What is the best way to treat pain problems?
Diagnose and find the cause. If you don't know what you are treating, the response to any treatment will not be successful.
A combination of therapies usually gives the best results. This combination can include oral medications, diagnostic and therapeutic injections, physical therapy, weight loss and life-style management.
Often depression is a part of chronic pain. Its presence can drastically impact the success or failure of most pain treatment therapies. I can help with anti-depressant medication and proper referral for psychiatric assistance. Can you treat any pain problem? Although I do treat and help with a great deal of many pain causes, I recognize when certain pain causes represent other severe pathology and should be directed to the most appropriate referral. Eg., I cannot help those patients with significant anatomic problems that must be addressed surgically.
Are the procedures you perform painful?
I work hard to make these techniques as painless as possible yet at the same time very safe. I believe I'm like a "good dentist." With the proper and judicious use of local anesthetics, I can accomplish this. A majority of my patients say, "GEE! you're done, that didn't hurt at all." If needed, I also can provide sedation either orally or by intravenous sedation.

What do you look for with these procedures and how many will be done?

I am guided by 3 main factors:
Did the procedure help the pain at all? If it did, then we know we are targeting the correct problem.
How much did the procedure help? If the degree of improvement was small, then other options would provide better results. I don't like to repeat procedures that don't help the pain that much.
How long did the procedure help? If the procedure lowered the pain to a significant degree for a long duration, then repeating the procedure would be indicated with the goal of pain elimination or significant pain reduction.

An example would be like throwing water on a fire. If the fire goes out, you don't throw any more water on it. If the fire got less intense, you would throw on more water on the fire and might put it out. If throwing water on the fire has no effect, you would not keep throwing water on it, you would look for some other way to put the fire out.

How long after the procedure will I feel some relief?

Most patients feel better the next day, but improvement can take a few days.


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