Treatments

Joint Injection | Spinal Pain Treatment | Head Pain Management Oceanside CA | Encinitas CA


Intrathecal Drug Delivery (ITDD, Pain Pump)

Intrathecal Drug Delivery/pain pump delivers pain medication directly to the fluid around the spinal cord, providing pain relief with reduced medication compared to the amount required when taken orally. This may lead to fewer or more tolerable drug side effects compared to oral medications. The system consists of a pump and catheter that are surgically placed under the skin. The pump is a round device that stores and delivers pain medication. The catheter is connected to the pump and inserted into your spine to allow for the delivery of the medication. Prior to an implant of a pain pump, a patient would be required to perform a trial to determine candidacy.


Joint Injections

Osteoarthritis (OA) is one of the most common forms of arthritis; joint pain and stiffness impacting ones function. When conservative measures don't provide adequate relief, corticosteroid injections directly into the aching joint may be effective. Corticosteroids are medications that mimic the effects of the hormone- cortisol, which is produced naturally in the body, by the adrenal glands. Corticosteroids work to decrease inflammation. The goal of a corticosteroid injection into a painful arthritic joint is to reduce the irritation of bone interacting with bone which is what happens when the smooth, cartilage surface wears away.

Another injection option for certain joints affected by OA that have failed conservative therapy is hyaluronic acid. In a healthy joint, a thick substance called synovial fluid provides lubrication and acts as a shock absorber. In joints with OA a critical substance in the synovial fluid known as hyaluronic acid breaks down. Loss of hyaluronic acid appears to contribute to joint pain and stiffness.


Ketamine

Ketamine is delivered in a variety of manners, and is typically used to treat chronic neuropathic pain disorders in patients who have not responded to other forms of pain management. Ketamine has been reported to be safe and efficacious for the management of refractory complex regional pain syndromes (CRPS). This therapeutic intervention can be especially helpful in the setting of neuropathic pain related to CRPS resistant to other treatments.


Minimally Invasive Lumbar Decompression (MILD)

The minimally invasive lumbar decompression (MILD) procedure is indicated for patients with lumbar spinal stenosis experiencing pain and reduced mobility related to their lumbar spinal stenosis. It is an outpatient procedure performed through a hole about the size of a baby aspirin. With the assistance of imaging guidance, specialized tools remove small pieces of bone and excess ligament through the small hole. Removing these elements is meant to decompress your spinal stenosis, restore the space in your spinal canal and reduce pain and increase mobility.


Occipital Nerve Stimulation (ONS)

Occipital Nerve Stimulation (ONS) is implantable technology for the treatment of chronic, intractable pain located in the head. It works by delivering electrical impulses, and provides relief by altering the pain signals before they reach the brain. Instead of feeling the pain, you feel a tingling sensation. You are able to adjust the strength and area of stimulation using a remote control. When ONS is successful, it should provide significant long term relief, reduce the need for pain medications, and improve function. To determine if the patient is a good candidate for ONS therapy and permanent implantation, a ONS trial will be performed first. The trial is temporary lasting up to a week, where the patient will learn and decide if this is the right treatment for them.


Peripheral Nerve Field Stimulation (PNfS)

Peripheral Nerve Field Stimulation (PNfS) is implantable technology for the treatment of chronic, intractable pain. It works by delivering electrical impulses, and provides relief by altering the pain signals before they reach the brain. Instead of feeling the pain, you feel a tingling sensation. You are able to adjust the strength and area of stimulation using a remote control. When PNfS is successful, it should provide significant long term relief, reduce the need for pain medications, and improve function. To determine if the patient is a good candidate for PNfS therapy and permanent implantation, a PNfS trial will be performed first. The trial is temporary lasting up to a week, where the patient will learn and decide if this is the right treatment for them.

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