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Identifying Pain Source
In many cases, one of the most important first steps is to identify the true pain source. Our knowledgeable and experienced team are capable of conducting the most comprehensive and cutting-edge studies -- dynamic ultrasound studies, nerve conduction studies, and electromyography (NCV/EMG) -- for this purpose.
Pain Medication Management
Quite often, most chronic pain patients will need a long-term medication regimen to help manage the pain. We will provide the most comprehensive and tailored approach to meet each individual person's needs. This can include anti-inflammation medication, chronic opioids therapy*, muscle relaxant, nerve medications, anti-depressants, and alternative medications.
*Chronic opioids therapy is indicated for those chronic pain patients for whom other treatments including surgeries and interventional procedures and other medications have failed. This therapy is not suitable for any individual with substance-related behavioral disorders. This therapy has been monitored closely by both physicians and by the government. The goal is eventually weaning off all opioids pain medication. We have an extensive track record of successfully managing chronic opioids therapy for those patients whom it is indicated for. All new patients must go through a standard screening process for this therapy. (We strictly adhere to government guidelines pursuant to California Medical Board guidelines published on October 2014, and CDC Guideline for Prescribing Opioids for Chronic Pain published on Mar 15, 2016).
See this page for more information on opioids therapy.
Our providers are certified for prescribing Suboxone to help those chronic pain patients who need to be off opioids therapy and have opioids use disorder. Again, we have an extensive track record of successfully managing Suboxone for those patients whom it is indicated for.
Interventional Pain Management
We provide a wide selection of interventional procedures, including spinal procedures and musculoskeletal procedures.
Spinal procedures include:
epidural steroid injections
facet joint injections
selective nerve root blocks
facet radiofrequency rhizotomy
sacroiliac joint injections
occipital nerve blocks
spinal cord stimulators
intrathecal pumps -- for pain and spasticity
Musculoskeletal procedures include:
ultrasound guided joint injections (for knee, shoulder, hip, finger/hand, elbow, ankles, etc.)
ultrasound guided peripheral nerve block such as median nerve (carpal tunnel syndrome and trigeminal nerve)
trigger point injections
Our providers are certified physical medicine and rehab physicians, who specialize in designing comprehensive therapy. This includes durable medical equipment (DME) for therapeutic purposes, such as individually tailored braces/splints for the neck, back, and joints.
Quite often, chronic pain patients have lost the capacity to do exercise, which contributes to becoming overweight or to obesity. These conditions may conversely aggravate chronic pain further. We provide weight reduction programs in our clinic which have been specifically designed for chronic pain patients with obesity issues. This includes assessment, diet, exercise, lifestyle changes, and pharmaceutical treatment.
External braces (formally known as orthotics) act to manage arthritic joints or weakened or deformed regions of the body. External braces can be used on various areas of the body including the upper and lower limbs, and spine. Common orthotic interventions include spinal orthoses for scoliosis and low back pain, neck pain, knee braces for knee pain, ankle foot orthoses used for ankle pain, wrist and thumb splint for wrist pain and thumb pain, and elbow splint/brace for elbow pain.
See the two videos below which illustrate how to wear the external brace correctly.