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!