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Spinal cord stimulation is a therapy which used to masks pain signals before they reach the brain by delivering low-level electrical signals to the spinal cord or to specific nerves to block pain signals to reaches to the brain.

Who is a candidate?

Patients selected for spinal cord stimulation usually have had chronic debilitating pain for more than 3 months in the lower back, leg or arm. They also commonly have had one or more spinal surgeries. You’re a candidate for spinal cord stimulation if you have;

  • Failed conservative therapies
  • You would not benefit from any additional surgery.
  • The pain is caused by a correctable problem and should be fixed.
  • You do not want further surgery because of the long recovery or risks associated with it. Spinal cord stimulation (SCS) sometimes can also be chosen over a large, complex spine surgery.
  • You are not suffering from untreated depression or drug addiction; these should be treated prior to having a SCS.
  • You have no such medical conditions that would keep you from undergoing implantation.
  • You have had a successful trial of SCS.

What happens during the SCS procedure?

During the procedure of spinal cord stimulation, a device that delivers the electrical signals is implanted in the body through a needle placed in the back near the spinal cord.  Then a small incision is made to place the pulse generator in the upper buttock. The patient may turn the current on and off or adjust the intensity of the signals.

Benefits of spinal cord stimulation technique

Potential benefits which spinal cord stimulation is offering are;

  • It improves the ability to participate in activities of daily living
  • Effective or beneficial for extremities, back, and/or leg pain relief
  • Gives power to manage your own treatment procedures


Risks of SCS

There is no surgery without risks. Specific complications associated with SCS are;

  • Battery failure and/or battery leakage
  • Cerebrospinal fluid leak
  • Persistent pain at the stimulator site or at the electrode
  • Allergic response to implant materials
  • Generator migration and/or local skin erosion
  • A pocket of clear fluid or seroma at the implant site. Usually seromas disappear by themselves but may require a drain
  • Lead migration, which often result in changes in stimulation and reduction in pain relief
  • Weakness, clumsiness, paralysis, numbness, or pain below the level of implantation

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Patients who suffer from chronic low back pain and neck pain and who have not responded to common or usual pain management interventions such as medications and physical therapy may be candidates for radiofrequency lesioning.

The purpose of radiofrequency lesioning is to reduce or eliminate facet joint pain and related symptoms in the neck or low back. The procedure interrupts communication of pain between a specific medial nerve root (roots that supply the spine’s facet joints) and the brain.

Before RF is performed, the pain generating facet joint nerve is identified by means of a diagnostic injection, such as a facet joint or medial branch nerve block.  Other tests may include MRI.  Since the medial branch nerves do not control neck or low back muscles, it is not harmful to disrupt or turn off their ability to send pain signals to the brain.

Procedure of radiofrequency lesioning

Radiofrequency lesioning is done under fluoroscopic or X-Ray guidance to assist the precise needle placement. By using a special radiofrequency needle and microelectrode, the tissue at the site of pain is stimulated by a small radiofrequency current. That current will generate heat and blocks the pain pathways. Local anesthetic is used to numb the targeted area before the procedure begins.

Procedure can takes between 30 and 60 minutes depending upon the areas to be treated. The patient can go back to their home after the procedure.

Who benefits from radiofrequency lesioning?

The radiofrequency lesioning procedure is typically performed on patients with chronic pain caused by damaged peripheral nerves or sensory nerves and nervous tissue surrounding the central nervous system which is brain and spinal cord. Some particular conditions that fall under this category generally include:

  • Trigeminal neuralgia (chronic facial pain)
  • Occipital nerve neuralgia
  • Degenerative disc disease
  • Post-herpetic neuralgia
  • Complex Regional Pain Syndrome (CRPS), both type 1 and 2
  • Peripheral neuropathies
  • Coccydynia
  • Neck or back pain due to facet joint arthropathy

Advantages of radiofrequency lesioning

The radiofrequency lesioning disrupts nerve conduction like the conduction of pain signals and in turn it may reduce pain, and other related symptoms. Approximately 70-80% of patients among all will get a good block of the intended nerve. This should help relieve the part of the pain that the blocked nerve is controlling. Sometimes after a nerve has been blocked, it becomes clear that there is pain from the other areas as well.

Risks and complications

Possible side effects of radiofrequency lesioning are;

  • Infection
  • Low blood pressure
  • Headache
  • Allergic reaction to medication

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166


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Joints are those parts of our body where our bones meet. Joints let the bones of our skeleton to move. Joint pain refers to discomfort, soreness and aches in any of the body’s joints. Joint pain is a common complaint. General it doesn’t require a hospital visit.

Joint pain can be caused by injury affecting any of the ligaments, tendons or bursae that are surrounding the joint. Injury can also affect the bones, cartilage and ligaments within the joint.

Treatment options of joint pain

Joint pain treatment will depend upon the cause of pain.

  • Medications

For moderate to severe joint pain with swelling, an over the counter or prescription nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen or naproxen sodium can help to provide relief from pain. NSAIDs also have some side effects, potentially increasing your risk for gastrointestinal bleeding. If you’re suffering from milder pain without swelling acetaminophen can be effective.

If your pain is so severe so NSAIDs and Cox-2 medicines aren’t effective enough, your doctor might prescribe a stronger opioid medication.

  • Topical Agents

Capsaicin is a substance found in chili peppers which may use as joint pain treatment to relieve joint pain from arthritis and other conditions. Capsaicin blocks those substances which helps transmit pain signals, and it triggers the release of chemicals in the body called endorphins, which block pain. Side effects of capsaicin cream include stinging or burning in the area where it is applied. Another topical option is cream containing the ingredient, methyl salicylate.

  • Injections

For people who don’t find joint pain relief from oral or topical medications, the doctor can inject a steroid medication directly into the infected joint every three months to four months. The procedure is really effective but temporary.

  • Physical Therapy

Physical therapy is also considered as joint pain treatment as it strengthens the muscles around the joint, stabilize the joint, and improve your range of motion. The therapist will use techniques like heat or cold therapy, electrical nerve stimulation, ultrasound and manipulation.

If you are overweight then losing weight can relieve some of the pressure on your painful joints. Exercise is one effective way to lose weight but be careful to stick with low-impact exercises that won’t further irritate the joint. Bicycling and swimming are among the best exercises because both allow you to exercise your joints without putting impact on them. Swimming also relieves some of the pressure on your joints because water is buoyant .

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Headache is said to be chronic if you have a headache for more than four hours on more than 15 days per month. Some people experience these headaches for a period of six months or longer. Headaches that can occur on daily or nearly daily basis include;

  • Hemicrania continua
  • Idiopathic intracranial hypotension
  • Cluster
  • Migraine
  • Tension type
  • Mixture of types ( commonly tension and migraine)

Causes of chronic headaches

Many possible reasons can contribute to chronic daily headaches which include;

  • Head injury
  • A previous history of migraine
  • Overuse of painkilling medications (see medication-overuse headache)
  • Obesity
  • Stressful life events
  • Being female

Types of chronic headache pain treatments:

So many options are available for chronic headache treatments and they all are depending on the diagnosis and type of headache you are suffering from.

Anti-seizure medications also known as anticonvulsants or antiseizure drugs are diverse group of pharmacological agents acts as mood stabilizers. Some of them are used as chronic headache treatment as they seem to prevent migraines and might be used to prevent chronic daily headaches, as well. Options include divalproex sodium (Depakote), gabapentin (Neurontin, Gralise), and topiramate (Topamax, Qudexy XR, and others)

NSAIDs some nonsteroidal anti-inflammatory drugs like naproxen sodium might be helpful, especially if you’re withdrawing from other pain relievers. They can also be used periodically when the headache is more severe.

Beta blockers such drugs are commonly used to treat high blood pressure. They are used as chronic headache treatment option when it comes to prevent episodic migraines. These include atenolol, metoprolol and propranolol.

Antidepressants such as nortriptyline like Pamelor can be used to treat chronic headaches. These medications can also help to treat the depression, anxiety and sleep disturbances that often accompany chronic daily headaches.

Some other antidepressants such as the selective serotonin reuptake inhibitor (SSRI) fluoxetine might help in treating depression and anxiety, but these medicines not been shown to be more effective than placebo for headaches.

Botulinum toxin botox injections provide relief for some people and might be a viable option for people who don’t tolerate daily medication much well. Botox would most likely to be considered if the headaches have features of chronic migraines.

Some other alternatives of chronic headache treatments are;

Massage can promote relaxation and can reduce stress and relieve pain. It might be particularly helpful if you have tight muscles in the back of your head, neck and shoulders.

Electrical stimulation of the occipital nerve a small battery is surgically implanted near the occipital nerve at the base of your neck which sends continuous energy pulses to the nerve to ease pain.

Herbs some evidence suggest that the herbs feverfew and butterbur help prevent migraines or reduce their severity.

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Intradiscal electrothermal therapy (IDET) or intradiskal electrothermal annuloplasty (IDEA) is a relatively new, minimally invasive treatment for spinal disc-related chronic low back pain and that persistent disc pain is thought to be caused by nerve fibers that have grown from their normal location in the outer layers of the disc and reaching into the disc interior. This is related to the breakdown or degeneration of the tough outer layers or annulus of the disc. Almost 70% of patients with chronic low back pain can get benefits from Intradiscal electrothermal therapy.

How does IDET works?

  • The intradiscal electrothermal therapy procedure is performed with a local anesthetic and mild intravenous sedation.
  • A hollow introducer needle is inserted into the painful lumbar disc space by using a portable X-ray machine for proper placement.
  • After that, an electrothermal catheter or heating wire is passed through the needle and positioned along the back inner wall of the disc (the annulus), the site believed to be responsible for the chronic pain.
  • The catheter tip is now slowly heated up to 90 degrees Celsius for 15-17 minutes
  • The heat contracts and thickens the collagen fibers making up the disc wall, thereby promoting closure of the tears and cracks. Tiny nerve endings within these tears are burned or cauterized to make them less sensitive.
  • The catheter along with the needle is then removed and, after a short period of observation the patient can go home.
  • A lumbar support is worn for 6 to 8 weeks which is followed by an appropriate course of physical therapy. Bending and lifting precautions are necessary during this time because it allows adequate healing of the disc.

What to expect after Intradiscal electrothermal therapy?

Pain relief after intradiscal electrothermal therapy is not immediate. Pain may first increase after couple of days from the procedure. Physical therapy is a necessary part of recovery. After first month of intradiscal electrothermal therapy plan to walk and do easy stretches as prescribed by your doctor. During the first 2 to 3 months, exercise as directed by your doctor, and avoid lifting, bending, and long periods of sitting. People who have had IDET are usually told to wait at least 5 to 6 months before resuming strenuous sports such as skiing, running, tennis and football.

Side effects of IDET:

Although risks or complications of intradiscal electrothermal therapy are relatively rare but there are some which include;

  • Disc damage
  • Nerve damage
  • Disc infection

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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According to the National Security Council, falls are the third leading cause of unintentional death in the United States. A slip and fall injury is a type of personal injury claim or case based on a person slipping or tripping on the premises of another and as a result of that slip suffering from injury.

Diagnosing injury after a fall:

If you fall than first of all you’ve suffered from injuries like cuts and abrasions, they will show themselves immediately after a fall. But if you’re suffering from an injury beneath the skin surface, you may not realize it until severe pain has set in up. Usually it takes to 24 hours to show.

Common injuries from any slip and fall incident include:

  • Fractured and broken bones
  • Cuts, wounds, and abrasions
  • Soft tissue injuries, such as sprains and tears
  • Head injuries
  • Spinal cord injuries
  • Whiplash

Varieties of imaging tests are present in order to diagnosis your injuries after slip and fall accident which include including X-rays, MRI’s, and CT scans. It is essential to diagnose any injuries you have prior to slip and fall injury treatment, to assure your chosen therapies will evoke wellness and healing for the whole body.

Treatments for slip and fall accidents:

Some options for slip and fall injury treatment may include;

Electric Stimulation therapy; is an effective treatment for treating a variety of injuries. It involves placing small electrodes on the skin above the injured area to pass minor electrical impulses into the injured muscle or tendon. The impulses will cause the muscle to contract and relax repeatedly.

Heat and cold therapy; this slip and fall injury treatment have proven effective in alleviating pain and promoting healing in patients that have suffered injuries. Heat therapy can help to relax tense muscles and alleviate pain, as well as heat also decrease the muscle spasms that may have in result of their injuries.

Instrument Assisted Soft Tissue Manual Therapy; is useful in rearranging soft tissue after it has been affected by a trauma. It is very useful in the case of whiplash, which is common if you’ve fallen from a great height or experienced your fall while bike riding, horseback riding, or on a stairwell.

Massage therapy; this slip and fall injury treatment option can safely and effectively remove muscle tension, as well as stretch the joints to increase range of motion. Massage therapy can help strengthen muscles, improve posture, and help realign any spinal damage.

Physical therapy; this is the slip and fall injury treatment which assist you in retraining your body to move in a way that will not harm your injury or your posture any more.

Pain management institute helps people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Shoulder pain is very common problem because the shoulder has a versatile range of motion. If anything goes wrong with our shoulder, it definitely disturbs our ability to move freely. Shoulder pain also causes a great deal of pain and discomfort. That pain can be acute or chronic. Chronic shoulder pain needs proper treatment because if the chronic shoulder pain leave untreated it will cause you serious problems.

Reasons of shoulder pain:

  • Arthritis
  • Torn cartilage
  • Torn rotator cuff
  • Swollen bursa sacs or tendons
  • Bone spurs which is bony projections that develop along the edges of bones
  • Pinched nerve in the neck or shoulder
  • Broken shoulder or arm bone
  • Frozen shoulder
  • Dislocated shoulder
  • Injury due to overuse or repetitive use
  • Spinal cord injury
  • Heart attack

If all of these conditions left untreated than it will lead to pain that would last and interrupts you in your daily life or activities. Chronic shoulder pain treatment depends upon the cause so it is really important that doctor will properly diagnose the cause of pain.

Treatments of chronic shoulder pain:

Since it depends on the cause, chronic shoulder pain treatments vary. The goal of all these treatments is pain relief to obtain high or better quality of life. Some common chronic shoulder pain treatments which are helpful in treating pain include the following;

  • Pain killers; pain killers like paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen tablets and gels can acts as chronic shoulder pain treatment. A pharmacist should be able to give you good advice on what could work best for your condition. But don’t use them for more than two weeks without seeking further medical advice.
  • Heat or cold therapy; if your shoulder is swollen than you can use ice pack as chronic shoulder pain treatment. You may use heating pad for shoulder soreness.
  • Posture; bad posture can make your shoulder pain more badly. Try to sit straight or support your back with pillow, chair or cushion.
  • Physiotherapy; proper or everyday physiotherapy is a good chronic shoulder pain treatment. It helps you in stretching your muscles and improves the way your shoulder works.
  • Occupational therapy; if the pain interrupts with your normal life routine like driving, washing or cleaning than occupational therapist helps you by showing you that how to change the way you do things. They help you in changing your movements to avoid the shoulder pain.
  • Steroid injections; these injections reduces inflammation which in turn reduce the pain. This chronic shoulder pain treatment is beneficial for some people, but it won’t work for all the cases of shoulder pain.
  • surgery; most shoulder problems improves without a surgery but if the problem is still here even after all the traditional treatment methods than surgery is the option.

Pain management institute helps people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Serious injury at work place can affect your physical health and can damage or disturb your financial well-being. If injury causes you a chronic pain than it will make you unable to work and will also force you to get a leave from work for the long period. Work place injuries especially hazardous injuries also give you huge financial loss. Worker compensation doctors understand the importance of your quick returning to work, and try their best to take you through diagnosis, treatment and recovery.

Network of many doctors’ works as worker compensation doctors which may usually includes;

  • Workers Comp Orthopedists
  • Workers Comp Physiatrists
  • Workers Comp Neurologists
  • Workers Comp Chiropractors
  • Workers Comp Pain Management Doctors
  • Workers Comp Physical Therapists
  • Workers Comp Psychologists

Medical treatments that will be provided by workers compensation doctors;

Most medical services which are necessary to help you feel better or get rid of your work place’s injury are covered by the insurance of worker compensation doctors and these medical services include the following;

  • Hospital Visits & Procedures
  • Medical Doctor Visits & Procedures
  • Chiropractic Treatment
  • Physical Therapy
  • Psychology
  • Psychiatry
  • Dentistry
  • Occupational therapy
  • Hand therapy
  • Pain management
  • Podiatry
  • Diagnostic Resting (X-Ray, MRI, Cat-scan, etc.)
  • Medical Equipment and Supplies

Condition which workers compensation doctors treated:

Common work injuries that workers compensation doctors treated covers the list below;

  • Repetitive motion injuries
  • Overuse traumas
  • Hearing loss
  • Psychological stress
  • Fractures
  • Bone dislocation
  • Breathing issues
  • Painful conditions or pain related to bad postures
  • Soft tissues injuries
  • Neck Injuries
  • Back Injuries
  • sprains
  • Musculoskeletal injuries

How to choose best workers compensation doctor?

Here are some of the best ways to help you while finding the right workers compensation doctor for you if you or your loved one recently meets a work related injury.

  • At first you can chose any medical provider or you may ask your regular physician for recommendations.
  • Look to your family and friends to refer you to a provider they trust.
  • Visit the New York Worker’s Compensation Board website to search for providers.
  • Use Injured Call Today search engine results to find out best Workers compensation doctors.

Keep these things in your mind if you think that doctor can be the best workers compensation doctor for you;

  • Their ability to document and process worker’s compensation claims
  • Familiarity and previous history addressing your medical issue
  • Capability to process the fees associated with worker’s compensation claims
  • Availability to testify or produce affidavits for your claim
  • Flexible scheduling appointment availability


You are eligible for medical benefit, treatment and money if you meet a work-related injury. Pain management institute is helping people to cure acute and chronic long term pain of your work injury to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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For the treatment of migraine with or without aura; the U.S. Food and Drug Administration has recently approved Eli Lilly’s Reyvow. Serotonin are brain receptors which acts in migraine, Reyvow is the migraine treatment which binds with serotonin receptors and depressing central nervous system activity.

Nick Kozauer, MD, is acting as a deputy director of the FDA’s Division of Neurology Product said in his statement that “Reyvow is a new option for the acute treatment of migraine, a painful condition that affects one in seven Americans.” He further said that “We know that the migraine community is interested in more treatment options and we continuing to work with stakeholders in order to promote the development of new therapies for the acute and preventive treatment of migraine.”

According to the survey of American Migraine Foundation, migraine affects about 36 million adults in the United States and about billions of peoples worldwide. Migraine initially causes pain and nausea but in addition to that migraine also causes blurriness, light sensitivity and visual disturbances known as aura.

In two double-blind, placebo-controlled studies which were involve 3,200 patients (peoples suffering from migraine) nearly; the effectiveness of Reyvow tablets was demonstrated.  In one study, patients received 200mg of Reyvow and the patients of that study receive about 32% of pain relief after two hours of treatment but that compares to 15% taking a placebo which was enough to be considered statistically significant.

A neurology professor of Vanderbilt university and paid consultant to Lilly Jan Brandes, MD stated that “As a physician, I commonly treat patients who are looking for acute treatment options that offer the chance for pain freedom during migraine attacks and this approval is especially significant because migraine pain is so often severe and incapacitating”

Dizziness, fatigue, a burning or prickling sensation in the skin (paresthesia), and sedation was the most common side effects for Reyvow trails. FDA warns by labeling a caution saying that not to drive or operate machinery for at least eight hours after taking Reyvow. The Reyvow drug should also not be taken with other serotonin depressants or alcohol.

It should be remember that Reyvow is not approved for the preventive treatment of migraine.

The FDA has approved several new migraine therapies in recent years which include the injectable drugs to prevent migraine and neuromodulation devices that use electrical pulses to disrupt pain signals.

Migraine is a painful condition which can be triggered by various factors including lack of sleep or food, flashing or bright lights, hormonal changes, diet, and stress. Women are often three times more likely to suffer from migraine than man.

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Complex regional pain syndrome (CRPS) describes as an array of painful conditions that are characterized by a continuing regional pain most often affects one limb (arm, leg, hand, or foot). It is an uncommon chronic pain condition which is also known as reflex sympathetic dystrophy (RSD).

Causes of CRPS:

The cause of complex regional pain syndrome is unclear but it may be caused by an injury or any fracture. Sprains/strains, soft tissue injury (such as burns, cuts, or bruises), limb immobilization (such as being in a cast), surgery, or even minor medical procedures such as needle stick also be the reasons for complex regional pain syndrome.

Types of CRPS:

Complex regional pain syndrome is of two types, both have similar symptoms or signs but with different causes.

  • Type 1 occurs after an injury or illness but with an injury which didn’t directly damaged the nerves. Type 1 of complex regional pain syndrome is also known as reflex sympathetic dystrophy syndrome (RSD) or Sundeck’s syndrome.
  • Type 2 of complex regional pain syndrome follows nerve damage. Sometimes it is also referred to as causalgia. It is an uncommon type of CRPS.


Some common symptoms you might experience if you’re suffering from complex regional pain syndrome are;

  • burning or throbbing pain which is mostly remains constant, usually in your arm, leg, hand or foot
  • Sensitivity to touch or cold
  • Swelling of the painful area
  • Changes in skin temperature; temperature alternate between sweaty and cold
  • Changes in skin color, ranging from white and mottled to red or blue
  • Changes in skin texture, which may become thin, shinny, or tinder in the affected area
  • Changes in hair and nail growth
  • Joint stiffness, swelling and damage
  • Muscle spasms, tremors, weakness and loss (atrophy)
  • Decreased ability or difficulty to move the affected body part


There is no single treatment which works for every patient of complex regional pain syndrome. Combination or multiple treatments are available if you’re experiencing pain because of CRPS.

  • Rehabilitation therapies; such therapies are effective when started early. These therapies won’t stop the pain but it restores as much function as possible and to improve quality of life.
  • Physiotherapy; most important treatment for complex regional pain syndrome. Physiotherapy prevents stiffness and loss of muscle tone as well as promoting circulation.
  • Occupational therapy; range of occupational therapies are there which can normalize the touch sensation and can manage pain symptoms.
  • Psychology and coping techniques; for long term severe pain its important because it affect your mood or emotions.
  • Drugs; painkillers, antidepressants, and anticonvulsants can help relieving pain.
  • Spinal cord stimulation; a fine wire is implanted in the epidural space close to the nerves in your back to control the pain sensation.
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