The treatment plan will be an evolution depending upon earlier interventions, surgeries, and imaging studies. Educating the patient to the understanding of the cause and treatment of the pain will always be the emphasis of the doctor patient relationship.
An understandable treatment plan will be tailored to the cause of the pain.
Injection therapy is directed under fluoroscopic guidance, and can range from epidural treatment, to facet injections, to major joint injections, to sympathetic blocks. Medications are also utilized with the emphasis on minimizing narcotic usage. Various medication classes are employed, and often times antidepressants, anticonvulsants, or compounded creams are prescribed.
If pain control is suboptimal, despite simpler options, more complex treatment plans are used. Patients may progress to implantable devices, including spinal cord stimulators or intrathecal programmable pumps.
The goal of treatment is to return to a functional lifestyle. This includes sleeping throughout the night, working and doing household choirs, and lastly, enjoying social activities.
Many types of injections can be used to treat small or large regions ranging from epidural treatment, facet injections, to major joint injections.
Fluoroscopic Imaging allows a live view of many procedures ensuring a high level of precision when administering medications.
An intrathecal pump delivers small amounts of medication to a target area while spinal cord stimulators use small electric impulses.