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Pain Management

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Pain Management Injection

Pain Management

Pain can be an unpleasant feeling or discomfort caused by injury or illness. It can be differentiated into two basic types: acute or chronic pain. Acute pain results from disease, inflammation or injury, and starts suddenly after accidental trauma or surgery. Conversely, chronic pain persists for a longer period of time. Our interventional pain management physicians can offer treatment plans that manage both acute and chronic pain for greater comfort and alleviation.

Injections

Injections can significantly improve the management of pain and discomfort associated with various spinal conditions. From targeting inflammation to blocking pain signals, they offer relief for issues like back pain, sciatica, and joint pain. Whether it’s reducing inflammation with epidural steroid injections or targeting specific nerves or joints, these injections can enhance mobility and quality of life for many facing spinal issues, including:

  • Epidural steroid injections
  • Transforaminal lumbar epidural steroid injection (TFESI)
  • Facet joint injections
  • Median branch nerve block
  • Radiofrequency ablation
  • Trigger point injections
  • Bursa injections
  • Joint injections
  • Sacroiliac joint injections

Procedures

Our advanced treatments provide innovative solutions for managing chronic pain and discomfort related to spinal issues. They include methods such as spinal cord stimulation, nerve stimulation, and muscle stimulation, which utilize electrical impulses to alleviate pain. Additionally, minimally invasive techniques like lumbar compression offer targeted relief, aiding patients in regaining mobility and enhancing their overall quality of life. Examples include:

  • Intrathecal Pump Therapy
  • Neuromodulation
  • Spinal cord stimulator
  • Dorsal root ganglion stimulator
  • Peripheral nerve stimulation
  • Lumbar muscle stimulator
  • Minimally invasive lumbar compression
  • Cancer pain relief

Surgical Treatments

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FSA Orthopedic Surgery

Surgical Treatments

Modern medicine offers numerous treatments for spinal conditions. Minimally Invasive Spine Surgery (MISS) represents the latest technology in spinal surgeries, featuring smaller incisions for quicker recovery.

Minimally Invasive Spine Surgery (MISS)

MISS, or minimally invasive spine surgery, is a contemporary approach to spinal surgery involving small incisions, typically less than an inch long. Special instruments and advanced imaging technology enable surgery through these small openings, aiming to minimize damage to muscles and surrounding tissues. This technique facilitates faster recovery times and reduced post-operative pain compared to traditional open surgery methods.

Common MISS procedures include:

  • Disc decompression for relieving pressure on pinched nerves in the spine
  • Lumbar disc decompression surgery for compressed nerves in the lower back
  • Cervical disc decompression surgery for neck nerve compression
  • Lumbar fusion to fuse bones in the lower spine
  • Anterior lumbar fusion to fuse bones in the lower spine from the front, via the stomach
  • Lateral lumbar fusion for disc issues in the lower back, alleviating pain and correcting curvature
  • Posterior lumbar fusion to fuse bones in the lower spine with neighboring ones along the sides
  • Sacroiliac joint fusion to merge the sacroiliac joint
  • Disc replacement for neck pain relief and restoration of normal movement
  • KeyLift Interlaminar Decompression to treat spinal stenosis and relieve pinched nerves
  • Reactiv8 Muscle Stimulator to treat back pain and multifidus atrophy

Kyphoplasty

Kyphoplasty is a minimally invasive procedure aimed at addressing vertebral compression fractures and reducing associated pain. During the procedure, a needle is carefully inserted into the affected vertebra, and a deflated balloon is introduced through the needle; the balloon is then inflated to gently elevate the collapsed vertebra, restoring its height and reducing deformity. Once the desired height is achieved, the balloon is deflated and removed, and the cavity created by the balloon is filled with a special cement-like material that hardens quickly. This cement helps stabilize the vertebra, providing structural support and pain relief. Overall, kyphoplasty is an effective intervention for managing vertebral compression fractures and improving patient outcomes.

Spinal Corrective Surgeries

Surgery may be considered for fixing adult scoliosis if other treatments are ineffective or if the curvature worsens significantly (i.e., over 45 degrees). Surgery may also be necessary if spinal issues affect heart and lung function. Spinal stabilization and fusion may be performed to prevent the condition from worsening.

State-of-the-Art Procedures

In cases where traditional surgery is not expected to effectively alleviate back and leg pain, physicians may opt for spinal cord stimulator implantation. This device emits controlled electrical impulses to the spinal cord, disrupting the transmission of pain signals to the brain.

Neuromodulation is another approach aimed at managing chronic pain by modifying nerve activity, involving electrical stimulation or direct administration of medication through implanted devices.

Examples of these devices include:

  • Spinal cord stimulator
  • Dorsal root ganglion stimulator
  • Peripheral nerve stimulation
  • Lumbar muscle stimulator

Non-Surgical Treatments

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Pain Management Injection

Non-Surgical Treatments

Contemporary nonsurgical solutions are available for painful spinal conditions or deformities. Our practice adopts a comprehensive approach to your well-being, offering a treatment regimen encompassing various nonsurgical interventions tailored to enhance your quality of life. From medication to neuromodulation utilizing electrical stimulation and physical therapy aimed at enhancing mobility, our team is dedicated to ensuring your treatment aligns with your health and wellness objectives.

Lifestyle

Back and neck pain are common issues for many of us at some point in life, making daily activities challenging. However, making lifestyle changes can significantly reduce this discomfort.

Modifying daily activities such as maintaining proper posture and using correct bending and lifting techniques can relieve strain on the back and strengthen it. Regular exercise is also key to improving spine stability and reducing stress on the area.

Maintaining a healthy diet is also crucial for spine health. Adequate intake of dietary protein, vitamins (such as A, B6, C, E), and minerals (like zinc and copper) helps keep connective tissue strong. Essential minerals like calcium, phosphorus, magnesium, and boron are vital for bone health, preventing conditions like osteoporosis.

Massage therapy is a popular treatment for back and neck pain. It not only relaxes muscles but also reduces inflammation and spasms. Incorporating regular massage into your routine can provide relief from these discomforts.

Medications

Various medications are available to alleviate pain, but it’s crucial to use them under a doctor’s guidance due to potential side effects.

Over-the-counter pain relievers like acetaminophen and NSAIDs help reduce fever and ease general muscle aches and stiffness. Topical pain relievers such as Aspercreme and Ben-Gay are creams or sprays applied directly to painful areas.

Opioid pain medications are typically reserved for chronic nonmalignant pain, like severe back pain, but should only be considered as a last resort due to their potential for dependence and side effects.

Corticosteroids, often given as pills or injections, help reduce inflammation and swelling, providing pain relief. Muscle relaxers are commonly used for acute muscle problems and can ease painful muscle spasms by reducing muscle tension. However, their effectiveness varies, so it’s essential to discuss their use with your doctor.

Physical Therapy

Physical Therapy is an important part of treating chronic pain, utilizing exercises, massages, and even acupuncture. Expert therapists help improve movement and manage pain through safe stretching, conditioning, and strengthening exercises. They’ll guide you through various exercise routines to boost activity levels and strengthen muscles, often allowing patients to manage back pain without surgery.

Physical therapy techniques may involve hot or cold packs, ultrasound, electrical nerve stimulation, spinal manipulation, and massage. Aqua therapy, which takes place in water, is another option that can provide relief and promote healing.

Occupational Therapy

Occupational Therapy focuses on helping you maintain or regain the skills you need for daily life and work. Licensed therapists concentrate on the activities that fill your day, such as climbing stairs or driving. They’ll work closely with you to understand what matters most in your daily routine and find ways to make those tasks easier and more manageable.

Similar to physical therapy, occupational therapy might involve specific exercises done repeatedly to regain function after an injury. It can also include practical activities like using special utensils for eating, adapting grooming techniques, dressing with aids, and finding easier ways to move around, whether it’s getting in and out of the car or managing stairs.

Advanced and Emerging Procedures

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Advanced and Emerging Procedures

We are passionate about embracing new, modern, and groundbreaking advancements to continue giving our patients the best treatment possible.

Each unique scenario – whether it’s a common injury or a complex deformity – may require a slightly different approach. Our physicians remain on the forefront of medicine, training and learning the newest innovative treatments to best suit each patient.

Robotics

Robotics spine surgeries are minimally invasive procedures where a robotic arm assists the surgeon. The goal of this specialized surgery is to improve accuracy and precision, reduce the risk of complications, and provide faster recovery times. While the procedure is implemented by the robot, it is guided by the surgeon, who programs the robot and controls every movement using a console, which is connected to the robot’s apparatus.

We now offer robotic surgery for MIS and Endoscopic procedures.

Endoscopic

Endoscopic procedures are considered revolutionary, minimally invasive options for spinal surgeries. Rather than an open spine surgery (in which a surgeon moves muscles out of the way to see the spine), endoscopic surgery entails the surgeon using an endoscope with a camera at the tip, allowing them to see the spine without removing any of the muscles. This technique reduces the risk of muscle injury and trauma during surgery.

This approach is the least invasive surgery, using an incision of less than one centimeter.