Pain Management

Pain Management & Treatment

Pain management is the branch of medicine that utilizes an interdisciplinary approach to ease the suffering and improve the quality of life for those living with pain. From headaches to nerve pain and osteoarthritis, all are treated with thoughtful and compassionate care.

Our physicians and licensed physician assistants employ a wide array of services in the categories of physical therapy, bracing, injections and medications. Your treatment plan is tailored to meet your specific needs, circumstances, and preferences.

We specialize in a multitude of orthopedic treatments for neck pain, mid back pain, low back pain, nerve pain, headaches, knee pain, and muscle pain.

Common Conditions & Types Of Pain

Bursitis – an inflammation of the bursae (small sacs located throughout the body). The most common symptom of bursitis is pain. Common causes of bursitis include injury and overuse. Bursitis can affect your Achilles tendon, buttocks, elbow, hip, knee, shoulder and thigh. The shoulder, elbow and hip are the areas most commonly affected by bursitis. Bursitis is rarely treated with surgery. Most patients will benefit from some combination of rest, physical therapy, medication and possibly a cortisone injection.

Chronic Pain – pain that last at least 12 weeks. Chronic pain can be causes by a variety of conditions and can occur anywhere in the body. Chronic pain typically occurs as the result of an injury. It can also be caused by an underlying health condition. Examples of treatments for chronic pain can include non-prescription and prescription drugs, physical therapy, exercise, acupuncture, massage therapy, nerve stimulation therapy and injections.

Fibromyalgia – the cause of this disorder is unknown. Fibromyalgia is a neurologic health problem that causes widespread pain and tenderness. More common in women. Patients with a rheumatic disease are at higher risk for Fibromyalgia. Pain relievers, anti-depressants and anti-seizure medications might be used to treat fibromyalgia. Physical and Occupational Therapy are also used to help reduce the effect this disorder has on your body.

Headaches – refers to chronic migraines. Patients who suffer chronic migraines or tension headaches for more than 15 days per month. OBotox injections can be used to provide relief for patients who suffer from severe migraines.

Herpes Zoster (Shingles) – symptoms can include itching, fever, headaches, raised dots on the skin and pain. Shingles is cause by the Varicella Poster virus, which also causes Chickenpox. More commonly found in patients over 50. We help patients treat the nerve pain associated with Shingles. Antiviral drugs can help a patient heal faster. Treatment for pain caused by shingles can include a number of medications

Joint Pain – joint pain caused by fibromyalgia, gout, bursitis, osteoarthritis, sprains and tendinitis. Depending on what disorder is causing joint pain, treatments can include medications, topical agents, physical therapy or an injection.

Muscle Pain – Muscle pain is most commonly cause by overuse, minor injuries and stress. Potential causes of muscle pain are numerous. Beside pain, symptoms of a muscle injury can include bruising, swelling, cramping.

Nerve Pain (Pinched Nerve) – direct irritation of damage to a nerve. Examples of conditions that cause nerve pain can include a herniated disc, spinal stenosis or carpal tunnel syndrome. While a pinched nerve can occur anywhere, the most commonly affected areas are the elbows, lower back, shoulders and wrist. Common treatments for nerve pain can include activity modification, rest, medication and physical therapy. Surgery may be an option if a patient is still experiencing pain after a few months to relieve pressure.

Osteoarthritis (Degenerative Joint Disease) – this is the most common form of arthritis. While osteoarthritis can affect any joint, it’s most commonly found in the hands, hips, knees, lower back and neck. Symptoms such as pain or stiffness build over time. Osteoarthritis is now considered a joint disease, where it was formerly considered a result of wear and tear. Most patients will be able to manage the pain cause by osteoarthritis using some combination of exercise, medication, acupuncture, weight loss, physical therapy, joint injections or the removal of joint fluid. Surgery is an option if conservative treatment methods do not provide sufficient pain relief.

Tendinitis (Tendonitis) – inflammation or irritation of a tendon. Tendinitis can occur in any tendon. Tendinitis is most commonly found around the elbow, heel, knee, shoulder and wrist. The most common symptom is pain. Activity modification, rest, over the counter inflammatory drugs, physical therapy and cortisone injections are all example of treatment that might provide a patient with tendinitis some relief. Surgery for tendinitis is rarely needed and only considered if a patient doesn’t respond to conservative treatments.

Common Non-Operative Pain Treatments

Based on a diagnosis and a patients medical history, most can expect to to use some combination of the following treatment to alleviate or reduce pain and restore functionality. We work with patients and other doctors and providers to create the best conservative treatment plans possible. With the exception of medications, all of the treatment below provide a drug free approach to reduce pain caused by a disorder.

  • Manual Therapy
  • Massage Therapy
  • Medications
  • Physical Therapy
  • Occupational Therapy
  • Rest
  • Weight Loss

Conservative Pain Treatment Options

Our team of orthopedic surgeons, intervenional spine, pain management doctors and providers work together to help our patients reduce or relieve pain affecting various parts of the body including:

Minimally Invasive Pain Treatments:

Most minimally invasive pain treatment are completed utilizing imaging and guidance from advance technologies. Some minimally invasive treatment can be used for diagnosis purposes as well as a means to reduce pain and inflammation.

Botox Injections – Botox injections can be used to help reduce the pain suffered by patients who experience severe migraine headaches.

Cortisone Injections – used to relieve inflammation and pain in a specific area. Examples of conditions where a cortisone injection may be prescribed for a patient include osteoarthritis, back pain or tendinitis. A patient suffering from back pain due to certain conditions like a herniated disc or spinal stenosis might be prescribed an epidural injection as part of their treatment.

Joint Injections – joint injections can provide short and long term pain relief and reduce inflammation. Joint injections may also be used to determine the cause of pain in some cases. A Facet Injection is an example of a specific type of joint injection.

Nerve Blocks – used for temporary nerve or joint pain relief. A nerve block may used used as a diagnostic test to determine the cause of pain (joint or nerve).

Qutenza Patch Application – Our practice uses Qutenza to manage neuropathic pain caused by Shingles (Herpes Zoster). The compound found in this treatment works to makes nerves less sensitive to pain.
Radiofrequency Ablation – a pain reducing procedure where an electric current is used to heat up a small area of nerve tissue. This procedure may be used a part of a treatment plan to address chronic pain in the neck or lower back.

Regenerative Injections – examples of regenerative injection include platelet-rich plasma and stem cell injections.

Trigger Point Injections – Trigger point injection are used to treat pain in areas of the muscle that do not relax (knot). Fibromyalgia is an example of a condition that might benefit from a trigger point injection as a part of treatment plan.

Pain Management Specialist in Brooklyn

The orthopedic doctors of Brooklyn Premier Orthopedics work with patients to understand the nature of their pain to provide the most effective customized treatment plans. Pain management starts with an accurate diagnosis and patient evaluation. Contact our orthopedic center to schedule appointment with one our our highly experienced doctors

Orthopedic Doctors

Interventional Spine & Pain

Dr. Steven Horowitz
Dr. Jonathan Simhaee

Pain Management Specialist

Dr. Jacob Peacock
Dr. Marc Cohen

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