| Treatments
for Pain
PHYSICAL THERAPY
The human body is dependent on function and movement to
remain healthy. Therefore, the longer an injured body part
is immobile, the more difficult the return to normal health.
The re-education of the nervous system is dependent on restoring
normal movement, normal range of motion and strength, and
the correction of functional abnormalities. Our pain physicians
believe that early and aggressive functional restoration
is vital to controlling pain, and restoring function. It
is important to move the patient as quickly as possible
from dependent, or passive physical therapy modalities,
to movement based therapy. However, the patient’s pain must
be controlled in order to allow functional improvement.
Pain control without pressing forward without functional
physical therapy, is incomplete treatment. However, physical
therapy without adequate pain control is usually impossible
because of the discomfort. Our policy is the early use of
aquatic therapeutic exercise, to increase the chance of
greater movement with less pain.
NERVE BLOCKS: DIAGNOSTIC AND THERAPEUTIC
Our physicians are experts in the placement of medications
at specific locations of the spine, nervous system, joints,
peripheral nerves, and soft tissues. This is done to treat
pain syndromes, or to diagnose the problem that might be
causing pain. Some injections are performed in the office,
but most are performed at an outpatient surgical facility.
Many of the procedures are performed with fluoroscopy, a
type of x-ray, so that the needle can be directed specifically
to the site in question. If the patient desires, a mild
sedative can be given for maximum comfort and relaxation.
The patient should expect a discussion of the purpose, risks,
side effects, complications, and desired results of injection
procedures. When indicated, the following procedures are
expertly performed by our physicians.
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1. Epidural steroid injections-
cervical, thoracic, and lumbar spine
2. Sympathetic Ganglion Blocks- Stellate and Lumbar
3. Sympathetic Plexus Blocks- Celiac and Hypogastric
4. Facet or Hypoapophyseal Joint Injections
5. Selective Nerve Root Blocks- cervical, thoracic,
and lumbar spine
6. Peripheral Nerve Blocks
7. Sacro-Iliac Joint Blocks
8. Trigger point Injections
9. Radiofrequency Neurolysis
10. Diagnostic Discography
11. Occipital Nerve Blocks
12. Major Joint or Bursal Injections
13. Intrathecal or Spinal Injection of Medications
14. Placement of Spinal or Epidural Catheters for Spinal
Infusions
15. Implantation of Spinal Cord Stimulator
16. Implantation of Intrathecal Catheters and Infusion
Pumps
17. Implantation of Peripheral Nerve Stimulators
18. Implantation of Occipital Nerve Stimulators for
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PSYCHOLOGICAL AND
BEHAVIORAL THERAPY
The diagnosis and treatment of chronic pain must also include
the emotional and psychogenic components of the problem.
It is impossible for a human being to experience chronic
pain, and not have this impact the individual’s perceptions,
mood, temperament, hopes, and abilities to deal with other
people. Most chronic pain sufferers have a degree of depression
and frustration. This is a normal reaction and the opposite
reaction would be considered abnormal. The control of pain
must include tools to help control and focus the power of
the mind toward the problem. Our psychological professionals
use individual and group therapy, biofeedback techniques,
hypnotherapy, visualization, and relaxation training to
control symptoms. Our staff have decades of experience working
with chronic pain patients.
NUTRITIONAL THERAPY
All of us must eat and drink to survive. However, some pain
syndromes can be effected by certain types of food. Chronic
headache is particularly associated with chemicals, which
are naturally found in some foods. Some patients suffer
with obesity, and still others with malnutrition. Obesity
can adversely effect a back pain patient, for example. In
order to help the patient improve, the obesity must be treated.
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