pain management port st lucie

What Does it Take to Get a Spinal Cord Stimulator Implant?

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A spinal cord stimulator implant can be an excellent option for those with chronic pain that have not responded to conservative treatments. This may include  failed back surgery, where there is no longer an indication for surgery. A SCS implant may be an excellent option for helping with chronic back and/or leg pain and reduce the need for pain medications.

Hear Dr. David Greene, CEO of the Florida Pain Network, discuss the steps involved with obtaining a spinal cord stimulator implant. They are expensive devices, and it takes a couple steps prior to approval for a final implementation.

The Florida Pain Network connects those in pain with pain management doctors in Florida. This includes pain clinics in Orlando, Tampa pain clinics, Port St Lucie pain management, Ocala, Fort Myers and many others. Visit the Pain Management page to find those closest to you or simply call (877) 877-8556 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.

What Is Platelet Rich Plasma (PRP) Therapy?

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Abbreviated PRP, platelet rich plasma therapy is blood that has been saturated with a high level of plasma. The concentrated source contains a higher number of growth factors and cytokines that promote the healing process of soft tissue and bone at a higher rate. Platelet rich plasma has 5 to 10 times the platelet concentrate of regular blood. When introduced to an injury site, PRP stimulates healing and decreases recovery time.

How is Healing Improved?

In order to understand the impact PRP has on healing the preparation must be discussed. There are different ways to prepare the concentration, as approved by the FDA. The processes involves collecting blood from the patient. The initial collection is of whole blood that is anti-coagulated.

Once the blood is collected the second stage of preparation is introduced. This stage is known as centrifugation. The process is set up to separate the concentration. Poor quality cells and good quality are separated.

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Centrifuge spins the blood to create PRP.

After the blood is prepared it is injected in the injured area of the soft tissue or bone. The preparation is routinely injected into the injured tendon or ligament. The rate of healing is increased. Also, arthritic joints such as the knee and hip are showing  excellent results with PRP treatment.

Is PRP Effective?

Research is ongoing in platelet plasma therapy. The treatment is highly received in sports as big name athletes receive PRP to assist with injuries that need to be healed in a short amount of time. These include the likes of Tiger Woods, Rafael Nadal, Dwight Howard and Hines Ward. Favorable findings in animal models have excited researchers and doctors who believe that PRP is beneficial to patients with acute and chronic injury.

Some of the most promising results include studies that showed PRP treatment was highly effective in chronic tendon conditions. Achilles tendinosis, tennis elbow and other conditions revealed that the healing was initiated and the process sped up when injected with PRP concentration. Similar results were received in conditions such as rotator cuff tears and MCL injuries of the knee.

PRP South FloridaSince PRP is created from the patient’s own blood, the therapy is considered to be low risk and increase the potential to initiate and speed healing. Research is ongoing but initial trials aging back a decade or more are favorable for the effectiveness of the therapy.

If you are considering platelet rich plasma consult with your Florida pain management doctor today to find out more about the treatment and if you are a candidate. Your PRP specialist can answer any questions you have about the process, recovery and effectiveness of the therapy. It is a low risk treatment that offers a potential for effective results.

The Florida Pain Network connects those in pain with Florida pain clinics who can help alleviate pain. Clinic listings include pain management Orlando trusts, pain clinics in Port St Lucie, pain management West Palm Beach and more.

National Pain Institute is offering platelet rich plasma treatment for those suffering from soft tissue injury and arthritis conditions. NPI has 7 locations around Florida, call (407) 487-2539 for more information and scheduling today!

Platelet Rich Plasma Therapy Offering Hope to Those With Spine or Extremity Pain

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The future of pain management involves regenerative medicine. Currently, virtually all pain management treatments involve reducing or eliminating pain with methods that do not heal the problem. While there are very effective treatments in pain management to do this, what we really want is pain reducing treatments that help alter the problem at hand, such as arthritis and soft tissue inflammation or degenerative disc disease.Platelet Rich Plasma Therapy

Platelet rich plasma therapy, also known as PRP, represents a huge step in the regenerative medicine category. This treatment is a low risk therapy that involves simply taking a person’s own blood. The blood is placed in test tubes and spun in a centrifuge machine very fast for about 10 minutes. This separates the blood into three layers. The top layer contains concentrated platelets and growth factors.

This is the layer that is used as platelet rich plasma by pain clinics in Orlando, West Palm Beach, pain management Fort Myers and more. Out of the 30 to 60 mL taken from a person’s blood, 5 to 10 mL end up being usable as PRP. PRP is then injected into the problem area, which may include tennis elbow where there is soft tissue inflammation,  arthritis which is mild to moderate, rotator cuff tendinitis, ligament injuries, Achilles problems and more.

PRP sparks up an inflammatory reaction which can initially make the area more painful than it was before, but typically only for a couple days. The platelets and growth factors then help to heal the damaged area rather than just simply masking pain. In addition, PRP is an attractant for the body’s own stem cells. As stem cells infiltrate the area, they can also provide some tissue regeneration.

Three of the major professional sports leagues have approved of the use of PRP along with the World Anti Doping Association.
PRP therapyMultiple professional athletes have had the procedure including Tiger Woods, Dwight Howard, Hines Ward, Troy Polamolu and quite a few others.

More and more research studies are coming out in favor of platelet rich plasma. There was a recent study out of South Florida looking at PRP for epicondylitis of the elbow including both golfers and tennis elbow. Patients did extremely well overall with the treatment, and less than 10% ended up needing surgery. Quite a few patients got rid of all their pain and most were very pleased with the outcome.

Another recent study out of the Hospital for Special Surgery looked at the injections with PRP for moderate degenerative arthritis. In this study, follow-up MRIs showed that in three out of four of the patients, no further degenerative arthritis was noticed on high-resolution MRI scans. Clinically, the injected patients had statistically significant improvements in their pain along with functional abilities.

These studies are very exciting. If platelet rich plasma can be shown in larger studies to have long-term pain reducing effects and regenerative capability for these types of Pain Management Doctors in Floridaconditions, it will be a total homerun. It’s a low-risk procedure and cost anywhere from $500 to $1000 per injection. This is much less than the typical regenerative medicine type product. It may be necessary to have a series of injection with one every few weeks.

Pain clinics in Florida may offer PRP treatment, and it is being shown to help a lot with various soft tissue and arthritis conditions. National Pain Institute, for one, offers platelet rich plasma at its various locations. Visit THIS PAGE to find a Florida pain management clinic close to you!

The Basics of Fibromyalgia – from the Florida Pain Network

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Fibromyalgia affects between five and 10% of Americans, predominantly women between age 35 and 55. The cause of the condition is not fully known. Typical symptoms include back and neck pain, shoulder discomfort and potentially radiation into both arms and legs.Pain Clinics in Fort Myers

The quality of the pain experienced includes a deep muscle tenderness along with a feeling of soreness. Patients often have flu like aches along with muscle stiffness and overall fatigue.

Because of the chronic nature of fibromyalgia, individuals may also experience anxiety or depression. Headaches are common along with interrupted sleep. All too often, fibromyalgia is seen in association with irritable bowel syndrome.

Unfortunately, the pain associated with the condition may show up for months at a time And then individuals may experience somewhat of a remission.

The diagnosis of fibromyalgia includes widespread pain that lasts for a minimum of three months, along with pain in at least 11 of 18 tender points throughout the body. There is no true blood test or imaging modality to make the diagnosis. If the person does not meet the criteria for 11 tender points, the condition usually is still treated the same way but it’s called myofascial pain syndrome.

Treatments for fibromyalgia are not a one-size-fits-all situation. Medication management is often extremely helpful which may include muscle relaxants, sleep aids, over-the-counter anti-inflammatories and Tylenol along with membrane stabilizing drugs such as Lyrica.

For periods of acute exacerbation with fibromyalgia, narcotic medications may be helpful. With chronic opiate medications, the risks can start to outweigh the benefits.

Fibromyalgia treatment FloridaAdditional treatments for fibromyalgia may include acupuncture, physical therapy, massage, meditation, yoga, behavioral therapy, tens units and possibly intravenous therapy with a Myers cocktail.

These treatments need to be individualized to the patient’s symptoms along with their tolerance for their inclusion. For instance, some patients of fibromyalgia are unable to tolerate massage and acupuncture.

Pain management clinics in Florida offer great treatments for fibromyalgia, and quite a few are in the Florida Pain Network. National Pain Institute offers IV therapy which has been shown to offer significant relief with low risk.

Visit THIS PAGE to find the pain clinics closest to you. In addition, you may call (877) 877-8556 for assistance. The Network has listings for pain management doctors in Orlando, pain management doctors in West Palm Beach, Port St Lucie, Fort Myers, Tampa and more!