At ITAV we use a multimodal approach to management of pain. We know that pain is challenging to the patient and we know that the patient would not be in our clinic seeking help unless that pain has significantly impacted their way life. With this in mind we seek various ways to manage the pain knowing well that time and research has taught us that chronic relief and improved function is seen by using various techniques and not just one modality. To this end we incorporate use of the following modalities:
Medications Including but not limited to:
The whole gamut of 'nerve pain medications' or anti-neuropathics such as lyrica, gabapentin, etc.
Anti-inflammatory medications - either oral, transdermal ( skin) or gels- this includes medications like meloxicam, diclofenac etc.
Opioid medications where applicable
Muscle relaxants such as tizanidine etc
Other numerous medications used in pain management
Sacro-Iliac joint injection
Trochanteric bursa injection
Injections of other painful joints in upper and lower extremities
Lumbar facet joint injecitons
Cervical facet joint injecitons
The Compassionate Care Act in the state of New York has made Medical Marijuana accessible to many deserving patients and I have seen first and foremost patients who had tried various other modalities without relief e.g. from chronic pain get some relief with use of medical Marijuana. It is not a cure-all, no medication is but it is added modalities we can use.
Cancer Pain Care
At ITAV we provide the latest in management of cancer pain to ensure that those with cancer do not go through the journey in pain.
Epidural Steroid Injections & Trigger Point Injections
Trigger point injections
Lumbar epidural steroid injections
Transforaminal epidural steroid injections
Cervical epidural steorid injections
Caudal epidural steroid injecitons
Lumbar medial branch blocks
Thoracic medial branch blocks
Cervical medial branch blocks
Occipital nerve blocks
Injections for pain after hernia surgery ( ilioinguinal nerve blocks)
Lumba sympathetic nerve blocks
Peripheral nerve blocks such as sciatic, popliteal nerve blocks