Pain Management/Physiatry

Physicians who specialize in Physical Medicine and Rehabilitation are called “physiatrists”. Physiatrists are trained in the diagnosis and treatment of musculoskeletal injuries and pain syndromes. These include sports and/or work injuries as well as degenerative conditions such as arthritis or low back pain. The physiatrist is also trained to direct a rehabilitation plan that provides the best possible outcomes for such conditions as stroke, brain injury, spinal cord injury and multiple trauma.

Patients referred to a physiatrist for treatment can have a single disorder or multiple problems, many of which require a broad range of physiatric skills. Regardless of the complexity of the problem, physiatrists strive to treat the whole patient – not just a specific injury or condition – which improves overall recovery and prevents recurrence. The goal of treatment is always to restore normal function and improve quality of life for patients from a physical, emotional, psychosocial and vocational perspective.

Patients are referred to physiatrists by a wide variety of health care professionals including primary care physicians, medical specialists in all fields, vocational counselors, social workers and insurance companies. The physiatrists at Parkway Neuroscience and Spine Institute work closely with the physical therapists and other medical staff to provide comprehensive rehabilitation for their patients.

Conditions that we treat:

Extremity Pain (Arms and Legs)

  • Diabetic Neuropathy
  • Neurogenic Pain
  • Pain Due to Poor Circulation
  • Peripheral Neuritis
  • Phantom Pain
  • Raynaud’s Phenomenon

Chest Wall Pain

  • Cancer Pain
  • Herpetic Neuralgia
  • Neuromas
  • Nephrectomy Pain
  • Rib Fracture / Injury
  • Scar Pain
  • Shingles
  • Thoracotomy Pain

Headache

  • Atypical Headache
  • Cervicogenic Headache
  • Cluster Headache
  • Migraine Headache
  • Spinal Headache
  • Tension Headache

Oral Facial Pain

  • Neuralgias
  • TMJ Joint Pain
  • Trigeminal Neuralgia (Tic Douloureux)

Thoracic Pain

  • Compression Fracture
  • Degenerative Spine Disease
  • Thoracic Disc Herniation

Neck Pain

  • Cervical Strain
  • Degenerative Spine
  • Herniated Disc
  • Neuralgias
  • Spinal Stenosis
  • Whiplash Injury

Low Back Pain

  • Annular Disc Tear
  • Degenerative Disc Disease
  • Facet Joint Disease
  • Herniated Disc
  • Pinched Nerve
  • Post Laminectomy Syndrome
  • Spinal Stenosis

Other Pain Syndromes

  • Cancer Pain
  • Diabetic Neuropathy
  • Fibromyalgia
  • Lateral Femoral Cutaneous Neuralgia
  • Rheumatoid Arthritis
  • Shingles
  • Stroke Pain
  • Thoracic Outlet Syndrome

At Parkway, we perform different types of interventional pain management procedures. These are done under x-ray (fluoroscopic) guidance to localize the pain generators, make diagnosis, and provide you pain relief. The following are the pain management procedures:

  • Botox Injections
  • Bursa Injection (greater trochanter, golfer’s and tennis elbow, etc)
  • Celiac Ganglion Block
  • Cervical, Thoracic, Lumbar – Epidurals
  • Cervical, Thoracic, Lumbar – Medical Branch Blocks
  • Cervical, Thoracic, Lumbar – Radiofrequency Ablation of Medical Branches
  • Cervical, Thoracic, Lumbar – Selective Nerve Root Blocks
  • Discograms (Cervical, Thoracic, Lumbar)
  • Genicular Nerve Radiofrequency Ablation (G – RF) for Chronic Knee Pain
  • Hypogastric Block
  • Impar Ganglion Block
  • Intrathecal Opioid Pump Implantation
  • Joint Injections (shoulder, elbow, wrist, knee, hip, sacroiliac)
  • Kyphoplasty / Vertebroplasty
  • Lumbar Sympathetic Block
  • Nerve Conduction Studies / Electromyography (EMG)
  • Peripheral Nerve Blocks
  • P-STIM
  • Spinal Cord Stimulation Trial and Implantation
  • Stellate Ganglion Block
  • Trigeminal Ganglion Block
  • Trigger Point Injections