nivens spine logo

WHAT WE DO BEST

The latest, non-invasive and safe procedures, paired with a comprehensive treatment plan incorporating home exercise and a healthy diet.

TREATMENTS

At Nivens Spine Medicine, our dedication to providing cutting-edge, non-surgical treatment options brings us to the forefront of spinal health innovations. We look forward to serving your needs.

MILD Procedure
Dr. Nivens is the only certified MILD Procedure Doctor in the Bluffton/ Beaufort/Hilton Head Island area. With a safety profile similar to an epidural steroid injection, MILD restores space in the spinal canal to improve back and leg pain. It has been performed on thousands of patients to provide lasting pain relief and increased mobility.

Peripheral Nerve Stimulator (PNS)
The PNS system uses high frequency-electro magnetic Coupling technology to power an implanted neurostimulator. A small, external rechargeable transmitter supplies power and data through the skin. The device uses pulsed electric current to create an electrical field that acts on nerves to inhibit the transmission of pain signals to the brain.

More Information
Genicular Nerve Radiofrequency Ablation
Radiofrequency is used to create a scar, which decreases the painful sensations of the knee by targeting the Sensory Nerves to the joint. This can significantly reduce pain from the joints for 6-12 months. Watch below as Dr. Charles Nivens shares more on this treatment.

Genicular Nerve Radiofrequency Ablation
Radiofrequency is used to create a scar, which decreases the painful sensations of the knee by targeting the Sensory Nerves to the joint. This can significantly reduce pain from the joints for 6-12 months. Watch below as Dr. Charles Nivens shares more on this treatment.

MILD Procedure

Dr. Nivens is the only certified MILD Procedure Doctor in the Bluffton/ Beaufort/Hilton Head Island area. With a safety profile similar to an epidural steroid injection, MILD restores space in the spinal canal to improve back and leg pain. It has been performed on thousands of patients to provide lasting pain relief and increased mobility. ​

Peripheral Nerve Stimulator (PNS)

The PNS system uses high frequency-electro magnetic Coupling technology to power an implanted neurostimulator. A small, external rechargeable transmitter supplies power and data through the skin. The device uses pulsed electric current to create an electrical field that acts on nerves to inhibit the transmission of pain signals to the brain.

Radiofrequency Ablation (RFA)

Radiofrequency Abalation of the Medial Branch Nerves is used to create a scar around the Medial Branch Nerves that supply the Facet Joints.This can significantly reduce pain from the joints for 6-12 months. Watch below as Dr. Charles Nivens shares more on this treatment.

Additional Treatments Available

Spinal Cord Stimulator (SCS)
Your solution for targeted pain relief. We offer the Freedom® Spinal Cord Stimulator System that helps relieve chronic intractable pain with placement of an implanted stimulator in the epidural space of the spinal column. This system utilizes pulsed electrical current to create an energy field that acts on nerves near the spinal column. The energy field generated intercepts the pain signals originating from nerves around the spine from traveling to the brain, functionally blocking the pain signal.
More Information
Genicular Nerve Block to the Knee
This procedure is used to treat patients with knee pain that cannot have knee replacement or have had knee replacement and are still having pain. Targeting the nerves that supply sensation to the knee, Dr. Nivens will try to block the sensation to the joint and therefore pain is reduced or resolved.
Electromyography (EMG) and Nerve Conduction Studies (NCS)
NCS evaluates the nerves electrically. The only way we can truly evaluate the functioning of our nerves is to apply electricity and evaluate the response. It does not cause significant pain but can be bothersome and tedious for some. The EMG is where we use a very small needle (similar to an acupuncturist’s needle) to directly evaluate the muscle cell of specific muscles and indirectly evaluate the corresponding nerve to that muscle.
Medial Branch Nerve Block (MBB)
Targeting the Facet joints, this procedure is used to treat non-radiating pain. Dr. Nivens will focus on the nerves that supply these joints called the Medial Branch Nerves. We inject a long-lasting local anesthetic where the nerve to the joint lies. The patient is then given a pain diary and asked to monitor their pain during activities that normally cause the pain.
Various Joint Injections
We can inject most orthopedic joints with the extremities for synovitis or bursitis. We perform X-ray guided Hip Joint, Sacroiliac (SI) joint, and Greater Trochanteric Bursal injections due to the depth in which these joints are found. We inject Carpal Tunnels for relief of pain and numbness due to Carpal Tunnel Syndrome. We also perform Viscosupplement (i.e. Synvisc, Hyalgan) knee joint injections.

What our clients are saying

This is an amazing office I had gotten the runaround from my primary for weeks about the pain. I was in the office which was extremely busy but they somehow slipped me in and taken care of my problem. I highly recommend him.

- Crystabel

Charles J Nivens, M.D. has helped me get my life back. I've suffered from debilitating back pain for years and thought the only solution was pain medication or surgery. I tried injections in the past with little success, but I'm so thankful I came to Dr. Nivens, I finally feel like myself again!

- Jordan

nivens spine logo

843.705.7471

Get notifications & Reminders for events, promotions & more below.