Tampa Bay Chronic Pain Management

Pain relief is possible

Stop living in pain and get back to the things you love with a long-term, comprehensive approach to pain management

Chronic Pain Management

Chronic pain isn’t just a symptom, it’s a medical condition that needs to be properly diagnosed and addressed head-on. No one’s experience of pain is exactly the same and that is why the first step in getting out of pain lies in identifying the root causes that contribute to your pain.

Chronic pain, meaning that the pain persists for three months or longer, can occur after an acute injury (e.g. broken bone, surgery, etc.) or along with a chronic health condition, such as arthritis. The pain can be constant or come and go, and it is often described as throbbing, aching, shooting, burning, stabbing, squeezing, and/or stiffness.

Chronic pain can affect other aspects of your life including your mood, ability to perform your daily tasks, relationships, quality of life, physical activity, and sleep. It can also change your brain’s perception of pain, causing you to be hypersensitive to stimuli. However, chronic pain does not always mean forever pain. It can be treated or managed so that you can achieve the quality of life that you desire.

At Hawthorne Oncology Pain Experts our primary concern is helping patients minimize the impact of their health condition on everyday functioning: physical, emotional and social. It is our goal to facilitate lasting change, requiring a commitment from healthcare providers, active participation from patients, and continuous support from families and friends. Pain relief is possible!

Causes of Chronic Pain

Acute injury

 Chronic pain is usually caused by an initial injury, such as a back sprain, sports injury, car accident, or surgery. Despite healing, changes to your body and brain can lead to persistent pain.

Chronic health conditions

Pain is often the result of other medical conditions. Arthritis, autoimmune disorders, and neurologic disorders are all common causes of chronic pain.

Psychologic

Some people can also experience pain that is not caused by a physical injury. This pain is called psychogenic or psychosomatic pain.

Symptoms of Chronic Pain

  • Nerve Pain
    Nerve Pain

    Nerve Pain, or neuropathic pain, is caused by pressure on the nerves or damage to the nerves. Cancer itself can compress the nerves or spinal cord and nerves can be damaged following surgery, chemotherapy, or radiation. This pain is often described as burning or shooting.

  • Bone Pain
    Bone Pain

    Bone Pain, also referred to as Somatic Pain, is typically caused from bone metastases. This pain is often described as aching, throbbing, cramping, and gnawing.

  • Visceral Pain
    Visceral Pain

    Visceral pain results from damage to tissue or pressure on internal organs. This pain is often described as deep, throbbing, and squeezing.

  • Phantom Pain
    Phantom Pain

    Phantom Pain can occur when a part of the body has been removed. For example, following a mastectomy for a patient with breast cancer.

  • Referred Pain
    Referred Pain

    Referred Pain is pain that initiates in one part of the body but is felt in an entirely different location, usually due to where the nerve ends.

Treatments for Chronic Pain

Traditional Injections

Epidurals, joint injections, and trigger points

Ablation

This technique uses heat to destroy nerves that transmit pain. Common ablation sites are medial branches involved in chronic back pain, genicular nerves involved in knee pain, and lateral branches involved in sacroiliac joint pain

Vertebroplasty/Kyphoplasty/Spine-Jack

Vertebral augmentation is the process of using cement to stabilize compression fractures in your spine. These fractures are caused by osteoporosis, trauma, and cancer. Before injecting cement a balloon (kyphoplasty) or titanium implant (Spine-Jack) can be deployed to help restore the normal height of your vertebrae

Pain/Spasticity Pumps (Targeted/Intrathecal Drug Delivery)

Implantable pain & spasticity pumps are used to deliver small amounts of medicine directly to your spinal cord bypassing the barriers encountered by oral medications

Spinal Cord Stimulation (SCS)

SCS delivers electrical signals to the spinal cord to treat conditions such as low back pain, pain radiating down your legs or arms, head and facial pain, pain after back surgery (e.g., Failed Back Surgery Syndrome or Post-laminectomy Syndrome), Complex Regional Pain Syndrome (CRPS) and diabetic neuropathy

Dorsal Root Ganglion (DRG) Stimulation

DRG stimulation targets a different part of the nervous system than spinal cord stimulation and makes it well-suited for more “focal” pain syndromes such as Complex Reginal Pain Syndrome (CRPS), pelvic pain, groin pain, post-herpetic neuralgia, knee pain, and foot pain

Peripheral Nerve Stimulation (PNS)

PNS delivers electrical signals to treat pain from nerves that have already exited the spinal cord such as occipital, ulnar, median, radial, tibial, intercostal, pudendal, brachial plexus nerves. These devices are typically smaller than DRG and SCS and do not involve the placement of leads near the spine

MILD (Minimally Invasive Lumbar Decompression)

Do you have pain in the back and legs that limits your ability to walk? Is your pain improved when bending forward? Has your doctor diagnosed you with spinal stenosis? MILD can be used to treat spinal stenosis due to an enlargement of the ligamentum flavum

BVN ablation treats low back pain originating from degeneration of your discs and vertebral bodies, called vertebrogenic low back pain. This minimally invasive procedure is performed in the outpatient setting and relieves pain by ablating the BVN using radiofrequency energy.

Vertiflex Superion

Another option for spinal and foraminal stenosis is the use of a titanium implant that helps keep the space around your nerves open and free of compression

Sacroiliac Joint Fusion

Fusion is indicated for treatment of Sacroiliac Joint Dysfunction. This occurs when the Sacroiliac Joint, normally an immobile joint, becomes mobile and causes pain

Peripheral Nerve Block Catheters

These devices are temporary. Ultrasound is used to place a catheter next to your nerve which is then connected to a pump that delivers numbing medicine. They are great options for treating post-operative pain and for reducing dependency on oral opioids

Botox

Botox can help treat chronic migraines and spasticity

Regenerative Therapies (PRP “Platelet Rich Plasma,” Hyaluronic Acid, and Stem Cell)

Platelet-rich plasma is rich in growth factors that are important in the healing process. PRP is made by taking a sample of your blood and removing the part that contains platelets only. PRP is used to treat muscle tears, rotator cuff injuries, and joint pain. Hyaluronic Acid, a natural occurring substance found in joint fluid, is used as a lubricant in patients with chronic knee pain. Stem cells involve harvesting some of your own cells from the bone marrow and then using these cells to help regenerate damaged tissue common in tendinopathies, ligamentous injuries and painful joints

Sympathetic Blocks

The sympathetic nervous system is best known for its regulation of the body’s fight or flight and rest and digest activities. The sympathetic system (e.g., stellate ganglion, lumbar sympathetic chain, etc.) can also be involved in pain, and targeting these areas can help with conditions such as Complex Regional Pain Syndrome (CRPS), Post Traumatic Stress Disorder (PTSD), and organ pain

Head, Neck and Facial Blocks

These injections can help treat conditions such as trigeminal neuralgia, occipital neuralgia, torticollis, temporomandibular joint dysfunction, glossopharyngeal neuralgia, etc

Medications

Opioid and non-opioid

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