Below are some of the conditions we see often, but chronic pain presents itself in many ways — in our decades of experience, we’ve seen it all, and are committed to finding the right diagnosis and the best treatment options for your unique needs.
Conditions We Treat
Our physicians are national leaders in the field of pain management with decades of experience in the diagnosis and treatment of even the most complex and intractable pain. We know that the same treatments may not work for everyone, and are completely committed to finding the treatment that is right for you.Whatever your situation, the cause of your pain, or the treatments you have tried before, come to see us — we are here to help.
Click on a blue box to learn more about the condition and treatment.
Low Back and Neck Pain
Low back pain can range from dull, intermittent, and simply annoying pain to chronic severe, life-interrupting pain in the lower back. This pain can restrict mobility and interfere with normal physical function, and quality of life. Neck pain is pain that occurs in the area of the cervical vertebrae in the neck. Because of its location and range of motion, the neck is often left unprotected and subject to injury. Pain in the back or neck area can be acute, which comes on suddenly and intensely, or chronic, which can last for weeks, months, or even years. The pain can be continuous or intermittent. From Johns Hopkins Medicine. Learn more here.
Low Back and Neck Pain
Abdominal and Pelvic Pain
Chronic abdominal pain, also known as chronic functional abdominal pain, is pain caused by an unexplained source. Chronic abdominal pain is the diagnosis when appendicitis, aortic dissection, aortic aneurysm, ulcers, Crohn’s disease, colon cancer, irritable bowel syndrome (IBS), diverticulitis and other diagnoses have been ruled out.
Chronic pelvic pain (CPP) is defined as nonmenstrual pelvic pain of more than three months’ duration that is severe enough to cause functional disability, and require medical or surgical treatment. Its hallmark is deep-seated, aching pain that often interferes with sleep and work, leads to urinary urgency and frequency, and causes pain with sex and/or urination. From The Cleveland Clinic. Learn more here.
Abdominal and Pelvic Pain
Spasticity and Muscle Spasms
Spasticity refers to feelings of stiffness and a wide range of involuntary muscle spasms (sustained muscle contractions or sudden movements). It is one of the more common symptoms of MS. Spasticity may be as mild as the feeling of tightness of muscles or may be so severe as to produce painful, uncontrollable spasms of extremities, usually of the legs. Spasticity may also produce feelings of pain or tightness in and around joints, and can cause low back pain. Although spasticity can occur in any limb, it is much more common in the legs. From the National Multiple Sclerosis Society. Learn more here.
Spasticity and Muscle Spasms
Degenerative Joint Pain
Joint pain can be discomfort, pain or inflammation arising from any part of a joint — including cartilage, bone, ligaments, tendons or muscles. Most commonly, however, joint pain refers to arthritis or arthralgia, which is inflammation or pain from within the joint itself. Joint pain can be mild, causing soreness only after certain activities, or it can be severe, making even limited movement, particularly bearing weight, extremely painful.
Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage on the ends of your bones wears down over time. Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips and spine.
Osteoarthritis symptoms can usually be effectively managed, although the underlying process cannot be reversed. Staying active, maintaining a healthy weight and other treatments may slow progression of the disease and help improve pain and joint function.
From Mayo Clinic Patient Care & Health Information. Learn more here.
Arthritis of the Spine
Spinal cord injury
Spinal cord injury is damage to the spinal cord as a result of a direct trauma to the spinal cord itself or as a result of indirect damage to the bones, soft tissues, and vessels surrounding the spinal cord. The spinal cord is the major bundle of nerves carrying nerve impulses to and from the brain to the rest of the body. Rings of bone called vertebrae surround the spinal cord. These bones constitute the spinal column (back bones).
Spinal cord damage results in a loss of function, such as mobility or feeling. In most people who have spinal cord injury, the spinal cord is not severed. Spinal cord injury is not the same as back injury, which might result from causes such as pinched nerves or ruptured disks. Even when a person sustains a break in a vertebra or vertebrae, there might not be any spinal cord injury if the spinal cord itself is not affected. From The Cleveland Clinic. Learn more here.
Spinal cord injury
Cancer Pain
Pain is most often caused by the cancer itself. The amount of pain you have depends on the type of cancer, its stage (extent), and your pain threshold (tolerance for pain). People with advanced cancer are more likely to have pain. Pain can also be caused by cancer-related treatment or tests. You may also have pain that has nothing to do with the cancer or its treatment. Like anyone, you can get headaches, muscle strains, and other aches and pains. From the American Cancer Society. Learn more here.
Cancer Pain
More Conditions
If you don’t see your condition listed here, please check here to see an extensive list of conditions we treat.
More Conditions
Spinal Stenosis
With age, the spinal canal – located in the lower back – can narrow, resulting in spinal stenosis. The narrowing process, which is gradual, reduces the space available for the spinal cord and nerves. If only a small amount of spinal narrowing occurs, no pain will result. Spinal stenosis may lead to leg pain, numbness, and/or tingling. In advanced cases, weakness may also be present. From The Cleveland Clinic. Learn more here.
Spinal Stenosis
Osteoporosis
Osteoporosis (“porous bone”) is a disease that weakens bones, putting them at greater risk for sudden and unexpected fractures. Osteoporosis results in an increased loss of bone mass and strength. The disease often develops without any symptoms or pain, and it is usually not discovered until the weakened bones cause painful fractures. Most of these are fractures of the hip, wrist, and spine.
Although osteoporosis occurs in both men and women, women are four times more likely to develop the disease than men. After age 50, one in two white women, and one in four white men, will have an osteoporosis-related fracture in their lifetimes. Another 30 percent have low bone density that puts them at risk of developing osteoporosis (including African-Americans).
Osteoporosis is responsible for more than 2 million fractures each year, and this number continues to grow. There are steps you can take to prevent osteoporosis from ever occurring. Treatments can also slow the rate of bone loss if you do have osteoporosis. From The Cleveland Clinic. Learn more here.
Osteoporosis
Incontinence
Urinary incontinence — the loss of bladder control — is a common and often embarrassing problem. The severity ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that’s so sudden and strong you don’t get to a toilet in time. Though it occurs more often as people get older, urinary incontinence isn’t an inevitable consequence of aging. If urinary incontinence affects your daily activities, don’t hesitate to see your doctor. For most people, simple lifestyle changes or medical treatment can ease discomfort or stop urinary incontinence.
From Mayo Clinic Patient Care & Health Information. Learn more here.
Incontinence
Headache
According to the National Headache Foundation, more than 45 million Americans suffer from chronic (long-term), recurring (repeating) headaches; of these, 28 million suffer from migraines. About 20 percent of children and adolescents also have significant headaches. About 70% of headache sufferers are women. Headaches are the most common cause of absenteeism from work and school. Migraine sufferers lose more than 157 million work and school days every year because of headache pain. From The Cleveland Clinic. Learn more here.
Headache
Neuropathy and neuropathic pain
Neuropathic pain can result after damage to or dysfunction of the nervous system. Pain can rise from any level of the nervous system. These levels are the peripheral nerves, spinal cord, and brain. Pain centers receive the wrong signals from the damaged nerve fibers. Nerve function may change at the site of the nerve damage, as well as areas in the central nervous system (central sensitization).
Neuropathy is a disturbance of function or a change in one or several nerves. About 30 percent of neuropathy cases are caused by diabetes. It is not always easy to tell the source of the neuropathic pain. There are hundreds of diseases that are linked to this kind of pain. From The Cleveland Clinic. Learn more here.
Neuropathy and neuropathic pain
CRPS
Complex regional pain syndrome (CRPS), formerly known as Reflex sympathetic dystrophy syndrome (RSDS), is a chronic pain condition in which high levels of nerve impulses are sent to an affected site. Experts believe that CRPS occurs as a result of dysfunction in the central or peripheral nervous systems.
CRPS is most common in people aged 20 to 35. The syndrome also can occur in children; it affects women more often than men. CRPS may be heightened by emotional stress. There is no cure for CRPS. The symptoms of CRPS vary in their severity and length. One symptom of CRPS is continuous, intense pain that gets worse rather than better over time. If CRPS occurs after an injury, it may seem out of proportion to the severity of the injury. Even in cases involving an injury only to a finger or toe, pain can spread to include the entire arm or leg. In some cases, pain can even travel to the opposite extremity. From The Cleveland Clinic. Learn more here.
CRPS
Treatments We Offer
While pain medication is helpful for some of our patients, we offer many non-medicinal options for the management of pain, including, but not limited to, the treatments listed below. Our physicians are leaders in the field of neuromodulation, which involves the electrical stimulation of the central nervous system to help manage pain and other chronic conditions.
We are committed to “whole patient health care,” and in addition to the advanced pain therapies we offer, we work with many patients on nutrition, exercise, physical therapy, smoking cessation, and other health and wellness programs.
Pain Medication Management
Our providers work with every individual patient to determine the best, most effective, and safest possible treatment for them. While advances in neuromodulation and interventional therapies have increased the non-opioid options available to patients with chronic pain, pain medications remain a helpful and effective treatment option for some patients. We are wholly committed to the safety of our patients and community, and we not only adhere to, but have helped develop some of the most robust safe prescribing practices in the field of pain management.
Pain Medication Management
Kyphoplasty & Vertebroplasty
Kyphoplasty/vertebroplasty are techniques for treating vertebral compression fractures, which are small breaks in the thick mass of bone that makes up the front part of the vertebra (the vertebral body). Vertebral body fractures lead to the collapse or compression of a vertebra, causing the spine to shorten and curve forward. This can result in pain and a kyphotic (hunched-over) deformity. From the Cleveland Clinic. Learn more.
Kyphoplasty & Vertebroplasty
PRP Therapy
Platelet rich plasma (PRP) therapy has been clinically proven to treat pain and stimulate healing in the body. This procedure includes simply injecting a high dose of platelets, concentrated from your own blood, into areas affected by pain. This is a safe and natural way for your body to accelerate the healing process, rather than blocking or masking your pain.
PRP Therapy
Epidurals
Epidural steroid injections are injections of a short-acting local anesthetic and a long-acting steroid into the epidural space of the spine. These injections are usually used for pain from herniated intervertebral disks (radicular pain), spinal canal stenosis and some mechanical back pain. Epidural steroid injections may help decrease irritation of the nerves within the spinal canal, which can both decrease pain and improve mobility, allowing some patients to participate in physical therapy and other therapeutic programs.
Epidurals
Nucleoplasty
Nucleoplasty therapy is a recently developed technique for the treatment of pain coming from a spinal disc. A special probe is inserted into the spinal disc and is used to remove a small amount of disc tissue from the disc nucleus and then to applied controlled thermal energy or heat to the disc. This causes the pressure within the disc wall to decrease and allows the disc to bulge or protrude less.
Nucleoplasty
Stem Cell Therapy
Stem cell therapy treatments are unique because they help the body jump start the healing process. Stem cells are the body’s master cells. They are undifferentiated cells that have the ability to transform into a variety of different cells and replace dying cells, and the potential of rebuilding damaged tissue, muscles, tendons or ligaments.
In intrathecal drug delivery, pain medications and/or medications used for spasticity are introduced directly to the spinal fluid (intrathecal space) through a drug delivery system comprised of a pump and catheter. The intrathecal space is usually accessed from the lumbar region of the lower back. With this method, less medication is necessary than if medication were taken orally, and fewer side effects are seen. Newer intrathecal drugs such as ziconotide can be effective at reducing pain, and can only be given intrathecally. From the International Neuromodulation Society. Learn more.
Intrathecal Drug Delivery
Spinal Cord Stimulation
In spinal cord stimulation (SCS), mild electric currents applied to the spinal cord through small medical devices modulate pain signals and at some settings replace the pain sensation with a mild tingling known as paraesthesia. Spinal cord stimulation involves placing a series of electrical contacts in the epidural space in the spine near the region that supplies nerves to the painful area. The procedure is a minimally invasive ambulatory surgical technique. From the International Neuromodulation Society. Learn more.
Spinal Cord Stimulation
Radio Frequency Rhizotomy
Radiofrequency ablation uses an electric current to heat up a small area of nerve tissue to stop it from sending pain signals. It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. From the Cleveland Clinic. Learn more.
Radio Frequency Rhizotomy
TENS Units
Transcutaneous electrical nerve stimulation (TENS) is a therapy sometimes used to treat localized or regional pain. During TENS therapy, electrodes deliver electrical impulses to nearby nerve pathways — which can help control or relieve some types of pain. TENS is often used to treat osteoarthritis, chronic pain and postoperative pain.
As your treatment continues, we may ask you to provide us with more information, or share information with you — find more forms and information on the Patient Resources page.
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