Who is a Candidate for a Spinal Cord Stimulator Implant?

Spinal cord stimulation (SCS) is a procedure that helps control chronic pain by using electrical impulses. An implantable medical device known as a spinal cord stimulator is placed near the spinal cord to reduce both leg or Back Pain.

One of the critical factors in the success of this procedure is patient selection. The Los Angeles pain management doctor will assess a patient’s clinical and psychosocial conditions to determine whether spinal cord stimulation is the best option. Typically, patients chosen for spinal cord stimulator implant have undergone one or more unsuccessful surgeries; had a previous disability for more than a year; and suffered from pain in the lower back and leg.

You may qualify as a candidate for the procedure, if you meet the following criteria:

  • You’ve had a successful trial stimulation treatmentOrange County pain clinics
  • You have a verified source of pain
  • You’re not seriously dependent on drugs or any pain medication
  • You don’t suffer from psychiatric conditions, such as depression, that can worsen pain
  • You don’t have existing medical conditions that preclude the use of spinal cord stimulator implant
  • You’ve had failed conservative therapies
  • You have chronic neck or back pain
  • You have Reflex Sympathetic Dystrophy (RSD)
  • You have peripheral vascular disease
  • You have peripheral neuropathy
  • Your pain remains or worsens despite previous back surgery

Pregnant or women who are nursing are not allowed to undergo this procedure. Moreover, patients who have the following conditions are not suitable candidates for spinal cord stimulation:

  • Spinal Cord Stimulator Los AngelesCorrectable lesion
  • Less than 50 percent reduction in the degree of pain during a stimulation trial
  • Feeling of discomfort from the sensation caused by transcutaneous electro stimulation units
  • Demand type cardiac pacemaker
  • Systemic infection

Your Orange County Pain Doctor will conduct a comprehensive evaluation to find out if you’re a good candidate for a spinal cord stimulator implant. Your pain history will be thoroughly evaluated to assess whether the treatment is appropriate for your goals of pain reduction. A pain specialist, physiatrist or neurosurgeon will examine your physical condition, medication and all prior treatments including surgeries, injections and physical therapy. A psychologist may also evaluate your condition, as pain is known to have psychological effects.

Spinal cord stimulation can help reduce chronic pain caused by:

  • Complex regional pain syndromePain Management Santa Monica
  • Failed back surgery syndrome
  • Chronic arm/leg pain
  • Arachnoiditis
  • Spinal cord injury
  • Multiple sclerosis
  • Peripheral vascular disease
  • Angina
  • Stump pain
  • Pelvic Pain

If a correctable condition causes your pain, then this condition must be treated first before choosing to undergo SCS. Once your pain management doctor in Orange County considers you as a good candidate for SCS, you’ll undergo a trial stimulation that will further determine if spinal cord stimulation is appropriate for the severity, location and type of pain you have.

The California Pain Network offers Board Certified pain treatments at several locations in Los Angeles and Orange County. Both medical and interventional pain treatments are offered. Over 50 treatments are offered, with impressive success rates being seen.

Call (310) 626-1526 for more information and scheduling today!

Non-operative Pain Management for Osteoarthritis and RA

Osteoarthritis and rheumatoid arthritis are both forms of degradation in a person’s joints. Both refer to the cartilage within a person’s joints breaking down, which damages the tissues that lie under the bones. This damage results in the person experiencing pain in the joints. Los Angeles pain doctor

Basically, cartilage is a rubber-like material that serves as a separator for the two bones, which the the joint connects. When the cartilage begins to break down, it can be extremely painful for a person because, now, there is less padding in between their bones and the bones are allowed to rub together freely.

Osteoarthritis is the result of wear and tear on the joints over time. RA is different because it is the result of the body’s immune system attacking its own joints. In order to reconstruct the cartilage between a person’s joints, he or she must undergo surgery. If the person does not prefer to have surgery, he or she can follow a pain management plan. If you begin to experience some of the symptoms of RA or osteoarthritis, you should contact a pain management doctor in Los Angeles or Orange County. These symptoms may include, but are not limited to the following.


  • Joint pain and general soreness, which is heightened when one moves.
  • The feeling of pain in the joints after having not used them for long periods of time. This may also be experienced after extremely long use.
  • It may look like the bones are growing or becoming larger around the sore spots.

There are solutions a person can use to help relieve or reduce the symptoms of osteoarthritis and RA without undergoing a surgery.

Pain Management Steps

  • Losing weight may help to lessen the effects of all types of arthritis. If you are over weight, that results in more pressure is being put on your joints, thus increasing the speed of deterioration.
  • Taking pain medicines that seek to reduce inflammation may lessen your pain greatly. Some great examples of these medicines, which are easy to obtain, are Tylenol and Aspirin.
  • There are some substances (such as menthol-based products) which can be applied to the surface of the skin around the joint to lessen pain.
  • Light exercise may help ease the pain by making the muscles around the joints stronger, thereby easing the pain on the joint’s cartilage.
  • A brace may help to take the stress off of your joints.
  • Steroid injections could potentially reduce the pain associated with arthritis.
  • Finally, hot/cold treatments may help the pain.

Please note that the above options are not used to repair the deteriorated cartilage, but to help prevent further deterioration while decreasing the amount of pain experienced. If you choose to follow a pain management plan, these treatments can be combined together to lessen the pain to a more manageable level, but this must be done with careful consideration of the effects one treatment may have on another and side effects.

Effective treatment for RA and OA outside of surgery can be achieved with a combination of medical and interventional pain management. With the proper treatment at pain clinics in Los Angeles and Orange County such as those in the California Pain Network, the success rates are impressive.

California Pain Network offers Board Certified treatments at severalclinics, accepting both self pay and a considerable amount of insurances.

Call (310) 626-1526 today!

5 Top Ways to Obtain Pain Relief for Back Pain

Pain Management Orange County CAIt is a silent epidemic, which has been quantified but not given due notice. More than 4 out of 5 Americans experience some form of Back Pain in their lifetime. Thankfully over 90% of back pain will go away no matter what treatment received. But the rest will persist!

General Causes

Short of an accident or an injury, there are a lot of other causes back pain, all of which boil down to habits and lifestyle. The majority of cases of back pain have been traced to lack of exercise, a heavier body or big belly, and a stressful lifestyle.

There are also genetic causes and habits like smoking increase the likelihood of back pain.

Simple Ways to Relieve Back Pain

  1. MoveThe normal reaction when severe back pain occurs is to take lots of bed rest. In these cases, any movement can trigger pain. However, pain management doctors suggest that one or two days of bed rest with occasional movement to get out of bed and walk around is all that is needed. Any more than two days of rest would not help the back, but instead will make recovery even more of a problem. During bed rest, the back muscles are supposed to recover. Too long and these muscles become soft, tender and more sensitive to pain.
  2. Develop Your CoreOne reason the back muscles are in pain is due to the heavy weight they carry. The bigger the weight up front, the heavier the load the back is carrying. Developing the core makes for stronger back and abdominal muscles. At the same time, developing the abdominal muscles would help to slim down a big beer belly. However, this should be done with a doctor’s advice and a gym trainer. There are some exercises that would be very painful to do. On top of that, some common exercises like crunches can be overdone, and lead to more back pain. This is a long-term solution that needs patience and commitment. It should also be done carefully due to the dangers of any incidence of back pain.
  3. Trigger Point Injectionstrigger points are areas in the back that are painful and spasmed muscles exist. Trigger point injections are quick, easy and help substantially with back pain.
  4. MedicationsEffective Back Pain Relief with medications is typically achieved in a stepwise fashion. Over the counter NSAIDS and Tylenol often provide exceptional relief. If a higher level is necessary, short term opiates may be necessary. Back pain doctor Orange CountyMuscle relaxers can help as well for short term exacerbations.
  5. Interventional proceduresFor those with chronic back pain, more interventional procedures can be performed. This may include facet blocks, medial branch blocks, or even intradiscal procedures when degenerative disc disease is causing the pain.

The top Pain Management Clinics in Orange County and Los Angeles are in the California Pain Network. The treatments are performed by Board Certified pain management physicians. They offer both medical and interventional pain treatments at 2 locations.

Both self pay and insurance is accepted, call (310) 626-1526 today!

What are the Best Treatments for Sciatica at a Los Angeles Pain Clinic?

Sciatica is caused by the compression of one of the five spinal nerve roots of the sciatic nerves. Pain from this can be felt in the lower back, buttock, and patients can also feel numbness or weakness in the leg and foot.Sciatica treatment Los Angeles

Patients also sometimes complain of a pins and needles type tingling and difficulty moving. Usually this pain is on one side of the body.  Treatment typically allows over 95% of patients to avoid the need for surgery. In most cases the pain is caused by a herniated disc in the lower back.

There are a number of medications used to reduce sciatica pain by Los Angeles Pain Management Doctors. They include anti-inflammatories, muscle relaxants, narcotics, tricyclic antidepressants, and anti-seizure medications. These medications all play a role in treating sciatica. The anti-inflammatories and muscle relaxants give the body a chance to heal without any added inflammation to slow the process.

Physical therapy is recommended once the pain improves. A rehabilitation program can be designed around your specific needs by your Los Angeles pain doctor and a physical therapist. Rehabilitation helps prevent recurring injuries. The physical therapy includes exercise that helps improve posture and strengthen muscles.

Epidural Injection Los AngelesImproving a patient’s flexibility has shown to dramatically decrease the recurrence of sciatica. Because the symptoms are from a compressed nerve, improving strength, posture, and flexibility all help realign the spine and keep the nerve free from becoming compressed again.

Home remedies include hot and cold packs. Cold packs can be used as soon as the pain starts. They help reduce the inflammation and can be placed on the pinched area for 20 minutes at a time throughout a day. Hot packs should be used two to three days later.

Alternating between cold and hot packs can also reduce pain and promote healing. Adding stretching helps relieve nerve compression. Slow stretching after applying hot and cold packs helps the area lengthen and decompress. Stretches should be held for 30 second or more.

Epidural steroid injections get medication right to the source of pain. As with any injury, the Pain clinics Los Angelesfaster and more efficiently pain medication can get to the needed area, the fast an injury can heal. While oral medications can help minor incidences of sciatica, steroids sometimes need to be used to suppress inflammation.

The steroids wear off within a few weeks to months. Patients can only receive a limited number of injections (usually a series of 3 in 6 weeks), then it can be repeated every few months.

Surgery is another solution for those suffering from sciatica. Sciatica can normally be treated with medication and physical therapy and epidurals, especially if it is caught in time and hasn’t gone on for a long time. In the cases that sciatica causes more serious Pain Management Los Angelesproblems such as significant weakness, and/ or the pain gets progressively worse, that is when surgery may be needed.

For the best nonoperative treatment, let the California Pain Network help you. The Network connects those in pain with pain management Los Angeles trusts. Over 50 insurances are accepted at several clinics, including in and around the LA area.

Call (310) 626-1526 for more information and scheduling today!

How Does CRPS Occur? Info from a Los Angeles Pain Clinic

Complex regional pain syndrome (CRPS) is chronic and ongoing. The pain of this condition is severe and can cause multiple uncomfortable side effects. This condition is also referred to as reflex sympathetic dystrophy syndrome (RSD). In many cases, experts agree that RSD Treatment Los AngelesCRPS is caused by some type of dysfunction in the peripheral or central nervous system.

CRPS is common among patients aged 20 to 35 years of age, and it can also occur in children, even though this is rare. Women seem to suffer more than men when it comes to this condition.

There is no one cause or reason for CRPS to occur. It is noted that the condition is caused by multiple different reasons, and all of the reasons produce the same or similar symptoms.

Symptoms of CRPS

Experts believe that CRPS can flare up and become worse due to any type of emotional stress that the patient may be undergoing. There is a link between being emotionally unstable or upset and having a flare-up, including inflammation and pain.  When a patient has CRPS or RSD, they may experience the following symptoms:

–       SwellingPain Management Los Angeles

–       Burning sensation

–       Severe pain

–       Decreased ability to move affected area

–       Skin color changes

Causes and Associated Conditions of CRPS

There is no exact known cause of CRPS. This is a progressive disease that will develop over time and is considered a long-term problem. One of the many conditions associated with CRPS is damage to a nerve. Injury to the nerve can result in long-term damage, which

Pain clinics in Los Angeles

Even a routine procedure like a knee scope can lead to RSD.

will result in CRPS. The CRPS will occur over time and become worse as it progresses.

Another condition associated with CRPS is an injury or even illness that affects an area of nerves. Many of the CRPS cases that are documented are due to this type of cause.

Many of the cases of CRPS that are diagnosed seem to have something to do with a forceful trauma occurring to a particular area of the body. This can be due to an amputation, a limb being crushed, or even a fracture of the arm or leg.

It also can occur postoperatively. Many of the associated conditions seem to relate to an arm or leg, since that is where the pain and inflammation is most commonly felt.

Other conditions associated with CRPS include heart attacks, strokes, and infections. These occurrences can cause damage to nerves or the area around nerves and CRPS will develop. Since various conditions are not actually known to be a causing factor, doctors and researchers believe that a dysfunctional reaction occurs between the nervous system during the healing process, which leads to the inflammation and pain felt by the patient.

Problems and Treatments

It is important for patients to be treated as soon as they believe they have CRPS. This will help secure successful treatment of the condition. If the condition is not caught in time, Pain Management Beverly Hills CAthere can be severe symptoms and complications including muscle tightening and atrophy.

Patients can receive treatment for CRPS through a number of different methods, including over-the-counter or prescription medications. These will help to treat the pain and also the inflammation that the patient is experiencing.

Corticosteroids and topical analgesics are also effective at treating the condition. Patients have also benefited from using methods at home like applying hot or cold packs and exercising. This will help increase the range of motion of the affected area and also relieve pain.

Pain Relief Los AngelesSince the exact cause CRPS is unknown, Pain Management Doctors in Los Angeles can only treat the associated symptoms and conditions. Reoccurrences of the symptoms do occur and sometimes on a regular basis for some patients despite treatment.

When these reoccurrences do occur, your Los Angeles Pain Doctor may prescribe a temporary medication to help relieve the pain and also inflammation. It seems that flare-ups are related to extreme weather changes, emotional stress, or distress.

The top pain management clinics in Los Angeles are part of the California Pain Network.  The LA pain doctors accept over 50 insurances and there are over 50 doctors in and around the city including Inland Empire and Orange County.

Call (310) 626-1526 for more information and scheduling with pain management Los Angeles trusts and respects!

An Overview of Trigeminal Neuralgia from a Los Angeles pain clinic

Trigeminal Neuralgia is a medical condition in which the person suffers intense pain in his or her face. The reason for the pain suffered by the patient is compression of the trigeminal Trigeminal Neuralgia Treatmentnerve that is located in the face.

When this nerve is put under pressure, the person starts feeling episodes of pain in different parts of his face such as eyes, scalp, cheeks, ears, teeth, lips and sides of the face.  Trigeminal neuralgia mostly affects women that are 50 years of age; however, there have been cases of this disorder found in children of ages three and four as well.

Causes of Trigeminal Neuralgia

The main cause of trigeminal neuralgia is the compression of the trigeminal nerve. This compression can be caused by a number of different reasons. The most common of them is old age.

As people age, wear and tear happens and the myelin sheath covering this nerve gets torn away exposing the nerve to external pressures. Another possible cause of this compression can be contact between an enlarged blood vessel and the trigeminal nerve. Besides these common causes, tumors, brain lesions and aneurysms have also been known to cause trigeminal neuralgia in some patients.

Symptoms of Trigeminal Neuralgia

Los Angeles pain clinicThe most obvious symptom of trigeminal neuralgia is a sharp pain felt in the face triggered by even simple acts like chewing, brushing or doing make-up. This pain which seems like an electric shock often lasts for a small moment of time and fades away just as quickly as it appears.

However, over time, the duration of this pain may increase and its intensity may also exacerbate. If you find the episodes of these pain attacks becoming more frequent and lasting for more than a minute then it is time for you to consult a Los Angeles Pain Management Doctor.

Diagnosis of Trigeminal Neuralgia

The doctors usually use a physical examination to determine the type and location of the pain that you are experiencing. Most of the time an examination is not enough to accurately diagnose this disorder.

In such cases, the Pain Management Doctor is going to have an MRI (Mirror Resonance Imaging) done. This test is going to reveal if the trigeminal nerve is being compressed due LA pain managementto any reason. The doctor can order several other tests if he wants to rule out the possibilities of other disorders.

Treatment of Trigeminal Neuralgia

Trigeminal neuralgia can be treated in a number of ways. If the disorder is diagnosed at an earlier stage, administration of drugs like anticonvulsants and antispasmodic agents is the first line of treatment. These drugs are prescribed for alleviating the pain suffered by the patient by blocking the pain signals from reaching the brain.

One pain procedure that often works well for trigeminal neuralgia is Radiofrequency Thermal Lesioning, also called radiofrequency ablation. The treatment has a very good outcome. There are also procedures that utilize a balloon treatment against the nerve for pain relief. Often Los Angeles pain management doctors provide both options.

The CA Pain Network offers over 20 LA and Orange County pain management doctors at 20 locations, accepting over 50 insurance plans.

If you are suffering from facial pain and would like to receive top notch treatment from the best pain doctors in LA and OC, call the Network today at (310) 626-1526.

What are the Best Treatments for Migraines?

A migraine is one of the most commonly known types of headaches. Migraines cause severe pain in some parts of the head while the attacks are accompanied by nausea, light flashes and vomiting in most cases. Headache specialist Los Angeles

People who suffer from migraines usually become extremely sensitive to bright light and loud sounds and crave for a quiet and dark place during migraine attacks.

Migraine attacks can’t be stopped completely even after diagnosis and treatment usually focuses on reducing the pain during the attack, as well as cutting down on the frequency and length of the attacks. The following treatments work best in this regard.

Instant Pain Relief Medications

During a migraine attack, the first thing any person wants is for the pain to go away. The pain combines with other migraine additives like nausea and vomiting to form a deadly combination that leaves the person incapable of doing anything for the time being.

So, to make the pain manageable or to end it for the time being, one of the treatments is the use of instant pain relief medications. There are many pain relievers that are considered Migraine Specialist Los Angeleshelpful in this regard, though the severity of the pain usually decides which pain reliever would work best.

For people who suffer from a moderate headache, the use of aspirin, Tylenol, Excedrin Migraine and other NSAIDs like ibuprofen help in pain relief. However, people who suffer from extreme pain, these medications won’t work at all and they would have to use Triptans or ergots for instant pain relief.

Anti-nausea medications remain a sound option, too so as to tackle the nausea that always accompanies a migraine attack. It is important to remember that close to daily use of these medications isn’t really an option as they can cause complications with regular use and thus, taking them only in extreme cases where the pain becomes intolerable is recommended.

Preventive Treatments

In order to make sure that one doesn’t have to consistently use pain relieving medications, an important part of migraine treatment is the preventive measures that can be taken. These measures ensure that the frequency of the attacks is reduced.

Pain Management Clinic Los Angeles

Occipital Block

Cardiovascular drugs like beta blockers remain one of the proven drugs that help with migraines and lessen the duration and frequency of the attacks. Similarly, anti depressants, especially tricyclic anti depressants offer relief for migraine patients as these medications don’t only work for people who suffer from depression. Anti-seizure drugs are also helpful in some cases in reducing the frequency of migraine attacks.

Lifestyle Changes

Probably the best way to control a migraine is by changing your lifestyle so as to make sure that you don’t indulge in any activity that triggers a migraine attack. Migraines usually require a trigger and if that trigger is identified and avoided, migraines can be effectively managed by individuals.

First, one should try to maintain a diary enlisting all the daily activities done so as to identify which activities trigger a migraine attack or are at least synonymous with it. Second, try to make sure that you sleep at a particular time and wake up after getting a sound eight hours sleep. Migraine attacks are common amongst people who don’t really get adequate sleep and rest.

Interventional Procedures

Occipital nerve blocks are an outpatient procedure that may help relieve the severity and Pain Management Beverly Hills CAfrequency of migraine headaches. The occipital nerves are located on both sides of the scalp and are easily accessible via  superficial injection.

The injection may consist of numbing medicine and maybe some cortisone. Over half of the time, the injections have been shown to be beneficial for migraines, possibly for weeks to months.

The California Pain Network offers pain management doctors in Los Angeles and OC at over 20 locations with Board Certified treatments that span both medication management and interventional procedures. Over 50 insurances are accepted, and appointments are quickly available at these pain clinics in Los Angeles.

Call (310) 626-1526 for more information and scheduling today!

What are the best treatments for Postherpetic Neuralgia

Postherpetic Neuralgia is a medical condition in which the patient suffers from burning pain sensations that are quite severe in intensity. The cause of this disorder is the virus, herpes zoster. Postherpetic Neuralgia treatment

Usually this virus attacks the body when it is recovering from the rash and blisters associated with shingles. Due to this virus, the body does not heal properly from the disease and even with the blisters gone, the pain persists. This complication of shingles is given the medical name of Postherpetic Neuralgia.

It is an incurable disorder of the skin and nerves that mostly affects people who are over 60 years of age. Moreover, you will be more at risk of developing this disorder if you have shingles on your face rather than other parts of your body. Even though Postherpetic Neuralgia cannot be cured, the pain felt by the patient can be reduced through the use of the following treatment methods.


Anticonvulsants are considered an effective treatment for controlling the pain suffered by the patients of Postherpetic Neuralgia. These drugs target the abnormal activity taking place in the patient’s nervous system and stabilize it.

This way the pain caused by the damaged nerves becomes less profound and the patient feels a lot relaxed and pain-free. The common anticonvulsants that are usually prescribed by doctors to the Postherpetic Neuralgia patients are Gabapentin and Pregabalin.


Antidepressants have also been found to be excellent for treating the pain associated with Postherpetic Neuralgia. The medications are prescribed by Los Angeles Pain Management Doctors for influencing the body’s interpretation of pain by affecting the chemicals present in the brain that govern this function.

Pain Clinics in Los AngelesThe antidepressants that are usually used for minimizing the pain caused by Postherpetic Neuralgia are Amitriptyline, Nontriptyline and Desipramine. The dose of these drugs however is kept very low to avoid their side-effects.

Opioid Painkillers

If the use of anticonvulsants and antidepressants fails to curb the pain suffered by a patient of Postherpetic Neuralgia then the Pain Management Doctors in Los Angeles are forced to give opioid painkillers for managing the pain.

These painkillers tend to be avoided for the long term because of their addictive nature and potentially hazardous side effects. However, if given in low doses, these painkillers can reduce the pain and burning sensation felt by the patient.

Topical Treatments

Sometimes the use of topical treatment methods like Lidocaine patches and creams containing capsaicin is also advised by Pain Clinics in Los Angeles for keeping a lid on the Pain Doctors Los Angelespain. The Lidocaine patches have Lidocaine present in them which is an anesthetic. It can help in reducing the pain at specific areas by making the skin numb.

The creams with capsaicin present in them in high quantities are also great pain reducers but they can cause skin burns in some people. If the patient is able to tolerate this burning sensation then they can make use of this cream to remain pain free for quite a while with each application.

Interventional Procedures

Pain doctors in Los Angeles can treat postherpetic neuralgia with epidural injections to obtain relief. These can work very well to decrease the burning pain of shingles and postherpetic neuralgia.

In addition, if the pain simply will not go away, then a spinal cord stimulator may be indicated. There really is no surgical indication for treating the neuralgia, so masking the Pain Management Los Angelespain with a spinal cord stimulator may be a great option.

All of these treatment methods can prove to be quite effective in treating the pain caused by Postherpetic Neuralgia. However,  a combination of these treatments can result in the attainment of maximum effectiveness.

The California Pain Network offers over 20 doctors at 20 locations who can help treat postherpetic neuralgia. Treatments span medication management and interventional procedures, with over 50 different insurance plans being accepted.

Call (310) 626-1526 for more information and scheduling today!

The Best Treatment Options for Post-Fusion Pain of the Neck

Adjacent segment degeneration normally referred to as ASD occurs in patients who undergo spinal fusion. If the fusion of the spine is closer to the neck region, the adjacent segment degeneration causes pain in the neck and its surrounding areas.

There is still ambiguity as to what causes the adjacent segment degeneration after spinal fusion. It can be the additional stresses on the adjacent regions where the fusion was performed. The degeneration can also occur because the person on which spinal fusion is performed already has all the inherent factors which cause disc  degeneration and therefore, the post fusion ASD may have nothing to do with the surgery at all.

Whichever the cause may be, post-fusion pain in the neck or back wherever surgery is performed is a common problem among most patients. In order to diagnose the adjacent segment disease, the Neck pain doctor Los Angeles Los Angeles Pain Management Doctor will evaluate imaging studies such as an x-ray and MRI or CT scan.

Adjacent Segment Disease Treatment

Many patients who suffer from adjacent segment degeneration problem are able to cope with it without any need of medical intervention. However, not all conditions of post fusion neck pain are similar and if your condition is serious, there are treatment options available for ASD.

Conservative Treatment

The reason for adjacent segment degeneration is usually the additional stresses to the segments above and below the fused segment. The stress conditions are already there which require the cervical spine fusion surgery in the first place; the process just gets accelerated for adjacent segments once fusion has been performed.

Conservative treatment includes avoidance of activities that induce further stress on the back, immobilization of neck, physical exercise and therapy, use of cervical pillow to reduce stress. In addition to all these stress prevention techniques, nonsteroidal medications and analgesics are also part of the conservative treatment plan. Pain medications may be taken by mouth or applied topically as well.

Interventional procedures

Pain Management Doctors in Los Angeles are able to perform outpatient procedures on patients that may prevent the need for further surgery. This may include medial branch blocks, facet blocks or radiofrequency ablation. These procedures may keep the pain under control from anywhere between 6 weeks and 18 months! These procedures work well for neck pain due to adjacent segment disease.

The additional procedure that can work well for adjacent segment disease are epidural steroid injections. These procedures can help a lot if the problem is leading to pinched Pain Clinic Los Angelesnerves.

Pain management clinics in Los Angeles offer impressive success rates for adjacent segment disease which can often help patients avoid surgery. The CA Pain Network offers over 20 Board Certified pain doctors and clinics in the LA and OC areas.

Simply call (310) 626-1526 for more information and scheduling today!

What are the Indications for a Spinal Cord Stimulator?

A Spinal Cord Stimulator is a device that is used for reducing the pain felt by a patient suffering from chronic pain syndromes. The main course of action of this device is to cause interruption in the transmission of pain signals by the nerves to the brain. Spinal Cord Stimulator Los Angeles

With the nerves no longer being able to transmit pain messages to the brain, the patient often does not feel pain. The spinal cord stimulator has been found to be very successful in the containment and management of a number of pain disorders that cannot be managed using traditional pain reliving medications.

The overall success of pain relief based on use with a spinal cord stimulator for all conditions is over 60%, which is great because for these patients there are no great other options. The following are some of the disorders in which the use of spinal cord stimulator is indicated by Los Angeles Pain Management Doctors.

Failed Back Surgery Syndrome (FBSS)

Spinal cord stimulation is seen as an effective way of treating the chronic pain felt by the patients suffering from Failed Back Surgery Syndrome or FBSS. Studies have shown that over 75% of patients with FBSS that are fitted with a spinal cord stimulator feel less pain and are able to lead a better quality of life.

However, before the patients of this order are selected for receiving this treatment they are first given a trial stimulation to assess whether they are suitable candidates for it or not and whether or not the stimulator is going to help them in reducing their pain.

Complex Regional Pain Syndrome (CRPS) Type I

The use of a spinal cord stimulator is also used for curbing the symptoms of pain associated with Complex Regional Pain Syndrome Type I. Patients suffering from this pain syndrome usually feel a throbbing pain in their limbs that increases overtime and cannot be controlled by simple painkillers.

Los Angeles pain clinicFor such patients the use of spinal cord stimulation has been found to be of great use. By stimulating the nerves present in the spinal column, the stimulator can provide immediate pain relief to the patients of this disorder.

Post Laminectomy Syndrome

This occurs when a nerve root is decompressed and after the surgery scar tissue forms around the nerve root. This can lead to persistent pain and chronic disability. A spinal cord stimulator implant can help tremendously since further surgery will no longer be indicated.

Refractory Angina Pectoris

Patients who are suffering from Refractory Angina Pectoris run the risk of having an angina Los Angeles pain clinicattack at any moment. The use of a spinal cord stimulator is indicated for these patients as it can decrease the chances of an angina attack from happening by increasing the release of the norepinephrine hormone. Moreover, the use of spinal cord stimulation can also help in decreasing the pain suffered by the patients of this disease.

Peripheral Vascular Disease

Patients of Peripheral Vascular Disease are also considered ideal patients for getting a spinal cord stimulator. The patients suffering from this disease suffer from chronic pain in their legs and arms. This pain is caused due to the narrowing down of the arteries supplying blood to the limbs of the patient.

The spinal cord stimulator can decrease the levels of pain in such patients by stopping the nerves from sending pain signals to the brain and thus putting an end to the constant pain.

Ischemic Limb PainPain Management Los Angeles

Doctors recommend the use of spinal cord stimulator for controlling Ischemic Limb Pain as well. Studies have shown that stimulation of the spinal nerves can result in modulation of the sympathetic nervous system which can effectively reduce the pain suffered by patients of Ischemic Limb Pain.

The usage of a spinal cord stimulator by Los Angeles pain management clinics is applicable to numerous indications and is often able to effectively mask pain. Over 50 insurance plans are accepted with the Los Angeles pain doctors in the CA Pain Network, with over 20 clinic locations available.

Call (310) 626-1526 for help with your chronic pain today!