Pain management using an integrated approach has proven to be the most effective for chronic pain patients. Along with medication management and interventional treatments, conservative treatments such as chiropractic care and physical therapy have proven effective in treating chronic pain. Pain management clinic Phoenix AZ offers the best chiropractic care and physical therapy in Arizona to provide lasting pain relief.
The best chiropractor in Phoenix uses spinal manipulation and other alternative treatments to properly align the body’s musculoskeletal structure so that the body can heal itself. It is often used together with interventional treatments to relieve pain.
Manipulation is used to restore mobility to joints restricted by tissue injury or trauma such as a fall or repetitive stress. The best chiropractor in Phoenix applies a high velocity arm thrust to normal vertebra to improve function, reduce nerve irritability and restore mobility.
Mobilization is low velocity manipulation and stretching of the muscles and joints to increase range of motion in those areas.
The best chiropractor in Phoenix may use massage to improve circulation in the soft tissues, reduce swelling and inflammation associated with the back pain and encourage quicker healing.
Physical therapy plays a vital role in helping patients manage and overcome chronic pain. Physical therapist in Phoenix AZ plays an important role in managing chronic pain by administering treatments that include strengthening and flexibility exercises, manual therapy, posture awareness, and body mechanics instruction.
Heat and Cold Therapy
Heat and/or ice are therapy helps reduce muscle spasm and inflammation.
The physical therapist in Phoenix AZ uses a transcutaneous electrical nerve stimulator (TENS) that uses electrical stimulation to modulate the sensation of pain by overcoming the pain signals that are sent to the brain.
Ultrasound is a form of deep heating in which sound waves are applied to the skin and penetrate into the soft tissues. Ultrasound is especially useful in relieving acute episodes of pain to enhance tissue healing.
- Published in Pain Management
The best thing about chiropractic care for pain management is that it is drug free and surgery free treatment. Chiropractors believe that the structure of the body, particularly the spine, affects the function of every part of the body. The best chiropractor at Phoenix Pain Management Clinic corrects the body’s alignment to relieve pain and improve function. One of the best chiropractors in Phoenix uses a variety of treatment approaches to the spine and other body parts to correct alignment problems, improve mobility and function, alleviate pain, and support the body’s self-healing abilities.
Chiropractors address the root cause of pain by realigning the spine and the musculoskeletal system to its natural shape. Spinal adjustments also relieve pain in the hips, knees, neck and throughout the body. This is achieved using the following methods –
- Spinal Manipulation
- Electrical stimulation
- Heat and ice
- Relaxation techniques
- Rehabilitation and general exercise
FUTURE PAIN PREVENTION
Our bodies are subject to a lot of stress and pressure that we typically ignore until they are severely affecting us. This is most common in those who have physically demanding jobs, hectic schedules or those who are athletically active. This causes misalignment and dysfunctions in our musculoskeletal system causing acute and chronic pain.The best chiropractor at Phoenix Pain Management Clinic can address such problems early on to prevent chronic pain later.
IMPROVED FUNCTION AND MOTION
Chiropractic can pinpoint where your spine is not moving properly and correct your stance, tilting, curvatures and turning to help you carry your body around properly. Treatments by the best chiropractor at pain management clinic in Phoenix also help to increase oxygenation, improve circulation, reduce muscle spasms, and enhance flexibility.
- Published in Pain Management
New advances in pain treatment have shown great outcomes in reducing pain and avoiding side effects with spinal cord stimulation therapy. Pain specialists at Pain Management Phoenix use spinal cord stimulator implants for patients with failed back surgery syndrome, complex regional pain syndrome (CRPS) and neuropathic pain. Spinal cord stimulation is administered through an implant placed under the skin of the abdomen. It is connected to two wires that are placed between vertebrae in the spinal cord. This stimulates the spinal cord to interfere with pain signal transmission and relieves pain.
Minimally Invasive Procedure
Spinal cord stimulator implantation is a minimally invasive procedure performed for back pain patients at Phoenix Pain Clinic. A relatively minor surgical procedure is required on an outpatient basis. Leads are inserted just under the skin which means patients can travel anywhere, and participate in any activities, including swimming.
The intensity of the stimulation can be either controlled by the patient or regulated automatically. The electrical pulses can be adjusted to fit your activity levels, for example,sleeping requires less stimulation. Neurostimulator technology gives patients control to adjust the stimulation if their pain changes in location or severity.
High success rates
Based on many clinical studies, the spinal cord stimulator is 66-90% effective for pain relief. A recent research report found that patients reported pain relief two years after the spinal cord stimulation procedure. Patients have reported lasting pain relief with SCS implants at Back Pain Treatment Phoenix.
Idealoption for certain conditions
With many types of neuropathic pain, the patient has an increased response to mild touch, which is called hypersensitivity. In such cases, spinal cord stimulation is a great option. At the same time, achieving pain relief with spinal cord stimulation can allow back pain patients to reduce or eliminate use of narcotic drugs at Phoenix Pain Clinic.
Non-steroidal anti-inflammatory drugs (NSAIDs) are used to managejoint pain and inflammation, such as ibuprofen, naproxen, and ketoprofen. For muscle spasms, certain muscle relaxants like Robaxin and Baclofenare beneficial. Topical agents such as capsaicin and methyl salicylateblock the pain signal transmitting substance, thereby relieving pain. Pain management doctors in Phoenix use medication management for pain based on the patient’s medical history, evaluation, diagnosis and periodic review.
For certain types of arthritis, a joint injection can be helpful. Corticosteroid medications are injected to provide long-term anti-inflammatory relief by pain management doctors at Phoenix.Also known as viscosupplementation, Hyaluronan injections are used to provide lubrication to the joint. According to clinical studies, joint injections improve functionality for 3-6 months.
This procedure is useful for providing relief of pain related to fluid buildup. Removal of fluid is used to alleviate pain, improve mobility, and decrease swelling at Phoenix Pain Center.
Platelet Rich Plasma (PRP) Therapy
Platelet-rich plasma injections are used to treat damaged or injured body tissues, ligaments, tendons, and joints by pain management doctors in Phoenix. Also called autologous blood therapy, this treatment uses the patient’s own blood components to stimulate healing.
The physical therapist uses a variety of techniques to achieve pain relief and assist with recovery following an injury or to alleviate pain related to chronic condition.Physical therapists at Phoenix Pain Center help patients strengthen muscles around the joint, improve range of motion, and provide stability. Physical therapy also equips the patient
- Published in Pain Management
For those patients who have significant hip, knee or shoulder pain and are looking to avoid potentially risky surgery, an injection with hyaluronic acid may be the best solution. What is it exactly?
In the late 1990s, the FDA approved the use of hyaluronic acid injections into the knee for pain relief.
The medication is made from rooster coombs and is very similar to the native hyaluronic acid seen in human joints. In a large FDA clinical trial, pain relief seen was in over 80% of patients for 6 to 12 months at a time with the injections.
Hyaluronic acid injections are called viscosupplementation with brand names including Synvisc, Orthovisc and Hyalgan. Interestingly, none of the various medications have shown superiority over any others. They all work well!
They are performed by Phoenix pain management doctors either as a one time injection or as a series of injections over a 3 to 6 week period.
The injections are performed sterile and have minimal risk associated. All of the major insurance plans including Medicare now cover the procedure.
As mentioned, the outcome from Viscosupplementation procedures has been excellent in the shoulder, hip and knee with 80% of patients receiving up to a year of consistent relief. This can be great for those wanting to avoid a joint replacement, while achieving pain relief and increased activity.
For those in the age range 40’s to 60’s, having a joint replacement is scary. The joint replacement implants are not meant to last forever, and there are potential complications with the procedure. If a revision procedure becomes necessary, the outcomes are typically not as good the second time around.
The top pain clinics in Phoenix are Arizona Pain Specialists, offering viscosupplementation procedures with hyaluronic acid at many Valley locations. Over 25 insurances are accepted, with over 90% of patients at the Phoenix pain centers overall obtaining excellent relief.
Call (602) 507-6550 today for the top pain management Phoenix trusts!
Vertebroplasty and Kyphoplasty are both minimally invasive procedures which are designed to treat vertebral compression fractures. These factures are caused by things such as spinal tumors, traumatic injury, or osteoporosis. They are painful and can severely limit mobility. Patients are often given traditional treatments which include pain medications and bed rest. But Vertebroplasty and Kyphoplasty are alternative options for treatment.
So what are Vertebroplasty and Kyphoplasty?
The vertebral body can collapse from a fracture sometimes which produces a wedged vertebra in your body. When this happens to multiple levels it can lead to a humped spine. People who suffer from conditions which weaken their bones such as osteoporosis are more susceptible to these compression fractures.
Other things can cause it as well, such as heavy lifting, coughing, or sneezing when the weakening gets dramatic enough.
When you suffer from these compressions it can reduce your physical activity, decrease lung capacity, cause difficulty sleeping, and lead to back pain.
Both Vertebroplasty and Kyphoplasty are similar procedures involving injection of bone cement into the fracture(s) to stabilize it like an internal splint. The main difference is that with kyphoplasty a balloon is inflated first to create a void into which cement is then slowly injected. With vertebroplasty, no void is created – the cement is simply injected.
What happens during this process?
During either process, a hollow needle is placed through the skin of the patient’s back and into the vertebra which is fractured. With Vertebroplasty, bone cement is injected into the fracture through the hollow needle. With Kyphoplasty, a balloon is first placed into the vertebra through the hollow needle and inflated in order to expand the compressed space to its original height, after which the space is filled with bone
cement. Both of these procedures can be repeated for as many vertebra as are damaged. The new cement will strengthen the vertebra and allow patients to stand up straight and reduce their pain.
Who qualified for this process?
Vertebroplasty and Kyphoplasty are available options if you have suffered from a compressed vertebra fracture brought about by osteoporosis, a metastatic tumor, multiple myeloma, or vertebral hemangioma. If you have a bleeding disorder, a bone infection, facture in your spinal canal, or are allergic to any of the medications used during this process, you may not qualify.
What happens before the process?
Your Phoenix pain management doctor will conduct a medical exam and perform a medical history before they utilize this procedure, something which will likely involve an MRI or CT scan in conjunction with a bone scan to make a clear diagnosis of your condition before starting. If the fracture is too old, the procedure will not help.
What are the outcomes of the procedure?
Both procedures have incredible success rates over 85-95%. The risks are very low and most of the time the procedure is performed as an outpatient.
Arizona Pain offers vertebroplasty and kyphoplasty along with over 25 back and neck pain treatment options to help you obtain relief. Most insurance is accepted at all of the Phoenix pain clinics, call (602) 507-6550 today!
In the United States, over 600,000 low back surgeries are performed each year, and the number rises every decade. Most of these procedures are elective, and 25 to 40% end up failing within two years. In fact, 10% of those undergoing low back surgery and up worse than they were preoperatively. When this occurs, it is called failed back surgery syndrome (FBSS). Assuming additional surgery is not indicated, what can a person do to achieve pain relief?
In fact, there are several nonoperative treatment options at Phoenix pain management centers that can help individuals get back to work, recreational activities and playing with the kids again. Let’s break the options down into medications, therapy and interventional procedures. There are several medication options such as anti-inflammatories, Tylenol, narcotics, muscle relaxers or non-narcotic pain relievers. Long term narcotics are always a tricky subject when it comes to failed back surgery syndrome, however, at times it is actually indicated. Tramadol is a non-narcotic pain reliever that may be a lifesaver in these situations.
Prescription pain creams or pain patches may provide exceptional relief with absolutely minimal absorption into the bloodstream. Therapy options include physical therapy for stretching and strengthening along with modalities including ultrasound or electrical stimulation. Chiropractic treatment and possibly spinal decompression therapy may be indicated along with application of a tens unit and possibly acupuncture.
When it comes to interventional procedures, there are several options available. One would be epidural steroid injections. If the patient is suffering from scar tissue around the nerve root or possibly a pinched nerve at the level above or below a spinal fusion, an epidural injection may provide exceptional relief and can be repeated every so often as necessary.
If a person has hardware in place, injections around the hardware can be performed to see if in fact the hardware is causing some of the pain. This is very simple and only takes a few minutes. Trigger point injections are subcutaneous injections into muscle tissue that can relieve muscle spasms and aching.
Facet joint injections, medial branch blocks and radiofrequency ablation are several procedures that can be very beneficial for areas above or below spinal fusions that have generated since the procedure. The top pain clinics in Phoenix offer these procedures with Board Certified providers.
Undergoing additional surgery for adjacent segment the generation is no fun since it typically doesn’t stop with an add on procedure. If it can be avoided with nonoperative treatments then that is the best option. Radiofrequency ablation procedure can provide up to 18 months of continuous pain relief and be repeated when the pain returns.
As a last resort, spinal cord stimulator has been shown to work well over 75% of the time for chronic back or leg pain. These procedures have been revolutionary for pain management and failed back surgery syndrome in particular. They don’t fix the problem, but if it cannot be rectified with additional surgery then one may as well mask the pain to achieve relief.
What the implant does is change the pain in the back or the leg with a tingling type of sensation that is much more tolerable than chronic pain. The newest spinal cord implants have over 200 programming options available. They have a battery that is rechargeable from outside the skin
All in all, there are well over 10 different options for achieving relief when it comes to failed back surgery syndrome. It is not necessary to despair, as the top pain management clinics offer these options with exceptional results. Arizona Pain offers exceptional success rates for those with failed back surgery syndrome at several locations throughout Phoenix. Most insurance is accepted, call (602) 507-6550 for more information and scheduling with pain management Phoenix trusts!