Pain Solutions.

At DPI, our approach to managing pain is comprehensive. We focus not only on a patient’s symptoms but on the person as a whole. We believe that a multidisciplinary pain management program is most effective in reducing or eliminating your pain and improving your quality of life.

Conditions

Back Pain

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There are many potential causes for back pain. The physicians at Desert Pain Institute are specially trained and have years of experience dedicated to diagnosing and treating the different issues that can cause back pain. Treatments are varied and may involve:

Contact us to learn more and set up your initial evaluation.

Neck Pain

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There are many potential causes for neck pain. The physicians at Desert Pain Institute are specially trained and have years of experienced dedicated to diagnosing and treating the different issues that can cause neck pain. Treatments are varied and may involve:

Contact us to learn more and set up your initial evaluation.

Shingles

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Shingles is a painful skin rash caused by the same virus that causes chicken pox. After getting chicken pox as a child, the virus hides out in your spinal cord until it is reactivated again, years later. 1 in 3 people will experience shingles in their lifetime with outbreaks being more common in older adults and people with weakened immune systems. The pain from shingles can last long after the rash has gone away. Treating shingles and the associated pain aggressively can help prevent the development of long lasting pain later. This treatment most often involves:

  • Anti-viral medication
  • Nerve pain medication
  • Local anesthetic
  • Steroid injections into the fluid surrounding the spinal cord

If long-lasting pain does develop, treatment may also include:

Contact us to learn more and set up your initial evaluation.

Cancer Pain

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Fighting cancer is a heavy enough burden on its own, without having to contend with pain caused by the tumor or spread of the disease. At Desert Pain Institute our team is dedicated to working with the cancer patients and the rest of your cancer-care team to optimize your pain control and improve your quality of life. Depending on the location of your disease and the pain being caused there are a wide variety of medications and interventions that can be used to reduce your pain and improve your function. Examples include:

  • Intercostal nerve ablation for pain from metastasis to the ribs
  • Tumor ablation & kyphoplasty for tumors to the spine
  • celiac plexus ablation for pain from tumors in the abdomen
  • Superior Hypogastric Plexus Ablation for tumors causing pain in the pelvis
  • Celiac plexus ablation for pain from tumors in the abdomen
  • Superior hypogastric plexus ablation for tumors causing pain in the pelvis
  • Intrathecal pump implantation for management of diffuse pain from tumors throughout the body.

Contact us to learn more and set up your initial evaluation.

Treatments

Epidural Steroid Injections

Epidural steroid injections are typically performed to relieve pain from narrowing of the spinal canal or pinched nerves in the back or neck. These conditions can cause pain in the arms, chest, or legs.

Your doctor will perform this injection under x-ray guidance. This will allow them to make sure that the steroid is deposited safely in the epidural space around the problem disk(s). The steroid will then begin to reduce the swelling and inflammation, to provide you with longer lasting pain relief. This process may take up to 14 days to see the maximum effects, but relief can last weeks to months at a time.

Contact us to learn more and set up your initial evaluation.

Joint Injections

Joint injections are typically done to relieve the pain from arthritis or swelling and inflammation of a specific joint. Depending on the joint(s) involved the injection may take place in the office under ultrasound guidance, or in the surgery center under x-ray guidance. Steroid injections typically will involve both a steroid and a local anesthetic. You will notice the effects of the steroid 3-5 days after the injection and the effects will continue to grow, meaning your pain will continue to get less over the 2-3 weeks after the procedure. Once this maximal effect is reached, the effects may last from weeks to months after the injection.

Contact us to learn more and set up your initial evaluation.

Hyaluronic Acid Therapy

Hyaluronic acid injections are performed in the knee to treat patients with osteoarthritis. Hyaluronic acid is a natural substance that helps to cushion, lubricate, and protect the knees when other conservative measures have proven inadequate. These injections are typically performed as a series of 3-4 injections 4-7 days apart.

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Kyphoplasty

Every year in America, there are roughly 750,000 people who break a bone in their back due to osteoporosis. These types of fractures are called vertebral compression fractures and are very common with 1 in 4 post-menopausal women and 40% of women over the age of 80 experiencing a vertebral compression fracture in their lifetime.

Kyphoplasty is a minimally invasive surgical procedure used to stabilize the broken bone and eliminate the pain caused by the fracture. The procedure is performed through an incision that is ¼” or less and after the procedure is complete you will go home that day.

Contact us to learn more and set up your initial evaluation.

Tumor Ablation

For some people, the vertebral compression fractures and the associated pain come not from osteoporosis, but from cancerous tumors invading and destroying the bone. Fortunately, these painful, bone destroying tumors can be safely destroyed with a cooled ablation procedure prior to stabilizing the damaged bone with a kyphoplasty procedure.

Contact us to learn more and set up your initial evaluation.

Radiofrequency Ablation

Many of us have arthritis in the small joints of our neck and back. These are known as facet joints or zygapophysial joints. For many people this arthritis doesn’t cause any problems, but for some these joints can cause pain in the back of neck. Fortunately, if these joints are the cause of your pain they can be treated with a procedure called a radiofrequency ablation or rhizotomy. This procedure is performed under x-ray guidance by your physician and provides long-lasting relief from back and neck pain.

Contact us to learn more and set up your initial evaluation.

Spinal Cord Stimulation

A spinal cord stimulator is a device used to relieve pain from damage to the nervous system by using low-level electrical impulses. Your physician may recommend spinal cord stimulation if you are not able to control your pain using more conservative therapies, including physical therapy, interventional pain management, oral pain medications or intolerance of oral pain medications. The spinal cord stimulation device is implanted under the skin with stimulating electrodes in the epidural space of the spine. The spinal cord stimulator then replaces pain signals with different feelings, such as a gentle massaging feeling or complete absence of the pain. Your physician places a trial device under x-ray guidance in the surgery center. The trial device remains implanted for 3-7 days. At the end of the trial the trial device will be removed and to determine if implanting a permanent device is the right step for you.

Contact us to learn more and set up your initial evaluation.

Botox® Injections

Botox® is a protein produced by bacteria that has the effect of weakening muscle and changing the way nerves work. For people who have painful spasticity of muscles in the neck and arm, or suffer from chronic migraine headaches, Botox® injections can be a good way to relieve pain and improve function. Botox® injections are typically performed by your physician in the office, often with ultrasound guidance for those muscles in the neck and arm. Botox® injections for migraines follows an established protocol of injections in the head, neck, & shoulder areas that has been shown to reduce the frequency and intensity of migraine headaches over time.

Contact us to learn more and set up your initial evaluation.

Trigger Point Injections

Painful muscle knots are a common occurrence, but sometimes those knots just won’t go away on their own, despite time, medicine, heat, or even massage. Painful knots such as these are known as trigger points. Trigger points can be seen on ultrasound and treated by injecting medicine directly into the knot to break it up, relax the muscle, and stop your pain.

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Acupuncture

Acupuncture is an ancient practice of placing very fine needles into the body to relieve pain. It is often used in combination with other therapies to optimally reduce your pain and improve your function.

Contact us to learn more and set up your initial evaluation.