At Pain Management Associates, we can help patients find relief from a variety of symptoms. If you experience any of these symptoms, we would recommend scheduling your appointment today:

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    • +Migraines
      • A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days. Migraines are often debilitating.
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    • +Shoulder pain
      • Most shoulder pain is caused by one of four issues: tendon inflammation or tear, instability, arthiritis, or a fracture. Shoulder pain can be acute (extremely painful and debilitating) or chronic (recurring pain that does not subside). Shoulder pain can decrease a patient’s range-of-motion and make everyday tasks difficult.
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    • +Neck pain
      • Neck pain occurs most frequently as a result of poor posture, wear and tear, overuse, or a traumatic injury to the cervical spine. Neck pain can be acute (sharp) or a chronic condition that worsens over time. Most causes of neck pain are muscle related.
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    • +Lower-back pain
      • Lower back pain is a common, serious ailment that can be temporary or remain for years. Lower back pain can greatly impair one’s life and function. Lower back pain often worsens over time if left untreated.
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    • +Pain in the hip
      • Pain in the hip can be caused by a variety of conditions. Arthritis, fractures, bursitis, tendinitis, and muscle/tendon strain are common causes of hip pain. Hip pain can make walking, standing, or sitting painful. Hip pain can worsen over time if left untreated.
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    • +Mid-back pain
      • One of the most common causes of pain in the mid-back is thoracic outlet syndrome. This condition can be caused by an enlargement or a shift in the muscles near the thoracic outlet, a downward shift of the clavicle, an extra rib (the result of a congenital defect), or a disease such as tumors in the upper portion of the lung. This can pinch the nerves and blood vessels. Symptoms can include pain and numbness in the neck, shoulder, arm or hand.
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    • +Knee pain
      • Knee pain can manifest itself in multiple ways. Knee pain can be caused by arthritis, wear and tear, aging, and/or traumatic injury. Knee pain makes everyday life difficult, as it hurts mobility. Knee pain can be a dull, aching pain or an acute pain.
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    • +Arm Pain
      • Arm pain is a generic term used to describe multiple conditions. Arm pain can manifest in the hand, wrist, forearm, elbow, or upper arm. There are many different causes of pain in each part of the arm. One of the common conditions we treat is called Complex Regional Pain Syndrome (CRPS). Symptoms of CRPS may include intense burning or shooting pain, redness and swelling of the skin, changes in skin temperature, sweating, increased skin sensitivity, muscle
        spasms and restricted range of motion.
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    • +Leg Pain
      • Leg pain is a generic term used to describe multiple conditions. Leg pain can manifest in the foot, ankle, shin, or thigh. There are many different causes of pain in each part of the leg. One of the common conditions we treat is called Sciatica or Lumbar Radiculopathy. Common causes of Sciatica are herniated discs, spinal stenosis, and degenerative disc disease.
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    • +Sacrum pain
      • The sacroiliac joint is close to the bottom of the spine and just above the coccyx (tailbone). It connects the sacrum (bottom of the spine) with the pelvis. Sacrum pain often results in concurrent low back and/or leg pain. A common method of treating sacrum pain is sacroiliac joint steroid injections.
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    • +RSD- Reflex Sympathetic Dystrophy
      • Reflex Sympathetic Dystrophy (RSD) is also know n as Complex Regional Pain Syndrome (CRPS). It is an unexplained feeling of pain that begins in the hand or foot and spreads to the entire limb.
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    • +Neuropathy
      • Description of topic

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  • +Important notes about our procedures
    • All of the following procedures are performed at a licensed outpatient hospital. It is fully licensed by the state, certified by Medicare and accredited by AAAHC. Studies show that procedures performed in an office-setting tend to have higher health and complication risks for patients. We encourage patients to read the following article before considering a practice that would perform these procedures in the office:
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  • +Trigger Point Injection
    • This procedure is an injection used to treat muscle spasms that form when the muscles do not relax and feel hard to the touch. It can help alleviate pain throughout most of the body. Often, a single injection offers immediate relief from pain. If the pain is caused from a reoccurring condition, such as fibromyalgia, the injection may need to be repeated. This procedure can be done in the physician’s office and is minimally invasive.
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    • Patient testimonial –
  • +Cervical epidural steroid injection
    • This procedure is an injection that relieves pain caused by a pinched nerve. It can help to alleviate pain in the neck, shoulders, and arms. Medication is injected under fluoroscopy, X-ray, into the pain-site in the neck to reduce the swelling of nerves. Many patients see relief from pain from a single injection, but some patients require multiple injections for maximum relief.
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    • Patient testimonial –
  • +Cervical facet radiofrequency
    • This minimally-invasive procedure reduces and often eliminates the pain of damaged facet joints. This is done by disrupting the medial branch nerves that signal pain. Patients often see full relief from pain within a month.
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    • Patient testimonial –
  • +Intercostal Nerve Block
    • This is a diagnostic procedure done to identify a painful facet joint. These are the joints between the spine and the vertebrae. These joints allow for proper bending and twisting. Medication is injected around the medial branch nerves.
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    • Patient testimonial –
  • +Lumbar epidural steroid injection
    • This minimally invasive injection is administered to offer relief from lower-back pain and radiating leg pain. The steroidal medication reduces swelling and inflammation. Significant pain relief is often witnessed after one or two injections. Some extreme cases may require three injections for maximum relief.
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    • Patient testimonial –
  • +Lumbar transforaminal epidural steroid injection
    • This injection is done to relieve pain in the lower back and pain that radiates from the back to the legs. This procedure can be done in a matter of minutes. Many patients see significant relief from a single injection.
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    • Patient testimonial –
  • +Lumbar radiofrequency
    • This minimally invasive procedure disrupts the medial branch nerves carrying pain signals to offer relief from pain due to damaged facet joints. A slight increase in pain can sometimes occur immediately after the procedure but significant relief or elimination of pain occurs within a month of the procedure. This procedure tends to offer longer relief from pain than most procedures.
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    • Patient testimonial –
  • +Facet joint injections
    • This procedure involves injecting the joints found on either side of the spine to relieve pain and inflammation. Patients normally experience immediate relief from back or neck pain, as an anesthetic is being administered. Some patients experience relief from pain for months after a single injection. A patient may receive up to three facet joint injections per year.
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    • Patient testimonial –
  • +Sacroiliac joint steroid injection
    • This injection can relieve arthritis pain where the spine and hip meet. A steroid is injected in the sacroiliac joint to reduce swelling and inflammation.
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    • Patient testimonial –
  • +Spinal cord stimulator implant
    • This procedure is done for patients suffering from neuropathic pain who have tried conservative methods of pain-relief without success. A temporary stimulator is implanted for 7 days which blocks pain signals from being sent by the nerves. If the trial is successful, a permanent stimulator can be implanted. Patients will be able to manage their stimulator via a handheld device to offer the maximum relief from pain.
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    • Patient testimonial –
  • +Lumbar sympathetic block
    • This procedure helps to relieve leg pain which might have developed after an injury to a joint or limb. This procedure often involves a series of injections. The medication used is a mixture of anesthetic, saline and anti-inflammatory medicine.
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    • Patient testimonial –
  • +Costovertabral block
    • This injection helps alleviate pain caused by damage to one of the joints located where the ribs attach to the spine. Within five days of the injection, patients often enjoy extended relief from pain.
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    • Patient testimonial –
  • +Cervical selective nerve root block
    • This injection is done using a small needle and can offer relief from a variety of types of pain including: herniated discs, spinal stenosis, and radiculopathy. Many patients see relief from pain from a single injection, but some patients require multiple injections for maximum relief.
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    • Patient testimonial –
  • +Cervical transforaminal epidural steroid injection
    • This injection helps patients find relief from neck, shoulder, and arm pain. The injected medication, made up of a combination of steroids and anesthetics, helps decrease the swelling of the nerves in the cervical spine.
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    • Patient testimonial –
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