doctor council for living life pain free

Common Treatment Options

  • Epidural injections
  • Selective Nerve Root injections
  • Spinal Cord Stimulation trials
  • Facet injections and Facet nerve ablations/rhizotomy
  • Discography
  • Injections for knee pain
  • Independent Medical Evaluations
  • Sacroiliac joint injections

Other Specialties

Functional Rehabilitation

Functional Restoration is designed for workers’ compensation patients. Incorporating physical therapy and behavioral therapy, this program is designed to help patients who have been out of work (due to chronic pain) return to functioning at their highest possible level. We understand that some people will always live with a certain level of pain, depending on their condition. SMART Pain Management’s Functional Rehabilitation program teaches patients how to independently manage all aspects of their pain and its impact on every area of their lives.

 

Our SMART approach is holistic and interdisciplinary. Our clinical team treats patients with compassion and develops highly personal treatment plans that can improve quality of life. Patients enrolled in the program participate in structured daily activities and receive individual case management, tailored psychological counseling, and physical therapy, as outlined by their clinical team.

 

Rehabilitation after Injury or Surgery
We work closely with various rehabilitation specialists, including physical therapists and chiropractors.

 

Electrodiagnostic Testing (EMG/NCS)
This testing is performed to evaluate neurological conditions such as Carpal Tunnel Syndrome, Tarsal Tunnel Syndrome, Radiculopathy and Neuropathy.

 

Independent Medical Exams (IME)
These are evaluations performed on worker’s compensation patients. IMEs may be conducted to determine the cause, extent and appropriateness of treatment.

 

Acupuncture
The procedure is the insertion and manipulation of needles into various points on the body to relieve pain.

 

Orthotics and Rehab Equipment
We help fit patients for appropriate orthotics, including TENS (transcutaneous electrical nerve stimulation) units, knee braces, and back supports.

 

Pain Management with Radio Frequency
Chronic knee osteoarthritis (OA) is a painful disorder common among adults of advanced age. Radiofrequency ablation (RFA) is an outpatient procedure that could treat your knee pain and allow you to quickly return to your normal activities.

Radiofrequency Treatment: RFA is a safe, proven means of interrupting pain signals, such as those coming from irritated genicular nerves in the knee. Radiofrequency current is used to heat up a small volume of nerve tissue, thereby interrupting pain signals from that specific area. Clinical data shows that radiofrequency treatment can effectively provide lasting pain relief.

Radiofrequency treatment should not be considered for patients taking anticoagulants, for patients with local infections, for patients with serious psychological problems, for patients with allergies to local anesthetics or for patients who are pregnant.

 

During the Procedure: A doctor in a treatment room setting performs a radiofrequency nerve ablation procedure. Both local anesthesia and mild sedative may be used to reduce discomfort during the procedure.

During the procedure, you will be lying on your back with a pillow under your leg. Your doctor will insert several small needles into your knee. Using X-ray imaging, the doctor will guide the needles to the treatment locations near the joint. Electrodes are inserted through the needles to stimulate nearby sensory and motor nerves. During stimulation, your doctor will ask if you are able to feel a tingling sensation. The object of stimulation is to determine the optimal treatment locations for pain relief.

Once the needle and electrode placement is verified, a small RF current will travel through the electrodes into the surrounding tissue, causing the tissue to heat, eliminating the pain pathways. You should alert your doctor if, at any time during the procedure, you experience any discomfort. Your doctor will treat more than one location during the same procedure to minimize treatment time.

 

You may experience some soft tissue discomfort at the needle placement site following the procedure. Like other soft tissue wounds, the discomfort should subside over several days or weeks. If there are no complications, the procedure can usually be done on an outpatient basis.

Your knee pain should subside over the next several weeks. Radiofrequency treatment of nerves usually blocks pain signals for a prolonged period of time. The procedure can be repeated if the nerves regenerate and your pain returns.

Radiofrequency treatment should not limit your daily activities. You should be able to resume your normal activities, including work. Physical restrictions you had prior to the procedure may still remain. As with any medical procedure, however minor, there are certain risks involved. Please ask your doctor for details regarding the potential risks with radiofrequency treatment.

Pain affects more adults than diabetes, heart disease and cancer combined.

Come to us for pain relief and start enjoying life again.

For Pain Relief Call 443-693-7246 (PAIN) or Request an Appointment Online

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