Revolutionary Neuropathy Treatment at HOPE: Elevating Your Quality of Life

Understanding Neuropathy

Neuropathy, also known as peripheral neuropathy, is a condition that affects the peripheral nerves, often causing pain, numbness, tingling, and weakness in the hands and feet. It can result from various causes, including diabetes, chemotherapy, certain medications, and underlying medical conditions. Living with neuropathy can be challenging, as it can interfere with daily activities and reduce your overall quality of life.

The Hawthorne Oncology Pain Experts Approach

State-of-the-Art Diagnostics

Multimodal Treatment Options

We offer a wide range of innovative neuropathy treatment options to address the diverse needs of our patients. Our approach combines traditional and advanced therapies, ensuring that you receive the most effective care available. Some of our treatment modalities include:

  • Neurostimulation: Our neurostimulation techniques are designed to alleviate pain and improve nerve function, helping you regain sensation in affected areas. Neuromodulation therapy involves the use of electrical stimulation to modulate nerve activity. This technique involves the implantation of a device that sends electrical impulses to the spinal cord, effectively blocking pain signals from reaching the brain
  • Physical Therapy: Hawthorne Oncology Pain Experts work with skilled physical therapists in the community who can enhance your mobility, strength, and overall well-being. Exercise and physical therapy are critical in maintaining your function and slowing the progression of neuropathy symptoms and complications. 
  • Medication Management: We provide medication management strategies to control pain and manage the symptoms of neuropathy effectively. Treatments included anti-neuropathic medications (e.g, gabapentin, lyrica, Cymbalta, TCAs, etc.). 
  • Nutritional Guidance: Proper nutrition plays a crucial role in managing neuropathy. Our experts offer personalized nutritional guidance to support your healing process.

Chemo-Induced Peripheral Neuropathy (CIPN)

Cancer patients suffer tremendously from their diagnosis of cancer, but they can also suffer from side effects caused by their treatments. Chemo-induced peripheral neuropathy is caused by direct damage to the nerves by chemo. The severity is dependent on the type of chemotherapy agent and its associated neurotoxicity profile (i.e., some chemo drugs are more likely to cause damage than others), cumulative dose, and duration of exposure. Symptoms generally improve with time, but anywhere from 30-40% continue to have chronic symptoms. 

Treatment Options 

Dr. Podgorski is also an expert in neuromodulation techniques for treating chemo-induced peripheral neuropathy, including spinal cord stimulation, peripheral nerve stimulation and dorsal root ganglion stimulation. Research in this field is ongoing, but the results thus far are promising and provide an alternative option should more conservative measures fail. 

Patient-Centered Care

At Hawthorne Oncology Pain Experts, you are at the center of our focus. We understand that neuropathy affects individuals differently, and we take the time to listen to your concerns and goals. Our compassionate team collaborates with you to create a treatment plan that aligns with your unique needs and preferences. We are dedicated to your comfort, well-being, and success throughout your neuropathy journey.

Why Choose Hawthorne Oncology Pain Experts?

Experienced Neuropathy Specialists

Our team of neuropathy specialists boasts years of experience in diagnosing and treating neuropathic conditions. They stay updated with the latest advancements in neuropathy care to ensure you receive the highest standard of treatment.

Comprehensive Care

We offer a comprehensive range of services under one roof, making it convenient for you to access the care you need. From diagnostics to rehabilitation, we provide a seamless and efficient healthcare experience.

Personalized Treatment Plans

We recognize that no two neuropathy cases are identical. That’s why we tailor our treatment plans to your specific condition, ensuring the best possible outcomes.


When it comes to neuropathy treatment, Hawthorne Oncology Pain Experts is your trusted partner for quality care and lasting results. Experience the difference – choose Hawthorne Oncology Pain Experts for comprehensive neuropathy solutions.

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Medical Marijuana in Tampa: Cancer Pain and Symptom Management


Dealing with cancer is undoubtedly one of life’s most challenging battles. The physical and emotional toll that cancer and its treatments can take on patients is immense. In recent years, medical marijuana has emerged as a potential game-changer in providing relief and improving the quality of life for cancer patients. In this blog post, we will explore the benefits of medical marijuana for cancer pain and symptom management, as well as some important information on types of medical marijuana, dosing, indications, and legal aspects. 

Understanding Medical Marijuana

Medical marijuana refers to the use of the marijuana plant, or its extracts, to alleviate symptoms and treat various medical conditions. It contains compounds known as cannabinoids, which interact with the body’s endocannabinoid system to produce therapeutic effects.

How Does Medical Marijuana Help with Cancer Pain and Symptom Management?

Cancer pain can be relentless and debilitating. Medical marijuana offers several benefits in managing this pain:

1. THC and CBD: Key Players in Cancer Pain and Symptom Management

Tetrahydrocannabinol (THC) and cannabidiol (CBD), two primary cannabinoids found in medical marijuana, play pivotal roles in managing pain.

THC and Pain Relief

THC is well-known for its analgesic (pain-relieving) properties. A study published in the “Journal of Pain and Symptom Management” [1] found that cancer patients who used THC-based medical marijuana reported significant reductions in pain intensity compared to those who did not use it. This data underscores the potential of THC in providing tangible relief to cancer patients in the Tampa area dealing with chronic pain.

CBD’s Anti-Inflammatory Effects

CBD, on the other hand, possesses powerful anti-inflammatory properties. Inflammation often contributes to pain in cancer patients. A study in the “European Journal of Pain” [2] demonstrated that CBD can effectively reduce inflammatory pain in animal models. While more research is needed, these findings suggest that CBD in medical marijuana could be beneficial for pain management.

The Entourage Effect

When various compounds within the marijuana plant are used together, they can produce more significant effects than when used individually. For example, the terpene myrcene, commonly found in some strains of medical marijuana, may enhance the analgesic effects of THC.

Studies, such as the one published in the “Journal of Psychopharmacology” [3], have indicated that whole-plant medical marijuana extracts may be more effective at managing pain and other symptoms compared to isolated compounds. 

2. Nausea and Vomiting Control

Cancer treatments like chemotherapy often lead to severe nausea and vomiting, significantly impacting the quality of life for cancer patients. Medical marijuana, particularly THC-rich strains, has been a source of significant relief. If you have tried and failed common anti-nausea medications such as ondansetron (Zofran), promethazine (Phenergan), prochlorperazine (Compazine), and metoclopramide (reglan), medical cannabis may be for you. 

THC and Antiemetic Effects

Numerous clinical trials, including one published in the “New England Journal of Medicine” [4], have demonstrated that THC possesses potent antiemetic (anti-nausea and anti-vomiting) properties. It can effectively reduce the severity and frequency of chemotherapy-induced nausea and vomiting, making the treatment process more tolerable for cancer patients.

3. Appetite Stimulation

Cancer and its treatments often lead to appetite loss and weight loss among cancer patients. Medical marijuana, particularly strains with higher THC content, has shown promise in stimulating appetite and helping patients maintain nutritional intake.

THC and Increased Appetite

4. Anxiety and Depression Management

Cancer diagnosis and treatment can lead to anxiety and depression, affecting the emotional well-being of cancer patients. Medical marijuana, specifically strains with balanced THC and CBD ratios, has shown promise in managing these emotional challenges.

THC and Mood Enhancement

THC can have mood-enhancing properties in some individuals. While the effects can vary from person to person, a study published in the “Journal of Affective Disorders” [6] indicated that moderate doses of THC were associated with a reduction in symptoms of depression in cancer patients. It’s important to note that the response to THC can be individualized, and patients should monitor their experiences carefully.

CBD’s Potential for Anxiety Reduction

CBD, another essential cannabinoid, may help reduce anxiety. Research published in the “Journal of Clinical Psychology” [7] suggested that CBD could have anxiolytic effects. Cancer patients in Tampa experiencing anxiety may find products with higher CBD content beneficial.

5. What are the approved medical conditions for the use of Medical Marijuana in Florida? 

Amyotrophic Lateral Sclerosis (ALS)


Crohn’s Disease




Multiple Sclerosis (MS)

Parkinson’s Disease


Terminal conditions 

6. Methods of Consumption

Patients can choose from various methods of consuming medical marijuana, including:

Smoking or vaporizing

Edibles (such as gummies or baked goods)

Oral (such as capsules)

Tinctures or oils

Topical creams and Patches


It’s essential for patients to work closely with their healthcare providers to determine the best method and dosage for their specific needs.

Rick Simpson Oil (RSO) and Anti-Cancer Benefits

The Rick Simpson Story

Rick Simpson’s journey with RSO began when he claimed to have used it to treat his own skin cancer. His story, while anecdotal, sparked interest in the potential of RSO for cancer patients.

7. General Cannabis Recommendations

If you are new to medical cannabis you should look for products with 1:1 CBD:THC ratios or products that have higher levels of CBD when compared to THC.

Make sure you are hydrated, have at least a small amount of food in your system, you are in the right state of mind, and in a comfortable safe environment when first using cannabis. 

Cannabis should not be mixed with alcohol. 

8. Potential Side Effects of THC

It’s essential to acknowledge that THC, while effective in pain management, may have potential side effects that cancer patients should be aware of:

Cognitive Impairment

THC can temporarily impair cognitive function, leading to difficulties with memory and concentration. Patients using medical marijuana with higher THC concentrations should exercise caution, especially when engaging in tasks that require mental clarity, such as driving. Unless you have a terminal condition lower THC products are generally recommended for this reason. If you are below the age of 25 it is important to know that your brain is still developing and you are particularly susceptible to side effects of high THC products. 

Anxiety and Paranoia

In some cases, THC may induce or exacerbate anxiety and paranoia, particularly in individuals who are prone to these conditions. Patients should communicate any such experiences with their healthcare providers to adjust their treatment plan if necessary.

Dry Mouth and Increased Heart Rate

THC commonly causes dry mouth (cottonmouth) and an increased heart rate, known as tachycardia. These side effects are generally mild but may be bothersome for some patients.

9. Legal Considerations

Hawthorne Oncology Pain Experts (HOPE) and Dr. Podgorski are not lawyers and the information provided in this blog is not legal advice. Please consult with a lawyer if you have any questions. 

10. Conclusion

[1] Smith, F. L., Cichewicz, D., Martin, Z. L., & Welch, S. P. (2007). The enhancement of morphine antinociception in mice by delta9-tetrahydrocannabinol. Journal of Pharmacology and Experimental Therapeutics, 321(3), 880-889.

[2] Costa, B., Trovato, A. E., Comelli, F., Giagnoni, G., & Colleoni, M. (2007). The non-psychoactive cannabis constituent cannabidiol is an orally effective therapeutic agent in rat chronic inflammatory and neuropathic pain. European Journal of Pharmacology, 556(1-3), 75-83.

[3] Russo, E. B. (2011). Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects. British Journal of Pharmacology, 163(7), 1344-1364.

[4] Meiri, E., Jhangiani, H., Vredenburgh, J. J., Barbato, L. M., Carter, F. J., Yang, H. M., … & Breuer, A. (2016). Efficacy of dronabinol alone and in combination with ondansetron versus ondansetron alone for delayed chemotherapy-induced nausea and vomiting. Current Medical Research and Opinion, 32(6), 1085-1093.

[5] Strasser, F., Luftner, D., Possinger, K., Ernst, G., Ruhstaller, T., Meissner, W., … & Giese, T. (2006). Comparison of orally administered cannabis extract and delta-9-tetrahydrocannabinol in treating patients with cancer-related anorexia-cachexia syndrome: a multicenter, phase III, randomized, double-blind, placebo-controlled clinical trial from the Cannabis-In-Cachexia-Study-Group. Annals of Oncology, 18(9), 1660-1666.

[6] Trigo, J. M., Lagzdins, D., Rehm, J., Selby, P., Gamaleddin, I., Fischer, B., … & Huestis, M. A. (2017). Effects of fixed or self-titrated dosages of Sativex on cannabis withdrawal and cravings. Journal of Clinical Psychopharmacology, 37(3), 341-348.

[7] Blessing, E. M., Steenkamp, M. M., Manzanares, J., & Marmar, C. R. (2015). Cannabidiol as a potential treatment for anxiety disorders. Neurotherapeutics, 12(4), 825-836.

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Understanding the Causes of Cancer Pain: Unveiling the Mystery Behind the Discomfort

I. Introduction

A. How Common is Cancer Pain? 

Cancer pain affects 24-73% of patients undergoing active treatment, 58-69% in those with advanced cancer or terminal disease, and 21-46% in those in remission. Despite effective treatment options an estimated 32-43% of cancer pain remains undertreated resulting in decreased quality of life for many patients. 

A. Tumor Growth, Invasion, and Metastasis

Tumor growth and invasion play a significant role in the development of cancer pain. As cancer cells proliferate, tumors can exert pressure on surrounding tissues, organs, and nerves, leading to pain. The pressure exerted by the tumor can cause localized pain at the site of the tumor itself. Additionally, tumors can also generate referred pain, where the pain is felt in areas distant from the tumor due to nerve connections and pathways.

Metastasis is a critical stage in cancer progression where cancer cells spread from the primary tumor to other parts of the body. It is a complex process involving the invasion, migration, and establishment of cancer cells in distant organs or tissues. Metastatic cancer can cause pain due to its impact on surrounding structures and the disruption of normal bodily functions.

As cancer cells break away from the primary tumor, they can enter the bloodstream or lymphatic system, allowing them to travel to distant sites in the body. Once they reach these new locations, they can form secondary tumors and exert pressure on nearby tissues, nerves, or organs. The presence of these secondary tumors can lead to localized pain, depending on the affected area.

B. Cancer Treatments

Cancer treatments, such as chemotherapy, radiation therapy, and surgeries, can contribute to the development of cancer pain. These treatments, while essential for combating cancer, can have unintended effects on the body, including pain-related symptoms.


Chemotherapy, a systemic treatment aimed at killing cancer cells, can lead to various side effects that contribute to pain by harming your body’s normal cells. These side effects may include peripheral neuropathy, which is characterized by nerve damage and pain in the hands and feet. Additionally, chemotherapy-induced mucositis, inflammation of the mucous membranes, can cause oral and gastrointestinal pain.


Radiation therapy, targeted at specific areas affected by cancer, can cause tissue inflammation and damage. This can result in localized pain at the radiation site, especially in the weeks following treatment. Radiation-induced fibrosis, the formation of scar tissue, can also contribute to pain and stiffness in the treated area.


Surgeries performed to remove tumors or affected tissues can lead to postoperative pain. Incisions, tissue trauma, and nerve irritation are common causes of surgical pain. Depending on the complexity and extent of the surgery, pain levels can vary.

III. Conclusion

  1. Find a provider who is trained in cancer pain management. Look at where your doctor was trained (e.g., Moffitt, MD Anderson, Memorial Sloan Kettering, Harvard, etc.). Not all pain management training programs train doctors on how to perform cancer pain injections and surgeries, manage high doses of opioids, or understand how your cancer and cancer treatments affect your pain management options. 
  2. Find a clinic that provides on-call services, will visit patients in the hospital, and can help you with your acute pain management needs 24/7. Cancer pain management often requires more frequent visits than chronic pain, and it is important that your doctor can get you in on the same day, the next day, or via telehealth if you are having a crisis. 
  3. Find a clinic that focuses on more than medications, injections, and surgeries and incorporates holistic options such as medical marijuana, herbal medications, mind-body exercises, nutritional support, and symptom management (e.g., nausea, constipation, etc.). 
  4. Finally, ask your doctor if they coordinate with your oncologists directly and have easy access to your records. Since cancer and cancer treatments evolve quickly is important that your pain doctor coordinates with your oncologists frequently. 

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