Pain is an unfortunate part of everyday life for some people and is commonly defined as physical suffering or discomfort caused by an illness or an injury. Pain can be very extensive and multifactorial in nature lending its cause due to previous injury or a variety of underlying medical disorders either cancerous or non-cancerous in character. This is where a Pain Management physician can be of help.
Pain Management physicians can help alleviate daily chronic pain through multiple modalities including, but not limited to, injections and medication management. Each patient is different and therefore each type of pain is different. This is why at Cleaver Medical Group, we believe in a well-balanced and safe approach to effectively help treat and alleviate each patient’s pain. Our pain management services are currently offered at our Cumming location.
Patients will find the comfort using an epidural steroid injection, which include a reduction in pain radicular pain. Patients seem to have a quick, better and positive response when the epidural steroid injections are coupled with an organized therapeutic exercise program.
NEUROMODULATION INCLUDING SPINAL CORD STIMULATORS & PUMP REFILLS
Neuromodulation including spinal cord stimulators & pump refills treatments that involve stimulation or administration of medications directly to the body’s nervous system for therapeutic purposes. Neuromodulation can be utilized to treat movement disorders, and epilepsy, as well as pain conditions.
OCCIPITAL/SUPRAORBITAL NERVE INJECTIONS
The supraorbital nerve runs through the bones of the face at the eyebrow, provide sensation to the temple and the acme of the head. The nerve exits the head just higher than the eyes. Supraorbital Nerve Injections obstruct for Migraine and Headache.
SYMPATHETIC NERVE BLOCK
A Sympathetic nerve block usually involves a sequence of injections to relieve pain caused by complex regional pain syndromes, usually after injury to a joint. This nerve block can be used to treat pain relating the nerves of the sympathetic nervous system. If you have pain in the higher part of your body then you may get pain relief from blocking the ganglion in your neck area.
CELIAC/SPLANCHNIC NERVE BLOCKS
The celiac plexus obstruct and the splanchnic nerve block can be used for abdominal soreness that may be caused by exasperation, firmness or setup of the nerve bundles inside various abdominal organs, as well as owing to tumor invasion, fibrosis, or chronic tenderness resultant from chronic pancreatitis disease, along with others.
DIAGNOSTIC NERVE BLOCKS
Nerve blocks are used for pain treatment and administration. A Diagnostic Nerve Block involves deadening a specific nerve or group of nerves that may be concerned in taking a patient’s pain. If a particular pain-carrying nerve is insensitive and a patient notes significant improvement in pain symptoms, the location of the pain generator is likely confirmed.
SACROILIAC JOINT INJECTION
A sacroiliac joint inoculation moreover called a sacroiliac joint block—is largely used either to make a diagnosis or take care of low back pain and/or sciatica symptoms related with sacroiliac joint dysfunction. The sacroiliac joints stretch out subsequently to the spine and unite the sacrum with the hip on both sides.
TRIGGER POINT INJECTIONS
Trigger point injection (TPI) might be an alternative for treating soreness in various patients. TPI is a practice used to treat throbbing areas of muscle that have trigger points, or knots of muscle to facilitate when muscles do not unwind. Numerous times, such knots can be felt below the skin.
MEDIAL BRANCH BLOCKS
Medial branch blocks can be used independently to provide long-term pain relief. They can also be used to precisely identify the facet joints as the cause of pain, and are the preliminary procedure prior to radiofrequency neurotomy of the medial branch nerves. Medial branch blocks have been performed safely for many years with excellent outcomes.
In Radiofrequency (rhizotomy) ablations procedure, a heat lesion is created on certain nerves with the goal of interrupting the pain signals to the brain, thus eliminating pain. The terms radiofrequency ablation and radiofrequency neurotomy are used interchangeably. Both terms refer to a procedure that destroys the functionality of the nerve using radiofrequency energy.
According to the Clavien-Dindo classification, five grade II complications and four grade complications occurred. The technical success rate was 94%. Two tumors required a second session of cryoablation because of recurrence or residual tumor.
The indications for getting a discogram prior to a lumbar fusion surgery are extremely variable amongst spine surgeons. Ordering the procedure depends on access to a skilled discographer. A discogram is basically a very subjective test, and if there are no experienced discographers available, then the spine surgeon may forego the test since a poorly done discogram does not yield any useful information.