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Treatments

The Pain Program approach is interdisciplinary and is likely to include more than one of the following modes of treatment.

Medical Management - Analgesic and Adjunct Therapies

  • Analgesics
  • Opioids
  • Antidepressants
  • Anticonvulsants
  • Antiarrythmics
  • Topical Medications


Fluoroscopic Guided Spinal Injections

Epidural Injection (Lumbar/Thoracic/Cervical)

  • Translaminar (Conventional)
  • Transforaminal
  • Caudal

Selective Nerve Root Block

  • Facet Injections
  • Intra-Articular
  • Medial Branch

Sacroiliac Joint Injections

Discography

Fluoroscopic Guided Plexus Injections

  • Sphenopalatine
  • Celiac Plexus
  • Stellate Ganglion
  • Lumbar Sympathetic Chain
  • Ganglion Impar
  • Peripheral Nerve


Neuroablative

  • Radiofrequency-Denervation and Pulsed Radiofrequency (Pending)
  • Adhesiolysis


Other Injections

  • Scar/Neuroma Desensitization
  • Trigger Point Injection
  • Subcutaneous Infiltration
  • Regenerative Injection Therapy (Proliferative Therapy)


Neuraxial/Plexus or Intravenous Infusions

  • Epidural
  • Peripheral Nerve Plexus (Brachial Plexus, etc)
  • Procaine (Pending)
  • Lidocaine
  • Intravenous Regional Sympathetic Block +/- Bretyllium


Subcutaneous Infusions

  • Lidocaine


Neuromodulation and Implantable Technology

  • Transcutaneous Electrical Nerve Stimulation
  • Spinal Cord Stimulation for Ischemic Pain, Complex Regional Pain Syndrome, Failed Back Pain Syndrome, Occipital Neuralgia and Other Neuropathies
  • Intrathecal Drug Delivery System

Behavioral/Psychological Techniques

  • Cognitive Behavioral Therapy
  • Stress Management Techniques
  • Laughter Therapy
  • Mindfulness
  • Biofeedback
  • Group Therapy
  • Occupational Therapy (Individual and Group)
  • Family Counselling Related to Pain and Chronic Illness
  • Management of Mood Disorders Related to Pain and Chronic Illness
  • Chronic Disease Self Management
  • Complementary Strategies (Pending) - Acupuncture, Neural Therapy, Hypnosis


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