Conditions & Therapies

Conditions We Treat

  • Acute and Chronic Spine Pain
  • Bursitis
  • Cancer-Related Pain (Abdominal, Pancreatic, Pelvic)
  • Cervicogenic Headaches
  • Chemotherapy-Induced Neuropathy (Feet)
  • Chronic Muscle Pain/Trigger Points
  • Chronic Post-Surgical Pain (Hernia, Hip, Knee,Limb, Spine)
  • Cluneal Neuralgia
  • Complex Regional Pain Syndrome (CRPS/RSD)
  • Coccydynia (Tailbone Pain)
  • Degenerative Disc Disease
  • Diabetic Foot Neuropathy/Charcot Foot
  • Facet Artrhopathy/Arthritis Pain (Cervical/Thoracic/Lumbar)
  • Genicular (Knee) Neuralgia
  • Herniated Disc (Cervical/Thoracic/Lumbar)
  • Hip Pain
  • HIV Neuropathy
  • Inguinal Neuralgia
  • Injury after Motor Vehicle Accident
  • Knee Pain
  • Muscle Spasms
  • Neurogenic Claudication
  • Occipital Neuralgia
  • Phantom Limb Pain/Syndrome
  • Pinched Nerve
  • Piriformis Pain/Syndrome
  • Post-Dural Puncture Headache
  • Post Hernia Repair Pain (Post-Herniorraphy Syndrome)
  • Post-Laminectomy Syndrome (Failed Back Surgery Syndrome)
  • Post-Mastectomy Syndrome
  • Pudendal Neuralgia
  • Radiculitis/Radiculopathy(Cervical/Thoracic/Lumbar)
  • Sacroiliac Joint Pain
  • Shoulder Pain
  • Spinal Stenosis (Cervical/Thoracic/Lumbar)
  • Vascular Claudication
  • Whiplash Syndrome
  • Work-Related Injuries

Therapies We Offer

  • Caudal Epidural Steroid Injection
  • Celiac Plexus Block/Neurolysis 
  • Discography (Cervical/Lumbar)
  • Facet Joint Injection (Cervical/Thoracic/Lumbar)
  • Facet Joint/Medial Branch RadiofrequencyAblation (Cervical/Thoracic/Lumbar)
  • Cluneal Nerve Block
  • Dorsal Root Ganglion (DRG) Stimulation
  • Ganglion Impar Block/Radiofrequency Ablation
  • Genicular (Knee) Nerve Block
  • Genicular (Knee) Radiofrequency Ablation
  • Greater Splanchnic Block
  • Knee Injection
  • Hip Bursa (Trochanteric) Injection
  • Hip Joint (Intraarticular) Injection
  • Interlaminar Epidural Steroid Injection (Cervical/Thoracic/Lumbar)
  • Ischial Bursa Injection
  • Lumbar Sympathetic Block
  • Medial Branch Block (Cervical/Thoracic/Lumbar)
  • Occipital Nerve Block
  • Occipital Nerve Radiofrequency Ablation
  • Paravertebral Block
  • Piriformis Muscle Injection
  • Pudendal Nerve Block
  • Sacrococcygeal Block
  • Sacrococcygeal Radiofrequency Ablation
  • Sacroiliac Joint Injection
  • Sacroiliac Joint Radiofrequency Ablation
  • Selective Nerve Root Block (Cervical/Thoracic/Lumbar)
  • Splanchnic Nerve Block
  • Shoulder Injection
  • Spinal Cord Stimulation
  • Stellate Ganglion Block
  • Superior Hypogastric Plexus Block
  • Transforaminal Epidural Steroid Injection (Cervical/Thoracic/Lumbar)
  • Trigger Point Injection

           ADDITIONAL PAIN RELIEF THERAPIES** (click for PDF)

The goal of pain management is to increase function, improve quality of life, and to reduce one’s sense of suffering.  Below are many successful therapies to help treat and manage acute and chronic pain.  Pain can be a complex physical and often emotional experience.  We encourage all of our patients to explore and combine several of these options, as these are likely to be more effective in managing chronic pain than relying on just one method.

 

Most Importantly

  • Keep a positive attitude — YOU are in control!
  • Avoid nicotine — nicotine (in any form of cigarettes, patches, gum, vaping, etc) squeezes blood vessels throughout the body and prevents overall blood flow; this can prevent healing, cause chronic inflammation, worsen pain, and is one of the biggest risk factors for chronic back and neck pain
  • Eat healthier — read about ‘anti-inflammatory diets’; avoid heavy, fatty foods; eat less red meat; limit sugars and unhealthy snacks; track daily caloric intake (i.e. MyFitnessPal app)
  • Stay as active as possible — every little bit helps; set small functional goals


Active and Passive Bodily Therapies
:

  • chiropractic therapy
  • physical therapy
  • water/pool therapy
  • yoga
  • Tai Chi
  • Pilates
  • therapeutic massage
  • acupuncture
  • TENS unit (over-the-counter or prescription versions available)
  • massage canes (Theracane, Body Back, etc.) — very good for hard-to-reach muscle pains/knots
  • foam rollers (for muscle pain/spasms)


Relaxation and Coping Techniques
:

  • pain psychology
  • group pain therapy/support groups
  • cognitive behavioral therapy (CBT)
  • biofeedback
  • deep breathing and mindful meditation
  • hypnosis
  • distraction techniques (drawing, painting, coloring, reading, puzzles, projects, etc.)
  • try free relaxation apps (i.e. Headspace, Pain Relief Hypnosis, JC Hypnosis, etc.)


Topical Medicines
:

  • Lidocaine 4% ointments or patches (odor-free Aspercreme; also Salon Pas and Icy Hot brands)
  • Salon Pas patches/creams
  • Capsaicin 0.01-0.025% creams/patches (note: this is made from chili peppers; may cause mild to moderate heat sensation; consider applying lidocaine ointment to skin prior to use)
  • Biofreeze
  • Tiger Balm


Vitamins/Supplements/Natural Treatments
:

  • Anti-inflammatory/Pain: Turmeric capsules (1000mg daily), Fish Oil, Omega 3, Omega 6, Acetyl-L-carnitine, alpha lipoic acid (ALA)
  • Vitamin E — may help nerve-type/neuropathic pain
  • Vitamin D — chronic low levels may contribute to chronic pain)
  • Anti-nausea: ginger root
  • Sleep aids: melatonin (3-10mg nightly); ZMA (zinc + magnesium aspartate); magnesium (many people are deficient in magnesium — low magnesium may contribute to poor sleep and chronic pain)           


Sleep Hygiene:

  • discuss ongoing sleep issues with your primary care physician or sleep specialist
  • avoid screens (TV, computer, cell phones, iPad) for at least 2 hours prior to bedtime
  • set a bedtime at the same time every night
  • read a book prior to bedtime
  • try melatonin (3-10mg nightly)
  • try magnesium or ZMA (zinc + magnesium aspartate)
  • avoid caffeine; avoid daytime naps
  • try meditation or sleep hypnosis/relaxation recordings/free apps (Harmony, White Noise, Calm, Relax Melodies, etc)

 

**Disclaimer: This content on this page is intended for general educational and informational purposes only.  It is not intended as, nor should it be considered to be a substitute for professional medical advice, diagnosis, or treatment of any kind.  The statements made here have not been approved by the Food and Drug Administration.  Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before changing your health regimen.  This information is to be used at your own risk, based on your own judgement.  Relevium Pain Specialists has no affiliation with, nor receives any compensation of any kind from any products or services mentioned above.**

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