Treatment of Pain Management

Treatment of pain management relies upon the combination of etiology, symptoms, surgical, non-surgical, and rehabilitation.

Etiology refers to the cause of the pain. For instance, if it is related to an injury, then the goal would be to manage the pain and treat the injury. Symptoms refer to what you, the person in pain, is feeling. For some people the pain will also affect them physiologically, elevated heart rate, sweating, and anxiety. Surgical interventions are for individuals who may have severe arthritis of their knees or hip joints or a disc herniation for example. Non-surgical interventions include medications and pain creams, non-invasive and palliative care. And rehabilitation refers to physical therapy and improving your quality of life along with managing your pain levels. Hence, the treatment of pain is comprehensive and all-inclusive.

To evaluate the reason for pain, we offer:

  • Biacuplasty
  • Discogram
  • Epidural injections
  • Epidural adhesiolysis (Racz procedure)
  • Facet blocks and rhizotomy
  • IDET
  • Intrathecal pump placement
  • Minimally invasive disc surgery
  • Neuroablation (chemical denervation)
  • Nucleoplasty
  • Percutaneous discectomy
  • Selective nerve root blocks
  • Spinal cord stimulation
  • Trigger point injection
  • Vertebroplasty and kyphoplasty

We understand that many patients with pain prefer to avoid going to a hospital or surgical center to have their procedure performed. So, based on upon the insurance company’s incentives and for the betterment of patient outcomes, Progressive Health performs office based procedures.

Because of medical advancements, our physicians are able to perform these procedures in our office. For many of the procedures we offer, each surgical procedure involves the use of anesthesia to ensure painlessness. However, we understand a patient’s personal preference and if avoidable, then the patient can opt out of the use of anesthesia through their pain management procedure.

The first step in treatment is to diagnose and then non-surgically treat, preferably. These include chiropractic, physical, medication, and preventive therapies. If your pain may be attributed to back and neck issues, then there are specific non-surgical treatment options, including:

  • Epidural steroid injections
  • Trigger point injections
  • Medial branch block (usually involves nerves)
  • Facet injection
  • Spinal cord stimulator trial
  • Stem cell therapy (amnio therapy)
  • Radio frequency
  • Ablation
  • Rhizotomy
  • Sacroiliac injections

Surgical interventions for neck and back pain may include:

Cervical area:

  • Posterior cervical laminotomy or foraminotomy
  • Posterior facet joint fusion with DTRAXS
  • Posterior cervical spine fusion
  • Anterior cervical disc replacement.

Lumbar area:

  • Lumbar laminectomy and discectomy
  • Intralaminar lumbar microendoscopic discectomy
  • Anterior or posterior lumbar interbody fusion (ALIF, PLIF)
  • Multi-level scoliosis surgery
  • Lumbar interspinous process device insertion

We use nerve blocks for diagnosis, prognosis, and throughout the therapeutic purposes. Sympathetic blocks, such as stellate ganglion and lumbar, effective in the treatment of CPS. For those who become intolerant to nerve blocks or standard steroid injections, can opt for intrathecal morphine pumps, either implanted internally or externally. Before the implant, you must first have a successful intrathecal morphine pump trial.

At Progressive Health, our mission is educate our patients on all the options they have, and remain flexible with the treatment of pain. If you have any questions about your pain management treatment options, please contact us at Progressive Health today.