At Oregon Regenerative Medicine in Portland, our mission has always been to deliver the most precise, evidence-informed, and patient-centered regenerative and interventional spine care possible. We are excited to announce an important advancement: the addition of C-arm fluoroscopy to our clinic for fluoroscopy-guided spine injections and procedures.
What Is C-Arm Fluoroscopy?
C-arm fluoroscopy is a real-time X-ray imaging system that actively enables dynamic visualization of bony anatomy, joint spaces, and precise needle placement during spinal and sacroiliac joint procedures. Furthermore, clinicians widely regard this technology as the gold standard for spine interventions, because it actively enhances both procedural accuracy and patient safety.
Fluoroscopy vs. Ultrasound for Spine Injections
For many years, our team has successfully utilized ultrasound-guided injections to perform a wide range of orthobiologic and interventional procedures. Ultrasound remains an invaluable tool—particularly for peripheral joints, tendons, ligaments, and many soft tissue structures.
However, when it comes to spine injections and certain deep anatomical targets — such as intraosseous injections — fluoroscopy delivers a level of visualization and accuracy that ultrasound alone simply cannot match. In fact, for these complex procedures, fluoroscopy consistently outperforms other imaging modalities.
Why Fluoroscopy Matters for Spine Care
Fluoroscopy allows our physicians to:
- Confirm needle position in real time in multiple planes
- Visualize bony landmarks with exceptional clarity
- Use contrast dye to confirm accurate delivery of biologics or therapeutic agents
- Ensure treatments reach exactly where they are intended
- Treatment outcomes for spine pain are improved by this level of precision, while procedural risk is reduced.
- Greater patient confidence is achieved through increased accuracy and safety throughout the procedure.
Experienced Physicians, Advanced Technology
What makes this launch especially meaningful is that fluoroscopy is not new to our clinical expertise. Oregon Regenerative Medicine physicians have completed years of postgraduate training with extensive hands-on experience using C-arm fluoroscopy in interventional spine and musculoskeletal care. We are comfortable with its use and enthusiastic about integrating it into our Portland clinic to elevate the care we provide.
Fluoroscopy-Guided Spine Procedures We Offer
With the addition of C-arm fluoroscopy, Oregon Regenerative Medicine can now offer enhanced precision for procedures including:
Spine Injections
- Cervical spine injections (neck)
- Thoracic spine injections (mid-back)
- Lumbar spine injections (lower back)
- Facet joint injections for spine pain
- Spinal ligament injections
Sacroiliac Joint Treatments
- SI joint injections with fluoroscopic guidance
- SI joint ligament procedures
Advanced Regenerative Spine Treatments
- PRP injections for spine requiring bony landmark confirmation
- Intraosseous injections for bone marrow lesions
- Other regenerative spine treatments utilizing orthobiologics
Our Patient-Centered Spine Care Philosophy
Importantly, our philosophy remains unchanged. We continue to emphasize proper diagnosis first, thoughtful procedure selection, and regenerative solutions that support your body’s innate healing capacity. The addition of C-arm fluoroscopy expands our ability to deliver minimally invasive alternatives to spine surgery. This technology ensures the highest level of technical accuracy when spine care is indicated.
Why Choose Oregon Regenerative Medicine for Spine Injections?
We are proud to continue investing in advanced technology, rigorous training, and patient safety that exceeds industry standards. The launch of fluoroscopy-guided spine care represents another step forward in our commitment to providing cutting-edge interventional orthobiologic care in Portland, Oregon.
Is Fluoroscopy-Guided Spine Treatment Right for You?
Fluoroscopy-guided procedures may be appropriate if you’re experiencing:
- Chronic lower back pain
- Facet joint arthritis or pain
- Sacroiliac joint dysfunction
- Neck pain from cervical spine issues
- Failed conservative treatments for spine conditions
- Desire to avoid or delay spine surgery
Schedule a Spine Care Consultation
If you have questions about whether fluoroscopy-guided spine injections are appropriate for your condition, we invite you to speak with our team or schedule a consultation at our Portland clinic. Contact Oregon Regenerative Medicine today to learn more about our advanced spine treatment options and how C-arm fluoroscopy can provide more precise, effective care for your spinal condition.`
Dr. Terry Manning is recognized internationally for his expertise in diagnostic and interventional musculoskeletal ultrasound and serves as a subject matter expert in the field. Dr. Manning is president and a founding member of the Naturopathic Orthopedic Medicine Academy, board member of the Oregon Association of Naturopathic Medicine, member of the Interventional Orthobiologics Foundation, and serves on the Oregon Pain Management Commission.
From professional athletes to weekend warriors or those with persistent pain, Dr. Manning delivers individualized care and exceptional outcomes. He practices at Oregon Regenerative Medicine, teaches at the National University of Natural Medicine, and trains and consults other providers at Regenerative MSK Consultants. In 2024, Dr. Manning was awarded the inaugural Rising Star Award from the Oregon Association of Naturopathic Medicine, highlighting his excellence and leadership within naturopathic medicine in the state of Oregon.
