Pain Management & Headache

Services Offered

• Cryoablation: Cryoablation therapy also known as Cryotherapy is a new form of long-term pain relief in interventional pain management settings. This technique involves the controlled application of freezing temperature to temporarily block the nerve that is transmitting pain to the brain. We use cryoablation for a variety of types of pain, most often in the nerves outside the brain and spine (called peripheral nerves). Benefit of Cryoablation therapy include minimal invasiveness, shorter recovery times, reduced risk of infection and the ability to target specific areas with precision.

• Peripheral Nerve Stimulation (PNS): Peripheral Nerve Stimulation (PNS) is a medical device used to provide electrical stimulation to peripheral nerves in the body. This type of neuromodulation therapy is employed to manage various medical conditions and chronic pain by altering nerve activity. The device typically consists of an electrode or a set of electrodes that are placed near specific peripheral nerves, along with a stimulator unit. The stimulator unit delivers controlled electrical pulses to the nerves, which changes the way the brain perceives the pain and provide relief. PNS is considered a relatively safe procedure that is often used to manage chronic pain conditions, such: neuropathic pain, complex regional pain syndrome (CRPS), shoulder and knee pain, groin pain or nerve damage after surgery, chronic back pain and more.

• Spinal Cord Stimulation (SCS): A spinal cord stimulator (SCS) is a medical device used to alleviate chronic pain by sending electrical impulses to the spinal cord, which interfere with the transmission of pain signals to the brain. This is another type of neuromodulation that is commonly employed when other conservative pain management techniques have failed to provide sufficient relief. The device consists of a small implanted pulse generator, called a stimulator, and thin wires called leads that are typically implanted under the skin.  An external remote control is used by the patient to adjust the settings of the stimulator. Patients can turn it on or off, adjust the intensity of the electrical impulses, and choose different programs or patterns of stimulation. Before the permanent implantation of the device, patients typically undergo a temporary trial period where the leads are placed on the spinal cord for a few days. This trial helps determine if the SCS provides adequate pain relief and if the patient finds the paresthesia sensation tolerable. SCS can be used to treat patients with severe, chronic pain due to a variety of conditions, including failed back surgery, arachnoiditis, neuropathic pain, neuropathy and complex regional pain syndrome/reflex sympathetic dystrophy.

• Dorsal Root Ganglion Stimulation (DRG): Dorsal Root Ganglion (DRG) stimulation, also known as Dorsal Root Ganglion neurostimulation, is a relatively new medical procedure used to manage chronic pain in specific areas of the body. It is a type of neuromodulation therapy that targets the dorsal root ganglion, a structure located along the posterior (dorsal) side of the spinal cord. DRG stimulation involves the placement of a specialized neurostimulator device near the dorsal root ganglion. Similar to traditional Spinal Cord Stimulation, this device delivers mild electrical impulses to the affected sensory neurons, modulating their activity and changing the way pain signals are transmitted to the brain. DRG stimulation is considered a more targeted approach compared to traditional spinal cord stimulation (SCS) because it allows for specific pain relief in a particular region of the body.

• Epidural Steroid Injections (ESIs): An epidural steroid injection (ESI) is a medical procedure commonly used to relieve pain and inflammation in the spinal region. It involves injecting a corticosteroid medication and sometimes a local anesthetic into the epidural space, which is the space surrounding the spinal cord and the nerves that exit the spinal cord. The primary goal of an epidural steroid injection is to reduce inflammation and provide pain relief for conditions that affect the spinal nerves, such as herniated discs, spinal stenosis, and degenerative disc disease. The procedure is often considered when more conservative treatments like rest, physical therapy, and oral medications have not provided sufficient relief.

• Medial Branch Blocks (MBB): A Medial Branch Block (MBB) is a medical procedure used to diagnose and manage pain originating from the facet joints in the spine. When these facet joints become inflamed or irritated, they can cause localized back pain, neck pain, or pain in the extremities, depending on the specific joint affected. A medial branch block can help identify whether these facet joints are the source of the pain and can provide temporary pain relief. If the block provides substantial pain relief, it can be an indicator that the patient may benefit from a more long-term solution, such as a radiofrequency ablation (RFA) procedure.

• Radiofrequency Ablation (RFA): Radiofrequency ablation (RFA) is commonly used in pain management to treat chronic pain conditions, particularly those arising from the joints and nerves. A device is used to deliver an electrical current and heat to the small nerves of the spine and joints; by ablating the targeted nerve, the transmission of pain signals from the affected area to the brain is interrupted, leading to pain relief. The goal of RFA in pain management is to provide long-lasting relief to patients suffering from chronic neck and back pain as well as patients suffering from knee, hip and shoulder pain due to arthritis.

• Cooled Radiofrequency ablation (COLIEF): Cooled Radiofrequency Ablation is an advanced medical technique used in pain management to treat chronic pain conditions. It is an innovative variation of traditional radiofrequency ablation (RFA) that involves cooling the electrode during the procedure to enhance its precision and efficacy. This minimally invasive treatment targets nerves that transmit pain signals, and it is the first and only radiofrequency treatment FDA-cleared for the relief of osteoarthritis knee pain.

• Transdiscal Biacuplasty: Transdiscal Biacuplasty is a minimally invasive medical procedure used to treat chronic back pain particularly arising from the intervertebral disc in the spine, or “lumbar discogenic pain”. Transdiscal Biacuplasty involves the use of specialized instrument to deliver controlled thermal energy to the outer part of the disc between the lumbar spine vertebrae. This process aims to reduce nerve sensitivity and interrupt pain signals.

• Stem cells: Stem cells have shown promising potential in the field of pain management, offering a regenerative approach to treating certain conditions such as, neuropathic pain, discogenic back, osteoarthritis, and musculoskeletal pain. Stem cell therapy is a procedure that uses a person’s own healing capacity to treat the degenerative disc disease and the arthritis. Cells are harvested from the person’s fat tissue and then injected into the discs and the facet joints.
• Platelet-Rich Plasma (PRP): Platelet-Rich Plasma (PRP) treatment has been gaining popularity in pain management and various medical fields. PRP is a form of regenerative medicine that uses a patient's own blood to promote healing and tissue regeneration. PRP treatment is commonly used for joint or tendon pain caused by acute injury or by overuse. It has been found effective in managing pain due to osteoarthritis, tendonitis, ligament injuries, and other musculoskeletal issues. It may also be utilized in managing certain types of chronic pain.

It is important to consult with our qualified medical professional to determine which treatment is appropriate for your specific medical condition and develop personalized pain management strategies.

Conditions We Treat

• Chronic headache and facial pain
• Cervical & Lumbar degenerative disc disease
• Chronic abdominal pain
• Chronic back pain
• Chronic joint pain including Knee, Shoulder, hip pain and osteoarthritis
• Chronic neck pain
• Chronic pelvic pain
• Complex Regional Pain Syndrome CRPS
• Failed back surgery syndrome
• Myofascial muscle pain
• Neuropathy including diabetic neuropathy
• Osteoarthritis of the spine
• Pain after peripheral nerve injuries
• Sciatica
• Shingles pain and post herpetic neuralgia PHN
• Spinal Stenosis
• Painful Spasticity and Dystonia
• Post Stroke Complications
• Cancer-related pain