Pain 

Management

We treat acute and chronic pain  syndromes for patients of all ages. 

Pain Management 

A multi-disciplinary approach to the treatment of acute and chronic pain syndromes utilizing the skills of our specialized physicians and support personnel. Evaluation, diagnosis and treatment of young adults through seniors with chronic pain syndrome resulting from accidents, injuries, disease or other anomalies that causes debilitating pain.

 

Evaluation is provided through comprehensive clinical assessment and diagnostic testing for the following conditions, but is not limited to: 

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Pain Management

(718) 667-7500

1099 Targee Street

Staten Island NY 10304

  • Degenerative Disc Disease

  • Fibromyalgia

  • Muscle Injuries

  • Nerve Damage

  • Acute Pain

  • Arthritis

  • Neck & Back Pain

  • Cancer Pain

  • Chronic Pain

Treatment is usually in-office and/or outpatient settings including the issuance of medical marijuana prescription by our certified physicians.  

Peripheral Stimulation


A method used to treat chronic pain, this procedure places a small electrical device (a wire-like electrode) next to one of the peripheral nerves. Similar to heart pacemakers, electricity is delivered from the generator to the nerve or nerves using one or several electrodes. The patient is able to control stimulation by turning the device on and off and adjusting stimulation parameters as needed.




Cervical Facet Blocks


Facet joints are small joints at each segment of the spine that provide stability and help guide motion. The facet joints can become painful due to arthritis of the spine, a back injury or mechanical stress to the back. A cervical, thoracic or lumbar facet joint injection involves injecting a small amount of local anesthetic (numbing agent) and/or steroid medication which then anesthetizes the facet joints and blocks the pain.




Radiofrequency Ablation of Joints ( RFA )


Radiofrequency ablation (or RFA) is a procedure used to reduce pain. This is completed when an electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area. This can be used to help patients with chronic low-back and neck pain and pain related to the degeneration of joints from arthritis.




Epidural Steroid Injections


A minimally invasive procedure that delivers steroids via a needle into the epidural space to help reduce inflammation. This may consist of steroids that inhibit the production of painful inflammatory substances and/or a lidocaine or saline solution to help flush out inflammatory proteins from around the affected area.




Epidural Lysis of Adhesions


A procedure performed to remove excessive scarring in the epidural space. The epidural space is a thin area between the inside of the spine and the protective layer around the spinal cord. Scar tissue there may restrict the movement of nerves, thus causing inflammation, pain and discomfort.




Occipital Nerve Blocks


An injection of a steroid or other medication around the greater and lesser occipital nerves located on the back of the head just above the neck area. This is completed in order to reduce the inflammation and swelling of tissue around the occipital nerve.




Botox Injections


An injection that’s used clinically in small quantities to treat strabismus and facial spasms and other neurological disorders characterized by abnormal muscle contractions. This is also commonly utilized by cosmetic surgeons to temporarily improve wrinkles.




Percutaneous Discectomy


A surgery completed in order to remove herniated disc material pressing on a nerve root or the spinal cord. The central portion of the intervertebral disc is accessed and removed through a tube or “through the skin” (percutaneous).




Spinal Cord Stimulation ( SCS )


A procedure that uses an electrical current to treat chronic pain. A small pulse generator, implanted in the back, sends electrical pulses to the spinal cord. These pulses interfere with the nerve impulses, thus helping to relieve the pain.




Intrathecal Pump for Medications


A medical device used to deliver medications directly into the space between the spinal cord and the protective sheath surrounding the spinal cord.




Stellate Ganglion Block


An injection that blocks the sympathetic nerves that go to the arms, and, to some degree, the sympathetic nerves that go to the face. This may help to reduce pain, swelling, color and sweating, changes in the upper extremity as well as potentially improve mobility.




Joint Injections


A procedure used in the treatment of inflammatory joint conditions. A hypodermic needle is injected into the affected joint where it delivers a dose of any one of many anti-inflammatory agents, the most common of which are corticosteroids.




Epidural Steroid Injections


An injection that delivers steroids directly into the epidural space in the spine. Sometimes additional fluid (local anesthetic and/or a normal saline solution) is used to help 'flush out' inflammatory mediators from around the area that may be a source of pain.




Thoracic Facet Block Injections


A precision diagnostic injection of local anesthetic and steroid into one or more of the thoracic facet joints. The injection can be used to diagnose or treat pain arising from thoracic facet joints.




Trigger Point / Coccyx Injection


A trigger point injection (TPI) is an injection that is given directly into the trigger point for pain management. With the injection, the trigger point is made inactive and the pain is relieved.




Lumbar Sympathetic Plexus Block


An injection performed to block the sympathetic nerves that go to the leg on the same side as the injection. This may in turn reduce pain, swelling, color, sweating and other unusual changes in the lower extremity and may improve mobility.




Amniotic Fluid Injections


Our Pain Management team recently began performing amniotic fluid injections. Using fluid derived from donated human placental amnion fluid, the non-invasive procedure contains more than 100 growth factors and other nutrients. It encourages healing in cells and soft tissue without the risk of dangerous side effects. And it works! Patients who have had the injection have seen their pain relieved significantly.




Adult Stem Cell Therapy Injections


Our Pain Management physicians are now performing adult stem cell therapy injections. Adult stem cells are early stage cells and are capable of developing into other types with the potential to regenerate damaged tissue. Understanding this, our team uses a needle to withdraw bone marrow from the patient’s lower back area. A trained nurse then uses specific equipment to concentrate the stem cells and growth factors in the bone marrow and provides the cells back to the doctor for implantation into the targeted pain area. This option treats a variety of issues including degeneration, soft tissue and bone related injuries.




Advanced Spinal Cord Stimulators


Our Pain Management physicians are now offering advanced spinal cord stimulators. A stimulator device is used to exert pulsed electrical signals to the spinal cord to control chronic pain. This option typically offers patients 50-70% pain relief. The new stimulators, however, are producing outcomes with up to 90% pain relief!





Types of Procedures Provided
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