Why Pain Management?
 
The Need for Interventional Pain Management
 

Pain that persists despite routine medical management poses a difficult problem for patients and their treating physicians. When pain continues despite medical care, there is an increasing probability of physical disability, psychosocial dysfunction, drug dependence, and development of chronic pain. These procedures are very safe and effective.

Recent advances in technology along with new understanding of the anatomy and physiology of pain make it possible to accurately diagnose and effectively treat many types of persistent pain previously thought untreatable. In the area of spinal pain for instance, advances in the art and science of fluroscopy combined with new knowledge of spinal pathophysiology have allowed for a variety of new diagnostic and therapeutic interventions into low back pain, nerve root pain, neck pain, and headaches.


Interventional Pain Center

In our center, only the best equipment and latest technical advances are utilized. Board Certified Interventional Pain specialists who are also board certified anesthesiologists staff the center and are available 24/7 for the continuity of care of our patients.


Specialty of Pain Medicine

The specialty of Pain Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and rehabilitation of painful disorders. Such disorders may have pain and associated symptoms arising from a discrete cause, such as postoperative pain or pain associated with a malignancy, or may be syndromes in which pain constitutes the primary problem, such as neuropathic (meaning nerve-related) pain or headaches. The diagnosis of painful syndromes relies on interpretation of historical data; review of previous laboratory, imaging, and electrodiagnostic studies: behavioral, social, occupational, and a vocational assessment; and interview and examination by the pain specialist. It may require specialized diagnostic procedures, including central and peripheral neural blockade or monitored drug infusions. Special needs of the pediatric and geriatric populations are considered when formulating a comprehensive treatment plan for patients in these groups.

The pain physician serves as a consultant to other physicians but is often the principal treating physician. The pain physician may provide care at various levels, such as treating directly, prescribing medications, prescribing rehabilitative services, performing pain-relieving procedures, counseling patients and families, directing a multi-disciplinary team, coordinating care with other healthcare providers, and providing consultative services to public and private agencies pursuant to optimal healthcare delivery to the patient suffering from a painful disorder. The pain physician may work in variety of settings and is competent to treat the entire range of painful disorders encountered in the delivery of quality health care.


Flouroscopy adds the following compelling advantages:

Specific spinal pain source can be precisely targeted for diagnosis and therapy
A variety of refined techniques can be employed including routine posterior interlaminar epidural injection, transforaminal epidural injection, selective nerve root block,
intervertebral disc injection, and facet joint block depending on pain source
Radiologic documentation of medication delivery is routine
Patients with difficult anatomy can accurately injected with minimal risk
Fine needles can be used, imposing less risk and improving patient comfort
Most useful pain injection procedures can not be performed without X-ray