Everyone responds to pain differently. As a result, over the course of the treatment process a specific plan may include one or more services. Careful examination by one of our team specialist will determine the right plan for you. The treatment plan may include:
Acupuncture- a medical practice that involves inserting fine needles into the skin at specific points on the body to relieve chronic pain.
Bioelectric treatment- a precise dose of bioelectric currents (electroceuticals), is administered through electrodes placed on the skin to cause a biological change and interrupt pain signals. It can treat chronic and acute pain conditions including complex regional pain syndrome, back pain, muscle pain and headaches.
Celiac plexus block- performed most commonly for the treatment of upper abdominal pain, which can be due to cancer or chronic pancreatitis
Epidural Steroid Injections- injections near the spinal canal at the specific level required to treat pain.
Facet nerve block- performed if your doctor suspects that your neck or lower back pain may be caused in part by the small facet joints of the spine. Facet joints are located on the side of your spine, away from the spinal cord.
Intercostal nerve block- an injection of a local anesthetic in the area between two ribs. An intercostal nerve block is performed for pain due to herpes zoster (commonly known as shingles), an acute viral infection that causes inflammation of the nerves that spread outward from the spine. It may also be given for pain caused from surgical incision in the chest area or to help determine the cause of your pain. (diagnostic
nerve block).
Intradiscal electrothermal therapy- to treat chronic pain originating from the Intervertebral discs. During this minimally invasive treatment a physician applies controlled levels of heat to a broad section of the affected disc wall. The heat contracts and thickens the collagen of the disc wall and raises the temperature of the nerve endings. Therapy may result in contraction or closure of the disc wall fissures, a reduction in the bulge of the inner disc material and a desensitization of the pain sensors within the disc. It is important for your referring physician to diagnose that a disc is a primary source of your back pain. In addition to a clinical examination, your physician may use magnetic resonance imaging, (MRI) or injection of dye in the disc (discography) to confirm the diagnosis.
Lumbar sympathetic block- an injection of local anesthetic around a group of nerves in your lower back. It may be done if you have reflex sympathetic dystrophy, (RSD), a disease involving a disturbance of circulation to the skin or neuropathic pain. (Pain caused by a disorder of the nervous system)
Spinal drug delivery systems- a computerized pump that delivers opiates, local anesthetics and other pain medication continuously into the spine to control intractable pain. Also, this infusion system can be used to relieve intractable spasticity secondary to diseases like multiple sclerosis, cerebral palsy, stroke or spinal cord injuries.
Spinal cord stimulation- a small implantable device that stimulates the spinal cord to treat pain and improve circulation.
Spinal endoscopy- a small fiberoptic scope used to evaluate the spinal nerve roots and administer medications.
Stellate ganglion block- may be performed to decrease pain and increase the circulation and blood supply to the affected limb. A stellate ganglion may be performed for people who have circulation problems or the following nerve injuries: Reflex Sympathetic Dystrophy, causalgia, herpes zoster and
phantom limb pain.
TENS (transcutaneous electrical nerve stimulation) - a small extractable device that delivers electric impulses to nerve endings to stop pain.
Therapeutic nerve blocks- local anesthetic injections given near a specific nerve or group of nerves to relieve pain.
Trigger point injections- Injections of small amounts of local anesthetics and steroids in the area of the muscle where you have pain or tenderness. These areas are called trigger points because, when stimulated, they produce pain. Trigger Point Injections are performed if you have myofascial pain, which is pain in a specific
muscle or muscle group.
Throughout the entire treatment process, your treatment specialist will stay in contact with your referring and/or family physicians. As you near the end of your treatment plan, we will spend additional time providing you with information necessary for your healing process.
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