Comprehensive Pain Evaluation
Your first office visit is a comprehensive pain evaluation based on your history and a thorough physical examination.
To begin, we need to know as much about your medical history as possible. Before we meet, we ask you to complete a comprehensive medical and surgical history questionnaire. You are welcome to do this in the comfort of your home. The form is available at the bottom of this page or you can register online by clicking here!
Next, your pain specialist and pain management nurse work with you to determine the best treatment plan based on your diagnosis. As a team, we will set realistic, achievable goals.
Your participation is very important for maximum success. This includes understanding your diagnosis, the recommended treatment, and setting and working toward your pain management goals. A critical part of this process for you is learning what brought about your pain, how to make it better and, if possible, how to prevent it from happening again. Your participation is essential!
At the completion of your first visit, you will understand the source of your pain and the details of your treatment plan including the rationale for recommended medications and therapies.
Finally, we will determine a follow-up plan to make sure you are progressing as expected based on your diagnosis and treatment plan. Your feedback helps us fine-tune your treatment course to provide the best possible outcome.
If needed, we may recommend further diagnostic tests such as…
- Electromyelogram (EMG)/Nerve Conduction Study, which enables us to diagnose muscle and nerve disorders, and assist in guiding treatment options.
- Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) Scan, which provides multi-layered images of soft tissue that help identify injuries to muscle, nerves, tendons and cartilage.
- Blood tests which help identify a broad range of systemic problems.
State of the Art Treatment Options:
The Comprehensive Pain Management Group’s doctors and nurses are constantly learning about new therapies to improve the treatment of our patients. As specialists in pain management, we use evidence-based treatment recommendations. Our care providers can prescribe medications for chronic pain that are not typically used by your family doctor.
Epidural steroid injections (pain blocks) are a method of pain management that can quickly and substantially reduce your pain. This procedure may delay or even eliminate the need for surgery and improve your mobility.
Pain treatable with this injection is usually caused by swelling or a chemical irritation from herniated disc material. The medicine reduces the swelling and pain, which in turn improves your function and ability to do activities of daily living. This procedure is done only as needed.
Our pain specialists are experts trained in the use of procedures and medications that treat your pain rather than cover it up, such as:
- Diagnostic and therapeutic injections
- Trigger point injections
- Epidural steroid injections
- Stellate ganglion injections
- Cryothermal techniques (freezing the nerve to block pain messages)
– Ronald Olson
Treatment Referral Options
- Physical and Aquatic Therapy Treatment: to help reduce pain and increase strength and flexibility to make it easier to get through your day.
- Home Exercise Program: so you can take control of your well-being, and to help prevent future injuries.
- Coping Skills: A licensed clinical health psychologist can help you learn the skills and attitudes necessary to deal with pain. When under constant pain, some can understandably become irritable and fatigued. As part of our total approach to pain management, we help you take more control over your life and start feeling better emotionally.
- Nutrition Counseling: for weight management, which can have a significant impact on pain control.
- Surgical Consultation: If needed, expert surgical teams are available, such as neurosurgeons and fellowship-trained orthopedic surgeons.
- Implantable Therapies: Similar to the concept of a pacemaker, an implantable spinal cord stimulator provides pain relief by blocking pain messages from nerves to prevent the signals from reaching the brain. Another device is an implantable drug infusion pump that delivers medicine continuously to treat pain with the right dosage 24 hours a day.