What is pain management?

Today there are so many options and services to “manage your pain” that it can be confusing and difficult to decide what the best course of care is.

Pain management, med management, interventional pain management, non-invasive procedures, minimally-invasive procedures, non-surgical orthopedics, regenerative medicine, stimulator trials, etc., etc…What does it all mean and what is the best option for you?

Our team of medical professionals will take the time to discuss the best course of care for you and make sure that you understand what the problem is, what the plan is and what outcomes you can expect. Because unless we can reduce or eliminate your pain, why bother?

It all seems so complicated, but living pain-free is not impossible; however, it does require the right team with the right approach and just as important, a commitment on your part.

So, if you are ready to take the steps necessary to resume normal daily activities with family and friends, then I have a question for you…

Do you want someone to manage your pain or help you resolve it all together?

Our primary goal is to resolve your pain, not manage it!

Types of Pain Treated

  • Arthritis Pain
  • Degenerative Conditions
  • Disc Pain
  • Elbow, Wrist & Hand pain
  • Facial Pain
  • Fibromyalgia
  • Headaches and Migraines
  • Joint Pain
  • Low Back Pain
  • Neck Pain
  • Neuralgia
  • Pelvic and Abdominal Pain
  • Piriformis Syndrome
  • Pre/Post-Surgical Pain
  • Radiculopathy
  • Sciatic Pain
  • Shoulder Pain
  • Sports Injuries

Services We Provide

Interventional Pain Management Procedures

  • Caudal Epidural Steroid Injection (ESI) – includes injecting both a long-lasting steroid and an anesthetic into the epidural space where the irritated nerve roots are located. The steroid reduces inflammation and irritation, while the anesthetic interrupts the pain-spasm cycle.
  • Celiac Plexus Block
  • Cervical Epidural Steroid Injection (ESI) – injections administered to relieve pain in the beck, shoulders, and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine.
  • Dorsal Root Ganglion Stimulation
  • Interlaminar Epidural Steroid Injection (ESI) – relatively painless needle-based procedure typically used to help reduce inflammation and irritation around specific nerves in the neck, mid-back or lower back.
  • Major Joint Injection – an injection of local anesthetic and steroid deposited into the joint space or capsule; the goal is to provide pain relief by reducing inflammation due to arthritis of the involved joint.
  • Medial Branch Blocks
  • Radiofrequency Ablation (RFA) – used to reduce pain using an electrical current produced by a radio wave to heat up a small area of nerve tissue, in order to decrease pain signals from that specific area.
  • Transforaminal Epidural Steroid Injection (ESI) – an injection of long-acting steroid into the opening of the side of the spine where a nerve root exits. This opening is known as a foramen. There is a small sleeve of the epidural space that extends out over the nerve root for a short distance.

Regenerative Medicine

  • Amniotic Fluid Injections (often referred to as stem cell injections) – Amniotic fluid contains a measurable concentration of various growth factors that stimulate and facilitate tissue healing and regeneration. Cytokines are special proteins that communicate with tissues in various capacities. These mechanisms often lead to a reduction in inflammation and pain. There are a variety of cells present in the amniotic fluid but the two that have the best therapeutic potential in regenerative medicine are amniotic fluid mesenchymal stem cells (AFMSC) and amniotic epithelial cells (AEC).
  • Bone Marrow Aspirate Injections – While similar to Platelet Rich Plasma (PRP) in its ability to harness the body’s ability to heal itself through the aid of growth factors, BMC also utilizes regenerative cells that are contained within a patient’s own bone marrow. The marrow contains a rich reservoir of “pluripotent” stem cells that can be withdrawn from the patient’s hip bone and used for the procedure. Unlike other cells of the body, stem cells are “undifferentiated”, meaning they are able to replicate themselves into various types of tissue.
  • Platelet Rich Plasma (PRP) Injection – prepared from one to a few tubes of the patient’s own blood with strict aseptic technique, the blood is centrifuged, then the activated platelets are injected into the abnormal tissue, releasing growth factors that recruit and increase the proliferation of reparative cells. PRP Injections can improve function and decrease pain to various maladies including, but not limited to, elbow, wrist, shoulder, hip, knee, and ankle tendinosis.

General Surgical Procedures

  • Cholecystectomy – surgical removal of the gallbladder.
  • Inguinal Hernia Repair – a surgery in which the bulging tissue is pushed back in, your abdominal wall is strengthened and supported with sutures (stitches) and sometimes mesh; can be performed open or laparoscopically.
  • Lysis of Adhesions – a surgical procedure that removes this soft scar tissue to treat a complication or to prevent a future problem involving two intersecting muscles, tissues, joints, tendons, and/or organs.
  • Tenotomy
  • Umbilical Hernia Repair – a procedure where your surgeon will find your hernia and separate it from the tissues around it, then gently push the contents of the intestine back into the abdomen; strong stitches will be used to repair the hole or weak spot caused by the umbilical hernia.
  • Upper Endoscopy (EGD) – a procedure in which a thin scope with a light and camera at its tip is used to look inside the upper digestive tract – the esophagus, stomach and first part of the small intestine.
  • Ventral Hernia Repair – a technique to fix tears or openings in the abdominal wall using small incisions, laparoscopes and a patch (screen or mesh) to reinforce the abdominal wall.

Functional Restoration, Manipulation under Anesthesia (MUA)

  • A non-invasive procedure that combines manipulations, passive stretches and maneuvers in order to break up adhesions and scar tissue around the area in pain, common areas include:
    • Shoulder
    • Knee
    • Hip
  • Protocols that include PT/Rehabilitation, MUA, and Interventional Pain Management to restore function.