An Overview of Topical Medications for Pain Management

When you’re dealing with chronic pain from arthritis or painful problems such as failed back surgery, taking pain medications by mouth may help significantly. However, the side effects from those medications may be bothersome to patients. These may include constipation, tolerance, addiction, and the inability to think clearly.Pain Management Los Angeles

Therefore, it can be very helpful to have topical pain medications to place over an area of discomfort. Over the last few years, the number of non-narcotic topical options have become mainstream that can significantly help achieve pain relief. Los Angeles Pain Management Doctors are using them more often to achieve a higher success rate with treatment.

Here are five of those options.

1. The first is a lidocaine patch. These are available with a prescription from your Pain Management Doctor in Los Angeles.

Los Angeles pain clinics

Lidocaine patches

The original indication for their FDA approval was for postherpetic neuralgia, but they have become much more common for other types of painful conditions. The patches can be cut to the area that needs them and are effective for approximately 24 hours and then need to be replaced.

The lidocaine patches have been looked at in studies for osteoarthritis and lower back pain as well as for myofascial pain syndrome and have shown effectiveness in all. They can also be very helpful for those with RSD pain or from complex regional pain syndrome.

2. A second option for topical pain relief is NSAIDS. These anti-inflammatory topical medications are available in a cream form and have much lower side effects then those taken by mouth. They have none of the G.I. side effects or potential issues with kidneys.

Along with the better safety profile, they have been shown to be extremely effective for multiple conditions such as tendinitis and knee osteoarthritis along with other areas. Along with the cream form, there also patches and gels available. The medications available include diclofenac along with ketoprofen and ibuprofen.Pain clinics in Los Angeles

3. The third medication that is available for topical use is known as Capsaicin. This is the active compound found in chili peppers and acts as a counterirritant to relieve pain. Acting as an irritant over the area it actually can decrease the painful sensation. These creams have been shown to have effectiveness for postherpetic neuralgia along with diabetic neuropathy and other types of neuropathy as well.
Capsaicin has also shown usefulness in treating osteoarthritis pain along with fibromyalgia as well.

4. Steroids have been used for many years topically to relieve pain. When a steroid such as dexamethasone is placed of the skin it can be pushed in using a technique known as iontophoresis which is common among physical therapy clinics. This can be very helpful for Achilles tendinitis, plantar fasciitis, osteoarthritis and other painful conditions. While common in physical therapy clinics, it is difficult for a patient to do this at home because of the lack of the iontophoresis machine.

5. The fifth option for topical medication is called Arnica. This is a gel that is actually made from an herb. It is used topically to decrease inflammation, soothe muscle aches and reduce swelling and bruising. There has been a few studies looking at it for mild to moderate osteoarthritis and show that it does have effectiveness.Pain Management Los Angeles

With these five topical medications as options for painful conditions either with osteoarthritis or tendinitis, one may be able to decrease the amount of actual pain medications necessary along with increasing function significant. Pain management Clinics in Los Angeles often incorporate these options into treatment regimens to help avoid surgery and reduce the amount of oral medications necessary.

The California Pain Network has the largest Network of Board Certified pain management doctors in Orange County, Los Angeles, Long Beach and Inland Empire. Call (310) 626-1526 for one number scheduling at a location near you!

How is Cryoablationused forBack Pain?

Cryoablation is a technique used in the treatment of chronic pain, and is used primarily as an option when a patient has no found success with medicinal intervention. It has also seen use as a viable technique when other treatment procedures, such as implants, are not available to the patient.
Pain Management Santa Monica
What is the Cryoablation process?

The cryoablation technique is centered on the insertion of a hollow needle -typically gauge ten or twelve IV cannula- to allow for the delivery of a special probe into the area designated for treatment. A gas –most often nitrous oxide or liquid nitrogen- is then passed through this probe, and allowed to freely expand in order to cool the gauge. This cooling process gradually forms a ball of ice at the end of the probe. The size of the ball varies depending on the length of time the gas is allowed to expand.
Pain Clinic Los Angeles
The ball of ice formed from this probe is the key to providing Pain Relief for chronic ailments. The extreme cold that the ball of ice delivers to the surrounding tissue causes them to become damaged, but not to be fully destroyed. This freezing procedure also leaves the myelin sheath (and other surrounding supportive structures), of the nerve intact allowing for the reversal of the process, if so desired.

The damage introduced to the nerve from the cryoablation technique disrupts the membranes of cells and the production of proteins. Rapid water loss due to freezing assists in the disruption of the nerve cells. This process disrupts the ability of the nerve to function preventing its ability to send pain signals to the brain. Cryoablation used for direct pain relief can have effects lasting anywhere from 6 months to 3 years, depending upon the size of the area treated and on the susceptibility of the patient to this technique.
Pain Management Doctors In Los Angeles
What are the benefits of Cryoablation?

The primary advantage in using cryoablation for pain relief is the longevity of the treatment. It is also notable that the ability to have it reversed exists, if the need arises. The recovery timeframe of this technique is also relatively small, as a patient can most often return to their normal level of activity after only a single day of rest. Cryoablation can be repeated as needed to continue the effects of the pain relief.

Despite being considered an invasive surgery, the risks from the technique are minimal. This is due to the only invasive portion of the treatment is the insertion of a needle, providing a minimal chance for bleeding and infection.
Pain Doctors Los Angeles

How Chronic Pain Sufferers Can Improve Their Lifestyle

There are literally millions of people all over the world suffering from chronic pain. Chronic pain is one that does not respond to the usual kind of medical treatment and does not go away that easily. It persists and can create a lot of complications. The person is unable to make simple movements and slowly becomes inactive. It can also lead to sleeplessness, impatience, depression and anger.
Pain Management Doctors Los Angeles
Relief from Pain

Though the cause of the pain might be different, they all want the same thing – relief from their pain. A variety of treatment is available, such as massages and the use of narcotics for pain relief. There are both invasive and non invasive types of treatments, such as physical therapy and acupuncture. However, relief from chronic pain involves much more than just taking the prescribed medication. There are some simple changes in lifestyle that can help the patient get control over his life and improve his quality of life. This alone cannot take away the pain, but it can improve their ability to manage the pain and improve their level of activity.


When there is pain, people are less inclined to do exercise. However, it is better to do simple exercise like walking to the nearby grocery shop or having a mild exercise program, without overdoing it. Yoga is also beneficial for chronic Pain Management, as it offers flexibility and improves strength. Deep breathing and meditating techniques can also control pain.

Nutritious Diet

Nutrition is another aspect that needs special attention from those suffering from chronic pain. A healthy and nutritious diet can make the person feel much better and help him avoid side effects, by providing immunity to the body. Eat in moderation and don’t indulge in junk food. Avoid food containing saturated fats and sugar, as it can increase chronic pain. Deficiency of fruits and vegetables in your diet can increase inflammation. Junk food can add extra weight, which could increase the pressure on the joints.
Pain Management Santa Monica

The patient must try to get regular sleep and must avoid taking frequent naps during the day time. This increases the strength of the bones and provides increased flexibility and mobility.

Avoid Smoking and Alcohol

Smoking is another major lifestyle change that is very important for chronic pain sufferers. The nicotine present in cigarettes can result in making some of the medication ineffective. Smoking also results in narrowing down the blood vessels. This results in reducing the blood flowing to the affected area of the body and, thereby, increases the pain. Alcohol combined with prescription drugs can cause increased problems, due to drug interaction. Hence, it is advisable to break the habit.
Pain Management Clinics Los Angeles

Common Causes Of Chronic Joint Pain

Chronic joint pain can be caused by a wide range of factors. Sometimes, the normal ageing process could affect joints and bones to cause chronic pain. Some other causes are related to injuries and damage to nerves, where the condition has not healed completely. It is important to treat the underlying or basic condition for resolving chronic pain. The treatment for the pain has to often address the physical as well as psychological health of the patient.
Pain Management Doctors In Los Angeles
Common Causes

Improper posture over the years could be the Cause of Chronic Pain. Many people also employ improper methods of carrying and lifting heavy objects. Those who are overweight are more prone to the condition, as additional strain is put on the back as well as the knees. The curvature of the spine in some people is liable to cause pain. This is a purely genetic cause. Some people experience a traumatic injury, which has not healed and can end in chronic pain. Wearing ill fitted shoes, high heels and sleeping on an improper mattress are physical causes for the condition. In addition, age and natural weakening of the spine are also identified as factors.

Los Angeles Pain Management Clinic
Diseases, such as rheumatoid arthritis as well as osteoarthritis are well known to cause chronic pain. There are also other ailments, such as cancer, ulcers in the stomach, AIDS and diseases of gallbladder and multiple sclerosis, which could be the culprits leading to chronic pain.

Negative Emotions

Negative emotions are also being considered as a cause for chronic pain. These consist of persistent sadness and anxiety. If you constantly dwell on your pain, the pain tends to aggravate. Doctors must talk extensively with patients in order to pick the right treatment for them, using clinical judgment while analyzing the underlying causes and knowing the exact nature of the pain.

Commonly Related Conditions

Apart from the above, some of the conditions commonly related with chronic pain are low back pain; fibromyalgia; headaches; osteoarthritis; shingles and neuropathy or nerve damage.

A Complex Issue

Analyzing the causes for chronic Pain can, thus, be rather complex. In some cases, it is almost impossible to identify the cause and can prove to be very mysterious. It could start with an illness or due to an injury, but could continue to develop and increase with time, presenting a major problem. Hence, it makes it very difficult to identify one single method of curing the condition. A number of curative steps have to be taken to identify the problem and target the recovery towards it.
Los Angeles Pain Management Doctors


5 Best Treatments For Migraines

Migraines are a huge problem and they affect about 9 percent of Americans. Migraines cannot be cured. Treatment therefore works to help manage the condition and there is no shortage of migraine medications. Migraine treatments are used to reduce the frequency and severity of the headaches and they can be either preventative or abortive. Preventative medication is taken on a daily basis to prevent the headaches from occurring and this treatment is most preferred for patients with severe and repetitive migraines.

Los Angeles Pain ManagementAbortive treatment is mainly reactive and such medication is administered when one is suffering from a migraine attack. The type of treatment you choose to use will be dependent on the frequency and as well as the severity of the migraines. Treatment therefore will vary amongst patients. If you suffer from migraines either regularly or occasionally, we have compiled a list of the top five treatments you might want to try out.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs could be prescription drugs or over the counter medication and these are effective in treating mild migraine headaches. It’s important to note that when taken over an extended period of time, these medications may bring about harmful side effects such as drug dependency, ulcers and even gastrointestinal bleeding. It’s therefore recommended that you use NSAIDs along with other treatment options.


Acupuncture is an FDA approved pain treatment has works by relieving pressure points with the use of tiny needles. Despite the use of needles, the treatment is painless and is increasingly becoming a popular migraine treatment due to its effectiveness. Experts say that acupuncture can help avert acute migraines and the treatment has been used to help chronic tension headaches and frequent migraines as well.
Pain Doctors Los Angeles

Triptans are quite popular in the world of migraine treatment and these pain relieving medications are effective in reducing pain and the symptoms that come with migraines. Triptans encourage blood vessels to constrict and this helps block pain nerves from reaching the brain. Triptans are available in form of nasal sprays, tablets and injections. However, this medication is not recommended for people with heart complications and this is because it can cause muscle weakness.


Antidepressants are a great treatment option for migraines and they can be used to reduce frequent bouts of migraine headaches. Antidepressants are used as preventative migraine treatment and this is because they prevent the headaches from occurring. Antidepressants can also reduce the frequency of the headaches and you don’t have to suffer from depression in order to use this medication.

Transcranial Magnetic Stimulation

The use of electric pulses is now becoming quite popular in pain management and this is because the pulses help to prevent pain signals from reaching the brain. Transcranial magnetic stimulation uses magnetic pulses to deter migraine headaches from occurring,and while the treatment option is still considered experimental, the results are promising.
Los Angeles Pain Management Clinic
In order to control migraine headaches, patients will have to undergo a combination of treatments. It’s also important to remember that lifestyle also plays a crucial role. Exercise, sleep, reduced stress levels and a proper diet are just some of the factors that can help control the severity and the frequency of the headaches.


Diabetic Neuropathy FAQ’s from a Los Angeles Pain Clinic

What Is Diabetic Neuropathy?

Diabetic neuropathy is nerve damage caused by high blood sugar levels. Diabetes is a condition that comes with high levels of blood sugar and this ends up damaging the Diabetic Neuropathy Los Angelesnerves.

Though nerve damage can occur in different parts of the body, diabetic neuropathy tends to affect the feet and legs most. This is a serious diabetic complication but is preventable and can also be slowed down with a healthy lifestyle and great control of blood sugar levels.

What Causes Diabetic Neuropathy?

As we have mentioned, this is as a result of uncontrolled high sugar blood levels damaging the nerves. Usually, nerve damage occurs when you have high blood sugar levels and decreased blood flow.

Statistics show that about half of all people diagnosed with diabetes end up developing nerve damage and this can be attributed to poor management of the condition. Nerve injuries affect nerves in the body’s vital organs, the spinal column and cranial nerves or skull nerves.

What Are The Symptoms of Diabetic Neuropathy?

Symptoms of diabetic neuropathy tend to develop over a long period of time and the symptoms will depend on the type of diabetic neuropathy you have. Early signs of nerve damage include a tingling or burning sensation on the hands or feet These sensations can be felt in the feet particularly the toes and you might also feel deep pain in your legs and feet.

Loss of sensation is also a major indication of nerve damage and if the affected nerves are in your blood vessels and heart then you may have bouts of light headedness when you stand up, a fast heart rate and even fail to recognize angina which is the chest pain that Diabetic Neuropathy2gives you forewarning of a heart attack. Other nerve damage signs include bladder problems, profuse sweating, inability to tell when your blood sugar is low and sexual problems such as erectile dysfunction.

Are There Different Types of Diabetic Neuropathy?

Yes, there are and this is mainly because different nerves are affected. Diabetic peripheral neuropathy is characterized by peripheral nerve damage and these are mainly nerves on the legs and feet and hands.

Diabetic autonomic neuropathy affects the nerves that are responsible for your bodily functions and these are the vascular system, genital urinary and gastro intestinal organs. Diabetic proximal neuropathy affects hips, buttocks and thigh nerves. Diabetic focal neuropathy is yet another type of diabetic neuropathy and this type affects a specific area or nerve in any organ.

How Is Diabetic Neuropathy Diagnosed?

The LA Pain Doctor will take you through a series of test to identify if you indeed have diabetic neuropathy and the specific type you have. Various tests are done and these include: nerve conduction velocity tests which basically record the speed of nerve signals within your body. Electromyogram also known as EMG is also done and this is mainly to record your muscle electoral activity.

Autonomic testing may also be administered to identify your blood pressure in various positions as well as your sweating patterns. Quantitative sensory testing is a noninvasive test that assesses your nerve response to temperature changes and vibrations.

How Is Diabetic Neuropathy Treated?

There is no cure for diabetic neuropathy and treatment is focused on relieving pain, slowing down the disease, managing its complications as well as restoring nerve function. Keeping your blood sugar within good levels is a good way to control the risk associated with diabetic neuropathy.

You can also help slow down nerve damage by exercising, maintaining a healthy lifestyle Neuropathy doctor Los Angelesand avoiding drugs such as alcohol and cigarette smoking. Certain medications are given to help relieve pain and these are anti-seizure medications, antidepressants, opioids and lidocaine patch which is a topical anesthetic.

One of the most revolutionary pain treatments has been a spinal cord stimulator, which has been shown in studies to provide excellent pain relief along with often restoring sensory loss. Imagine being able to properly feel your feet again even after sensation is lost!

The California Pain Network connects those individuals in pain with pain management Los Angeles trusts. This includes pain doctors, chiropractors, orthopedic surgeons and more. Simply call (310) 626-1526 for more information and scheduling today for over 10 location possibilities!

FAQs on Headaches from a Los Angeles Pain Management Clinic

What are headaches?

Headaches are among the most common type of pain that is suffered by people. Migraine Specialist Los AngelesHeadaches are characterized by a sharp and persistent pain being felt by the patient in his head or the region of the neck.

Headaches that are the main problem for which no other cause can be determined, are considered to be primary headaches (Cohan, 2012). On the other hand, headaches which are caused as a result of another disease or disorder are referred to as secondary headaches.

What causes headaches?

Headaches can be caused from numerous reasons, with the most common cause being tension or stress. When a person is under stress, he is likely to get a headache. Such headaches are usually very mild in nature but do not go away easily. Additional causes of headaches may include:

  • Alcohol, particularly red wine
  • Certain foods, such as processed meats that contain nitrates
  • Changes in sleep or lack of sleep
  • Poor posture
  • Skipped meals
  • Stress

Other causes of headaches are migraines, brain tumors, stroke, high blood pressure and meningitis. The headaches that result from these disorders or diseases are intense in nature and can be accompanied with other symptoms too.

What are the symptoms of headaches?

The symptoms of primary headaches which are caused by tension and stress include mild, Headache Specialist Los Angelesthrobbing pain in the head that originates from the base of the skull. This pain is not very intense in nature but is consistent and does not go away easily until proper medication is taken.

The symptoms of secondary headaches that are caused due to another disease or disorder vary depending on the disease being suffered by the patient. Patients suffering headaches because of migraines will also exhibit symptoms like vomiting and fever while those that have high blood pressure to thank for their headache will also feel pain in their chest and forehead region.

How are headaches diagnosed?

The diagnosis of headaches is not that difficult. The Los Angeles Pain Management Doctor just has to do a physical exam to check whether the pain is being caused due to an external injury or is resulting from an internal issue. In case of an injury, the LA pain doctor typically makes use of radiological diagnostic means like CT scans and MRI to determine if there is an identifiable cause.

The use of these diagnostic tools is also used by doctors to check whether the headache is being caused due to a tumor or not. Tension induced headaches are generally diagnosed by the doctor by simply asking the patients about their daily routine and what they have been doing since the headaches started.

What are the Treatment Options for headaches?

The headaches caused by tension and stress can be easily treated by taking pain killers and anti-depressants. This however, is not going to work if the headache is being caused due to another reason. In cases where the headache is resulting from migraines, the Pain Management Doctor in Los Angeles will most likely prescribe a different set of medications that will include triptans, ergots and midrin.

According to Sacks (1992), sleeping before the commencement of a migraine can be very effective in preventing it from happening.  Occipital nerve blocks may be extremely beneficial for migraines and headaches due to irritation of the  nerves in the back of the head and neck area.

Along with acupuncture, biofeedback and oxygen, additional treatments may include:

  •     Botox Injections

    Occipital Nerve Block Los Angeles

    Occipital Nerve Block Los Angeles

  •     Sphenopalatine Nerve Blocks
  •     Occipital Nerve Stimulation
  •     Occipital Nerve Blocks
  •     Cervical Facet Injections
  •     Supra/Infraorbital Nerve Blocks
  •     Cervical Epidural Steroid Injections
  •     Supratrochlear Nerve Blocks

What the bottom line is with headaches?

There are multiple types of headaches which may be sparked by a number of reasons. Treatment with a pain clinic in Los Angeles may decrease the severity and frequency of headaches. Call the California Pain Network today to be connected with pain management Los Angeles trusts at (310) 626-1526.


FAQ’s on Occipital Nerve Block from an LA pain clinic

Occipital nerve block is a commonly used procedure carried out to deal with pain arising in the back of the head or headaches such as migraines. The nerve block requires the usage of numbing medicine and steroid, with the result of numbing the occipital nerves and thus, relieving pain as a result.Headache Clinic Los Angeles

What are the major indicators for getting an Occipital Nerve Block Procedure?

Occipital nerve block is one of those procedures that are performed to deal with inflammation and irritation in the greater occipital nerve. According to Cousins, greater occipital nerve block has been used for various kinds of headaches including cervicogenic headache, occipital neuralgia, migraine and cluster headache (2012).

The Pain Management Doctor in Los Angeles usually looks for tenderness in the scalp before recommending you the treatment.

What does an Occipital Nerve Block procedure entail?

Occipital nerve block is a simple and quick process that does not involve a lot of work on the part of the patient or the doctor. The procedure involves injecting the occipital nerve

Occipital block Los Angeles

Occipital block

area of the scalp with a local anesthetic and a small supply of steroids.

The needle is inserted just below the occipital ridge and directed towards the ridge til bone is contacted (Walco and Goldschneider, 2008). The back of the head will be cleaned with alcohol at first before injecting the steroid.

How does an Occipital Nerve Block procedure help the doctor provide treatment?

Occipital nerve block is a temporary solution for the problem of one-sided headaches and back of the head pain while it also helps with migraines and cluster headaches. For serious inflammation and irritation issues of the occipital nerve, the doctor can use the treatment to not only ease the pain but to also check if the body would respond well to more permanent solutions like a radiofrequency ablation. Migraine Headache Treatment Los Angeles

These solutions usually ensure a long term result as compared to the temporary effort of the occipital nerve block procedure. Patients who respond well to this treatment i.e. their pain subsides for a couple of months or so, are usually earmarked for the long term treatments in case the pain is not tolerable.

What to expect during and after an Occipital Nerve Block procedure?

The occipital nerve block procedure is a very simple one. During the procedure, the patient would either be asked to sit or lie down and the doctor would then inject the local Headache Specialist Los Angelesanesthetic along with the steroids. There would be some pain felt during the procedure when the needle would be injected but the pain would subside afterwards.

The immediate after-effect of the procedure would be that pain is alleviated quickly. This would be because of the local anesthetic and as it would wear off; the patient might feel dizziness and might have some soreness where the steroids were injected. A few days from the procedure, the pain would subside as the steroid would start to do its work. The time for which the pain subsides usually varies from patient to patient with some patients only feeling pain relief for a couple of weeks while others feeling no pain for a number of months.

What are the risks of getting an Occipital Nerve Block procedure?

There are certain risks involved with an occipital nerve block procedure even though it is a very safe procedure. Usually, soreness and slight pain at the injection site are the only side-effects of the treatment with bleeding and infection other side-effects if the treatment either doesn’t go to plan or the body doesn’t react positively to it.

What are the benefits of getting an Occipital Nerve Block procedure?

Occipital nerve block is extremely helpful in alleviating pain and headaches that would Pain Clinics in Los Angelescause disruption during your daily routine. For months, you won’t feel anything at the back of your head and you would be relieved of all the stinging pain that came with the inflammation of the occipital nerve. The treatment proves helpful in chronic migraines too in most cases.

Over 50% of the time, headache severity and frequency are reduced. The California Pain Network offers headache pain specialists in Los Angeles who are Board Certified. The LA pain doctors offer both medication management and interventional procedures such as occipital blocks.

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


An Overview of Joint Injections in Los Angeles Pain Management

Joint Injections are administered for relieving the pain being felt by a patient in his or her joints. The physician simply injects a hypodermic needle in to the joint in which the patient is feeling the pain and delivers a small dose of either an anti-inflammatory drug or an Pain Doctor Los Angelesanesthetic to curb the pain and stop the inflammation thus providing instant relief to the patient.

                      What are the major indications for having Joint Injections?

People who are experiencing severe pain in their joints either due to stress or because they are suffering from a chronic disorder such as arthritis are ideal candidates for having joint injections. Patients who are suffering from inflammatory disorders of joints such as osteoarthritis, tendinitis, gout and bursitis will also find joint injections a lot helpful in relieving the soreness of their joints and in providing them relief from the never ending pain.

Moreover, any person who has suffered an injury that has resulted in soft tissue damage present in and around a joint can also have joint injections placed in the affected area to alleviate the pain and potentially accelerate the healing process.

                                      What do Joint Injections entail?

Joint Injections are simple injections that are administered using a normal hypodermic needle. The injections usually contain an anesthetic or an anti-inflammatory drug. The Knee Doctor Los Angelesanti-inflammatory agents that are most commonly injected in to the joints for relieving the inflammation and pain being suffered by the patients are either corticosteroids or Hyaluronic acid. The effect of corticosteroids in relieving the pain varies from patient to patient (Owen, 1997).

The newest types of injections that are beneficial include platelet rich plasma therapy and stem cell injections. Small studies have shown substantial benefits, and larger studies are ongoing.

                     How do Joint Injections help the doctor provide treatment?

Joint Injections are quite capable of providing instant relief to the patients who are suffering from chronic joint pain. Joint injections may help a patient avoid or delay the need for a joint replacement.

In addition, injections of hyaluronic acid, PRP or stem cells can compel the joint to produce more cartilage and potentially regenerate somewhat. Injections of steroid are allowed multiple times per year.

                          What to expect when having Joint Injections?

The administration of Joint Injections is not a complicated procedure. The Los Angeles Pain Management Doctor or nurse who is administering the injection is going to first Pain Management Santa Monicathoroughly clean the portion of the skin and sterilize above the joint where the injection is to be injected. This is going to be followed by the application of a local anesthetic or a cold spray to numb the skin.

After all of this is done, the hypodermic needle of the syringe carrying the joint injection is going to be carefully inserted in to the joint in which you are feeling pain and the contents of the injection are going to be injected in it by pressing down the plunger of the syringe.

                           What are the risks of having Joint Injections?

Even though the administration of Joint Injections is a very effective way of relieving the chronic pain in joints, this procedure does have a few risks as well. Among them the most important one by far is that of infection. The overall risk is about 1%.

There is also a small risk of an allergic reaction to the medications used. One thing that sometimes happens with PRP is increased pain for a couple days due to the inflammation sparked up for healing. Also, one thing seen with hyaluronic acid injections is a possible pseudo-infection. It may look red and infected, but typically it’s not.

                            What are the benefits of having Joint Injections?

The most important benefit of having joint injections is relief from the never ending joint pain. Moreover, joint injections can also stop the accumulation of fluid in the joints as well Pain Doctor Santa Anawhich will put an end to the stiffness being felt by the patient. The good to excellent results are usually over 75%, and pain relief may last for a few months.

The California Pain Network offers pain management doctors in Los Angeles, Orange County, Inland Empire and surrounding areas. The pain doctors are Board Certified, Award Winning and accept most insurances including Workers Compensation, Personal Injury, PPO’s and self pay.

There are also chiropractic doctors in the Network. Call (310) 626-1526 for more information and scheduling today!


Spinal Cord Stimulator Implant for Chronic Pain

Spinal cord stimulation technique has been widely used for the effective treatment of chronic pain associated with different origins. It is most commonly used for treating and controlling pain arising due to failed back surgery syndrome. Spinal Cord Stimulator Los Angeles

It is also commonly used in cases of angina pectoris pain, regional pain and peripheral vascular problems. Though it was first introduced in 1967 by Shealy in case of patients suffering chronic pain from cancer, the outcome from this technique has proved very successful during the last decade and it has now become widely accepted as a therapy in case of chronic or neuropathic pain.

The SCS System

It comprises an electrode lead along with a pulse generator and a programmer. Today’s devices are very sophisticated and reliable for offering good relief in case of chronic pain.  It has a pulse generator, almost like a battery.

Many devices offer rechargeable batteries that can be charged through the skin. However, some other pulse generators are completely implanted and need not be recharged. Pasadena Pain ClinicHowever, they will have to be replaced. Another system consists of a transmitter, receiver and an antenna, depending on radio frequency for powering it. The antenna and the transmitter are outside the body, whereas the receiver has to be implanted inside the body.

SCS Procedure

During this procedure, the device offering electrical signals has to be implanted into the body. This is done either surgically or through the skin. The patient can then turn the current on or off and also adjust the intensity of the electricity signals. There is usually a pleasant and tingling sensation.Pain Management Clinic Los Angeles

Your skin is first numbed by the use of a local anesthetic. Wires are placed under the skin and stretched in the area over the spinal cord. These wires are then connected to the current generator placed outside the body. The entire procedure just lasts an hour and you can go home. In case the treatment is effective, you can opt for a permanent generator that will be implanted under the abdomen skin with a small surgical cut being made. This generator runs on batteries that can even last a few years.


Effective relief from many painful syndromes of chronic pain has been experienced by many patients due to the use of spinal cord stimulation techniques. The cost might be high initially, but the treatment is cost effective especially in the long run. It can be used in Pain Management Pomonacombination with psychotherapy as well as physical therapy to provide long term relief from chronic pain, improving the patient’s quality of life and enhancing the capacity to carry on day to day activities.

If you are experiencing chronic pain that has not responded well to surgery and other treatments, a spinal cord stimulator may be the best answer. The Best Pain Management Doctors in Los Angeles, Long Beach, Orange County, Rancho Cucamonga and surrounding areas offer spinal cord stimulator implant treatment.

For more information and scheduling to see if an SCS can help you, call (310) 626-1526. The CA Pain Network offers pain clinics throughout the greater LA area, Orange County, Long Beach, Inland Empire and more.