“Anesthesiology is the balance among multiple disciplines of medicine and the variety of chronicity to acuity.”

Spinal Cord Stimulation

Spinal Cord Stimulation (SCS) is an effective, non-opioid, non-pharmacological modality for pain treatment. Two electrodes are placed in the epidural space under X-ray guidance. Prior to implantation, the patient undergoes a seven day trial. A psychological evaluation is required before proceeding as not every patient is a candidate for SCS. There are no incisions made at this time and through two small needle holes, leads are placed to the appropriate position to treat conditions such as CRPS, Post Laminectomy Pain Syndrome, and Neuropathic Pain.

Dorsal Root Ganglion Stimulation

Dorsal Root Ganglion (DRG) therapy is a non-opioid, innovative form of neuromodulation designed to help improve chronic pain by altering pain signals along bundles of nerves to relieve pain. The smaller diameter electrode offered by DRG differs from conventional spinal cord stimulation by placement of the leads over the bundle of nerves called the dorsal root. This FDA approved therapy is performed in two stages, the trial stage and if successful patients can move forward to implantation of this device to treat focal neuropathic pain.

Peripheral Nerve Stimulation

Peripheral Nerve Stimulation provides long lasting pain relief by blocking pain signals from reaching the brain. Nerve related pain is blocked by delivering a week electrical pulse through a small electrode which is placed with ultrasound guidance over the affected nerve. This therapy can be used to treat CRPS, occipital neuralgia, peripheral neuropathy, and other painful nerve injuries. 

Intrathecal Drug Delivery

Targeted drug delivery is a safe and effective way to manage chronic pain or cancer pain with fewer side effects and lower drug doses compared to oral pain medications. Effective pain control is achieved by delivering medication directly to the surrounding spinal cord by means of a programmable drug reservoir. After a successful trial, the drug pump and catheter are implanted beneath the skin. Medication doses are adjusted through a programming device and patients can deliver medications when programmed by your doctor.

Indirect Spinal Decompression

Lumbar spinal stenosis is when there is narrowing of the spinal canal due to degenerative changes of the spine. Narrowing may cause pain, numbness, tingling, weakness, and difficulty walking. Indirect spinal decompression, or the vertiflex procedure is the placement of a spacer device that is implanted in between the spinous processes of the lumbar spine to relieve the pressure on the nerves and to reduce the pain. This procedure is performed in an outpatient setting and the patient goes home the same day of the procedure. 

“My mission is to help alleviate pain and suffering to patients by offering the most up to date and innovative therapies.”

Radiofrequency Ablation

This procedure uses cooled radiofrequency energy through a probe to safely target the sensory nerves responsible for sending pain signals. A radiofrequency generator transmits a small current of RF energy through an insulated electrode, or probe, placed within tissue. Ionic heating, produced by the friction of charged molecules, thermally deactivates the nerves responsible for sending pain signals to the brain. RF energy heats and cools the tissue at the site of pain.

Radiofrequency can help treat pain located in the neck, low back, knee, hip, and shoulder.

Regenerative Medicine: Platetlet Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC)

PRP stands for platelet rich plasma and BMAC stands for bone marrow aspirate concentration. These therapy may be used to treat various acute and chronic pain conditions such as rotator cuff tear, tendonitis, muscle tears, sprain, trigger points, meniscus tear of the knee, mild to moderate degenerative arthritis of various joints, disorders of the spine especially facet joints. Your own blood is used to promote cellular repair. PRP and BMAC contain growth factors, platelets and other molecules from your own blood which help the body with healing.  The natural healing takes place with the help of certain blood products such as platelets, neutrophils, monocyte macrophage, fibroblasts, endothelial cells. For PRP, approximately 15 mL of blood will be taken from your vein, and for BMAC arrproximately 40-60mL of blood is taken from the bone marrow. Blood is placed into a centrifuge to concentrate the healing components. Under sterile technique, local anesthetic will be used to numb the skin and the area of injection, and ultrasound or x-ray imaging will be used to inject the PRP or BMAC. Following needle removal, you will rest for 15 minutes in the exam room.

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