Services

Botox

(Botox) Botulinum Toxin Injections for Muscle Spasms

Botulinum (Botox) treatments relieve muscle spasm problems that occur from injury or illness. Our doctors are currently using the two available types; Botox (botulinum type A), and Myobloc (botulinum type B). Botox and Myobloc have a slightly different mechanism of action, but both block the nerve from sending the chemical message which causes muscle spasms. Botox and Myobloc are therapeutic muscle-relaxing agents which are injected directly into the spasming muscle. The doctor will know which type of botulinum toxin will work best for your disorder. 

Some disorders that are treated with botulinum injections (Botox or Myobloc) in our office are: Muscle spasticity, Migraine headaches, Muscles Spasms (such as whiplash from car accidents), Torticolis (severe neck spasming muscles), Myofascial (muscle) Pain Syndrome, spasticity from Multiple Sclerosis, Stroke, Cerebral Palsy, and other medical conditions.

The botulinum injections therapeutic effect begins approximately 3 days after injection, and generally reaches its maximum effect in 2 to 3 weeks. The therapeutic effect lasts from 3 months and up to 6 months or more. For more information on Botox or Myobloc, please refer to our Related Links of Interest page.

Related Links

Myobloc brand botulinum toxin

Botox brand botulinum toxin

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Decompression Table

Non-Surgical Spinal Decompression The DRX9000

True Non-Surgical Spinal Decompression System™ provides a primary treatment modality for the management of pain and disability for patients suffering with incapacitating low back pain and sciatica. It is designed to apply spinal decompressive forces to compressive and degenerative injuries of the spine. Non-surgical spinal decompression treatment involves a series of stretching/relaxation cycles aimed to relieve the pain and symptoms associated with herniated discs, bulging discs, sciatica and facet syndrome through unloading due to distraction and positioning.

DRX9000™ Lumbar Device Treatment Protocol*

The patient protocol provides for twenty treatments of spinal decompression over a six-week course of therapy. Each session consists of approximately a 30 minute treatment on the DRX9000 True Non-Surgical Spinal Decompression System™. The treatment may be followed by fifteen minutes of ice and interferential frequency therapy. The patient regimen includes two weeks of daily spinal decompression treatment, followed by three sessions per week for two weeks, concluding with two sessions per week for the remaining two weeks of therapy.According to patient condition, during the initial two weeks of treatment, the patients may be instructed to wear lumbar support belts, limit activities, and are placed on light duty at work. After the second week of treatment, beginning activity is permitted. Patients who have improved by 50% are instructed on various lumbar stretching exercises to be performed in conjunction with treatment.

Related Links

DRX9000

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Medtronic's Pump

Medtronic's Syncromed Implanted Pump

Medtronic's Syncromed pump maintenance is performed at of clinic. Our doctors have experience in the management of Medtronic's Syncromed Pumps for pain management and/or muscle spasicity management. Julaine Root, RN has been trained in refilling and programming the Medtronic's Syncromed Pump. Under the direction of our physicians, she has been involved in this treatment since 1998.

The Medtronic's Syncromed pump is implanted usually in a patient's abdomen, a small tube runs from the pump to the intrathecal space in the spinal column. With the use of the pump, a patient's medication can be infused continuously, alleviating the peaks and valleys of oral medication. The medication dose needed for relief of symptoms can be much lower than that of oral medications. Chronic pain patients that are unable to get his or her pain managed may benefit from an implanted pump. Treatment has been beneficial for patients with cancer, chronic back pain, muscle pain, and other chronic pain conditions. Patients with Multiple Sclerosis have been able manage muscle spasicity using the Medtronic's Syncromed pump filled with Baclofen, an antispasmodic drug.

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NCV/EMG

Electrodiagnostic Studies (EMG)

Physical Medicine doctors have been trained to perform electrodiagnostic studies. Electrodiagnostic medicine procedures can be used in the diagnosis of numbness, weakness, fatigue, cramps, and abnormal sensations. The two procedures used most commonly are the electromyographic examination (EMG) and nerve conduction studies. These techniques help the Physical Medicine doctor to diagnose conditions that cause pain, weakness, and numbness.

Some common problems diagnosed by using electrodiagnostic studies are Carpal Tunnel Syndrome (pinched nerve at wrist), Neuropathy (nerve injury), Radiculopathy (pinched nerve originating from spine), and other forms of nerve entrapments.

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Physical Therapy

Our Physical Therapy Department

Conservative Physical Therapy treatments are done at our clinic, under the direct supervision of our physicians. Physical therapy helps a patient rehabilitate after a debilitating illness, injury or to help recover after surgery. The goals of physical therapy are to decrease or relieve pain, restore mobility, restore strength, and to teach patients how to avoid injury.

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Trigger Point Injections

Trigger points are small, painful knots in your muscle or fascia that cause a great deal of localized or referred pain. Trigger points develop from a variety of causes, including:

  • Muscle injuries
  • Poor posture
  • Repetitive strain
  • Computer use
  • Stress
  • Spine conditions
  • Herniated disks

Our muscles have over 620 potential trigger points. Despite all of the different causes for pain in these trigger points, everyone develops these points in an identical fashion. This allows physicians to have a solid understanding of the location of each of these points in every individual patient.

There are several different classifications to trigger points:

  • An Active Trigger Point refers to a point that actively causes pain either locally or remotely along the nerve pathways.
  • A Latent Trigger Point is one that is present but is not actively causing pain. A latent trigger point may cause pain when pressure or strain is applied to the particular spot it is located at, even though it will otherwise not cause discomfort.
  • A Key Trigger Point causes remote pain along the nerve pathway. By initiating pain in remote places, a key trigger point could cause pain to develop at latent trigger points.
  • A Satellite Trigger Point refers to a point that is not at first active, but becomes activated remotely by a key trigger point. Often, when the key trigger point is successfully treated the satellite point will also be relieved.

For many patients, the pain associated with trigger points can be treated with Trigger Point Injections (TPI). During the TPI procedure, a medical professional will insert a small needle that is about the size of an eyelash into the aggravated area. The needle is used to inject a specially created anesthetic into the trigger point. The injected solution is 100% customized so to be tailored to each patient’s individual needs. The solution acts by making the trigger point inactive, which eliminates all of the associated pain.

TPI is an effective mode of treatment for chronic and acute pain that is caused by trigger points. In fact, 90% of the patients that receive TPI treatment feel immediate relief after the injection, and 99% experience an improvement or reduction in the severity of their pain. The TPI procedure can be done in your physician’s office in a matter of minutes, and multiple trigger points can be treated during a single session.

A majority of health insurance companies in the United States often cover this procedure when performed by a medical professional, including Blue Cross and Blue Shield, Anthem, Aetna, Cigna and United Healthcare, in addition to other PPO insurance companies. This is because our medical professionals are specialists in the field of pain management and therapy.

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