Medical Services in West Palm Beach

Pain is an unpleasant feeling or discomfort caused by injury, illness or emotional disorder. In our West Palm Beach office, we offer medical services that will help you relieve pain.

Pain Management

Pain is an unpleasant feeling caused by injury, illness, or emotional disorder. ute pain results from a disease, inflammation, or injury. This type of pain starts and persists for a short period, as in pain after an accidental trauma or surgery. Chronic pain is caused by a disease itself and persists over a longer period of time. Pain management involves the treatment of the underlying disease with appropriate medications. Also, pain relief is the result of medication and alternative techniques. Check out the different types of our medical services and treatments below.

Focused on You Pain Relief!

Our pain specialist and staff at Relief MD understands how pain can affect your daily life. Our pain management doctors work with a team of specialists that provide a wide range of treatment optionsTreatments designed to meet a patient-specific needs and circumstances. We practice comprehensive pain management techniques with appropriate medication, therapy, and other options. These doctors can treat a variety of chronic pain syndromes. Syndromes related to neuropathic, musculoskeletal, or post-surgical causes.

Occasionally, a specific muscle may generate pain due to sustained contraction and subsequent localized ischemia. While this type of pain is usually secondary to another problem, it can occur primarily. These areas of muscle pain are called trigger points and can be treated with injection of small amounts of local anesthetic solution with or without steroid, usually in concert with specific physical therapy treatments.  If the primary source of the muscle pain such as an arthritic zygapophysial joint is identified, then it is important to treat this primary pain source as well. Trigger point injections are usually performed in the office.  Some deep muscle injections such as the piriformis and iliopsoas muscles are performed under fluoroscopy.

Ocasionally, a specific muscle may generate pain due to sustained contraction and subsequent localized ischemia. While this type of pain is usually secondary to another problem, it can occur primarily.  These areas of muscle pain are called trigger points and can be treated with injection of small amounts of local anesthetic solution with or without steroid, usually in concert with specific physical therapy treatments. If the primary source of the muscle pain, such as an arthritic zygapophysial joint, is identified, then it is important to treat this primary pain source as well. Trigger point injections are usually performed in the office. Some deep muscle injections, such as the piriformis and iliopsoas muscles, are performed under fluoroscopy.

Certain conditions such as tennis elbow (lateral epicondylitis), golfer’s elbow (medial epicondylitis), carpal tunnel syndrome and other tendonopathies may benefit from localized injection of anesthetic and steroid. Also, certain peripheral neuropathies may respond to injections around the involved nerves. These injections are only performed if more conservative treatments fail and judicious amounts of medication are used.  Typically, these procedures are performed in the office.

Cortisone Injection Treatment

While Cortisol is a type of steroid that is produced naturally within your body by the adrenal gland. The injectable cortisone is synthetic and has many trade names. But it’s a close derivative of your body’s cortisol.
The difference between natural and synthetic cortisone is that one is its application. One is released naturally and the other is injected into the blood. But into a particular area of inflammation. Also, synthetic cortisone is more potent for a longer period of time.

How Does Cortisone Injections Help?

Its important to remember that cortisone is an anti-inflammatory medication, not pain reliever. Pain decreases after an injection because the inflammation diminishes. The shots usually work within a couple of days and can last weeks. Most surgeons mix cortisone with local anesthetic to provide immediate pain relief.

It is not uncommon for specific joints to cause debilitating pain, either due to acute injuries or chronic arthritis. As a pain-alleviating treatment to delay eventual surgery or to augment physical therapy, injections of local anesthetic and steroid may be performed into or around specific joints. Common joints include the shoulder, knee and hip. These injections are performed in the office under fluoroscopy for accuracy and safety purpose.

Steroids are potent anti-inflammatory medications.  The goal of an epidural steroid injection is to place this medication near the area of injury or pathology within the spine. The steroid medication reverses the effect of pain-producing inflammatory compounds produced by the body, thereby easing pain and allowing for improved function. A local anesthetic is usually injected with the steroid, which may provide immediate short-term pain relief.

Epidural injections in the lumbar spine (lumbar epidural) are administered in the spinal canal of the low back (lumbar spine) under the guidance of X-ray imaging (fluoroscopy). These injections may help relieve back pain and sciatica. Epidural injections can also be given in other areas of the spinal canal (cervical and thoracic spine) to reduce inflammation, thus relieving pain in the upper back and neck respectively.

The sacroiliac joints, or SI joints, exist on both sides of the lower back, joining the spine to the pelvis.  These joints are susceptible to injury, either by chronic stress or acute injury. This type of pain may occur with other spine problems and the diagnosis of sacroiliac arthropathy is frequently overlooked. The joint is injected with local anesthetic and steroid under X-ray guidance. Typically, this is a difficult joint to inject and requires precision needle placement and confirmation of correct placement by documentation of appropriate contrast spread. Injections may be repeated multiple times to effect long-term relief. Best results occur when the injections are performed in coordination with physical therapy.

Radiofrequency Neuroablation

Radiofrequency Neuroablation, also known as Rhizotomy or Radiofrequency Ablation (RFA) has become a major resource for most pain management physicians. Especially with spine-related pain, to treat severe chronic joint-related pain in the low back (lumbar spine), mid-back (thoracic spine), neck (cervical spine), and sacroiliac joints.

This has proven to be successful in treating chronic pain. Pain that has been unresponsive to other types of treatment therapies by damaging (ablating) a nerve so it can no longer transmit pain signals. After all, nerves are how pain signals travel from the injured region(s) of the body to the brain.

What happens during an RFA?

Radiofrequency Ablation uses radiofrequency energy (thus the name) to interrupt nerve function. It is basically an electrical current produced via radio waves used to heat up (ablate) a small area of nerve tissue which leads a decrease in pain signals from that specific area to the brain.

During the procedure, a local anesthetic will be used to numb the skin. The injection is performed under x-ray or fluoroscopy guidance to ensure precision. Once the needle is precisely placed, the nerve will be numbed. Then, radiofrequency energy will be used to diffuse pain signals of the branch.

The patient should expect immediate pain relief which may last from 6 to 24 months since nerves normally regenerate after a Radiofrequency Neuroabalation procedure. The pace of the nerve regeneration varies from patient to patient. However, once the nerves regenerate, the pain may or may not reoccur.

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