florida pain clinics

5 Reasons Urine Drug Testing Protects both Patient and Doctor

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The United States is currently experiencing drug abuse at levels never before seen. According to the Center for Disease Control (CDC) drug abuse has increased over 100% in the last half-decade. In particular, prescription drug abuse is on the rise, and so are overdose fatalities.

Having stated that, there are definite legitimate reasons to provide narcotics for chronic pain. In order to provide narcotics safely, most pain clinics are now utilizing urine drug testing to make for a safer pain management Orlandotreatment.

Below we discuss the top 5 reasons urine drug testing protects both the patient and the Florida pain doctor.

1. Drug testing provides documentation the patient is taking their prescribed medication as well as avoiding illicit drugs.

A drug test provides tangible proof that the patient is taking their medication. It is also a way for the pain doctor in Florida to discover if the patient is abusing illegal drugs such as heroin and methamphetamines. Increasingly there are a number of people obtaining prescriptions then selling them on the black market as a way to earn money.

2. Drug testing helps in the regulation of narcotic prescriptions.

More states are clamping down on narcotic prescriptions because of abuse. That means additional regulations are being implemented such as drug testing. A drug test will soon be the standard for receiving prescription narcotics.

3. Drug testing protects the provider from legal issues.In a litigious society, a drug test administered by a health care provider provides a paper trail protecting the care giver from potential lawsuits. For example, should a patient sell their prescription to someone who in turn injures someone while on the substance, the doctor may be held liable unless there is a trail of documentation protecting him or her.

4. Provides equality for all patients.

It is not necessarily fair for only young people between the ages of 15-24 to be drug tested. Testing patients of all ages makes it a fair playing field, and is safer for everyone. Prescription drug abuse is not just Tampa pain managementa young person problem. People of all ages are falling prey to drug abuse.

5. Provides a baseline for the patient’s narcotic usage.

A drug test establishes proper care for new or first time patients. It ensures the patient is accurately portraying the drug history they wrote down on the intake application.

The Florida Pain Network connects those in pain with pain clinics throughout Florida. This includes pain management Tampa trusts, Orlando pain clinics, West Palm Beach pain management and many more. Visit the website to find those closest to you or call (877) 877-8556 for assistance today!

Spinal Cord Stimulators for Chronic Back and Leg Pain

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Spinal cord stimulators are used to introduce a pulse of electric current around the spinal cord. The pulses interfere with brain activity and the nerve impulses that make a patient feel pain. The procedure is used to effectively treat chronic back pain by altering the way the brain perceives pain signals. The signals are altered by changing them to a “tingling” feeling.

Implanting the spinal cord stimulator is done as an outpatient procedure, and a trial implant is necessary first. The patient is given a local anesthetic and sedative. The pain management doctor in Florida inserts a stimulator lead around the spinal cord to offer a trial run of treatment. If the stimulator is effective and relief is noticeable, the Florida pain doctor implants a permanent stimulator.Pain Management Orlando

Generally the stimulator battery/generator is implanted beneath the abdominal skin or just above the buttock area. The latest batteries are able to hold a charge for weeks at a time and are rechargeable from outside the skin. The spinal cord stimulator lead comes out from the battery and is placed around the spinal cord.

Once the stimulator is implanted, the patient works with the Florida pain doctor to determine the best possible pulse strength. The patient is instructed on how to use the device at home for maximum relief from pain. There are typically over a hundred possible programming options that can be tried. When the stimulator is in use, it feels tingly and warm. Rather than the patient experiencing pain in the back or legs, tingling sensations are felt.

Why Is Spinal Stimulation Done?

If a patient experiences chronic and severe pain, spinal cord stimulation is an option. The patient may have experienced failed back surgery followed by intense pain. In this case, spinal stimulation is offered when conservative treatments fail to provide relief.

Other reasons include severe nerve-related damage; pain and numbness or chronic pain in the back that does not subside after conservative treatment is provided. If further surgery is no longer an option, a spinal cord stimulator may the best last resort option possible.

How Effective is the Treatment?

Substantial evidence shows that spinal cord stimulators work very well to relieve pain. Patients with chronic back pain, failed back surgery syndrome, or complex regional pain have all been known to benefit from this form of treatment over 75% of the time.

Are there any risks involved?

As with any procedure there are risks involved, although minor. Possible risks may include the following:Pain Clinic Florida

    • Infection at the insertion site
    • Leakage of spinal fluid
    • Mild to moderate headaches
    • Problems with the bladder
    • Scar tissue build-up around the device insertion site or around the electrode
    • Pain that radiates beyond the nerve stimulator’s reach

The biggest risk is it may simply not provide adequate pain relief.

The Florida Pain Network works pain with pain clinics throughout Florida that provide all kinds of options for pain relief. This includes Orlando pain clinics, pain management Fort Myers, West Palm Beach pain management and many more. Visit THIS PAGE to find those clinics closest to you, or call (877) 877-8556 for assistance!

FAQs on Epidural Injections – info from Florida pain clinics

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What is an Epidural Injection?

This is a conventional procedure for controlling pain arising from swollen nerve roots located in the spine. They are irritated due to discs leaking or due to bulges or to narrowing of the nerve canal. The epidural space is the area external to the sac Orlando Pain Clinicscontaining the spinal cord and fluid. The epidural steroid injection is placed in this space in order to control pain, swelling and irritation of the nerve roots. The relief from pain can be long lasting in most cases. However, in some cases the relief is brief or none is obtained.

Before the Procedure

If you are scheduled for an epidural injection, in the upper back portion, the neck or the arm, you don’t have any food or liquid restriction. However, those taking medications in the form of blood thinners and aspirins should stop the medication 5 to 7 days prior to the procedure.

What does the Procedure Involve?

The Florida pain management doctor  assesses the pain and then goes through your medical history. He will then examine you in relation to the pain symptoms and discuss the procedure, the risks and the benefits.

Once you are agreeable for the procedure, you will lie down on your stomach on a padded bed and a local anesthetic is used for numbing the specific area to be injected. A small needle is passed through the skin in order to locate the epidural space and the steroid is injected near the nerve roots that cause the pain. It is typically a painless procedure, but there may be some minor discomfort.

How long will it take to get Relief?

In case the epidural injection has been effective, you will see an improvement in the pain symptoms within a few days to a Pain Management Tampaweek after the procedure. However, it may not be effective for everyone. the local numbing medicine usually wears off after about 12 hours, and then the steroid will “kick in” within a couple days if it’s going to work. It may take a second or third procedure in a series over 4 to 6 weeks to obtain relief.

That series can be repeated every few months if the relief wears off. The relief may last a few weeks, or upwards of six months.

Steps to take after the procedure

At the procedure center, your vital signs will be monitored for 30 to 60 minutes after the procedure. You will need a ride to pick you up afterwards.

Are there any Risks to the Procedure?

The risks can be comparable to the risks of any other injection. There is a slight risk of infection, bleeding, nerve injury. It is possible in one out of hundred cases that the needle enters the sac with the fluid. In this case, you could have a headache for twenty four hours or so. There also may be slight increases in a patient’s blood sugars.Pain Management Fort Myers

Epidural steroid injections have been of the best inventions over the past 50 years and have been a constant for sciatica treatment. Pain management doctors in Florida perform these injections hundreds of times daily.

The Florida Pain Network connects those individuals in pain with pain management clinics throughout the state, including pain clinics in Orlando, Fort Myers pain management clinics, pain management West Palm Beach trusts and many more.

Visit THIS PAGE to find clinics closest to you, or simply call (877) 877-8556 for assistance today!

FAQ’s on Pelvic Pain – from Florida Pain Network

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Pelvic pain can be a chronic condition that disrupts a person’s quality of life.  Pelvic pain can affect both men and women, but is more often seen in women who have experienced problems with their reproductive organs. Florida pain clinics

The pelvis is the area of the body just below the belly button and extends outward toward the hip region.  Pelvic pain can be debilitating and difficult to diagnose, as the cause is sometimes unidentifiable.  Just because the pain cannot be diagnosed does not mean that there is no treatment for this sometimes-chronic condition.  When there is no known cause for chronic pelvic pain, the treatment plan focuses on pain management.

The numbers of people with chronic pelvic pain are substantial.  According to the National Pain Foundation, the majority of sufferers of pelvic pain were women.  Of the female population in the United States, approximately 20 percent experience some level of chronic pain in the pelvis, and of those cases, nearly 60 percent go undiagnosed.  Women suffer for years without seeking help.

How is Pelvic Pain Diagnosed?

One of the biggest challenges with pelvic pain is finding out the cause for the chronic pain.  A process of elimination is often conducted so that doctors and Florida pain specialists can try to determine what is causing the pain.  A wide number of tests may be conducted, including a complete pelvic examination, ultrasound, various imaging tests, laparascopy, and other exams as needed.

Determining the underlying cause for the pelvic pain can be a lengthy process and in many cases, no cause is determined.  When a diagnosis cannot be identified, the focus is placed on treating the painful symptoms.  It is helpful to keep a pain journal to give to your doctor so that your symptoms can be carefully assessed.  Your medical history in combination with your symptoms will be examined thoroughly in order to pinpoint the problem.

How Does Pelvic Pain Impact Daily Life?

Orlando pain clinicsEven if the root cause cannot be determined, you do not have to suffer from chronic pelvic pain.  Pain doctors in Florida and reproductive specialists recognize that even though the cause for the pelvic problems cannot be determined, the pain can be life changing.

According to researchers at the University of Rochester Medical Center, approximately 25 percent of people with chronic pain end up in bed for several days at a time, and over 60 percent must modify their daily living for several days each month due to chronic pain.

Women with chronic pelvic pain related to dysmenorrhea or other female problems report they must miss work on a monthly basis due to the pain.  Some women have been forced to quit a full-time job and seek part time employment because the pain has impacted their lives enough to make significant changes.

Can Chronic Pain Be Treated?

The underlying cause determines the direction of treatment.  However, when the cause cannot be found, chronic pain symptoms are managed in an effort to provide the patient with the quality of life they deserve.  No one should live with chronic pain.

Your pain specialist in Florida may recommend a combination of treatments to help alleviate painful symptoms.  Medications may be administered, including:

  • Pain relievers
  • Antidepressants
  • Antibiotics
  • Hormone therapy treatments

When medication does not provide relief, or not enough by itself, other therapies may be recommended.  Physical therapy is among the most common treatment for chronic pelvic pain because of its high rate of success in relieving symptoms.

Physical therapy may consist of hot and cold packs applied to the pelvic region to relieve pain.  Your physical therapist may suggest stretching exercises that are done in the center as well as at home.  Gentle massage and strengthening exercises may also be recommended.  It is important to strengthen the muscles of the pelvic floor in order to provide relief from pain.  Statistics show that nearly 60% of all chronic pelvic pain sufferers are provided with some degree of relief from physical therapy and conservative exercise (Clemens, et al., Journal of Physical Therapy, 2007).

Trigger point injections are another form of treatment that helps relieve painful symptoms associated with chronic pelvic pain.  If the pain specialist is able to pinpoint the exact location where pain is felt, a direct injection of numbing medication can be administered.  The injection of the numbing drug usually provides relief for several weeks or months, depending on how strong the anesthetic is.

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Superior Hypogastric Plexus Block

Injections may provide pain blockage and ease discomfort and tenderness that spreads throughout the pelvis.

Electrical nerve stimulation, also referred to as TENS, is another technique that helps relieve localized pain in the pelvic area.  Often performed by a physical therapist or your pain specialist, the TENS unit delivers gentle electrical impulses to the nerve pathways (Samhan, Pain Journal, 2011).  This procedure provides relief from various types of pain.

An additional interventional pain treatment for pelvic pain is a superior hypogastric plexus block. These injections are outpatient with an overall success rate of 70% (de Leon-Casasola et al, Pain 1992). Patients are able to decrease pain medications and pain relief often lasts over three to six months.

If you suffer from chronic pelvic pain, you do not have to live with it.  Consult with your pain specialist to discuss the various treatment options available so that you can get on with life and eliminate the symptoms that are debilitating your daily activities.

The Florida Pain Network helps connect those in pain with pain management clinics throughout the state. This includes pain clinics in Orlando, Port St Lucie pain management,  Delray Beach pain clinics and many more.

Visit this page and input your zip code and those clinics closest to you will pop right up! Or simply call (877) 877-8556 for assistance.

Is There Research to Back Up Platelet Rich Plasma (PRP) Therapy?

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From animal models to human trials, research studies continue in PRP therapy. For years animal studies have shown the effectiveness of platelet rich plasma therapy and the impact it has on healing injuries of the bone and soft tissue. Ligaments and tendons that have been injured, whether acutely or chronically, have shown effective response to PRP therapy.

Clinical trials are ongoing and research continues to be examined. Despite murkiness in PRP’s effectiveness, as published in journals, the world of professional athletes has kept the therapy at the

Platelet Rich Plasma Florida

Hines Ward had platelet rich plasma treatment on his knee prior to helping the Steelers win a Super Bowl. It worked!

forefront of research. Athletes, both nationally and internationally, are receiving platelet rich plasma therapy to assist with injuries that are often frequent and recurrent.

A recent study out of Hospital for Special Surgery was published in the Clinical Journal of Sports Medicine evaluating the effectiveness of PRP for knee arthritis. The findings were an immense success for pain relief, increased function and preservation of cartilage on repeat MRI scans. Each patient only received one injection!

Early Research

Basic science studies on animal models suggested that platelet rich plasma therapy improves soft tissue and bone healing. Achilles tendon injury studies showed that there was an improvement in muscle regeneration, increased cell number, and muscle strength after PRP therapy.

The promising findings in animal tests led to the widespread use of platelet rich plasma therapy for a number of conditions. Some of the early conditions treated with favorable outcomes included acute and chronic tendon issues. Other conditions include ligament and muscle injuries, both acute and chronic.

Early results were shown when PRP was used to treat chronic problems of the tendon, such as tennis elbow and conditions impacting the Achilles tendon. A recent study out of South Florida looked at the use of PRP for chronic pain from lateral epicondylitis (tennis elbow) that wasn’t responsive to typical treatments. Surgery would have been the next step. In 28 out of 32 patients, pain was relieve with PRP and surgery was avoided. Two patients dropped out and two went on to have surgery.

Anyone who has had tennis elbow knows how frustrating it can be. It can last for over a year, and even if surgery is undertaken the result is often suboptimal. So PRP may be a “godsend”.

Ongoing Studies

Published clinical studies are ongoing to provide further support in favor of the effectiveness of PRP therapy. Since PRP uses the patient’s own blood, there is minimal risk accompanied with the potential for improved healing.

For example, National Pain Institute has a PRP looking at its effectiveness for degenerative disc disease. Currently options for DDD are not great, so this study holds a lot of hope for those suffering from chronic low back pain.

Recent studies presented at the meeting of American Academy of Orthopedic Surgeons in February of 2013, revealed solid evidence that PRP therapy benefits extend to the bone. Patients with tibial Florida pain clinicsfractures showed faster healing times when treated with platelet rich plasma than those treated with a control. Average healing time, as presented by the doctors and researchers, suggested 130 days in controls, whereas the average union time for the intervention group involving PRP treatment was 71 days.

This is remarkable evidence that PRP therapy shows favorable results and outcomes for the regeneration of cells and increased rate of healing in bone fractures. Ongoing studies continue so that the medical community and general population becomes informed about the promising impact PRP therapy has on the treatment of soft tissue and bone injuries.

The Florida Pain Network connects those in pain with clinics throughout Florida. This includes Orlando pain clinics, Port St Lucie pain management, Fort Myers pain doctors, and many more. Simply go to this page and input your zip code, or call (877) 877-8556 for assistance today!