Conditions and Treatments
Conditions we treat
The Pain Management Center treats patients for the following conditions:
Chronic pain
- Cervical, thoracic and lumbar degenerative disc disease and facet disease
- Cervical and lumbar facet osteoarthritis
- Facial pain and trigeminal neuralgia
- Headaches
- Herniated discs
- Lumbosacral and cervical neuritis
- Myofascial pain
- Occipital neuralgia
- Peripheral neuropathies
- Post laminectomy/failed back surgery syndrome
- Reflex sympathetic dystrophy, causalgia, complex regional pain syndromes
- Spinal stenosis, spondylosis and spondylolisthesis
- Pelvic pain and interstitial cystitis
- Testalgia
- Vertebral compression fractures from osteoporosis or cancer
Acute painful conditions
- Postoperative pain
- Post-traumatic pain
- Vertebral compression fractures
Cancer-related pain
- Cervical and ovarian cancer
- Head, neck and oropharyngeal cancer
- Lung cancer
- Metastatic and bone cancer
- Pancreatic and colon cancer
- Post-mastectomy syndrome
- Post-thoracotomy syndrome
Non-painful conditions
- Hyperhidrosis
- Spastic movement disorders resulting from cerebral palsy or central nervous system lesions
- Vascular insufficiency and Raynaud's disease
Treatment options
Services available vary depending on the patient and the condition:
- Comprehensive physical examination and treatment planning
- Independent medical evaluations for worker's compensation and legal cases
- Medication management
- Acupuncture
- Botulinum toxin, or Botox, injection
- Headache management
- Trigeminal ganglion radiofrequency neurolysis
- Cryo-analgesia
- Facet blocks and radiofrequency neurolysis
- Detoxification
- Diagnostic and therapeutic peripheral nerve blockade
- Epidural injections (cervical, thoracic, lumbar, caudal)
- Intrathecal pump placement
- Joint/bursa injection including knee, hip, shoulder, and sacroiliac joint
- Kyphoplasty and vertebroplasty for vertebral compression fractures
- Lysis of epidural adhesions
- Minimally invasive intervertebral disc decompressive nucleoplasty
- Neurolytic blocks, including radiofrequency, cryoanalgesia and chemical
- Patient controlled analgesia (subcutaneous, intravenous, intrathecal, epidural)
- Peripheral nerve stimulator implantation
- Radiofrequency ablation
- Selective and diagnostic nerve root injections
- Spinal cord stimulator trials, placements and maintenance
- Sympathetic plexus blockade, including sphenopalatine ganglion, stellate ganglion, paravertebral sympathetic, celiac plexus and superior hypogastric plexus
Long-term management programs include:
- Analysis programming of epidural and subarachnoid spinal drug delivery systems
- Spinal cord stimulators
- Cancer pain and symptom management