Here’s the good news, there are many choices for the treatment of pain. It is possible to improve your quality of life through interdisciplinary pain management techniques and procedures. We encourage you to take an active role in your therapy and be a crucial part of the treatment team. It may seem daunting, but we provide the educational resources and emotional support to help you with your pain management journey.
The next option in treating pain is usually medicines. There are millions of combinations of medicines available. The main types of medicines include anti-inflammatories, muscle relaxants, nerve-calming medicines, and narcotics. Anti-inflammatory medicines include ibuprofen (Advil), naproxen (Aleve), and diclofenac (Voltaren). Other types of anti-inflammatory medicines that are prescription strength include Celebrex and Mobic. These medicines are usually used for arthritis type pains.
The next type of medicine is muscle relaxants. Medicines such as Flexeril, Robaxin, Skelaxin, Zanaflex, and baclofen are used to help relax the tight or spastic muscle. Frequently there are used in conjunction with other medicines. Nerve calming medicines are used to decrease irritation of nerves. Neurontin (Gabapentin) and Lyrica (Pregabalin) are very common nerve-calming medicines.
Others include Elavil, Pamelor, Cymbalta, and Trileptal.
The final main class of medicines is narcotics. These are medicines used to blunt pain but do not actually help improve the cause of any pain. These medicines are highly regulated and restricted as they can be addictive and cause many side effects such as constipation, urinary retention, liver problems, shortness of breath, decreased mentation or dizziness, difficulty thinking, driving, or concentrating respiratory depression, and even death. If we agree narcotics are available for your treatment, you will have to sign a narcotic contract and follow its rules.
Interventions & Injections
There are MANY ways to do injections/interventions. We only use the highest level of procedures and follow all national guidelines. Treatment options include:
Epidural Steroid Injections (ESI) (neck, mid-back, and low back)
Facet Steroid Injections (neck, mid-back, and low back)
Trigger Point Injections (neck, mid-back, and low back)
SI Joint Steroid Injections
Shoulder Steroid Injections
Hip Joint Injections
Knee Joint Injections
Muscle Spasm Injections
Radio Frequency (nerve burning) (neck, mid-back, low back, and SI joints)
Celiac Plexus Blocks
Stellate Ganglion Blocks
Lumbar Sympathetic Blocks
Sacrococcygeal Joint Steroid Injections
Spinal Cord Stimulation / Dorsal Column Stimulation (neck and low back)
Dorsal Root Ganglion Stimulation
Stem Cell Injections
Amniotic Cell Injections
Peripheral Nerve Stimulation
Frequently use Physical Therapists, Chiropractors, Airrosti Doctors, and Surgeons
Medication Options including anti-inflammatories, muscle relaxants, nerve-calming medicines, and narcotics
Most often, we find using some options from each category provides the maximum benefit. Every patients treatment plan is personalized at each visit.
Other options to consider include stem cell injections and/or ketamine infusions, CBD, botox, and viscosupplementation. Although these modalities work well in the appropriate patients, they are not currently covered by insurance.