Pain Management Solutions for Chronic Pain in Los Angeles

If you are one amongst those millions living with chronic pain, then there is good news for you. There are pain management clinics in Los Angeles that treat chronic pain and give you relief. There is a whole new range of sophisticated treatment methods available starting from the use of effective drugs to the use of electrical stimulation. There is a lot that is being done to keep chronic pain in control and the methods used vary from clinics to clinics and depends on the type and intensity of pain you are suffering from.

All these advanced treatment methods have emerged in the past few years all thanks to the researchers who have gained a better understanding of chronic pain regarding how it develops and how it can be treated. Some of the origins of chronic pain are:

  • Car accidents
  • Sports injuries
  • Back injuries
  • Health conditions like migraine, arthritis, diabetes, shingles and cancer

However, at times, there is no cause of chronic pain and doctors are unable to find the origin of the pain. And this can be frustrating for both the doctors and the patients.

Chronic Pain – Root and Relief

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In the past, people thought that chronic pain was more a physiological problem than physical pain. However, today’s pain managers understand how pain evolves and how the nervous system is affected and how the spinal cord interacts with the brain to create the sensation of pain.

There are chemical messengers present in the neurotransmitter system that pass nerve signals and doctors and researchers can now manipulate these signals and give relief from pain by changing the way they interact with the brain.

This involved the use of drugs like antidepressants etc. that affect specific chemicals present in the brain helping with the perception of pain. Today, there a whole range of medicines available those help get relief from all kinds of chronic pain.

With the development of MRI imaging, researchers can easily see the real activities going inside the brain. And this has made the treatment easier.

Relief from Chronic Pain

There are various steps involved in treating chronic pain by the pain management doctors in Los Angeles. Here are they:

Medication

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This is the first step for treating chronic pain and most doctors typically start by prescribing oral painkillers and anti inflammatory drugs that are non steroidal in nature. These help by reducing inflammation and swelling and giving relief. Finding the drugs that work for a patient’s chronic pain is often based on trial and error method. Often a combination of drugs is used unless the optimal result is attained. Anticonvulsants, antidepressants are often prescribed when the pain is severe.

Pain relief creams

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Topical application of creams that contain a compound called capsaicin is also another method of treating chronic pain. Capsaicin works by reducing the transmission of P a pain – relaying substance to the brain. Some of the other ingredients that you can look for include salicylate, eucalyptus oil, camphor etc. These work by reducing inflammation and or by causing the sensation of either heat or coolness at the pain site and giving relief.

Skin patches are also used to get relief.

Narcotic pain medicines are used by pain management specialists and elsewhere when the pain is extremely severe. The use of these is however controversial as there is risk of addiction with regular usage.

Apart from medicines, a number of other pain management therapies are also used to get relief from chronic pain like chiropractic, massage therapy, platelet rich plasma therapy, stem cell procedures etc. Most of the time a combination of all these methods is used to treat chronic pain.

Platelet Rich Plasma Therapy Los Angeles

Platelet Rich Plasma


Los Angeles PRP TherapyPlatelet activation is a key part of the healing process for your wounds. By using platelet rich plasma, or PRP, part of your blood is taken and injected into the wound site to promote better healing of your tendons, joints, muscles, or ligaments.

How long has this process been around?

The use of PRP has been around as early as the 1990’s when injections of patients’ own blood were taken and used during surgery.

The blood which is taken is injected into a centrifuge so that the white blood cells can be increased. Once this is done, the blood is mixed back into the patient so as to increase growth and repair damaged cells.

Is this process safe?

The use of PRP is quite safe and several different clinical studies have demonstrated that using this treatment method to induce faster healing will improve function and decrease pain.

What are the side effects?

Because PRP uses the blood of the patient there are very little reactions associated with the process, if any.

What happens during the process?

If you undergo PRP treatment, your blood will be taken with a needle and then injected, after it has been treated, into the problem area to induce healing.

What happens after?

Immediately after the process patients need to rest and after this, they can enjoy progressive stretching and strengthening to improve the problem area which was healed.

The lower back is made up of a number of bones, joints, muscles, nerves, and spinal discs which work together to support your body and allow you to move. The spine naturally forms an “S” shape and when it is in neutral alignment, it supports the rest of your body. LA PRP TherapyIt is important that you use proper posture while sitting and standing so that you can support the spine. Bad posture and injuries can result in back pain. There are different types of pain including acute pain and chronic pain. This pain may be severe and only come at random, or it may be mild and continual, or anything in between. Pain is your body’s way of telling you that something is wrong. The pain you experience could be the result of a back injury such as a slipped disc, sciatica, spondylolithesis, or Piriformis syndrome. If you are experiencing back pain there are many methods of treatment including heat, avoiding sustained postures, avoiding repetitive movements, avoiding heaving lifting, TENS, painkillers, and if those things don’t work: consulting a medical practitioner. There are of course ways in which you can avoid injury. You can watch for warning signs, stretch regularly, utilize good posture at all times, and integrate Pilates into your daily routine. In addition to that, you can utilize ergonomics while you sit at a desk or in a car, while you lift things, and while you are at a work station. All of this things combined can help you to treat existing back pain, recognize signs in the future of back pain, and take preventative measures to stay healthy.

How Effective Is Platelet Rich Plasma Therapy?

Nearly 100 million office visits each year to medical clinic settings are due to musculoskeletal injuries. Of the treatments, platelet rich plasma therapy is a new approach in treating these kinds of injuries and there is a lot of hype about it. The Platelet Rich Plasma Therapy is emerging as the treatment choice for muscle, tendon, and bone injuries. It seems to boost the healing process thus reducing pain and improving function.

How does PRP work?

A component of the blood called platelets, tiny cell fragments responsible for the platelet rich plasma therapy los angelesdevelopment of blood clots, works to perform an important role in tissue repair. Clotting is the first step in the healing process. When this occurs, the platelets release what is known as factors that help with the clot formation and many growth factors. These growth factors increase the production of several types of stem cells. Essentially, the healing process goes through phases: inflammation, proliferation, and remodeling.

Injecting platelets into the area of the injury is thought to start and speed up the healing cascade, causing the body’s healing mechanism to regenerate new tissue. The PRP is prepared by using a centrifuge to spin out the blood into its separate parts. The PRP is a higher concentration of platelets than blood with this process.

What studies have found

In a study of a small group of patients with chronic lateral epicondylitis, they were given either autologous whole blood or PRP preparation. The PRP therapy had significant results when compared to whole blood six weeks into the study. This type of therapy even has proven exceptional results when compared to hyaluronic or corticosteroid therapy.

Another study has shown the PRP-treated group showed significant improvement in their knee osteoarthritis than compared to the group receiving hyaluronic acid therapy after three months of treatment. In a similar study, corticosteroid injections were given to one group with lateral epicondylitis while a PRP preparation was given to another group with the same ailment. The treatment success was found to be at a 25% reduction in pain within the year following the study. The study notes that 73% PRP group was treated successfully compared to the 49% in the group who received corticosteroid injections. What is significant in this study is that the corticosteroid group showed improvement than decline after the treatment, however, the PRP group continues to experience improvement.

Who is a good candidate?

Anyone who has an isolate injury and the risk of having cortisone therapy or no treatment outweighs any risks that PRP therapy poses. A person that has chronic lateral epicondylitis seems to respond best to PRP therapy. Someone that doesn’t smoke will find the optimal healing with PRP therapy.

How many injections are a part of the therapy?

One injection is possible for effective treatment. There may be a possibility that it may take platelet rich plasma therapy los angelesmore than one. There is no protocol by which there is a certain number of PRP injections needed or optimal space of time between injections, however, 2 to 4 weeks in between injections is common.

References:

http://arthritis-health.com/treatment/injections/who-candidate-platelet-rich-plasma-therapy

Wroblewski AP, Mejia HA, Wright VJ. Application of platelet-rich plasma to enhance tissue repair. Oper Tech Orthop. 2010;20:98-105.

Park EJ, Kim ES, Weber HP, et al. Improved bone healing by angiogenic factor-enriched platelet-rich plasma and its synergistic enhancement by bone mor- phogenetic protein-2. Int J Oral Maxillofac Implants. 2008;23:818-826.

DohanEhrenfest DM, Rasmusson L, Albrektsson T. Classification of platelet concentrates: from pure platelet-rich plasma (P-PRP) to leucocyte- and platelet- rich fibrin (L-PRF). Trends Biotechnol. 2009;27:158- 167.

Alsousou J, Thompson M, Hulley P, et al. The biology of platelet-rich plasma and its application in trauma and orthopaedic surgery: a review of the literature. J Bone Joint Surg Br. 2009;91:987-996.

Lee KS, Wilson JJ, Rabago DP, et al. Musculoskeletal applications of platelet-rich plasma: fad or future? AJR Am J Roentgenol. 2011;196:628-636.

Mazzocca AD, McCarthy MB, Chowaniec DM, et al. The positive effects of different platelet-rich plasma methods on human muscle, bone, and tendon cells. Am J Sports Med. 2012;40:1742-1749.

Thanasas C, Papadimitriou G, Charalambidis C, et al. Platelet-rich plasma versus autologous whole blood for the treatment of chronic lateral elbow epicondylitis: a randomized controlled clinical trial. Am J Sports Med. 2011;39:2130-2134.

Spakova T, Rosocha J, Lacko M, et al. Treatment of knee joint osteoarthritis with autologous platelet-rich plasma in comparison with hyaluronic acid. Am J Phys Med Rehabil. 2012;91:411-417.

Peerbooms JC, Sluimer J, Bruijn DJ, Gosens T. Positive effect of an autologous platelet concentrate in lat- eralepicondylitis in a double-blind randomized con- trolled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am J Sports Med. 2010;38:255-262