A variety of treatment options and therapies are available to patients of The Pain Management Institute. These procedures include:
- Complementary and Alternative Therapies
- Acupuncture & Massage - In the past decade, strong evidence has been accumulated regarding the benefits of mind-body therapies such as acupuncture, and some nutritional supplements for treating pain. Other alternative therapies such as massage and accupuncture. Like all our procedures, no one curative approach is right for everyone. But having these solutions available is important as we try to provide pain relief targeted specifically to each individual patient.
- Peripheral Nerve Blocks - Peripheral nerve blocks are a type of regional anesthesia. The anesthetic is injected near a specific nerve or bundle of nerves to block sensations of pain from a specific area of the body. Nerve blocks usually last longer than local anesthesia. They are most commonly used for surgery on the arms and hands, the legs and feet, or the face.
- Botox for Migraine Headaches - Best known as a cosmetic therapy to banish facial frown lines, botulinum toxin type A, or Botox, was approved to prevent migraines in 2010, but only for patients who experience 15 or more migraine headaches a month.
- Selective Nerve Root Blocks
- Epidural Steroid Injections - An injection of local anesthetic and steroid into the epidural space, which surround the spinal cord and the nerves around it. The purpose of this injection is to help relieve your pain by decreasing the inflammation and swelling of the nerves in the spine and the surrounding tissue.
- Sacroiliac Joint Injections - An injection of local anesthetic and steroid into the sacroiliac joint with the purpose of relieving your pain. This is accomplished by reducing the swelling and inflammation of the joint.
- Facet Joint Injections - An injection of local anesthetic and steroid int ot he facet joints, which are the joints located at the back of your spine that allow the spine to bend and twist. The purpose of this injection is to help relieve your pain by reducing the swelling and inflammation of the joint.
- Medial Branch Blocks
- Rhizotomy - Sympathetic N Selective dorsal rhizotomy (SDR) is the most common nerve surgery for symptoms related to cerebral palsy (CP). During SDR, a surgeon cuts the skin over the lower part of the spinal cord. The surgeon then finds and cuts the nerves in the cord that are causing muscle tightness in the legs.erve Blocks
- Vertebroplasty - Recommended for those who have suffered stress fractures, after giving you a local anesthetic, the doctor puts a needle into your vertebrae and injects a substance that works like cement. Stress fractures usually cause dull pain around the site of the fracture. This pain usually worsens while exercising, walking, or standing. Another symptom is swelling in the area. The doctor guides the needle using fluoroscopy. This is a test that can be used to position a needle for a procedure. Vertebroplasty takes 1 to 2 hours. The injection usually takes only about 10 minutes. The cement mixture hardens in about half an hour. You likely will go home the same day. You may take some pain medicine for a couple of days.
- Kyphoplasty - This surgery can be used to return your vertebrae to a more normal shape. The doctor may numb the area, or you may get medicine to make you sleep. The doctor makes a small cut in your back and puts a balloon device into the fractured vertebra. The doctor inflates the balloon and then deflates it. Then he or she puts the cement substance into the space created by the balloon. It takes 1 to 2 hours to treat each vertebra. You may go home that day, or you may spend the night in the hospital.
- Spinal Cord Stimulation - When other pain treatments have failed, spinal cord stimulation may be an option. Spinal cord stimulation is a procedure that delivers low-level electrical signals to the spinal cord or to specific nerves to block pain signals from reaching the brain. During spinal cord stimulation, a device that delivers the electrical signals is implanted in the body either surgically or percutaneously (through the skin). The patient may turn the current off and on or adjust the intensity of the signals. Most people describe the feelings from the simulator as being pleasant and tingling.
- Provocative Discography
These treatments along with pharmaceutical, psychological, acupressure, acupuncture, exercise, physical therapy and holistic methods are all taken under consideration as the right path is determined to treat your pain.