| Regional Pain Treatment Medical Center inc |
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| The RPTMC utilizes a staff of highly trained pain specialists who work closely with the patient's physician and other specialists to pr oduce the best possible relief of the pain problem. It is true that with proper workup and treatment, many pain sufferes can achieve complete pain relief - others can be helped to control the pain problem and again lead productive lives. |
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| We Provide Relief Of Pain! |
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- Epidural Injections
- Facet - Sacroiliac Blocks
- Spinal Nerve Root Injections
- Peripheral Nerve Blocks
- Sympathetic RSD Blocks
- Discogram Study Injections
- Percutaneous Discectomy
- Intrathecal Pump Implantation
- Stimulator Implantation
- Radiofrequency Neurolysis
- Prolotherapy
- Interventional Pain Relief Treatments
- Anesthesiologist Sedation Care
- MUA Pain Relief Techniques
- Injection Techniques for Pain Control
- Joint Injections
- Peripheral Nerve Blocks
- Nerve Root Blocks
- Epidural Blocks
- Intrathecal Pain Relief
- Sympathetic Blocks
- Facet Blocks
- Other Specialized Blocks
- Spinal Implant Techniques
- Surgical Techniques
- Surgical Consultations:
General Orthopedics, Neurosurgery, Orthopedic Spine Surgery, General Surgery, Plastic Surgery, Podiatric Surgery
- M.U.A. / Manipulation Under Anesthesia
- Acupuncture
- Affiliations to Highest Quality Surgical Suites and Hospitals
- The Most Current Science
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| Services Provided |
| 1. Pain Management Consultation and Recommendations |
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| 2. Injection Techniques are used in the diagnosis and treatment of acute and chronic pain syndromes. There are precisely targeted injection procedures, which when properly performed diagnose the source of pain and provide relief. Patients report great satisfaction in achieving relief of pain, even if of relatively short duration. Most patients receive permanent or prolonged quality pain relief! |
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| This period of relief is the window during which ongoing Physical Therapy is more effective, even in refractory cases. Continued Medical Therapy during this time is crucial to success. |
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| Patients may receive a series of one or more injection techniques. Each time an injection is performed, we learn more about that patients' pain! Failure of blocks may indicate that the pain originates from elsewhere. Once we know the precise pain generator, we can then design a long-term treatment plan. |
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| Relief is dependent on several factors: |
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- Proper indication for procedure
- Correct technique and exact placement of injection
- Location of the Pain
- Generator Drug choices and volume
- Anatomic considerations – huge extravaseted disc, extensive scar tissue, etc.
- Psychological factors (including central pain syndromes)
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| 3. Examples of Common Injection Techniques |
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a. Epidural Injections with X-Ray.
- Cervical, Thoracic, Lumbar, Caudal, Epidural Steroid Injections with or without X-Ray
- Epidurogram- gives an X ray anatomical picture of the Epidural space, guiding treatment
- Epiduroscopy- gives a video anatomical picture of the Epidural space, guiding treatment
- Epidural Neuroplasty Catheter Techniques- for precise treatment of Intractable Pain
- Selective Nerve Root Blocks
- Transforaminal Epidurals
- Tunneled Epidural Infusion Therapy
- Epidural Opiate Trial for pre Spinal Opiate Pump Implantation.
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b. Joint Injections with X-Ray
- Cervical, Thoracic, Lumbar, Facet Joint Blocks with X-Ray guidance
- Sacroiliac Joint Blocks with X-Ray guidance
- Peripheral Joint Blocks eg. shoulder and knee, etc.
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c. Discograms
- Cervical, Thoracic, Lumbar, Provocative-Diagnostic Intra-Discal Injections with X-Ray.
- Percutaneous Discectomy – Nucleoplasty and I.D.E.T. IntraDiscal ElectroThermal Therapy
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d. Sympathetic Blocks with X-Ray
- Ganglion Blocks of Stellate, Thoracic, Celiac, Lumbar, Hypogastric, Ganglion Impar Plexus
- Intravenous Sympathetic Blocks
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| e. Peripheral Nerve Blocks and Myofascial Trigger Point Injections |
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f. Prolotherapy – a highly effective, non-steroid, alternative injection
treatment plan with X-Ray |
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4. Advanced Pain Management Therapies
- Spinally Administered Opioid Pump Implantation (eg. Intrathecal Morphine Pump)
- Spinally Administered Baclofen Pump Implantation
- Spinal Cord Stimulation Implant Radiofrequency Neurodestructive Techniques
- Spinal Endoscopy – where we look in the spinal canal using video technology.
- Percutaneous Discectomy – Nucleoplasty and I.D.E.T. for Discogenic pain
- Other new advancements
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| Pain Psychology Services |
Dr Fishwick has over 20 yrs experience in the field of Physical Medicine and Rehabilitation, including 14 yrs as Staff Psychologist at Casa Colina Centers for Rehabilitation in Pomona CA. She was co-coordinator of the Chronic Pain Program at Casa Colina for three years. In that position, she worked closely with the Pain Management Physician and utilized a variety of modalities including relaxation training, guided imagery, cognitive-behavioral management of pain, and assertiveness training.
Dr Fishwick will provide individual, group, family, and couples therapy as determined by the patient's specialized needs. |
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| Acupuncture Services |
Dr Gail O'Keefe has over 12 yrs experience in the field of Acupuncture in CA. She is involved in the Chronic Pain Program for years. She has worked closely with Pain Management Physicians and utilized a variety of modalities in the management of pain.
Dr Gail O'Keefe provides caring gentle Acupuncture therapy to patient's with a variety of conditions.
Acupuncture is a proven modality for pain management, inflammatory control and reduction, and improvement of mobility and function. Studies show that acupuncture treatments release the body's own natural and effective "painkillers," found in the central nervous system, which carry results comparable to that of morphine. Needles stimulate specific acupuncture points which in turn call on the body's natural immune response, thereby reducing inflammation and speeding the healing process. |
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Acupuncture is an excellent for acute or chronic conditions in individuals with low tolerance for pharmaceutical therapy or for use in cases where more conservative approaches are appropriate. Due to the fact that acupuncture is based on the natural healing of the body and has minimal side effects, this therapy seems to provide much good and minimal harm. The World Health Organization cites acupuncture effectiveness in many conditions encompassing orthopedics, stress, digestive disorders and much more.
Acupuncture is a useful alternative or adjunct treatment to be included as part of a comprehensive medical management program. |
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| 2. Types of Patients Appropriate for Referral |
Pain Management Specialists are trained to relieve pain across the traditional medical specialists "turf." We treat all types of pain. We function as a combination of Neurologist, Physiatrist and Orthopedic subspecSialties, to coordinate the care of the case. Our services include diagnosis and recommendations for general pain treatment and specific interventional procedures, which may aid in the diagnoses and relief of the problem.
Appropriate and early referral to a Pain Management Specialist can result in significant relief from suffering for all!
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1. Lumbar region
a. Acute and Chronic Low Back Pain / Strain Lumbago
b. Post Laminectomy Pain
c. Pre-Surgical Epidural Trial
d. Spinal Stenosis and
Lumbar Neuralgia - Arachnoiditis
e. Spondylolisthesis |
f. Epidural Scarring
g. Mechanical Low Back Pain
h. Facet Joint Pain
i. Sacroiliac Pain
j. Myofascial Pain
k. Ligamentous Back Pain
l. Discogenic Pain |
m. Degenerative Disc Disease
n. Lumbar Disc Protrusion with Lumbar Neuralgia
o. Vertebral Compression Fx
p. Lumbar Spinal Trauma
q. Metastatic Lumbar Cancer
r. Sacro-Coccygeal Pain. |
2. Cervical Thoracic Region
a. C - T Strain/Sprain
b. Cervicalgia
c. Cervical Muscle Spasm Pain
d. Facet Disease w/Myofascial |
e. Myofascial - Myofascitis Spasm Pain
f. Neuropathy
g. Disc Disease
h. Cervical Trauma |
i. Cervical Spinal Stenosis
j. Shingles
k. Vertebral Compression. |
3. Head Pain
a. Headaches of multiple origin
b. Head Trauma with Headache
c. Cervical Muscular Headache |
d. Myofascial Headache
e. Facial Neuralgia
f. Occipital Neuralgia |
h. Shingles
i. Cancer Pain |
4. Arthritis,Tendonitis Arthropathy
a. Arthritic Joint Pains |
b. Peripheral Neuralgias
c. Epicondylitis Bursitis |
d. Ligamentous Pains
e. Post Knee Joint Replacement Pain |
5. Sympathetic Dystrophy Pain
a. Reflex Sympathetic Dystrophy
b. Causalgia
c. Complex Regional Pain Synd. |
d. Peripheral Neuropathy
e. Spinal Cord Injury Trauma
f. Acute Herpes Zoster |
g. Multiple Sclerosis
h. Shingles
i. Post Herpetic Neuralgia |
6. Sports Injury Pain
7. Cancer Pain
8. Pelvic Pain |
a. Chronic Inguinal Surgery Pain |
b. Intractable Sympathetic Pelvic Pain |
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