All posts by Nevada Pain Clinic

What Is Diabetic Neuropathy?

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Diabetic neuropathy is essentially the nerve damage that occurs because of problems associated with diabetes mellitus. About 60% to 70% of diabetic patients have some degree of neuropathy. The complications occur in both diabetic populations: type 1 and type 2 patients. The most common type of neuropathy is sensory neuropathy where sensations to the lower extremities decrease. This can lead to loss of protective sensation and results in the worse-case scenarios, lower leg amputation. Sensory neuropathy is sometimes referred to as “stocking-glove neuropathy.” Characteristics include:

•    Loss of sensation

•    Abnormal sensations (paresthesias)

•    Pain

The pain, which is described as burning or cramping can be worse at night. The Diabetic Neuropathyparesthesias may be tingling, burning and itching sensations. The diabetic with sensory neuropathy may feel the sensation of walking on pillows. At times the skin becomes extremely sensitive where even the touch of the bed sheet cannot be tolerated. Complete or partial loss of sensitivity to temperature and touch is common. Foot care is very important because of the possibility of foot injury without the diabetic’s knowledge that the foot had been injured.

The following are recommendations when doing proper diabetic foot care:

– Wash feet daily with mild soap; do not use hot water. Test the water with hands.

– Pat feet dry; ensure the toes are dried in between thoroughly.

– Examine the feet every day for cuts, blisters, sores or other types of problems. Do not depend on “feeling” for them. Use a mirror if needed to see bottoms of feet.

– Use lotion on feet to keep them from drying out, however, do not get lotion in between the toes. Moisture caught between the toes will cause the skin to break down.

– Do not sure over-the-counter remedies for corns or calluses.

– Never use iodine, rubbing alcohol, or strong adhesive tape or bandages.

– Cut toenails straight across even with the rounded contour of the toes. Do not cut down corners. Best time to trim is after a bath or shower.

– Any toes that are overlapping can be separated with cotton.

– Do not use hot water bottles or heating pads. Wear socks to keep feet warm.

– Wear appropriate shoes; no open-toe, open-heel, or high-heel shoes.

– Do not go barefooted.

– Do not wear clothing that cuts off the circulation to the extremities.

– Exercise feet daily by walking or if unable to walk, move feet by flexing and extending feet. This will facilitate blood flow to your lower extremities.

– Do not cross legs; Do no stand or sit for prolonged amounts of time.

It is best to avoid neuropathic problems by addressing the issues as early as possible. Control of blood glucose is the number one way of helping diabetic neuropathy.

Treatments that may be initiated to help diabetic neuropathy are:

– Pain medications

– Neurologic modulating medications

– Laser Treatments

– Regional Nerve Blocks

– Tricyclic Therapy

– Nutritional Supplements

Pain center Las Vegas– Spinal Cord Stimulation

5 Things You Should Know About – Complex Regional Pain Syndrome

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What is CRPS?

Complex regional pain syndrome (CRPS) is where chronic pain presents itself in the following locations: an arm, hand, foot, or leg). This occurs after the area had been injured or there has been trauma. There is damage or malfunctioning of the peripheral and central nervous centers with a CRPS diagnosis. This means there will potentially be brain and spinal cord involvement as well as the nerves of the body. What results is pain that is prolonged and unbearable, with changes in the skin color, temperature, and possible swelling in the affected extremity. Symptoms are variable in the duration and the severity of CRPS.

•    There are two kinds of CRPS—CRPS-1 and CRPS-2. They both have similar symptoms but CRPS-II is noted to have confirmed nerve injury. The disorder can occur at any age or gender, however, rare in children under the age of 10 and the elderly. The average age is 40 years old.

•    The key symptom that shows the practitioner that CRPS is the problem is prolonged pain that will not go away. It will feel like “pins and needles” or something has their limb in a vice. The pain may spread beyond the initial area or travel to the opposite extremity. Allodynia, or increased sensitivity in the affected area, can cause extreme discomfort when even the lightest touch is unbearable.

•    Early treatment of complex regional pain syndrome is important to avoid more Pain clinic Las Vegasdisabling signs and symptoms, such as tissue wasting and contractures. If you are not moving a limb as much because it hurts to move it, your bones and muscles will not be stimulated enough. This will cause them to weaken and deteriorate. Your muscles will tend to tighten as well and you will have difficulties getting your extremities to straighten and bend as they should.

•    There is no single test that will diagnose CRPS, but there are a few procedures that will give the doctor a clue to whether complex regional pain syndrome. Physical and medical histories are important as well as radiological and other types of tests. A bone scan will detect any bone changes. A thermography is used to measure skin temperature and see how much blood flow is going through your limbs. An x-ray is useful to identify any mineral loss from bones. Magnetic resonance imaging (MRI) may show tissue changes that may be caused by CRPS.

There are effective treatments to help alleviate the pain from chronic regional pain syndrome. A sympathetic nerve block relieves the pain of CRPS by injecting an anesthetic in the area of the spine to block the communication of sympathetic nerves. It also improves blood flow.

Pain center Las VegasPain Management Doctors in Las Vegas performs sympathetic nerve blocks as an outpatient procedure. Numbing medication is used to alleviate any pain at the injection site. Intravenous sedation may be used.

Pain Clinics Las Vegas typically uses fluoroscopy which aids in the best needle placement. Contrast dye is used so that nerves are visible in the x-ray. Numbing medication will be injected and phenol that will deaden the sympathetic nerves to reduce pain sensations.

Make an appointment at the leading pain clinic in the area. Nevada Pain accepts over 50 insurances. Let Nevada Pain Clinics In Las Vegas help. With board-certified physicians and state-of-the-art treatment options, success rates are over 95% with the combination of medical and other therapies used
Call (702) 323-0553 for more information.

FAQ’s About Arthritis Of The Foot And Ankle

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As a person grows older, he or she may experience more pain and stiffness in their feet and ankles. This could be attributed to arthritis developing. People tend to ignore the pain until it becomes unbearable. If it isn’t treated in a timely manner, this can compromise a person’s quality of life where it is difficult to walk and do the normal things in daily life. With early treatment, arthritis can be managed so that a patient can continue to live life at the fullest.


What is Arthritis?

Arthritis is a condition that refers to the deterioration of the parts of the joint. Osteoarthritis is the most common type and results from the wearing down with use and is associated with increasing age. When the joint wears down, the area will become inflamed. It will be evident by the swelling, redness, and pain around the joint. Common places that people experience this is in the neck, back, shoulders, knees, and hands, but the feet and ankles can be affected as well.

Rheumatoid arthritis is another type of arthritis that occurs. It is caused by an irritation of the lining of the joint called the synovium. Rheumatoid arthritis will develop in the foot and ankle in people who has had the disease for 10 years or more.

Gout, ankylosing spondylitis,psoriatic arthritis andlupus are other kinds of arthritis.

Who Is At Risk?

There are more than 100 types of arthritis and this condition affects over 46 million adults in the U. S. Elderly people are more susceptible since aging plays a factor in osteoarthritis development. The fact that about 50% of the 60-70 year old age group has arthritis in their feet and ankles without symptoms should be noted. This age bracket will need to be evaluated so that arthritis is found early on before problems arise.

How Do You Treat It?

With the varying types of arthritis, one treatment does not help each one. There is a need to treat the different types by the cause of the arthritis, so proper diagnosis is essential. Proper treatment to the foot and ankle is imperative to prevent any deformity from arthritis.

After taking a complete medical history and physical examination, a patient will have x-rays and laboratory tests done to check to see what type of arthritis is found. A bone scan, CT scan, or MRI may also be used to evaluate the joints.

If it is confirmed that there is arthritis present, anti-inflammatory medications may be given. An injection of steroid, physical therapy, and/or orthotics (like have pads put in the shoes or custom-made braces) could also be part of the treatment for foot and ankle arthritis. If the arthritis is severe, surgery may be needed. This would entail having the joint cleaned or replacing the joint altogether. Rehabilitation would be needed after surgery, and a special shoe or cast may be worn for a while after the cast is removed.

It is important to see a pain management doctor right away if pain is experienced in the foot or ankle, hindering movement and walking. The earlier arthritis is treated, the better the outcome.

What To Expect From Physical Therapy

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A Nevada Pain doctor may prescribe a few weeks of physical therapy for certain patients along with other treatments recommended. Many people do not see the value of physical therapy and see it as a chore to go to multiple appointments every week. However, physical therapy is an important tool in helping patients which their highest potential of reaching normal functioning after surgery or injury. A physical therapist can be the best ally in enabling the body to reach its fullest potential when recovering from an injury, surgery, or illness.

What is Physical Therapy?

Physical therapists are professionals that help their patients improve their mobility and Chiropractormake movement as pain-free as possible. It is their goal to get their patients moving and able to perform daily activities the best as they can. Patients come to them in pain or the inability to move properly. Surgery may have made it impossible to move limbs that had become atrophied from non-use. Physical therapists identify the problems that can hinder optimal movement and work with their patients to improve the motion. It does take several visits to reach the goals set by the doctor and the therapist.

Reasons to Have PT:

•    To avoid surgery and/or medication.

•    Learn more about taking care of your body.

•    Protecting your joints to avoid reinjuring them.

•    Manual therapy.

•    Making your home safe.

•    Using assistive devices such as crutches.

•    Performing your daily tasks safely.

•    Doing home exercises designed specifically for the individual.

The physical therapist is essential to help patients rehabilitate from any major injury or surgery, but evidence shows that PT may be an equally effective alternative to surgery or strong pain medication. It is cheaper and less invasive than either of the options and the patients’ outcomes are much more positive in many cases. Conditions such as back pain to osteoarthritis of the knee can be treated with physical therapy.

Manual therapy is what physical therapists do to promote relaxation, alleviate pain, and increase flexibility. This cannot be done by the patient but by the licensed therapist.

Massage is one of the techniques used where pressure is applied to muscles to help increase the blood flow and ease the pain in the affected areas. Mobilization of the bones and joints entails twisting, pulling, or pushing them in short, precise movements to increase flexibility and encourage alignment. Joint manipulation is used to put pressure on the affected joint and the controlled force can help move it back in place or make it move better for the patient.

Specialized treatments

Some physical therapists specialize in other kinds of treatment. Vestibular rehabilitation (for people with problems with vertigo) and decongestive lymphatic drainage are among treatments available to patients. Patients with cancer may develop problems with movement where PT can help. Urinary incontinence and pelvic pain can be prescribed exercises and treatment from a physical therapist as well. Wound care for people with diabetes is something a trained physical therapist can treat.

As one can see, physical therapy is more than just for athletes. Physical therapy is useful for any patient seeking relief from pain and discomfort.

Pain center Las VegasThe Nevada Pain of Las Vegas accepts over 50 insurances and offers the best in pain treatment in the metropolitan area. Call (702) 323-0553 for more information and scheduling with the best board-certified pain physicians. For more information, please visit – Pain Specialists Las Vegas.

FAQ’s About Platelet-Rich Plasma (PRP) Therapy

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The treatment that has people talking when it comes to its therapeutic healing is Platelet-Rich Plasma, or PRP. This type of therapy is targeted to facilitate healing in the joints where blood flow is not as it is in other parts of the body. The treatment has been shown to be effective in speeding the healing process because of the growth factors in blood platelets. The concentration of the growth factors in the injured area stimulates

Platelet Rich Plasma Las Vegas

PRP has growth factors for regeneration and also calls in stem cells.

healing and has been shown to accelerate the process. This is important to athletes who experience tennis elbow or other injuries with tendon involvement.

What Is Platelet-rich Plasma (PRP)?

Blood contains plasma, red blood cells, white blood cells, and platelets. The platelets contain growth factors which are essential in healing injuries. In order to get a rich supply of PRP, blood is drawn from the patient. The vial of blood is placed in a device called the centrifuge where it is spun at a high velocity. The platelets will separate from the rest of the blood components and will be concentrated so that it is between 5-10 times greater than normal. This will be the PRP preparation that will be injected to the injured area.

How does the PRP preparation work?

PRP, with local anesthetic, will be carefully injected into the affected area where there is evidence of swelling. It usually takes several weeks before the patient starts to improve, whereas pain subsides. In the first couple of weeks, pain may even get worse before it gets better.

What type of injuries can be treated with PRP?

There are many injuries that can be treated with a PRP injection. Achilles tendonitis is a common injury that runners experience, as well as tennis players and other athletes. The heel cord in the foot can get twist or pulled, causing swelling and inflammation, causing it to be difficult to walk on. PRP will be helpful to address this by injecting it into the tissue. If the heel cord is torn where surgery is needed, PRP can be useful to speed up the healing as well.

The PRP would be prepared in a different way by allowing it to be stitched into the torn tissues during the surgical procedure.

Injuries such as tennis elbow, which is an injury of the tendons on the outside of the elbow, and jumper’s knee (inflammation of the tendon in the knee) are also treated with PRP injections. Tendon injuries respond best with these treatments though muscle and ligament injuries may be treated as well. Research continues to be done on the effectiveness of PRP for knee arthritis, fractures, muscle and ligament injuries, and surgical interventions. A factor that seems to impact the efficacy of platelet rich plasma treatment is the area of the body being treated. The overall health of the patient with the Pain center Las Vegasinjury is also a consideration. The injury heals best if it is treated as early as possible, so a chronic injury that has been developing over time will not respond as favorably.

The Board Certified Las Vegas pain management doctors at Nevada Pain offer cutting edge treatments such as Platelet Rich Plasma injections.

With over 50 insurances accepted at Nevada Pain, call for an appointment at (702) 323-0553.


An overview of Botox treatment for migraines

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A migraine refers to a specific type of headache: this headache is a unilateral (one sided), pulsating, or throbbing headache that lasts anywhere from two to four hours, and can be associated with an “aura” of associated symptoms, such as nausea, vomiting, photophobia Migraine specialist Las Vegas(sensitivity to light), and transient neurological symptoms.

This pain is typically recurring, and can be associated with specific triggers that the patient can identify. The headache from migraine is also aggravated by external stimuli, such as loud sounds, bright lights, and physical activity.

Migraine affects a significant portion of the global population, going as high as 15 percent in some estimates. The prevalence among women (19 percent) is significantly higher than that among men (11 percent).

The cause of migraine has many theories. Some researchers point to the increased excitability of the cerebral cortex and abnormal firing of pain neurons in the trigeminal nucleus. Changes in serotonin levels have also been observed, and these can cause spasms and dilations of tMigraine Headachehe blood vessels in the brain, causing the headache. Hormonal changes, food, environment, and emotional stressors have also been implicated in triggering migraine.

Typically, migraine is managed using medications, such as painkillers. There is a stepwise progression in painkillers, with non-steroidal anti-inflammatory drugs (NSAIDs) being prescribed prior to opioid analgesics. Prophylactic medication with topimarate, propranolol, metoprolol and sodium valproate have been shown to reduce the frequency and severity of attacks for those with chronic migraine.

One of the more recent novel interventions for treatment of migraine is the injection of Botulinum toxin type A, or “botox” as it is colloquially known. Botox is a purified form of neurotoxin that is produced by the bacterium Clostridium botulinum, which works by interfering in the transmission of signals between the nerve and muscle. Botox causes local muscle paralysis, and its use in dermatologic procedures to smooth out wrinkles is widely Pain center Las Vegasknown.

Researchers have found that injections with Botulinum toxin are effective in reducing the frequency of headaches, as well as significantly improving the patient’s quality of life. This seems to be the best application for Botox, as it has not been shown to be better than placebo in the treatment of acute headaches.

The FDA has approved Botox injections for chronic migraine treatment. This provides the ability to reduce the frequency and severity of migraine headaches. The injections take about 20 minutes and involve 30 injections. They can be repeated every few months, and the results are typically excellent.

The injections have been proven to be generally well tolerated by patients, with neck pain appearing in 9 percent of patients. Other side effects of the injections include itching, pain in the injection site, as well as muscle aching, tightness, or spasms.

It is still not understood how botulinum toxin provides effective reduction in the frequency and severity of migraines. There have been several theories offered, and these include:

  • Botulinum toxin causes local muscle paralysis. This relaxation of the muscles around the head may reduce blood pressure within the brain. It may also decrease muscular spasm, a possible cause of the headache.
  • Botulinum toxin may interfere with the ability of the nerves to send pain signals
  • Botulinum toxin may directly interfere with the transmission of signals that triggers an attack of migraine

Botox works is still not suggested as a first-line therapy. It should be reserved until initial therapy with oral medications has failed.

The Board Certified Las Vegas pain management doctors at Nevada Pain offer cutting edge treatments including radiofrequency ablation, spinal cord stimulator implants, several types of epidural injections along with the Botox injections.

Over 50 insurances are accepted at Nevada Pain and there is both a Las Vegas pain clinic and a Henderson pain management center. Call (702) 323-0553 for more information and scheduling with a headache clinic Las Vegas trusts!

FAQS on Vertebroplasty and Kyphoplasty from a Las Vegas Pain Center

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Vertebroplasty and Kyphoplasty are two very similar, minimally invasive procedures for repairing fractured vertebrae by means of medical grade bone cement (polymethymethacrylate), a type of adhesive filler used to facilitate healing of bone fractures.Pain Clinic Las Vegas

What conditions are treatable with Vertebroplasty and Kyphoplasty?

Vertebroplasty and Kyphoplasty are both procedures for repairing fractured vertebrae caused by injury or more often, osteoporosis (An evidence-based analysis of vertebroplasty and kyphoplasty 2013)..

What can a patient expect when they receive a Vertebroplasty or Kyphoplasty?

If a patient receives a Vertebroplasty or Kyphoplasty to repair a fractured vertebra they can expect to have nearly immediate results of a successful repair as the procedures are very effective and the cement used is fast drying. Often with fractured vertebra caused by osteoporosis the patient does not experience pain.

Often times they may not even be aware they have a fracture vertebra due to the slow degradation process of osteoporosis. If left untreated often the fractured vertebra will heal without treatment, however this is not always the case. Before the Vertebroplasty and Kyphoplasty this was standard practice, to allow the fractures to heal themselves, but this could take several months of bedrest (Current concepts of percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: evidence-based review 2013).

Las Vegas Pain instituteVertebral fractures, even if not painful, may cause problems later, often causing the nearby vertebrae to also fracture due to the added stresses on them. This can eventually lead to conditions that are painful if bone fragments contact the disc or nerves or the vertebrae becomes so deteriorated that it collapses and contacts the associated nerves.

If left unattended vertebral fractures can become a very serious issue so addressing these fractures early is very important. Although cement is only used in the most serious cases, if used it can restore the vertebral height and provide pain relief in as little as ten minutes after the procedure has been completed.

How are the Vertebroplasty and Kyphoplasty performed?

Las Vegas pain managementThe two procedures are very similar; however a Vertebroplasty is a slightly more simple procedure. In the Vertebroplasty, the patient is sedated, but awake, and the cement is injected under pressure into the fractured vertebra. The cement hardens in about ten minutes and stability is restored to the vertebra.

The Kyphoplasty is slightly more involved; in the Kyphoplasty procedure, the patient is put under general anesthesia, although it can be done with just a local. A small incision, approximately one inch is made and a balloon catheter is inserted into the fractured vertebra (Balloon kyphoplasty: an evidence-based analysis 2004).

The balloon is expanded restoring the vertebra to its normal position and then withdrawn. After the vertebra has been restored to its normal position the bone cement is injected under low pressure into the vertebra.  In ten minutes it hardens and stability is restored. This procedure is used when the vertebra is badly damaged or collapsed.

How long do the Vertebroplasty or Kyphoplasty procedures last?

The repair made by Vertebroplasty and Kyphoplasty are permanent, although with Pain Clinics in Las Vegasosteoporosis more vertebra can fracture so along with the repair of the fractured vertebra steps must be taken to try to avoid further fractures. Often calcium supplements are all that are required.

What risk or side effects are associated with Vertebroplasty or Kyphoplasty?

Risks are potentially significant, although typically rare. A patient may have discomfort, bruising, and bleeding at the incision site and rarely infection can occur. Leakage of the cement before fully hardening may occur, if this happens it could potentially leak into the spinal canal and cause compression of a nerve resulting in increased pain levels.

The most serious risk is also the rarest; this is most possible when the cement is injected Pain center Las Vegasunder high pressure. If the cement leaks it is possible for it to be absorbed into the surrounding veins and embolizing the lungs. Embolization of the lungs is potentially fatal.

How successful are Vertebroplasty or Kyphoplasty for the relief of pain?

Patients suffering pain from a fractured vertebra have a 90% chance of experiencing relief from their pain.

Bottom line on Vertebroplasty or Kyphoplasty?

The procedures have been used with great success to repair fractured vertebra and relieve patients’ pain.

Nevada Pain has the top pain management clinics in the greater Las Vegas and Henderson areas. The Las Vegas pain management doctors are Board Certified and Award Winning, offering both medical and interventional pain management. The pain relief success rates are very high at the practice, with over 50 insurances being accepted.

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

What are the various types of knee ligament injuries?

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The knee is a hinge joint that connects four main bones: the femur (thigh bone), the tibia and fibula (shinbones), and the patella (kneecap). The ends of the tibia and femur, as well as the posterior of the patella, are covered in tough connective tissue known as articular cartilage.

This provides a smooth gliding surface that reduces friction between the bones of the knee Knee Doctor Las Vegasjoint, and facilitates smooth movement. The knee also has two C-shaped, rubbery pads of cartilage tissue covering the top of the tibia that are known as the medial and lateral menisci. The menisci serve as shock absorbers for the impact of the upper and lower knee. The knee has four ligaments that stabilize and support the knee in different positions.

Each of the knee ligaments serves a particular function.

  • Medial Collateral Ligament (MCL): the MCL runs between the femur and the tibia on the inner side of the knee. This limits the lateral (side to side) movement of the knee joint, and is most commonly injured from force that hits the outer side of the knee.
  • Lateral Collateral Ligament (LCL): the LCL runs between the femur and the fibula on the Sports Medicine Las Vegasouter side of the knee. Similar to the MCL, the LCL also stabilizes the knee against lateral movement. It is most commonly injured from force that hits the inner side of the knee.
  • Anterior Cruciate Ligament (ACL): the ACL is inside the knee joint, and runs diagonally across the knee to connect the anterior portion of the tibia to the posterior of the femur. It controls the backward and forward movements of the knee, and prevents the tibia from moving in front of the femur.
  • Posterior Cruciate Ligament (PCL): the PCL is also inside the knee joint, and runs diagonally across the knee to connect the posterior of the tibia to the anterior portion of the femur. Similar to the ACL, the PCL controls the backwards and forward movements of the knee.

Each of the ligaments is at risk for injury, particularly following sudden movement or impact to the knee. This can occur following falls, an awkward landing, or even from an outside force, such as tackling. Injuries to the knee ligaments are more common among athletes and other PRP Therapy Las Vegaspeople in high-risk professions and sports.

Knee ligament injuries will depend on the severity of the damage received. Injured ligaments are referred to as “sprains”, and can range from stretching, to partial, and even complete tears. These are graded on a severity scale as follows:

  • Grade 1 Sprain: The ligament is mildly damaged due to slight stretching, but is still capable of maintaining stability of the knee joint.
  • Grade 2 Sprain: This is more commonly known as a partial tear of the ligament. This injury is characterized by the ligament being stretched to the point of looseness. The stability of the knee is compromised.
  • Grade 3 Sprain: This refers to a complete tear of the ligament. In this injury, the ligament is completely separated into two pieces, and the knee joint becomes unstable.

Treatment for knee ligament injuries is typically nonoperative for Grade 1 and 2 sprains. Options include bracing, physical therapy, pain medications, NSAIDS and injections.Pain center Las Vegas

Injections at a Las Vegas pain management clinic may consist of cortisone, platelet rich plasma therapy or stem cell injections. The regenerative medicine injections may help with faster and more complete healing.

The top Las Vegas pain management clinics are Nevada Pain. With multiple pain center locations in the greater Las Vegas and Henderson areas, treatment is readily available. Over 50 insurances are accepted.

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

The Basics of Lumbar Sympathetic Blocks at a Las Vegas Pain Center

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Pain Clinic Las VegasThe autonomic nervous system handles a lot of bodily functions and involuntary processes. The autonomic nervous system can be further grouped into the sympathetic and parasympathetic nervous systems: these nerves control involuntary body functions, such as heart rate, blood pressure, digestion, sweating, and others. The trunks of the sympathetic nerves are grouped and found along the ventral (front) side of the spinal column.

A lumbar sympathetic block is typically done for both diagnostic and therapeutic reasons. This allows the Las Vegas pain management doctor to identify the source of persistent pain, and at the same time, relieves conditions that cause excessive stimulation of the sympathetic nerve.

The procedure is indicated for conditions that cause excessive stimulation of the sympathetic nervous system. These include, among others, Complex Regional Pain Syndrome (or Reflex Sympathetic Dystrophy), diseases such as herpes zoster (or shingles), neuropathies, and peripheral vascular disease. Chronic pain has also been shown to respond to sympathetic Las Vegas pain instituteblocks.

The procedure can be doneon an outpatient basis. (It does not require inpatient admission.) It is a well-tolerated and quick procedure. While the time varies based on the particular circumstances of the case and the experience of the pain management doctor in Las Vegas, it can typically take less than 30 to 45 minutes. The patient is kept under observation in the recovery room for 20 to 30 minutes, and if no untoward symptoms are observed, the physician can send the patient home within the day.

Lumbar sympathetic nerve blocks are carried out under local anesthesia, although a mild sedative can be given to the patient to calm him or her down. The procedure requires a sterile technique, and can be done in procedure room. Prior to the start of the procedure, the procedure site is prepped with an antiseptic solution, such as chlorhexidine or povidone iodine, and the surrounding area is draped with sterile linen.

The procedure begins with the insertion of the needle in the injection site. This is typically Sympathetic Blockdone under fluoroscopic (X-ray) guidance, although other guiding modalities have been used in recent years, such as computerized tomography (CT), and ultrasonography to provide guidance of the needle. The needle continues through muscle and tissue until the target area is reached, as confirmed by imaging. A local anesthetic is then injected into the area around the lumbar sympathetic plexus.

If the block is successful, immediate signs of relief from the sympathetic overstimulation will be observed. This can manifest as less reddening,  an increase in temperature, or relief of pain. Once success is confirmed, the Las Vegas pain doctor will withdraw the needle, or complete other nerve blocks as necessary.

Lumbar sympathetic blocks are known to have generally good outcomes, and most patients will report a successful resolution of symptoms. Adverse outcomes (pain and bruising at the Pain center Las Vegasinjection site) are rare. When they arise, these can easily be managed with medications.

Similar to any invasive procedure, there is risk for infection at the surgical site, and intraoperative damage to the surrounding nerves, muscles and tissues.

The top pain management clinic in Las Vegas and Henderson is Nevada Pain. The pain management doctors are Board Certified, Fellowship Trained and highly experienced in the management of RSD, CRPS, shingles and all types of chronic pain.

Over 50 insurances are accepted at the pain clinics in Las Vegas and Henderson, call (702) 323-0553 for more information and scheduling with pain management Las Vegas trusts!

What to expect with a kyphoplasty procedure

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Kyphoplasty is a procedure for the treatment of spinal compression fractures. It is a minimally invasive procedure recommended if other conservative measures have already failed.

Medication and physical therapy should be first line treatments prior to the consideration of surgical interventions. Osteoporosis, or weakening of the bone, is the most common reason for fractures that will require kyphoplasty. Other conditions that may cause spinal compression fractures include:

  • Best pain doctor Las VegasGrowth from malignancies
  • Metastatic CA
  • Vitamin D deficiency
  • Menopause
  • Chronic renal disease
  • Rheumatoid arthritis

Certain medications have also been identified to cause osteoporosis, and continued intake of the following can contribute to the weakening and fracture of the spine:

  • Steroids
  • Anti-convulsants
  • Heparin
  • Alcohol
  • Cytotoxic drugs
  • Thyroid replacement drugs

The procedure at a Las Vegas pain management clinic utilizes the injection of bone cement into the fracture site, which hardens and stabilizes the damaged vertebra within 20 minutes. Medical-grade bone cement is used to repair fractured or compressed vertebrae. This is Vertebroplasty Las Vegasusually inserted with the guidance of a fluoroscope (which uses X-rays) into the affected vertebra.

Spinal compression fractures are marked by the loss of vertebral height. Kyphoplasty addresses this with the injection of an inflatable balloon tamp into the affected vertebral body.

Saline is pumped into the balloon, and the balloon expands to increase the height of the vertebral body and increase the space available for the bone cement. After the appropriate correction of vertebral height, bone cement is injected to fill the space.

When the bone cement hardens, it provides structural support and stabilization to the broken vertebra. The fragments are fused into a continuous piece, which addresses the irritation and inflammation caused by broken pieces rubbing against each other, and against nerves and other surrounding soft tissues. The polymerization process (hardening of the bone cement) releases heat, which contributes to the relief of pain symptoms. Kyphoplasty has also been shown to help prevent further injury.

Kyphoplasty Las VegasThe procedure may requires inpatient admission to the hospital, but more and more it’s being done as an outpatient. It is carried out under general anesthesia or IV sedation. After the procedure is completed, a recovery period is recommended to observe the patient and see the progress of the healing. While kyphoplasty can resolve the compression fracture pain entirely, some recommend that patients who undergo the procedure also undergo a program of physical therapy and rehabilitation.

Kyphoplasty Procedure Las VegasSome studies have shown that kyphoplasty can readily alleviate pain symptoms in over 85% of patients. Other studies contradict that data, but there are so many in favor of the procedure it’s still widely used.

The procedure is well tolerated by most patients, however, it is only recommended after the failure of more conservative options. In the absence of risk factors for failure of non-surgical management, experts recommend that conservative management, such as physical therapy and rehabilitation and bracing, be attempted for at least three weeks before surgical options are recommended.Pain center Las Vegas

Kyphoplasty carries the general risks of surgery. These include infection of the surgical site, or possible intraoperative damage to muscles, nerves, and other soft tissues. The procedure may fail to resolve the symptoms or cause persistent pain. There is also the risk of adverse effects from leakage or erroneous placement of the bone cement. However, these risks are rare, and choosing an experienced Las Vegas pain management doctor minimizes these risks.

Nevada Pain offers the top pain management doctors in Las Vegas and Henderson. The pain doctors are Board Certified and have a combined 30 years of experience of treatment for such conditions as vertebral compression fractures and all types of acute and chronic pain conditions.

Over 50 insurance plans are accepted at Nevada Pain, call (702) 323-0553 for more information and scheduling with pain management Las Vegas trusts!