Monitoring, medication reconciliation, and ensuring patients receive the expected results are all part of medication management. To develop treatment programs, this requires a thorough review of prescribed medication and their possible side effects to create a treatment plan and monitor their safety and efficacy.

A Cervicogenic headache is characterized by neck pain that radiates to the brain. It is a headache brought on by an ailment, such as an infection or neck injury. Treatments may include:

• Physical Therapy
• Medications
• Nerve Blocks
• Transcutaneous Electrical Nerve Stimulation (TENS)
• Neuromodulation

BOTOX¨ (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used to prevent headaches in adults with chronic migraines who have 15 or more days each month with headaches lasting 4 or more hours each day in people 18 years and older.

Our licensed social workers help to determine length and severity of symptoms of depression. This often determines the type of therapy used.

Family counseling helps families form and maintain healthy relationships. It identifies and addresses problems within the family and whether they are emotional, psychological or behavioral. As a part of our pain management program, our licensed social workers assist in identifying these issues and how they contribute to pain management.

Motivational enhancement therapy (MET) has been set up for the purpose of addiction recovery. Also referred to as motivational interviewing, MET focuses on increasing motivation and setting goals. The MET approach can be useful for helping people understand the effects of their behavior and feel more capable of recovering from addiction. MET can be a helpful way to inspire change.

Physical pain and suffering due to a personal injury caused by another person or company. Our providers will work with patients to establish a comprehensive plan of care through these claims.

When the pain occurs in the context of workers’ compensation, there is even greater clinical complexity. Studies show that patients being treated for chronic pain under workers’ compensation are generally more distressed and have poorer outcomes both clinically and vocationally than non-compensated patients. Our providers are very accustomed to caring for BWC patients and improving outcomes.

Diagnostic injections are designed to better understand the source of your pain. An anesthetic agent is injected to block pain-sensing nerves. Your immediate response to the injection is monitored.

Therapeutic injections involve an anesthetic and/or steroid (cortisone) injection near the affected nerve. The medication reduces the inflammation and lessens or resolves your pain.

Injections are performed under X-ray or ultrasound guidance, to confirm correct placement of the medication and improve safety.

Corticosteroid Injections

Corticosteroid (Cortisone) injections can help relieve pain and inflammation in a localized area of the body. This can be effective in the late stages of arthritis, to get past a sudden increase in pain and delay the need for surgery.

Hyaluronic Acid Injections

Hyaluronic acid (HA) injections are used when corticosteroid injections fail, usually approved only for use in the knee. In some instances, doctors consider HA injections first if you don’t have obvious signs of inflammation. HA is a better option if you have diabetes as corticosteroids can raise blood sugar levels.

Trigger point injections are injections of local anesthetic with or without corticosteroid, botulinum toxin, or without any injection substance (dry needling). They help soothe myofascial pain, especially in your neck, shoulder, arms, legs and lower back. Trigger points are painful “knots” in your muscles that can be very sensitive to touch.

Epidural steroid injections (ESIs) are an anti-inflammatory medication injected into the epidural space around the spinal cord. The shot may help reduce pain, tingling, or numbness in your back, buttock, or leg. Approximately 50% of people experience temporary pain relief from ESIs.

Dry needling is a treatment that healthcare providers use for pain and movement issues associated with myofascial trigger points. With this technique, a provider inserts thin needles into or near your trigger points. The needles stimulate your muscles, which causes them to contract or twitch. This helps relieve pain and improve your range of motion.

Sacroiliac (SI) joint injection is an injection of a long-acting steroid in the SI joint; a large joint in the low back and buttocks where the hip joint joins the spine. SI joint injections both treat and diagnose lower back pain. If a doctor recommends this procedure, it may provide months of pain relief.

Occipital nerve block is an injection of pain medicine and steroids near the base of your skull. This is usually done to treat chronic headaches caused by an irritation to the nerve near the back of your head. The Occipital nerve block should give you quick relief from this type of headache.

Radiofrequency ablation is a minimally invasive procedure that destroys the nerve fibers carrying pain signals to the brain. It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints.

Kyphoplasty and Vertebroplasty are minimally invasive procedures for the treatment of painful vertebral compression fractures which can be caused by osteoporosis, multiple myeloma or, less commonly, cancer and trauma. The procedure involves injecting a substance called “bone cement” into the vertebral body. The cement is injected under x-ray guidance.

Medical cannabis, or medical marijuana, is cannabis and cannabinoids that are prescribed by one of our CTR-certified physicians. Preliminary evidence has indicated that cannabis might reduce chronic pain and muscle spasms.

Vertiflex Superion is an implant that restores the space between the vertebrae, reducing or eliminating the pressure on the nerves caused by lumbar spinal stenosis.

Stellate ganglion block is an injection of medication into a collection of nerves at the bottom front side of a person’s neck. This can be used to treat loss of smell, lethargy and post-covid symptoms. It is typically used for pain located in the head, neck, chest and arms.

Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons). EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. Your doctor may order an EMG if you have signs or symptoms that may indicate a nerve or muscle disorder. Such symptoms may include:

• Tingling
• Numbness
• Muscle weakness
• Muscle pain or cramping
• Certain types of limb pain

EMG results are often necessary to help diagnose or rule out a number of conditions such as:

• Muscle disorders, such as muscular dystrophy or polymyositis.
• Diseases affecting the connection between the nerve and the muscle, such as myasthenia gravis.
• Disorders of nerves outside the spinal cord (peripheral nerves), such as carpal tunnel syndrome or peripheral neuropathies.
• Disorders that affect the motor neurons in the brain or spinal cord, such as amyotrophic lateral sclerosis or polio.
• Disorders that affect the nerve root, such as a herniated disk in the spine.

Acupuncture involves the insertion of very thin needles through your skin at strategic points on your body. A key component of traditional Chinese medicine, acupuncture is most commonly used to treat pain.

TENS therapy is a battery-operated device that sends mild electrical currents to a targeted area on the body. While using the handheld machine, you’ll experience a non-painful tingling or buzzing sensation, this can help to block or suppress pain messages.

Physical Therapists can diagnose and treat a range of injuries, disabilities and health conditions. They use a number of techniques to improve a person’s range of movement, quality of life and prevent further injury.