms
Spinal cord stimulation is a treatment for pain that uses a mild electric current to block nerve impulses in the spine.
Radio-frequency thermal ablation
Radiofrequency ablation (RFA) is a medical procedure in which part of the electrical conduction system of the heart, tumor or other dysfunctional tissue is ablated using the heat generated from medium frequency alternating current (in the range of 350–500 kHz).

Pain Management
“Identification and abbreviation of pain, allowing the patient to comfortably return to a natural and productive lifestyle.”
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