Spine Technology and Rehabilitation

Pain Management

Pain is an alarming sensation from our nervous system, warning us that something within our body has gone awry. These sensations may vary from dull and throbbing to sharp and stabbing. Pain from one area of our body may be referred to a remote region. Chronic pain signals may continue to be sent along the electrical pathways of the nervous system long after the offending agent has been treated. Once a primary pain culprit is treated, a secondary cause of pain may emerge — as it is now unmasked.

What is pain management?

Pain management is a specialty of medicine providing numerous treatment approaches to diminish pain and improve function. Interventional pain management (IPM) specialists, like Dr. Fortin, are physicians with proper training and a large tool kit for the evaluation, diagnosis, and treatment of different types of pain (including chronic pain, acute pain, and cancer pain).

Who is a good candidate for pain management?

If you have a painful condition which has gone undetected or has been improperly treated, it may be time for you to seek the help of a pain management detective. In contrast to many other pain management practices, IPM is different because it emphasizes the importance of a precise diagnosis, so treatment is predicated on the cause. Basing treatment on the cause helps to ensure against treatment failure. Dr. Fortin will determine if you are a good candidate for pain management after conducting a complete consultation.

Medical problems he specializes in include:

  • Headache
  • Facial pain
  • Jaw pain
  • Neck pain
  • Back pain
  • Pelvic pain
  • Joint pain
  • Sports injuries
  • Work injuries
  • Nerve pain

If you are searching for pain relief that does not involve addictive medications or destructive surgeries, you may be an excellent candidate for the expert interventional pain management at Spine Technology and Rehabilitation.

What can I expect from a pain management consultation?

The best pain management doctors in the world, like Dr. Fortin, use a multimodal approach, and have wide ranging skills in both diagnosing and treating a vast array of painful disorders. Your initial consultation always begins with a thorough history and physical examination. This will include a comprehensive review of your previous diagnostic studies and treatment measures you have undergone. Other essential skills he may employ to help you include:

  • Imaging studies (e.g. CT, MRI and ultrasound),
  • Image-guided procedures (navigating needles catheters and probes with fluoroscopy and ultrasound to determine the cause of pain or to provide relief),
  • Nerve function tests (e. g. EMG),
  • Physical therapy to improve function, psychotherapy to improve coping skills, and
  • Lifestyle changes (like nutritional and exercise programs) to maintain your overall health, and
  • Knowledge of pain medications. The best pain management physicians do not use medications as a primary management tool. Rather they cautiously employ them as a secondary means to assist you until they can diagnose and treat your condition.

What are pain management treatments?

At Spine Technology and Rehabilitation, Dr. Fortin creates customized treatment protocols, tailored to the cause of your symptoms.

Treatments range from simple anti-inflammatory or steroid injections to deploying radiofrequency energy delivered by special probes to abolish the nerve supply to painful spinal structures. Other common procedures include:

1) using sophisticated, implantable generators and catheters (similar to pacemaker technology) to pulse electrical energy to nerves in various parts of the body, thereby scrambling and dampening pain signals,

2) guiding a special catheter into the spinal canal to deliver various scar busting medications, which untethers nerves trapped after surgical procedures or from severe narrowing of the spinal canals (owing to degeneration or trauma), and

3) exploiting the natural healing capabilities of immune tissue (stem cells, growth factors and bio-scaffolding) to help injured body parts heal.

If you are seeking a minimally invasive, systematic approach to your painful condition, which will not leave you dependent on medications or disabled from unnecessary surgery call Spine Technology and Rehabilitation today.