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info@idahospineandpain.com
208-327-5657

info@idahospineandpain.com

  • Minimally Invasive Spinal Care
    Comprehensive Pain Management
    Regenerative Medicine

     

    Non-Surgical Therapy

    Technological advances have
    allowed many people to manage
    their painful conditions without
    the need for surgery.....

    Read More
  • Minimally Invasive Spinal Care
    Comprehensive Pain Management
    Regenerative Medicine

     

    Non-Surgical Therapy

    Technological advances have
    allowed many people to manage
    their painful conditions without
    the need for surgery.....

    Read More
  • Minimally Invasive Spinal Care
    Comprehensive Pain Management
    Regenerative Medicine

     

    Non-Surgical Therapy

    Technological advances have
    allowed many people to manage
    their painful conditions without
    the need for surgery.....

    Read More
  • Minimally Invasive Spinal Care
    Comprehensive Pain Management
    Regenerative Medicine

     

    Non-Surgical Therapy

    Technological advances have
    allowed many people to manage
    their painful conditions without
    the need for surgery.....

    Read More

Specializing in the most advanced interventional techniques available

At Idaho Spine and Pain, we strive to maximize your ability to be active and enjoy your life.

 
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About Idaho Spine and Pain

With Clinics in Boise and Meridian, Idaho


Dr. Zarse is the founding member of Idaho Spine and Pain. He is certified by the American Board of Interventional Pain Physicians and travels throughout the country to bring his patients the most advanced therapies available. We are a comprehensive pain management practice that specializes in non-surgical spine care as well as a wide variety of chronic pain conditions. A combination of focused interventions, medical management, and physical therapy often saves our patients from painful and sometimes extensive surgery. If you do have a surgical problem, we have a close relationship with the best surgeons in the region. We strive to maximize your ability to be active and enjoy your life. We look forward to working with you.

 


Regenerative Medicine

This therapy is not covered by insurance or medicare. However, many professional…
 

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Back Pain

 

Back pain has a variety of causes. One is facet disease…



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Arthritis Pain

 

Arthritis is a general term used to describe disease of the joints. Any joint in…



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Epidural Steroid Injections

Lumbar TESI injections are a unique injection that places epidural steroid in…
 

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Services Offered

 

cervical

Cervical Epidural Steroid Injections

Nerves in the neck can be pinched for a variety of reasons. Bulging discs, enlarging facet joint, and degeneratve changes can all lead to nerve impingement. The diagram below illustrates what happens…

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lumbar epidural steroid injections

Lumbar Transforaminal Epidural Steroid Injections (TESI)

Lumbar TESI injections are a unique injection that places epidural steroid in the neural foramen, the area of the spine where the nerve root exits. This is the most common area of nerve impingement, often from a disc or enlarged facet. By placing the medication right at the site of irritation we maximize your chances of success…

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medial branch block

Medial Branch Block: Cervical, Thoracic, and Lumbar

Joints of the spine are called facet joints. The facets vary depending on the level in the spine. However, the medial branch innervates all facets. The diagrams below show you what they look like and the table illustrates which level we go after based on the level that is diseased…

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radiofrequency ablation

Radiofrequency Ablation: Cervical, Thoracic, and Lumbar

Radiofrequency ablation is a minimally invasive technique that can have dramatic results in the right patient. If you have undergone successful initial and confirmatory medial branch blocks for facet disease, than you are a candidate for Radiofrequency ablation…

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medication management

Medication Management

Proper medical management is mandatory for comprehensive pain management. We use a wide variety of non-opiate and opiate medications depending on your condition. Our approach has been constructed with the expertise of the American Society of Interventional Pain Physicians as well as other national experts…

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genicular block

Genicular Block/Radiofrequency Ablation

This is an exciting new procedure that few clinics are offering. The genicular nerves are sensory nerves that innervate the knee. Studies have shown that they follow predictable patterns base on bony anatomy, and can be blocked or ablated depending on the need. The diagram below illustrates this…

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sacroiliac injection

Sacroiliac Injection

The sacroiliac joint is a very common source of low back pain. Just like any other joint in the body, it can undergo degenerative changes. The diagram on the bottom right illustrates the typical pain pattern patients experience…

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regenerative medicine

Regenerative Medicine

Regenerative medicine is still deemed experimental in the United States. It is not covered by insurance or medicare. However, the results are so impressive that people like Stephen Curry and Kobe Bryant are traveling overseas to get it…

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kyphoplasty

Kyphoplasty

Kyphoplasty is a minimally invasive procedure that has helped many Americans who suffer compression fractures. The large amount of patients with osteoporosis makes this procedure a valuable tool in their treatment…

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neuromodulation

Neuromodulation: Spinal Cord Stimulator/Peripheral Nerve Stimulator

Neuromodulation is an advanced pain management technique used for intractable neuropathic pain. Conditions that can be treated with this include diabetic neuropathy, chronic radiculopathy, failed back surgery syndrome, reflex sympathetic dystrophy, and phantom limb pain to name a few…

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trigger point injection

Trigger Point Injection

Trigger points are an area of muscle injury that is in continual spasm. This causes localized pain as well as referred pain. Once a trigger point is identified, we can inject it under ultrasound guidance and achieve quick relief. The area is sterilely prepped and confirmed with palpation and ultrasound…

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stellate ganglion block

Stellate Ganglion Block

This procedure is performed on patients who have reflex sympathetic dystrophy of the upper limb. You will have an IV placed and lay supine on the table. An ultrasound will be used to identify the area and a needle is gently advanced to the target area…

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lumbar sympathetic block

Lumbar Sympathetic Block

Patients with reflex sympathetic dystrophy of the lower limbs are candidates for this procedure. An IV will be started and you will lye face down. A live x ray will identify the proper level. A needle is gently advanced to the anterior portion of the vertebral body and dye is injected…

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discography

Discography

This is a procedure used to diagnose painful discs. Discs normally aren’t painful. Only the outer portion of the disc has pain fibers. As discs degenerate, the inner jelly of the disc can come in contact with the outer pain fibers causing the disc to become painful…

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anterior cervical

Anterior Cervical Discectomy and Fusion (ACDF)

This procedure is not offered in our practice but is here for educational purposes. For patients that have a compressed nerve in the neck and have failed conservative treatment, an ACDF may be what is necessary for you…

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minimally invasive

Minimally Invasive Lumbar Decompression and Interbody Fusion

This technique is not offered in our practice but patients have asked me what it is…

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posterior lumbar decompression

Posterior Lumbar Decompression and Interbody Fusion (PLIF)

While a minimally invasive approach has its advantages, some patients have such advanced disease that they are not candidates for a minimally invasive approach…

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Conditions


 
neck pain radiculopathy

Neck Pain: Facet Disease

Neck pain can be caused by a variety of conditions. One is facet disease, or arthritis of the neck. These are joints that allow you to turn your head left and right and up and down.

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neck pain radiculopathy

Neck Pain: Radiculopathy

Radiculapathy is a term used to describe a pinched nerve as it exits the spine. The nerves pass through an opening called the neural foramen. Patients may have a bulging or collapsing disc, an enlarged facet joint, or both which can narrow this opening.

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degenerative disc disease

Neck Pain: Degenerative Disc Disease

Discs in the spine serve as both shock absorbers and spacers that lie between the bones of the spine. They have a fibrous outer ring called the annulus and a jelly middle called the nucleosus pulposis...

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neck pain trigger point

Neck Pain: Trigger Point

A trigger point is a localized area of muscle damage that remains in spasm and causes localized pain as well as referred pain. This condition is diagnosed by history and physical exam. You can feel a nodule in the body of the muscle and identify it on ultrasound as well…

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back pain facet disease

Back Pain: Facet Disease

Back pain can be caused by a variety of factors. One is facet disease, or degeneration of the joints of the low back. These joints allow the spine to rotate, flex, and extend. These joints are at risk of early degeneration due to a combination of extensive mobility and heavy loading with excessive activity and body weight…

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back pain radiculapathy

Back Pain: Radiculapathy or “Sciatica”

Radiculapathy is a term describing an irritated or pinched nerve as it exits the spine. This opening is called the neural foramen. The nerve can be compressed by a bulging disc, an enlarged facet joint, or settling from degenerative disc disease. Bone spurs can also form, all of which can put pressure on the nerve…

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back pain degenerative disc disease

Back Pain: Degenerative Disc Disease

Discs in the spine serve as both shock absorbers and spacers that lie between the bones of the spine. They have a fibrous outer ring called the annulus and a jelly middle called the nucleosus pulposis. The outer ring is constructed like a tire with alternating criss-crossing fibers…

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compression fractures

Compression Fractures

Compression fractures are a special type of fracture that occurs in osteoporotic bone. As we age, the bones of our body can become less dense and put them at risk of fracture...

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back pain trigger point

Back Pain: Trigger Point

A trigger point is a localized area of muscle damage that remains in spasm and causes localized pain as well as referred pain. This condition is diagnosed by history and physical exam. This condition can be treated with deep tissue massage as well as trigger point injection. Please see my explanation of trigger point injection for more information…

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spondylolisthesis

Spondylolisthesis

This is a condition that is characterized by a “slip” of one of the bones of the spine over another. It can be caused later in life due to degenerative changes or earlier from a defect in the pars interartcularis. Excessive extension, such as back bends that gymnasts perform, can cause this defect. This can also develop over time due to degenerative processes.

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spinal stenosis

Spinal Stenosis

Spinal stenosis is a broad term used to described narrowing of the inside of the spinal canal, which results in pressure on the nerves or spinal cord. This occurs as a result of a bulging disc, enlarging facet joints, bone spurs, and enlargement of the spinal ligaments call the ligamentum flavum…

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reflex sympathetic dystrophy

Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome

This condition is often used interchangeably. It results from either damage to a limb or damage to the nerves in a limb. As that damage heals, the nerve heals in an abnormal way and causes the limb to be hypersensitive and extremely painful…

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post laminectomy syndrome

Post Laminectomy Syndrome/Failed Back Surgery Syndrome (FBSS)

These conditions can occur in patients that have had either a laminectomy or a multi level fusion. Normally our spinal nerves slide through a structure called the neural foramen as we move our limbs, a phenomenon known as “neural flossing”…

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arthritis pain

Arthritis Pain

Arthritis is a general term used to describe disease of the joints. Any joint in the body can be affected by arthritis. We use a variety of modalities to treat this type of pain. Non- steroidal medications as well as other non-opiate medications can be very helpful.

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diabetic neuropathy

Diabetic Neuropathy

Diabetes is an extremely common condition that can affect the nerves over time. Patients will often complain of burning pain in a “stocking glove” pattern over the feet and lower legs. They may also notice skin changes and discoloration as the condition progresses.

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shoulder pain

Shoulder Pain

The shoulder is one of the most complex joints in the body. Unfortunately this complexity can predispose patients to a variety of conditions. Rotator cuff tendinitis, Subacromial impingement, “SLAP’ lesions, and degenerative changes can all occur in the shoulder.

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elbow pain

Elbow Pain

The elbow is a joint that is subject to repetitive use injuries. Demands of work and recreational activities can cause pain in the elbow. We can diagnose your pain with a history, physical exam, and imaging. We employ multiple modalities including physical therapy, medications, and injection therapy. Only in the most severe cases is surgery indicated. We can diagnose and treat all conditions that affect the elbow…

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wrist pain

Wrist Pain

The wrist is a complex joint that is also subject to a variety of injuries. Carpal tunnel syndrome is the most common condition, which is usually treated with physical therapy, night splints, and injections. Sometimes the condition persists, and an EMG/Nerve conduction study is used to confirm the diagnosis. If nerve damage is present, a carpal tunnel release may be needed…

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hip pain

Hip Pain

The Hip is a large joint that can cause pain. Repetitive use can cause bursitis or inflammation of the joint as well as degenerative arthritis. We will perform and history, physical exam, and imaging to diagnose and treat your condition. Minimally invasive intra articular injections can be used to both diagnose your pain as well as treat it…

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knee pain

Knee Pain

The knee is one of the most common areas of pain. Acute injuries like a torn meniscus, cartilage damage, or a torn ligament can cause pain. More chronic conditions like degenerative arthritis or continued pain after total knee replacement can occur…

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Radio Frequency Ablation

Radio frequency ablation is a minimally invasive technique that can have dramatic results in the right patient...

 

Read More

Kyphoplasty

Kyphoplasty is a revolutionary procedure that has helped thousands of Americans who suffer compression fractures....

 

Read More

Neuromodulation

Neuromodulation is an advanced pain management technique used for intractable neuropathic pain. Conditions that can be treated with...


Read More

Hours

Monday - Friday 9:00 - 5:00


Saturday         Closed


Sunday           Closed

Pain Stops Here

Ask if Dr. Karl Zarse at Idaho Spine and Pain can alleviate the cause of your pain.

 
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Testimonials & Clients


Idaho Spine Logo
Rev. Fr. Anthony Pearson in San Antonio, TX

Dr. Zarse was a Godsend to me as I suffered with intense pain for so long and no doctor was able to address it. Dr. Zarse listened to my complaint, quickly diagnosed the cause and planned the treatment. The treatment was “spot on” in addressing the pain giving me relief for the first time. His care was compassionate, professional, and relieving. I strongly recommend Dr. Zarse!

Idaho Spine Logo
Judith W. in New Braunfels, TX

Direct and responsive to physical complaint. After receiving treatment elsewhere for over a month, a one time back injection for severe sciatica resolved my symptoms in three days. Dr. Zarse is pleasant and “no nonsense.” He is knowledgeable and patient and put me completely at ease. I would definitely refer family and friends!

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