Monthly Archives: December 2013

Pain Management Uses Occipital Nerve Block Injections To Treat Headaches Migraines

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by Nevada Pain

An occipital nerve block is an injection that occurs at the top of your neck where it joins to your skull. This is an outpatient procedure and offers excellent relief of pain from a number of different types of headaches, migraines, and occipital neuralgia. The pain relief can last for a number of months and it will decrease both the pain and the number of times the headaches occur.Headache Specialist Las Vegas

The occipital nerve starts on both sides of your neck at the back close to your skull. The lesser occipital and greater occipital nerves are found on both the left and right side of the neck, and it provides the sensation to the back of your head; however, it doesn’t have any motor skill function. When it becomes inflamed, it can cause painful headaches that usually occur on one side or the other.

Occipital Nerve Block Injections for Headache and Migraine Pain

Occipital nerve block injections can help a number of different types of headache. They are designed to reduce the level of pain you have that is originating from the occipital neuralgia, which will generally be responsible for pain on one side. The occipital nerve block injections have been shown to be highly effective in the treatment of cluster headaches, cervicogenic headaches and migraines.

How the Occipital Nerve Block Injection is Done

The injections are done at a Las Vegas Pain Management office. You will receive an injection in the most tender area. Usually the skin is numbed before the injection is done. The pain management doctor in Las Vegas injects the medication and often there is some cortisone included to help increase the pain relief. Sometimes phenol is used as it provides longer lasting relief.

Occipital Nerve Block Outcomes

Occipital block Las VegasResearch has shown that with cervicogenic headaches the success rate is more than 95% for relief of pain for 6 months. (Pain Pract 2006). Another study shows that 85% of those with cluster headaches were pain free for 1 to 4 months. (Pain. 2005).

The repeat of the treatment when the original wears off should continue to provide relief.

The Risks of Having Occipital Nerve Block Injections

The risks are very low but with any treatment, there is always some risk. There is a small risk of bleeding. Should the needle go too deep it might cause a spinal fluid leak, but this is highly unusual.

If you are on blood thinners, you will need to stop taking them about a week before your surgery. Your doctor will tell you when to discontinue all or some of your medications.

If you or someone you know suffers from migraines, occipital neuralgia or cluster Las Vegas pain managementheadaches the occipital block can help and lasts 3 to 6 months. If the occipital nerve block works but wears you’re your Pain Management Doctor can give you another injection or you might also have a radiofrequency ablation procedure, another very helpful treatment.

Don’t suffer with your headaches see a pain management doctor today to learn what can be done to eliminate your pain. Nevada Pain offers headache specialists in the greater Las Vegas, Henderson, Enterprise and Summerlin areas. Over 50 insurances are accepted, call (702) 323-0553 for more information and scheduling today!

Pain Management For Chronic Arthritis Pain

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Pain is the main symptom of many conditions and arthritis is one of them. It can increase during a flare up and then subside at other times. However, for anyone who is dealing with chronic pain it never goes away.

The nerve endings are normally responsible for sending pain signals up through your spinal cord to your brain, where pain is perceived. It’s important that arthritis sufferers find ways to manage their pain.

All pain is not the same. There is acute pain and chronic pain. Pain is defined as chronic if it lasts for more than three months and it is persistent or intermittent lasting more than 12 hours a day.

The Pain Cycle

Pain means something different to different people. Not everyone experiences pain the Pain Management Doctors In Las Vegassame way. What works for one person won’t work for someone else. Medications are just one factor in your overall strategy in coping and reducing your pain, daily living activities, improving your function, and dealing with emotional stress caused by chronic pain.

Pain cycle = Disease pain leading to tense muscles to stress to fear/anger/frustration to depression to fatigue.

Managing Pain

Understanding the pain cycle helps you to recognize there are different ways to break it. There are a few cognitive techniques that are be used to help you manage your pain.

1.    Distraction – Can be used for short painful outbreaks like when you climb the stairs or open a jar. The mind is unable to focus on more than one thing so if you can get your mind focusing on something else it can distract it from the pain.
2.    Reduce Your Stress – Reducing the amount of stress you are under will help to manage your pain. Guided imagery, deep breathing and vivid imagery are ways to help lessen the stress in your life.
3.    Relax Your Muscles – The less tense your muscles the less pain in your joints. Releasing tension in your muscles can help you to sleep better.
4.    Manage Your Fatigue – Pain can tire you out and cause fatigue to increase. Fatigue management will help you break the pain cycle by rejuvenating your mind and body. Getting a good night’s sleep is a good place to start.
a.    Establish a ritual at bedtime and always do things in the same order every time
b.    Try to go to bed at the same time every night and get up at the same time.
c.    Never put pillows behind your knee(s) as it can cause blood flow restriction.
5.    Physical Activity – The pain may make you want to avoid physical activity but if you establish a regular routine, you will be able to improve your flexibility, energy and strength, which in turn can help to reduce your pain.
6.    Complementary and Alternative Therapies – There are many therapies that you can Pain Management Las Vegasuse such as herbal remedies, acupuncture, chiropractor, massage, etc. These treatments can help to reduce your pain significantly.
7.    Hot and Cold Therapy – Hot packs, warm showers or baths can help to relax your muscles. Cold can help to reduce inflammation.

Your Pain Management Team

Pain isn’t easy to manage and getting it under control yourself, so having a pain management team working with you can be very effective.

Overview of Topical Pain Medications at a Las Vegas Pain Clinic

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One area of pain management that is growing exponentially is the use of topical pain medications. Essentially this involves either applying a patch, a gel, or a cream to the area overlying pain and having it absorbed through the skin relief.Pain patch

This does not refer to pain patches that have a goal of getting the medicine into the bloodstream such as a fentanyl patch. In fact, the goal of topical pain medications is to have as little as possible get into the bloodstream, with the bulk of the medication going into the area of pain only.

The benefits of topical pain medication include the fact that less side effects are seen since not much gets into the bloodstream. In addition, it is possible for the medications to reduce the amount of oral pain medications necessary for relief.

The most common type of topical pain medication involves nonsteroidal anti-inflammatories. There are now FDA approved options such as diclofenac and Voltaren which have been shown to work extremely well for joint arthritis and soft tissue injury.
In addition, published studies have shown that the topical medications are able to achieve a higher local concentration in joints and soft tissues when compared with oral medications of the same variety.

Another type of topical pain medication is lidocaine patches. Patches are able to numb the area with a slow release of the numbing agent, and the patch lasts for approximately 24 hours before needing replacement.

A third option for topical pain medication includes capsaicin. Capsaicin is made from chili peppers and works as an irritant, inhibiting the transmission of pain. The effect is a hot, slightly burning sensation that can reduce the overall pain in the area dramatically. There Pain Clinics in Las Vegasare really no side effects from topical capsaicin.

Dexamethasone is a topical medicine that can help with pain control as well. It is typically useful in the therapy setting where an instrument can push the steroid into the soft tissues. This is typically called iontophoresis and otherwise, dexamethasone has minimal usefulness with hand placement on the skin.

Arnica is an herbal agent that is sometimes used in topical pain creams. There have been published studies showing that Arnica can work very well for joint osteoarthritis.

Usually, topical pain medicines are ordered by pain management doctors through a compounding pharmacy. The lidocaine patches however, are simply available in a box as a prescription.

Overall, topical pain medicines have dramatically increased in popularity for pain Back Pain Doctor Las Vegasmanagement for numerous reasons. With their low risk profile, high effectiveness, and ability to decrease the normal amount of pain medicine required by mouth, topical pain medicines will continue to increase for pain relief.

The Nevada Pain Network connects those in need with the top Pain Management Doctors in Las Vegas. The Network offers Board Certified Las Vegas pain doctors, Las Vegas chiropractors, physical therapy, spinal decompression therapy and acupuncture.

Over 50 insurances are accepted at several locations. Call (702) 323-0553 for more information and scheduling today!

Five Things to Consider Before Undergoing Elective Back Surgery

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Close to 1 million back surgeries are performed each year now in United States. The majority of them are elective, meaning that it is a quality-of-life decision to undergo the procedure and not an absolute necessity.

There are multiple factors to consider when making the decision to undergo back surgery. Here are Five of them.

1. The first consideration is whether or not to seek a second opinion. Spine sBack Pain Las Vegasurgery is never a decision to be taken lightly. Therefore, give some serious thought as to whether or not a second set of qualified eyes on your situation would be in your best interest.

Three things may occur from this second opinion. One would be whether or not the surgeon feels like the procedure is indicated. The second thing that may occur is the surgeon may feel like surgery is indicated but a different procedure and what has been planned would be the best option.

And the third thing that could happen is the surgeon feels like you should have the procedure that has been offered. Whichever occurs during the second opinion, at least it will help to have a second set of eyes looking at your situation.

2. The second consideration is to consider whether or not all attempts at conservative treatment have been tried. Because there are risks associated with spinal surgery, considerable nonoperative treatments should be tried first.Back Pain Specialist Las Vegas

This may include physical therapy, Las Vegas Chiropractor treatment, pain medications, interventional Las Vegas Pain Management treatments and maybe even acupuncture. The point is that you want to be able to look at yourself in the mirror down the road and say that you truly tried everything possible before undergoing the procedure.

3. A third consideration prior to undergoing back surgery is a risk assessment. There are quite a few risks associated with some spine procedures, whereas, others have just a few. However, no procedure is risk-free and a risk tolerance needs to be evaluated prior to signing up.

For instance, adult scoliosis procedures have a very high complication rate at over 50%. The risk of complications with a simple laminectomy are well under 5%. Regardless, be sure to listen very closely when your surgeon is describing the risks and benefitScoliosis treatment Las Vegass of the proposed procedure.

4. Another consideration prior to undergoing back surgery is a reality check on the potential outcomes. While a small percentage of back surgery outcomes are akin to a homerun in baseball, more often than not the outcome would be a double.

This would mean that in the case of degenerative disc disease, a spinal fusion or disc replacement may accomplish 50% pain relief as opposed to complete relief.

For a procedure like adult scoliosis correction, you may obtain 50% pain relief as well. Rarely, do these procedures provide 100% relief.

For instance, when the FDA study was performed looking at spinal fusion versus artificial disc replacement, over half of the patients in both groups were still taking narcotics over a year after the procedures.

5. The fifth thing to keep in mind prior to undergoing back surgery is the timing. Since these are Pain Clinics Las Vegaselective procedures, they can be scheduled when an individual has time off from work or the best time and is it her life to accomplish the necessary time for rehab.
A procedure for degenerative disc disease will require at least 6 to 12 weeks of healing, whereas, an adult scoliosis procedure will take 6 to 9 months to fully recover.

With these five considerations, patients will be able to truly establish whether or not back surgery is in the best interest. At that point people will be able to look at themselves in the mirror and say they made the right decision even if a complication occurs.

The top pain management doctors in Las Vegas are with the Nevada Pain Network. Award Winning and Board Certified, the doctors work at Henderson and Las Vegas pain clinics that offer both medical and interventional pain management.

Over 50 insurances are accepted, with multiple clinics for convenience. This includes personal injury doctors in Las Vegas, Workers Compensation claims, PPO’s, Medicare and more.

Call (702) 323-0553 for more information and scheduling today!

Pain Management For Chronic Pelvic Pain

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If you suffer from chronic pelvic pain:

• That is not related to your menstrual cycle

• That’s in the abdominal wall at or below the umbilicus

• That you have had for more than six months

• That is severe enough to require medical condition or leave you unable to function at a normal level

You need to help with pain management and the best way to get that is from a Pain Management Clinic.

Symptoms Include:

• Dull ache
Spinal Cord Stimulator Las Vegas• Intermittent or steady pain that’s severe
• Cramps
• Sharp pain
• Pressure deep in your pelvis
• Pain when urinating or with a bowel movement
• Pain when sitting for long periods
• Painful intercourse

Chronic pelvic pain may be a symptom of another condition or it may be its own condition. It can be extremely difficult to determine what the underlying cause of chronic pelvic pain is.

Causes of Chronic Pelvic Pain:

• Fibroids

• Chronic Pelvic Inflammatory Disease

• Endometriosis

• IBS

• Ovarian remnant

• Pelvic floor muscle tension

• Interstitial cystitis

Around 4% of American women suffer from chronic pelvic pain. It is responsible for 40% of gynecologic laparoscopies and 18% of hysterectomies. In the USA more than 400,000 laparoscopies are tied to endometriosis or chronic pelvic pain. However, there are negative findings 40% of the time.

Pain Management for Chronic Pelvic Pain

There are a number of treatments your doctor may include as part of your pain management. He or she may use one or more of the treatment options.

• Pain Medications – OTC pain remedies, such as aspirin, ibuprofen, or acetaminophen are the first line of defense in chronic pelvic pain but if you are already at the doctor it’s spinal decompression therapylikely that these will not work. Prescription pain reliever are likely to be more beneficial. There are different strengths and your doctor will determine which medications to try first. This may require some experimenting to find the best one.

• Hormone treatments – If your pelvic pain matches a certain part of you menstrual cycle and in these cases hormonal treatment may bring relief for chronic pelvic pain.

• Antidepressants – Tricyclic antidepressants can help with chronic pain.

• Antibiotics – If your doctor suspects an infection may be responsible for your pelvic pain, he/she may prescribe an antibiotic treatment.

• Neuro-stimulation – A device in implanted to block nerve pathways so pain signals aren’t able to reach your brain.

• Trigger Point Injections – If your doctor finds a specific point for your pain, you might benefit from injections into the painful area.

• Surgery – Your doctor may decide that surgery is the best option for your chronic pelvic pain, but this is always the last choice and may include a hysterectomy or laparoscopic surgery.

Optimizing Pain Management

Your pain management may involve a combination of treatments that lead to pain relief. It’s always best if the underlying problem can be found and addressed, but far too often with chronic pelvic pain, this simply doesn’t happen. In these instances pain management becomes the focus.

Spinal Cord Stimulator Implants – How They Have Evolved

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SCS (spinal cord stimulation) is a procedure that treats chronic pain, which involves the use of electrical currents. A small generator administers pulses in the back through an implantation procedure. Spinal Cord Stimulator Las Vegas

The procedure is quick and is typically done under a sedative or even anesthesia. This generator will send electrical pulses to the spinal cord, which can alter the way the brain perceives pain signals and provide pain relief. SCS relieves the pain associated with many spinal and back conditions.

The use of the spinal cord stimulator implants is one of the quickest and fastest growing treatment options available for pain relief from chronic back pain sufferers. It is one of the most revolutionary procedures available with Las Vegas Pain Management Doctors as the relief may be long lasting.

The placement of the stimulator is directly related to the type of pain that the patient is feeling. Typically, the stimulator is pre-programmed to send waves of electrical stimulation to the spine.

Most implants now have over 200 different programming options for maximum effectiveness with relief. For those who have failed surgery and have no surgical options, a spinal cord stimulator may be the best option.

Improving the Device: Voltage and Usability

Since the inception of the spinal cord stimulator device, many strides have been made to improve the implant. When the SCS was first introduced to the medical world, it only Las Vegas pain clinicsconsisted of a single channel feature. This meant that the stimulator was only able to put out one level of voltage.

As the need for this device grows, more steps are being taken to improve the device and add to it. New improvements to SCS devices have been made, such as making them multi-channel devices. This means that there are multiple levels of voltage that vary through different contact leads, and the device is no longer one single voltage.

Over time the usability of the spinal cord stimulator device has also improved. The leads are able to be combined with other stylets. This allows the positioning of the electrodes to be more flexible and also helps to position them better through a less invasive method. Additionally, the batteries for SCS devices have been reconstructed to consume less energy.

Pain Management Henderson NVSpinal cord stimulators are rechargeable, which allow patients to get the most use out of them without having to constantly replace them. The pulse width of the device has also been improved, so that it reaches a wider span of the area. Previously, the device could only reach a certain radius, but now, this number has been widened.

Future Outlook

Spinal cord stimulator implants are used to treat chronic pain, especially those people with chronic back pain. Although not many studies have been done about the effectiveness of the device, people who use them report an improvement in their level of pain.

When the SCS implant first came out, it was more of a simple device with a single channel voltage. Nowadays, the device has advanced to cover more voltage ranges, and the amount of voltage is regulated by a pain management doctor.

Even though there have been many advancements made to spinal cord stimulator, there is Failed Back Surgery Treatmentstill room for improvement. Many people who choose this method of pain relief have had a failed back surgery syndrome (FBSS). Additionally, it is used for various orthopedic and neurological conditions that cause spinal cord and back pain.

With time, more advances and improvements are being made to the spinal cord stimulator device. It will take time for new advances and new designs to come out, as doctors and researchers must first decide what requires change.

One of the many beneficial features that could be added to the SCS is the ease of controlling the voltage. Maybe at some point, the voltage can be patient controlled. Once Pain Management Las Vegasthe device has been perfected, it can become one of the favored treatment options for people suffering from pain.

The Nevada Pain Network offers pain doctors that are Board Certified and Award Winning. Both medical and interventional Las Vegas pain management is offered, with over 50 insurances being accepted.

There are multiple clinic locations for convenience, call (702) 323-0553 for more information and scheduling today!

Getting Help With Chronic Pain Management

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Chronic pain can be the result of many different conditions. The cause of the chronic pain may different but the frustration in getting help is the same. Chronic pain isn’t always as simple as handing out a pill and getting results. Chronic pain involves a set of problems that can be complex that include emotional, cognitive, physical, environmental and social factors. Pain Management needs to look at the whole picture in order to be successful. Pain management clinics are designed to do that. So if your doctor isn’t getting you the pain relief you need for your chronic pain, consider a request to a pain management clinic.

Pain management includes not just treating the pain but learning strategies and ways that Sciaticacan help you to live with your chronic pain. Your pain management should draw on the resources of many professionals to create the best treatment plan for you. Your pain management team will be made up of a diverse number of inter disciplinary health care professionals that will work together to ensure that you receive a comprehensive pain management regime that works.

Let’s look at some of the treatment options that your pain management team might incorporate.

•    Occupational Therapy – The focus of occupational therapy is look at the various aspects that allow you to function in a ‘normal’ or as close to normal manner. This includes social, physical, spiritual and emotional manner and your occupational therapist will work alongside all of the providers of these services to ensure you receive what you need from each of these areas.

•    Fitness – When a person is suffering from chronic pain, fitness can often become overlooked. However, it can play an important role in the management of your pain. Your physiotherapist will focus on teaching you ways to exercise that can help to bring you relief. If it applies, you will also be taught ways to strengthen your muscles to support surrounding joints and reduce pain. For example, this can be especially helpful with back pain.

•    Medication Management– It’s important that you are taught about the risks and benefits of your medications, and that you are know how to get the maximum benefits from your medications. The pharmacist will help to educate you and they will also ensure they are aware of your medication history and any potential interactions.

•    Social Work – Your family is often impacted by your chronic pain. There can be loss of income, disruption in routines, changes to living situations, communication problems, and much more. Chronic pain can take its toll on your family and part of the Pain Management Clinic’s duties is to address family issues.

•    Psychology – The psychologist is there to help you deal with the emotional cost of Las Vegas pain managementhaving to deal with chronic pain. Many patients don’t even realize the toll it is taking on them emotionally until they’ve had a chance to speak with a psychologist, who will give you tools to help you cope better.

•    Relaxation Therapy – Chronic pain may be part of your reality and learning how to feel calm and peaceful is very important in reducing stress and calming the sympathetic nervous system, which in turn can increase your pain.

•    Nutrition – You are what you eat, and eating the right foods can actually help with reducing your pain. You’ll be taught what foods can make pain worse, which ones can help and how to stay healthy to help you stay strong.

Pain management involves taking a complete approach so that you get the maximum relief of your chronic pain.

Pain Management Doctors Treat Rheumatoid Arthritis

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Rheumatoid arthritis is a painful condition that can make it hard to do day-to-day activities. While rheumatoid arthritis pain medications can help it usually isn’t enough to take the pain away, which is why those with rheumatoid arthritis often find themselves referred to Pain Management Doctors to help gain control of their pain so they can enjoy quality of life again.

Pain management doctors are trained to deal with chronic pain and they generally work in Pain Management Doctors In Las Vegasconjunction with a number of professionals in the pain management clinic to ensure you get the best possible treatment plan.

There have been a number of rheumatoid arthritis studies done and one thing that many of them have shown is that early intervention is imperative for the best chance at a positive outcome. Studies have shown that when there is therapeutic intervention it results in less joint damage and less pain.

Many patients begin with using ibuprofen or prescription NSAIDS. COX-2 inhibitors are also used to reduce swelling and pain. If your rheumatoid arthritis is moderate – severe your pain management doctors will often prescribe prednisone, which also decreases swelling and pain.

Disease Modifying Anti-Rheumatic Drugs (DMARDS) are used for long term rheumatoid arthritis treatment. This includes medications like methotrexate, hydroxychloroquine, leflunomide and sulfasalazine, which can be used long term and glucocorticoids which can be used short term. Your pain management doctors might also decide to use Biologic injections.

Your treatment will vary from person to person depending on your personal symptoms and level of pain. In addition to the use of medications your pain management doctors may prescribe exercise, accupressure, acupuncture, massage therapy, physiotherapy, behavior modification, nutrition, and TENS.

It is important that you have an open dialogue with your pain management doctors to discuss how treatment is working or not working, where improvements can be made and any questions you might have.

In addition to the treatment plan your pain management doctors have put together there are some things you can do that can help to relieve your pain. Being in constant pain can affect you emotionally leading to anger, anxiety, depression and frustration. Make sure you deal with both the physical and mental challenges.

Joining a local rheumatoid arthritis group can be really helpful. Here you’ll meet others who are going through something similar to what you are experiencing. You will feel less alone.

Eating a well balance diet with plenty of the right fruits and vegetables will help to make Pain Management Las Vegassure you are getting the most nutrients and that you are avoiding foods that can aggravate the inflammation. In addition, you should drink in moderation, if you smoke stop, and get the emotional support you need.

Exercise can also be helpful in making your joints feel better. However, before you start an exercise regime you should talk with your pain management doctors. Always take it slow and don’t overdo it and you’ll enjoy the benefits.

Rheumatoid arthritis is an autoimmune disease that is not going to go away, which is why you should see a pain management doctor and get the type of help you need. You shouldn’t have to live with the pain of rheumatoid arthritis.

Nonoperative Treatment Options for Spinal Stenosis

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Spinal stenosis is a condition where the open spaces within your spine become narrowed. This leads to pressure placed on the nerves throughout the spinal cord. Spinal stenosis can lead to inflammation and pain in the neck, middle back, and lower back region.

Spinal stenosis, which occurs with aging, may or may not cause any symptoms. This Spinal Stenosis Treatmentdepends on the severity of the condition itself. Spinal stenosis is detected through an MRI image of the back and spinal cord area.

Symptoms of Spinal Stenosis

Symptoms of spinal stenosis in the lower back include cramping of the legs, which is worsened when you walk or stand for a lengthened amount of time. Symptoms of this condition in the neck include weakness and numbness in the hand, arm, or elbow. With the right type of treatment, spinal stenosis can be controlled and the pain can be reduced without the use of surgery.

These treatment methods are all nonoperative options for people suffering from spinal stenosis. The symptoms of spinal stenosis may not be noticeable at first but if left alone long enough, spinal stenosis will begin to show symptoms. The symptoms can range from mild to severe and any patient suffering with symptoms from the condition will typically want to seek treatment for relief of the pain and inflammation.

Medications

There are a variety of medications used to control the pain associated with spinal stenosis. Pain Clinics in Las VegasThese include:

  • NSAIDS – Also known as nonsteroidal anti-inflammatory drugs, NSAIDS are able to help relieve the pain and symptoms of spinal stenosis. These medications are purchased over-the-counter and include things such as Aleve, Tylenol, Advil, and Ibuprofen.
  • Antidepressants – Amitriptyline is an antidepressant medication used to treat other symptoms of spinal stenosis. This medication works by alleviating nerve pain.
  • Opioids – These types of medications must be prescribed from your doctor and include Percocet, Oxycontin, and Vicodin. They work by blocking pain signals.
  • Anti-seizure medication – Anti-seizure medications reduce the pain in the spine caused by any extensive damage to the nerves. These medications include Lyrica and Gralise.
  • Muscle relaxers – Muscle relaxers will help alleviate pain associated with spinal stenosis by relaxing the muscles of the back.

Activity Modification

Activity modification is a successful nonoperative treatment for spinal stenosis and involves counseling the patient on what activities he or she should avoid. Activities that aggravate the spinal stenosis should be avoided to prevent any adverse reactions. Some examples include avoiding flexible chairs like recliners and walking with the spine erect to avoid stress on the vertebral column.

Physical Therapy

Physical therapy is a nonoperative treatment used to treat spinal stenosis. This type of treatment is administered by a physical therapist, who teaches patients how to exercise to relieve back pain. Throughout physical therapy patients will learn how to regain balance, increase their strength and endurance, and also maintain the Epidural Injections Las Vegasstability of their spine.

Epidural Steroid Injections

Epidural steroid injections are used to help alleviate pain caused from spinal stenosis. The injection is typically a cortisone injection that is placed near the spine similar to an epidural.

These injections are best suited for people who are suffering from significant symptoms due to pinched spinal nerves such as sciatica, cramping and aching. These injections are typically administered as a series of three procedures for optimal results. They can be repeated every few months.

The pain relief from epidural injections for spinal stenosis is excellent in over 75% of patients. Published studies have shown this repeatedly.

Spinal Decompression Therapy

Decompression therapy involves intermittent spinal traction. This treatment helps open up the areas between the vertebrae, encouraging oxygen and blood flow to come in for healing.Spinal Decompression Therapy Las Vegas

Spinal decompression therapy may provide pain relief for months at a time. The treatment can provide space for the pinched nerves to help with pain relief.

The top Pain Management Doctors in Las Vegas offer these treatments for spinal stenosis. These Las Vegas pain clinics are able over 90% of the time to help patients avoid the need for surgery, as it is an elective condition.

The Nevada Pain Network helps connect those in pain with pain management Las Vegas trusts. The Las Vegas pain doctors accept over 50 insurances including Workers Compensation, PPO’s, Personal Injury and self pay.

Call (702) 323-0553 for more information and scheduling today!

What are the Options with Failed Back or Neck Surgery?

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When pain is experienced in the back or neck, there are often methods of treatment used prior to using surgery to correct the issue and provide the patient with pain relief. Often, Neck pain Las Vegasthe Las Vegas Pain Management Doctor working with the patient will  use pain medication, muscle relaxers, or steroids to alleviate symptoms, but this does not always work.

Although surgery can be quite effective in treating neck and back conditions, at times the surgery can fail and cause symptoms to reoccur. If back or neck surgery should fail, the options available to the patient will then depend upon their individual case.

Treatments for Failed Back or Neck Surgery

There are a few different reasons why the patient may need additional treatment after having neck or back surgery.

  • Removal of scar tissue – At times, scar tissue may develop in the area where the surgery was done. This issue can aggravate the nerves in the area, which will result in painful sensations within the neck or back. If the pain is caused by the scar tissue in the area, and is not due to problems with the nerves, removing the tissue may be effective in treating the condition. However, if the tissue is not the direct cause of the pain, removing the tissue can actually make things worse.

Even if scar tissue is the source of pain, removal may only be temporarily helpful. The reason is scar tissue often comes back again.

  • Nerve irritation – If the pain that is experienced is due to problems with the nerves in the area, sometimes steroid and anesthesia treatments are used in order to numb Back Pain Las Vegasthe nerve ending and provide pain relief. The patient may also be provided with physical therapy, which can improve the area of the body that is experiencing the pain. Also, the use of Neurontin, a unique medication, may be given to the patient for a short-term period while the scar tissue heals.
  • Bone collapse – Other than issues with the tissue and nerves, sometimes neck and back surgery does not work due to the body’s inability to heal the area. A bone in the body that is given new support can collapse overtime and cause the surgery to be ineffective. When this occurs, the patient may require another surgery with hopes of better results, or he or she may need to use pain management in order to deal with the issue.

This failure means the bones did not fuse. In these cases, it may mean a revision surgery may be in order to help the bones fuse. This problem is more common in smokers and those who have an immune condition such as lupus.

  • Pain management – Because of the fact that surgery is often the last resort, there are limited options available to those who have the neck or back surgery fail. However, with the right method of pain management, the patient can deal with the discomfort.

Pain Management for Failed Back Surgery and Failed Neck Surgery

Pain management is used to control the level of pain a patient experiences on a daily basis. Pain medicine allows a person to live life comfortably after neck or back surgery has failed. There are pain clinics in Las Vegas which focus solely on the use of pain Pain Clinic Las Vegasmanagement, and the healthcare professionals help control the patient’s level of pain.

Generally, the pain specialist prescribes narcotic pain medication, along with other medications, to treat the pain associated with failed back surgery or failed neck surgery. The type of narcotic depends upon the patient’s response to the treatment, and what is effective for one person may prove to be ineffective for others.

In addition to pain medication, Pain Management Doctors in Las Vegas are often able to use interventional procedures. This may include facet injections, medial branch blocks, epidural steroid injections and radiofrequency ablation. An individual may have pain Las Vegas pain managementcoming from the adjacent level seeing increased stress.

As a last resort, if there is not an indication for further surgery then a spinal cord stimulator implant may help considerably. The implant does not cure the problem causing pain, but it can comfortably mask the pain substantially. The device is low risk and implanted as an outpatient.

The Nevada Pain Network connects those in pain with pain management Las Vegas trusts. Over 50 insurances are accepted including PPO’s, Workers Compensation, Personal Injury and Self Pay.

If you or a loved one is suffering from severe pain after neck or back surgery, call (702) 323-0553 for more information and scheduling today!