In managing pain, the critical initial step is identifying the pain generator. Our focus is on decreasing pain, swelling and disability, and correcting the bio-mechanical imbalances that may be contributing to the problem.

Our comprehensive non-surgical approaches include:

• Pharmacologic Interventions
• Physical Therapy
• Injections
• Rehabilitation Psychology

These options are helpful in treating a variety of musculoskeletal conditions including:

• Cervical and lumbar sprain/strains
• Cervical and lumbar disc herniations
• Sacro-iliac joint Dysfunction
• Degenerative disc disease
• Facet arthropathy
• Spinal stenosis
• Spondylolisthesis
• Scoliosis
• Fibromayalgia
• Leg length discrepancy

Pharmacologic Interventions

 
To reduce pain and swelling.

• Steroids
• Anti-inflammatories
• Muscle Relaxants
• Opioids
• Nerve membrane Stabilizers
• Anti-depressants

Physical Therapy

Three phases:

1. Acute: Focus on reducing pain and swelling using:

• Heat packs
• Ice packs
• Electrical stimulation (TENS)
• Traction
• Massage
• Joint and soft tissue mobilization
• Craniosacral manipulation
• Myofascial release
• Gentle Stretching
• Postural Re-education

2. Sub-acute: Focus on improving range of motion and strength using:

• Williams Flexion & Mckenzie Extension exercises
• Dynamic lumbar stabilization
• Core strengthening
• Individualized progressive stretching and strengthening programs

3. Maintenance: Reinforce and advance stretching and strengthening program; assuring smooth transition to an independent home exercise program.

Injections

Three types:

• Soft tissue (trigger points)
• Peripheral joint
• Spinal
  • Fluoroscopic and ultrasound guided
  • Epidural
  • Medial branch block
  • Facet blocks
  • Radiofrequency ablation
  • Sacroiliac joint

Rehabilitation Psychology

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