Pain Management

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Pain Management

Table of Contents

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Pain Management Specialists

At Coastal Orthopedics, we understand how debilitating chronic pain can be. Our goal is to decrease or eliminate your pain, so you can get back to doing the things you enjoy. Our team of board-certified pain management specialists is committed to relieving your pain through minimally-invasive interventional treatments. You may also be treated by our physical medicine and rehabilitation specialist, who focuses on restoring your function through a regimen of non-surgical, physician-guided strengthening, stretching, therapy, medications, and injections.

What are the Pain Management Conditions That can be Treated?

The pain management specialists at Coastal Orthopedics are experts at diagnosing, treating and alleviating neck and back pain, and associated pain in the shoulders, arms, hips, legs as well as neuropathic pain. Some of the most commonly treated conditions include:

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What are My Treatment Options for Pain Management?

Pain management treatment varies from person to person because pain is unique to each individual. The pain management specialists at Coastal Orthopedics expertly perform many procedures for chronic neck, back, and joint pain.

Some of the most common procedures we perform include:

Peripheral Joint injections

Administered within the joints of the shoulder, elbow, hip, and knee. Pain in these joints may be caused by bursitis, tendonitis or arthritis.

Sacroiliac joint injections are given to reduce inflammation that causes pain in the buttocks, thigh, groin or hip. The primary use of this injection is to diagnose or treat pain and/or sciatica symptoms that can be associated with sacroiliac joint dysfunction.

Used to treat involved muscles in many areas of the body. Trigger points are tight bands or small areas of a muscle that are sensitive to touch and pressure. The trigger point can irritate surrounding nerves and cause referred pain, a type of pain that radiates to nearby areas. The neck, back and shoulders are particularly common areas to receive this injection.

Administered to place medication directly around a nerve in your spine to help determine if it is the source of pain. If the nerve block relieves the pain, then your doctor can proceed with treatment, which may include additional medication, injections or surgery.

A spinal cord stimulator is another technique that can be performed for the relief of chronic back pain. A small wire called a spinal cord stimulator is implanted under the skin. The wire is connected to a power source that transmits low-level electrical impulses to the spinal cord or to specific nerves to block pain signals from reaching the brain. Instead of pain, you experience a mild tingling sensation.

Facet radiofrequency is used to treat nerve pain in the back. The procedure uses heat to create a lesion on the affected nerve, which impairs the nerve’s ability to transmit signals about facet joint pain. Because the nerve is “turned off,” pain is not felt. The treatment provides pain relief for about a year but can last much longer for some people.

Vertebroplasty is a non-surgical treatment that relieves the pain of compression fractures in the spinal vertebrae. The procedure involves injecting bone cement into the vertebrae to stabilize fractures and/or strengthen weakened vertebrae before they fracture. After treatment, many patients experience significant pain relief and restoration of mobility.

Patient Handouts

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HFX provides patients with long term chronic pain relief