Services

Diagnoses/Conditions We Treat

  • Back pain
  • Also known as dorsalgia, it usually comes from the bones, muscles, nerves, joints, or other parts of the spine. Back pain can be divided into neck pain, upper back pain, lower back pain, or tailbone pain. Back pain that happens after an accident such as a car crash or a fall may be a sign of a fracture or other injury. If you are experiencing back pain, especially following a trauma to your body, please come see us at the pain clinic.

  • Herniated or degenerative disc disease
  • Spinal discs deteriorate with age, which can lead to degenerative disc disease in some people. The pain may be caused by loss of fluid in the discs, or tiny tears or cracks in the outer layer of the disc. Ice or heat with a pain killer is a typical, effective method, but further treatment may be necessary if your degenerative disc disease results in other conditions such as osteoarthritis, a herniated disc (when the disc bulges or breaks apart), or spinal stenosis.

  • Radiculopathy
  • This is a condition caused by a crushed nerve in the spine that creates weakness, numbness, tingling, or pain along the nerve. It can happen anywhere along the back. It happens because of compression or irritation of the nerves as they exit the spine, due to a degenerated or herniated disc, osteoarthritis, or a bone spur. Fortunately, most people can find relief for their symptoms with conservative treatment, which the majority of patients respond well to.

  • Spinal stenosis
  • Spinal stenosis is a narrowing of the spinal column that puts pressure on the spinal cord, usually due to age as the discs dry up and begin to shrink. Your doctor will help manage the pain and keep you as active as possible. You may be referred to physical therapy, or if your pain doesn't respond or you lose feeling or movement, you may need surgery.

  • Sciatica
  • Sciatic neuritis includes pain that may be caused by the compression or irritation or one of the five sciatic nerve roots, or of both of the sciatic nerves. Elective surgery is the main option for unilateral sciatica and focuses on removal of the underlying cause by removing the disk herniation and eventually part of the disc.

  • Neck pain
  • Neck pain may be from muscular tightness in the neck and upper back, or a pinching of the nerves coming from the cervical vertebrae. Joint disruption in the neck creates pain, as well as joint disruption in the upper back. If you are experiencing any neck pain, please come see us at the pain clinic in Jacksonville, Florida for an evaluation.

  • Failed Spine Surgery pain
  • Failed back surgery syndrome (also called FBSS, also Post Laminectomy Syndrome, Post Fusion Pain) are terms that refer to the condition of patients who had an unsuccessful result with their back or spinal surgery and have experienced continued pain. If you are continuing to experience back pain after a laminectomy, fusion, or other back or spinal procedure, you may have FBSS.

  • Facet joint pain
  • Facet joints are in near-constant motion with the spine and simply wear out in most patients. When they become worn or torn, the cartilage may become thin or nonexistent and there might be a reaction of the bone of the joint underneath making bone spurs and a joint enlargement. The joint then has arthritic changes, or osteoarthritis, that can produce back pain. This condition may also be known as "facet joint disease" or "facet joint syndrome".

  • Automobile, work related, and other injury related pain
  • If you've been injured in a car accident, automobile crash, motorcycle wreck; if you've been injured on the job or at home, you may need to be referred to a pain clinic or a pain management program after evaluation. We have compassionate, experienced doctors ready to help you manage your pain and get your life back on track.

  • Migraines and other headaches
  • Migraines, tension headaches, and sinus headaches can be very painful and can really inconvenience your life if they are chronic. Symptoms of a migraine include a pounding headache, nausea, vomiting, and light sensitivity. There are anti-nausea medications available to help prevent or stop headaches.

  • Reflex sympathetic dystrophy (RSD or chronic regional pain syndrome)
  • Complex regional pain syndrome (CRPS), also called reflex sympathetic dystrophy syndrome, is chronic pain in which high levels of nerve impulses are sent to an affected site. Experts believe that CRPS occurs as a result of dysfunction in the central or peripheral nervous systems. If you need a pain clinic in Jacksonville or Orange Park, Florida, please come see us.

  • Cancer pain
  • Cancer pain is usually treated with medications, and we try to provide the greatest pain relief possible with the least side effects. Medications used for cancer pain are selected by your health care professional to meet the pain needs you have. For some kinds of pain related to cancer, non-prescription medications may be enough to achieve relief. For other degrees and kinds of pain, prescription medications are used.

  • Phantom limb syndrome (post amputation pain)
  • Patients who have had an amputation sometimes report still feeling sensation in their missing limb. In some cases, a person may only feel it immediately after the loss. For others, the phantom limb feels not only present, but also quite painful. Unfortunately, in the case of phantom limbs, the mental image doesn't follow the change in the body.

  • Neuropathy
  • Neuropathic pain is a chronic pain state that is usually accompanied by injury to a tissue. The nerve fibers themselves may be damaged, dysfunctional or injured. These damaged nerve fibers send incorrect signals to other pain centers, which includes a change in nerve function both at the site of injury and areas around the injury.

  • Post herpetic neuralgia (herpes zoster or shingles related pain)
  • Shingles is treated with medicines including antivirals and pain medication. Starting antiviral medicine right away can help your rash heal faster and be less painful. If you think you may have shingles, see your doctor right away.


Procedures We Perform

  • Epidural Steroid Injection: Lumbar, Caudal, Cervical, Thoracic
  • Epidural injection: Interlaminar, Transforaminal
  • Sacro-Iliac joint injection
  • Selective nerve root block: Lumbar
  • Facet joint injection: Lumbar, Cervical, Thoracic
  • Medial branch nerve block (Facet Nerve Block): Lumbar, Cervical
  • Radiofrequency ablation of Medial branch nerve (Facet Nerve)
  • Lumbar Sympathetic nerve block
  • Intercostal nerve injection
  • Trigger point injection
  • Peripheral nerve block: Occipital, Ilio-Inguinal...
  • Peripheral joint injection
  • BOTOX®
  • Intra-articular injections
  • Stellate ganglion block
  • Celiac plexus block: Diagnostic and Neurolytic
  • Synvisc® and Hyalgan Injection
  • Discogram
  • Spinal cord stimulator trials and implants
  • Intra-discal electrothermal therapy (IDET)
  • Infusion (Pain) pump trials and implants
  • Vertebroplasty: Percutaneous
  • Lumbar decompressions: Percutaneous