Preferred Pain Center Newsletter Issue 4 2010
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Transcript of Preferred Pain Center Newsletter Issue 4 2010
The Most Comprehensive Pain Center in the Valley
The PAIN Stops Here!
Meet our TOP DOCS 2010
Newsletter Issue 4 NOV/DEC 2010
Contents
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Preferred Pain Center Contact Information and Locations. Patients Routinely Seen Within 48 hrs
Degenerative Disc Disease DDD is a very common problem. Here are seven ways to avoid surgery with it.
Lumbar Epidural Steroid Injections 86% of patients with sciatica received excellent pain relief in a recent Pain Physician Study.
Just the Facts: Radiofrequency Ablation Five facts on RFA and how it works.
Pain is only valuable once you know that you’ve learned from
it. -Anonymous
Comprehensive Pain Management
Preferred Pain Center offers a team
of medical professionals from
various backgrounds including
traditional, alternative, and holistic
training.
Ajay Narwani, MDPain Management
Double Board Certified Pain/AnesthesiaABMS Interventional Pain ManagementDiplomate American Board Anesthesia
Anesthesia Residency U. Texas-HoustonPain Fellowship U. Texas-Galveston
Sky Moore, DCRehab/Chiro
Rehabilitation and Chiropractic SpecialistDoctoral Degree National College in Chicago
Certified in NonSurgical Spinal Decompression TherapyCertified in Manipulation Under Anesthesia
Treatments offered at Preferred Pain Center
• Interventional Pain Management • Medication Management • PT/Rehab • Physiotherapy • Spinal Decompression Treatment • Chiropractic Treatment • Naturopathic Treatment • Acupuncture
Follow us on Twitter
twitter.com/preferredpain
Follow The Blog of Pain
blog.preferredpaincenter.com
Preferred Pain Center Phoenix, AZ
The Most Comprehensive Pain Center in the Valley
Page 2 www.preferredpaincenter.com (602) 507-6550
Lumbar epidural injections are very commonly performed in the US for the management of chronic back and lower extremity pain due to spinal problems.
A recent study in Pain Physician showed the effectiveness of epidural injections for these issues to be significantly effective.
The underlying mechanism of how local anesthetic and steroid injections work in the epidural space is not well understood.
The study was randomized, double blinded, and controlled looking at patients with chronic low back and lower extremity pain secondary to disc herniation or radiculitis in providing long lasting pain relief. Outcomes were evaluated at 3, 6, and 12 months post-treatment.
Epidural Injections for Chronic Back Pain By David L. Greene, MD, CEO
Patients were all given epidural injections under fluoroscopy, and randomized to whether or not they received steroids plus local anesthetic versus solely local anesthetic.
Outcomes for the study overall showed that patients can experience significant pain relief and functional status improvement with lumbar interlaminar epidural injections.
Significant pain relief was defined as over 50% pain relief. In the group that received solely local anesthetic, 74% of patients achieved significant pain relief with average of 10 months success. In the group that received injections with steroid medication and local anesthetic, pain relief was seen in 86% of patients also averaging 10 months.
With regards to functional status, over 80% of the group receiving steroid and local anesthetic improved their functional status scores by over 50%.
Epidural Injections are the most commonly performed procedure in the US for managing chronic
lower back pain.
The Most Comprehensive Pain Center in the Valley
Page 3 www.preferredpaincenter.com (602) 507-6550
The Blog of Pain http://blog.preferredpaincenter.com
The Blog of Pain educates and discusses all subjects related to pain.
Recent topics:
• Will Spine Surgery Get Rid Of All My Back Pain?
• What is Sciatica? • Spinal Decompression Can Help You Get
Your Life Back
7 Ways To Avoid Surgery With Degenerative Disc Disease
By David L. Greene, MD, CEO
3) Quit Smoking - Besides the general health benefits of not smoking including lowering the risk of cancer and avoiding emphysema, avoiding nicotine can help with blood flow. Nicotine is a vasoconstricting drug, and can decrease the blood flow which is needed to bring in healing oxygen and nutrition. 4) Core Stabilization and Lumbar Strengthening - Physical therapy can strengthen the muscles surrounding the spine, thereby reducing pressure on the painful degenerative disc. 5) Spinal Decompression -This is a revolutionary treatment that can dramatically decrease the pain from degenerative disc disease and help a patient avoid surgery. 6) Chiropractic Treatment - Treatment from a chiropractor can be very beneficial to decreasing the back pain from disc problems. 7) Interventional Pain Management - If there is associated facet arthritis, a facet block can assist with pain reduction. If a facet block then wears off, a radiofrequency ablation may help with pain relief for one to two years. There is no magic bullet or gimmicks to surgery avoidance when dealing with degenerative disc disease. The above options may help individually or in combination to allow one to live comfortably and avoid an operation.
Degenerative Disc Disease (DDD) is a diagnosis that may cause extreme disabling low back pain on a daily basis, or it may simply be an incidental finding. Over 40% of people over the age of 40 have MRI findings of degenerative disc disease, but remain asymptomatic. If disc degeneration is deemed to be the source of back pain, the best option obviously is to avoid surgery. Seeing as how only 20% of back surgeries are truly successful after two years, what are the best ways to accomplish the successful non-surgical approach. Here are seven ways: 1) Live With the Pain - Doesn't sound great but at the end of the day it is a quality of life decision. If a patient can avoid painful activities and remain somewhat active, able to work and interact socially and with family and live happily, this may in fact be the best option. With the results of surgery having at best a 70% success rate and usually it's a roll of the dice, all options should be exhausted and this may be the last option standing. 2) Lower Your Body Mass Index - Being overweight equals extra weight on the degenerative disc. It does not take a rocket scientist to know that if the disc is painful from degeneration and the body weight is pushing down on the painful region then extra pressure can easily exacerbate the problem.
Recent Testimonial
I’ve had back trouble for 30 years. It would take me 45 minutes just to get out of bed in the morning. I became depressed. I had severe back pain, no range of motion and I was afraid I was going to injure myself. Being in sales, I need a positive confident exterior and it was totally exhausting working through the pain. I didn’t have the luxury of having a nervous breakdown! My treatments at Preferred Pain Center consisted of PT, TENS, and Interventional Pain treatments with Dr. Narwani. Those helped, and the final treatment was a Manipulation Under Anesthesia which seemed to fix my problem for good.
All I can say is I feel absolutely freaking amazing!
My pain went from an 8 to a 0, and Life is Good.
- Lisa Wolfe, Advertising Executive
Preferred Pain Center Phoenix, AZ
The Most Comprehensive Pain Center in the Valley
Page 4 www.preferredpaincenter.com (602) 507-6550
Radiofrequency ablation is a commonly performed procedure for facet related back or neck pain. An important advantage of RF current (over previously used low frequency AC or pulses of DC) is that it does not directly stimulate nerves and can therefore often be used without the need for general anaesthetic. Patients sometime receive IV sedation for pain relief during the procedure. Here are 5 RFA facts. 1) It has nothing to do with listening to the radio - the current utilized is in the same wavelength as radio signals, however the current is focused into the specific problem area. Radiofrequency machines do not have FM radios attached to them.
2) It can actually hurt more right afterwards than before. RFA procedures can provide pain relief for
Just the Facts: Radiofrequency Ablation
Main Office Location
2813 E. Camelback Rd Suite 430
Phoenix, AZ 85016
Surgery Center Location
10255 N. 32nd Street Phoenix, AZ 85028
Phone (602) 507-6550 Fax (602) 759-1741
Follow us on Twitter!
twitter.com/PreferredPain
Preferred Pain Center Information – Call (602) 507-6550 for appts
Most Insurance Accepted including Worker’s Comp & Personal Injury
Patients Routinely Seen within 48 hours!
Offices A. Scottsdale B. Main Office C. Surgery
Center D. Laveen E. Mesa F. Chandler
upwards of two years. However one thing commonly seen is pain exacerbation immediately after the procedure. This typically resolves over a few days to weeks and relief begins. 3) Pain relief from the RFA (rhizotomy) may last one to two years. The tiny nerve endings that are causing the pain in the facet joints are deadened with the procedure. These will eventually regenerate, and then the procedure may be repeated. 4) A diagnostic injection is necessary prior to proceeding with an RFA - In order to receive insurance approval for the procedure, it is necessary to show that an injection helped over 50% for pain relief. If it works and then wears off, an RF procedure is indicated. 5) It is the most modern treatment available for facet related pain. RFA remains the newest, best option available for long term pain relief
“Back or Neck Pain relief with Radiofrequency
Ablation may last for TWO
years.”
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