Pudendal Nerve Block for Perineal Pain

What is a perineum?

The perineum is the area between the thighs covering the perineal body, or the central tendon of the perineum, the external genitalia, and the anus. It corresponds to the outlet or opening of the pelvis, bound by part of the hipbone, and where a lot of muscles from the thigh and buttocks converge. It lies within close proximity of several major systems such as urogenital and gastrointestinal organs.

What is perineal pain?

Perineal pain is the relative discomfort or ill-sensations felt in the perineum affecting men and women of all ages. Due to the presence of numerous organs (such as the digestive tract, or reproductive organs) in the pelvic area prone to strain and dysfunctions, this pain can manifest in various forms such as tearing, fullness, aching, cramps, spasms, tightness, and burning. The pain can be felt with varying intensity depending on the cause, and may be short term (acute) or more persistent (chronic). It is often made worse by sitting, and may or may not be felt with many other symptoms.

Causes of Perineal Pain:

In order to evaluate the appropriate course of action, it is better to have an understanding of the possible causes for perineal pain.

  • Postpartum vaginal trauma
  • Episiotomy
  • Ectopic pregnancies
  • Urinary tract dysfunction or infection
  • Dysmenorrhea
  • Pelvic infections
  • Colitis, Prostatis, Appendicitis
  • Anal fissures
  • Prostate enlargement or infections
  • Interstitial cysts
  • Musculoskeletal pain
  • Pudendal nerve entrapment

Treating Perineal Pain

Perineal pain may be a mere symptom of a more serious condition, so seeing a doctor for complete diagnosis is highly advised. In the meantime, there are several ways to manage and treat the pain, such as the following:

  • Using painkillers
  • Applying warm compress on the affected area
  • Perineal massage
  • Taking antibiotics
  • Acupuncture
  • Neuromodulation
  • Pudendal Nerve Block

What is Pudendal Nerve Block?

A nerve block is a procedure which involves localized liquid injections, deliberately desensitizing a particular nerve to block pain. A local anesthetic, slow-release corticosteroids, and in some cases, anti-inflammatory medicine would be injected to a precise region near the nerve for diagnostic or long-term therapeutic purposes. Pudendal nerve blocks specifically target the pudendal nerve, a nerve giving sensation to the perineum and surrounding organs such as the external genitalia and also controlling the anal and bladder sphincters. The procedure is done primarily to diagnose the participation of the pudendal nerve in the occurrence of perineal pain, testing if the symptom disappears upon numbing the nerve. Later on, corticosteroids or anti-inflammatory medicine may be used to lessen the swelling in the nerve. Response to the procedure vary among patients, as in some cases the nerve block irritates the nerve more than it lessens the inflammation, or as in others, the nerve is not involved in the perineal pain.

How is Pudendal Nerve Block done?

Physicians from a pain clinic in Los Angeles, for example, would use imaging techniques such as MRI, CT scan, or ultrasound, to locate the nerve first. It is extremely important to be able to do this correctly, as the nerve can be significantly impaired with a small mistake in needle placement, or the block rendered useless if placed too far. The next step would be to inject the liquid, commonly either at the ischial spine between two ligaments, or in Alcock’s canal. For diagnostic tests, the anesthetic, such as Marcaine is injected, and the pain monitored for a few hours. If the pain disappears, the pudendal nerve probably is the cause of pain in the perineal area, so follow up nerve blocks may be done. In such cases, the steroids or anti-inflammatory medicine like heparin would be utilized for long term pain management. After the course of treatment, mild exercise and physical therapy is advised for patients to improve the chances of completely eliminating the pain. If the nerve remains unaffected from the block, diagnostic tests for other possible causes have to be done.

Where can I get a Pudendal Nerve Block done?

Needing a pudendal nerve block? Specialist Dr. Kevin Li, MD, is an expert pain management physician based in Los Angeles. With his excellent training and years of experience in interventional therapy, he is sure to be able to give you the best treatment healthcare can offer. Get in touch with his clinic in L.A. at (626) 538 – 8950 for more information, and to set appointments. Just remember, being pain-free doesn’t have to be impossible.

Piriformis Block for Sciatic Pain

What is the Sciatic Nerve?

The sciatic nerve is the most massive single nerve in the body that bridges the spine and the lower extremities. It is fed by a total of five nerves originating from the spinal cord, transcending the length of the lower spine to the buttocks, branching out, and continuing to the foot. It innervates the skin and muscles of the lower limbs via the tibial and peroneal nerves. It also provides strength to the legs and is responsible for the reflexes there.

What is Sciatic Pain?

Sciatic pain, also called sciatica, is the pain affiliated with the sciatic nerve. It is brought about by different reasons, but is mostly due to the swelling of the sciatic nerve, or the nerves leading to and from it. The symptom involves pain emanating from the lower back, sometimes including the legs up to the foot. It may be felt as a stabbing pain, numbness, or as a tingling sensation, and is usually worsened with certain movements and prolonged sitting. Sciatic pain may also be accompanied by weakness of the lower limbs, and a significant reduction in reflexes.

What are the causes of Sciatic Pain?

Sciatic pain is mostly a symptom of sometimes more serious underlying conditions, so physician advice for individualized diagnosis and treatment is paramount. In order to better understand the situation, here are some of the possible causes of sciatic pain:

  • Herniated or ruptured discs
  • Spinal stenosis (canal narrowing)
  • Arthritic bony growths in the spinal area
  • Compression of spinal nerves
  • Cauda equine syndrome
  • Nerve damage
  • Piriformis syndrome

How is Sciatic Pain treated?

Several options for limb and back pain therapy are available for temporary or permanent solutions, depending on the cause of pain. They include the following:

  • Pain killers and anti-inflammatory medicine
  • Physical therapy and mild exercise
  • Hot or cold compress
  • Surgery
  • Piriformis block

 

What is a Piriformis block?

Piriformis block is a procedure which directly administers numbing agents to the piriformis muscle, a muscle in the buttocks area where five spinal nerves converge to the sciatic nerve. It is sometimes done as a diagnostic procedure for determining if the piriformis muscle is occluding the nerve causing the irritation, as in cases of Piriformis syndrome. It is also done as a form of therapy with the goal of significantly lessening the pain using numbing agents and corticosteroids, in order make physical therapy procedures for inflamed muscles more tolerable for patients. In severe instances, the muscular spasms in the piriformis are persistent and resistant to anesthetics, so muscles are weakened and loosened with the use of botulinum toxin, eventually relieving the sciatic nerve of pressure.

 

How is Piriformis Block done?

Piriformis block procedures are carried out by first preparing the patient’s skin with antiseptic, and then boundaries of regions in the lower back are marked. The doctors then sometimes use superficial and deep local anesthesia to desensitize the area to be punctured. Then the doctor may insert a needle probe which is withdrawn and visualized fluoroscopically. Alternately, the insertion may be guided by ultrasound so as to precisely locate the piriformis muscle, and upon confirming the correct positioning, the agents are injected. Patients are then monitored for the effect of medicine, and may be further recommended for physical therapy or surgery.

 

Where are Piriformis Block services offered?

Dr. Kevin Li, MD is a physician of excellent training and experience, who specializes in techniques which are minimally invasive for pain management. His extensive work in anesthesiology and individualized therapies will guarantee that the best and most effective treatment will be made available to you under his care. Just call his Los Angeles clinic at (626) 538 – 8950 to set an appointment, and start on your path towards healing!

Genicular Nerve Block for Chronic Knee Pain

Has your knee pain brought you to your knees?

The knee is the largest joint in your body that supports the entire weight of the body above it. A lifetime of standing, lifting, and walking causes considerable knee pain for one in every four adults over 50. Any problem including a chronic pain in your knees will inevitably hinder your ability to pursue the lifestyle you desire. Early intervention prevents your knee pain from accompanying you for life. State of the art technique of blocking the nerves of your knee is the solution to your problem.

What is chronic knee pain?

The knee joint is a joint of the ginglymus type (hinge joint) that acts as an intersection where four bones of your leg meet each other: thigh bone, shin bone, fibula, and kneecap. The components of the knee structure can suffer from repetitive strain, damage or disease that if left untreated, may become “chronic” and bother you for life. Therefore, you may join those 20 million US citizens who are suffering from knee pains.

 

Causes of chronic knee pain

Awareness of the causes of knee pain leads to a more precise diagnosis. There are several factors that can cause knee pain:

  • Sprain
  • Tear of meniscus
  • Muscle strain
  • Hemarthrosis
  • Osteoarthritis
  • Bursitis: Housemaid’s knee, clergyman’s knee
  • Tendinitis: Jumper’s knee, hamstring tendinitis
  • Synovitis
  • Rheumatoid arthritis
  • Deformities, fractures, and dislocations
  • Referred knee pain

 

Treatment of chronic knee pain

Apart from home cares, there are various treatment approaches for your knee pain including:

  • Acupuncture
  • Medications
  • Injections: Steroid
  • Physical therapy
  • kinesiology taping
  • Surgery
  • Genicular nerve block

What is genicular nerve block?

The nerve block is a term used for a procedure where the pain doctor injects anesthetics close to the nerve to block pain signals. A nerve block can both help to diagnose the specific origin of the pain and provide therapeutic relief. The knee joint receives nerves from articular branches of various nerves. Those nerve branches around the knee joint, also known as genicular nerves, can be easily approached through the skin under fluoroscopic guidance. Genicular nerve block is a non-surgical approach that prevents the nerves of the knee from sending pain signals to the brain. It is indicated in cases with chronic knee pain secondary to osteoarthritis, degenerative joint disease, failed knee replacement, and unfit for knee replacement. This safe and minimally invasive therapeutic procedure for chronic knee pain is usually conducted in two phases:

  • Diagnostic genicular nerve blocks
  • Radiofrequency neurotomy

 

The technique of genicular nerve block

Firstly, the pain doctor injects a small amount of local anesthetics around your genicular nerves. If the injection reduces the pain by 50% within 24 hours, then the pain doctor has hit the bull’s-eye. It’s now time for the next phase when your doctor applies cooled or conventional radiofrequency (a sophisticated type of radio wave) neurotomy to the nerves of your knee. In this procedure, a heat lesion is created around the nerves. Therefore, they are not able to carry the pain signals to the brain and you won’t feel pain for months. There may be a need for repeated injections. During the pain relief period, you can participate in physical therapy and improve your whole activity level.

No more knee pain! Now it’s time for jogging!

Today, you can benefit the expert help to get rid of your knee pain. Dr. Kevin Li, MD, is a specialist in interventional pain management in L.A. With the state-of-the-art   therapies offered in his clinic, he is confident of providing an all-inclusive one-on-one treatment plan for your knee pain. Just call his clinic in Los Angeles at (626) 538-8950 to schedule an appointment. And remember, nothing can deprive you of your favorite activities

Lumbar Sympathetic Block

Haven’t your patience exhausted of going through those futile treatments for your leg pain?

Statistics suggest that tens of millions of Americans are suffering from multiple pains. That is partly because, traditional treatments have failed to relieve many of those conditions. When conventional treatments are just partly effective or ineffectual for chronic pain, then interventional procedures may be taken into account. Lumbar sympathetic block is one of those minimally invasive interventional procedures. If you have a long-lasting untreated leg pain, which has not responded to the other conservative methods, then this approach is the treatment of your choice.

What is a lumbar sympathetic block?

In the lower part of your back, on both sides of the spine, there are nerves called the sympathetic nerves. Many functions in your body are controlled by these nerves, e.g. sweating, heart rate, and digestion.  These nerves also transmit pain signals from the peripheral tissues (lower limbs) back to the spinal cord. An injection containing a local anesthetic will block the nerves, helps with the diagnosis of the pain origin; and results in the reduction of your lower back or leg pain. Some medical conditions may be treated by this procedure like:

  • Reflex sympathetic dystrophies (long term pain feeling after an injury)
  • Circulation disorders(Vascular insufficiency)
  • Shingles (Herpes zoster infection): legs involved
  • Peripheral neuropathy: Damage to the peripheral nervous system

Therefore, if you have untreated lower back or leg pain related to these medical conditions, the lumbar sympathetic block injection is your choice of treatment.

Lumbar sympathetic block technique

To perform this 30-minute treatment in a pain clinic, firstly, you are given some intravenous drugs in order to make you relaxed. Then you should lie prone on the X-ray table. The pain doctor will desensitize your lower back. Then, an X-ray guided needle will be introduced into your back along the outside of your spine column; a contrast is injected to the area to confirm the proper location. At that point, anesthetics (e.g. bupivacaine) are injected. You may immediately feel relieved, but just for a few hours of the anesthetics’ effects. If the procedure worked, the pain doctor may recommend a series of these blocks 2 weeks apart, which may give you more long term relief. In some cases a couple of injections are enough, but at times, there are over 10 shots needed. No serious complication has been reported following this procedure.

 

You have other choices than living miserably with your old stubborn leg pain!

Nowadays, you can enjoy the benefit of receiving professional expertise in pain care clinics, to leave your leg pain behind. Dr. Kevin Li, MD, is a spine doctor in Los Angeles. With the up-to-date interventional therapies presented in his pain clinic in Los Angeles, he is confident of creating a comprehensive treatment plan tailored to your lower back pain. Just contact his pain clinic in Los Angeles today at (626) 538-8950 to make an appointment. And breathe new life into your “new life”!

Upper Back Pain

Are you weighed down by your disabling upper back pain?

It is estimated that 90% of US citizens have endured some sort of back pain during their lifetime. Every year, billions of dollars are lost due to difficulties nearly half the adults have with such an interfering pain while doing their jobs. Maybe you are one of those who have felt the undesirable impacts of upper back pain, but surely you want to know whether there is really a viable solution to your problem. Here is some good news for you!

 

What is upper back pain?

In general, back pains are divided anatomically into different groups. The thoracic part of the spine which is located between the neck and the lumbar is the source of upper back pain, also called thoracic back pain. Even though this part of the spine is very strong to bear the weight of the upper body, due to some degenerative changes it may become the source of your pain.

Signs and symptoms of upper back pain

Although most upper back pains are not very severe, they should be considered more seriously than the pains of the other parts of the spine due to its pathological features. You may feel a sharp, dull or burning pain near the spine or along the related nerve fibers. Muscle stiffness may be present. You may also have some numbness in arms, chest, abdomen and legs. Losing the control of bowel or/and bladder are another signs. You may have signs of fatigue in your arms and legs too. Upper back pains could be a sign of more serious diseases such as cancer or infection.

 

Causes of upper back pain

The source of your upper back pain could be muscular lesions due to overuse or injury, spinal facet joints deformities, problems of the chest soft tissues, herniated discs and degeneration of the spinal disc. Some factors intensify the condition including general weakness, improper posture and repetitive movement of the body. There may also be a trauma background. Fractures of ribs and vertebra could also contribute to the problem.

 

Treatment of upper back pain

Firstly, your pain management doctor takes a history and then performs a physical exam. Sometimes there is a need for an imaging test. After the cause is diagnosed then it is time for treatment. Various approaches are utilized in treating upper back pain including:

Home care:

  • Rest: not too long
  • Heat: helping the affected tissues be more oxygenized and detoxified
  • Ice: to ease the inflammation
  • Special exercises: to strengthen your back muscles that lead to improved posture and pain reduction

Professional care

  • Physiotherapy
  • Manual and Massage therapy including trigger point massage
  • Drugs (e.g. acetaminophen, NSAIDs, muscle relaxants)
  • Trigger point injections (e.g. cortisone shots, epidural steroid shots, facet joint shots)
  • Acupuncture
  • Selective nerve block

In upper back pain cases, surgery is rarely needed. In fractures of vertebrae if not treated by medication and rest, then surgery (e.g. vertebroplasty) is the resort. In osteoporosis, drugs like bisphosphonates are administered to prevent further fracture.

 

Kill your old unwanted pain!

There are viable options open to you other than living sadly with your upper back pain! In a credible pain care center, an accurate upper back pain treatment could relieve your pain forever.  Dr. Kevin Li, MD, is a specialist in interventional pain management in Los Angeles. With the cutting-edge interventional therapies offered in his pain clinic in Los Angeles, he is confident of developing a comprehensive, yet individualized upper back pain treatment for you. Contact his pain management center in Los Angeles today at (626) 538-8950 to make an appointment. And remember, nothing could deny a pain-free sweet life from you!

How to Treat Lower Back Pain

Are you feeling feeble fighting your low back pain?

Maybe looks unbelievable, but statistics suggests that nearly 632 million people suffer from lower back pain at any given point in time. Figures also show that 80% of the U.S. citizens have experienced this physical disorder during their lifetime. Among the various types of back pains, lower back pain has the leading role in weighing down working adults. Reportedly, nothing other than this problem has caused more physical disabilities throughout the world. Nevertheless, there are definite methods of pain management to treat your lower back pain forever.

 

What is lower back pain?

Lower back pain is the most common disorder of your back. It may involve muscles and/or bones in the lumbar region and is divided into three categories: acute, sub-chronic and chronic, according to the duration of the problem. In acute cases, you may have muscle stiffness and spasms along with episodic pains at your lower back. Moreover, you may feel pain after some body movements like bending. In chronic cases, you may suffer from sleep problems and psychological complications. Another group of this disorder is nerve-root pressure due to tumors, deformity of the spine and degenerative changes of joints. In sciatica, the pain radiates down your legs because of the pressure exerted on sciatica nerve.

 

Causes of lower back pain

The leading causes (around 90%) are skeletal strains or sprains which result in short term pain. Some of these causes are the lack of movement for a long time, lifting heavy loads, accidents, bending and twisting. Fatness, smoking, stress and poor body position may also intensify the problem. Flawed spinal discs, osteoarthritis, squashed back nerves, fractured vertebrae, infection and tumor of the spine could be other causes of lower back pain. Problems of the female reproductive systems and pregnancy could contribute to lower back pain. If the pain persists or other physical disorders (e.g. weight loss, fever) appear, then more investigation is needed to find the main problem.

 

Treatment of lower back pain

Treatment of lower back pain depends on the origin of the problem.

  • Heat therapy: Dilation of blood vessels lead to oxygenation and detoxification of the location and relief of the pain
  • Cold compression therapy: Helpful in inflammatory cases
  • Physical management: Supervised exercises
  • Medication: In acute pain cases, simple medication (e.g. acetaminophen; sometimes muscle relaxants) along with calculated body movements and reassurance will suffice. In  more severe pain cases, using opioids is the option but should be taken cautiously. Antidepressants are used in pains associated with symptoms of depression.
  • Psychological support: Counseling
  • Massage therapy: For chronic cases
  • Cortisone shots
  • Epidural steroid injection
  • Nerve blocks
  • Alternative medicine
  • Electrotherapy: Stimulation of spinal Peripheral nerve, transcutaneous electrical nerve stimulation
  • Neuroreflexotherapy: in chronic non-specific low back pain
  • Surgery: Indicated rarely (under 10%) in disc related problems, spinal stenosis, abnormal curvature of the spine   and compression fracture.

 

Stop wondering about how to treat back pain!

Nowadays, you can enjoy the benefit of receiving expert help from professionally trained medical staff in pain care clinics, in order to leave your back pain behind. Dr. Kevin Li, MD, is a specialist in interventional pain management in Los Angeles. With the cutting-edge interventional therapies presented in his pain clinic in Los Angeles, he is confident of developing a comprehensive treatment plan tailored to your lower back pain. So you don’t need to worry about how to treat back pain. Just contact his pain management center in Los Angeles today at (626) 538-8950 to make an appointment. And remember, nothing could deprive you of a pain-free active lifestyle!

Auto Accident Related Injuries: Neck and Shoulder Pain

Are you bewildered by encumbering impacts of a car accident on your life? Aren’t you exhausted of going through various treatments for musculoskeletal pain?

It is estimated that by the year 2020, injuries of road traffic accidents would count for the third of most common disabilities world wide.   

Car accidents are one of the main causes of serious injuries inflicted on your body. Injuries to the spine, specially the neck, are the most common in these accidents. They may occur in more mild forms such as whiplash, to more serious cases. Some of these injuries may look minor at the beginning but if left untreated by an  auto accident injury doctor, could make you suffer from chronic pain for the rest of your life. In a survey carried out in Sweden, 17 years after the first examination, 55% of the cases had residual disorders mainly due to the original accident.

What is “Whiplash”?

When in some car accidents, sports or intentional assaults, your neck and the upper back are exposed to sudden, extreme extension and flexion, due to its whip-like motion is called  “whiplash“. The sudden shock causes damage to the adjacent structures like vertebrae, nerves, discs, muscles, and ligaments of your neck and spine. Don’t make any mistake! Although whiplash involves soft tissues, but it is not a minor problem. Medical evidence suggests that soft tissue injuries can be serious and have long-term effects if left untreated. This is why it’s important to be checked by an auto accident injury doctor if you have been involved in any type of car accident or you have one of the following symptoms: stiffness and pain in the neck, reduced range of motion, headache, dizziness, blurred vision, shoulder, arm, or back pain.    

Treatment

If not treated promptly, the vast majority of the injured will continue to suffer from some level of disability or pain for many years after, if not for the rest of their lives.

The most effective treatment for whiplash injuries is a combination of the following procedures:

  • Physical therapy/osteopathic manipulative treatment
  • Soft Tissue Rehabilitation: Stimulate the soft tissues to heal correctly that include massage therapy, transcutaneous electrical nerve stimulation (TENS), trigger point therapy, stretching and specific strength and range of motion exercises and acupuncture.
  • Home Care: It is important that your plan of care extend into the hours and days between your clinic visits according to your doctor recommendations.
  • Medication Treatment: Non-steroidal anti-inflammatory (NSAIDS) and muscle relaxants are the first line of medication for acute whiplash injuries.
  • Minimally-Invasive Procedures: performed by your pain management physician to relieve persistent neck pain after whiplash injuries.

There is no need to tolerate the agonizing pain!

Whiplash is a unique condition that requires the expertise and skills of an auto accident injury doctor trained to treat these types of injuries. Dr. Kevin Li is confident of his skill in developing an all-inclusive, yet individualized treatment plan that not only will relieve your pain, but also promote your daily activities, lifestyle and needed flexibility. Contact his office today at (626) 538-8950 to make an appointment. It’s about time to enjoy more of your life!

Pain Management with Spinal Cord Stimulation Technique

 

For more than 100 million Americans that suffer from chronic pain, it is more than just an ache or a pain; it can be a life-changing limitation that gets in the way of enjoying daily activities, exercise and time with family and friends.

While medication can dull the pain, it’s not a lasting solution and can be hard on the body over time. Beyond that, the side effects can often make you more miserable than the original pain. One effective method of managing chronic back, torso and limb pain is through Spinal Cord Stimulation (SCS).

 What is SCS?

Spinal Cord Stimulation is a pain management technique that uses a mechanical device implanted beneath the skin to sendbrief electrical pulses to specific locations along the spinal cord. These pulses actually mask the sensation of pain before it registers in the brain, reducing the pain for a good percentage of patients by up to 70%.

Who would benefit from SCS?

If you suffer from nerve pain in your midsection, arms, legs and back, have had a failed back surgery, or deal with other chronic pain syndromes, SCS might be the answer for your chronic pain. SCS is especially helpful for those who don’t respond to other less invasive treatments, or are looking for a more long-term solution. If you think this might be a beneficial treatment for you, contact Dr. Li today for a thorough screening and consultation to determine your eligibility.

 What does treatment look like?

Imagine you are a candidate for SCS. You come into the office hunched over, every move punctuated by pain. Based on your health history, type of pain and its severity, the doctor deems you a great candidate for SCS. To confirm that you are, your physician places a trial lead underneath the surface of your skin to determine if this treatment will be effective for your pain. If the trial run is successful, the full procedure follows.

During your procedure, the skin of your back and buttocks is numbed with a local anesthetic. While you are laying on your stomach, the physician insertsa needle in your back, then thread an electrical lead along your spinal column that are connected to soft, thin wires. Then, a small programmable pulse generator is inserted just below the skin of your buttocks or upper abdomen through a small incision. The physician triggers the generators and the pulses to your spinal cord begin to mask the pain before you even feel it. One to two hours later, you are checked out and on your way home, feeling markedly less pain than when you came in.

After the initial procedure, you can adjust the location and intensity of the pulses via a handheld remote that controls the implanted generator as your pain needs increase and decrease. You can use this technique for 1-2 hour periods, several times a day, or as directed by your doctor.

What are the benefits and risks?

Spinal Cord Stimulationis a low-risk, high-benefit treatment plan that offers maximum pain relief with minimal side effects. Because the leads are placed under your skin along with the generator, you can still travel, be physically active, and live your normal live with noticeably less pain. Both the trial and implant procedure are reversible, meaning if you are not satisfied with the pain relief, the wires and generator can be removed without any adverse effects.

Although uncommon, the reported risks of Spinal Cord Stimulation include infection, technical or mechanical malfunctions, migration of pain center, headache, bladder problems, scar tissue around the lead, and leakage of spinal fluid. Some patients become used to the stimulation and do not experience the same level of pain relief over time, but that can be adjusted via the handheld remote. Also, patients with an implanted generator cannot have magnetic resonance imaging (MRI) tests due to the metallic implant located beneath the skin.

 What else do I need to know?

After the procedure, you will follow-up with your physician every six months; however, additional appointments might be necessary in the first few weeks to determine the appropriate intensity and location of the pulses, and adjust those as needed for maximum pain relief.

Both the procedure and the implantation are fully reversible. Soif you have an adverse reaction, or if the treatment is not the best option for you, there is no lasting impact.

Am I eligible?

Dr. Li can perform a screening test to determine your eligibility for Spinal Cord Stimulation, based on the type of pain, severity, your response to past treatments and other health factors.

For more information on Spinal Cord Stimulation for chronic pain, please call our office at (626) 538 – 8950 and schedule an appointment with Dr. Li.

Effective Treatment for Chronic Headache (Migraine Headache)

If you are looking for the best headache specialist Los Angeles has to offer, look no further. Migraines and chronic headaches can make your life not just difficult, it can make getting through a day completely impossible. Finding a treatment option that works for you can take time—time you might not have. If you need treatment for chronic headaches or migraines, it’s time to stop searching and to start actually getting the treatment you need.

Look for a Cause

One of the most frustrating parts of having almost constant migraines is not always being able to identify the cause of those horrible headaches. They might occur whether or not you sleep well, whether or not you eat certain kinds of food, drink caffeine, do certain activities, etc. You might get these headaches even if your life is completely stress-free.

Determining the cause can go a long way when it comes to developing treatment. This is why it is so important for you to see a migraine specialist in Los Angeles. A general physician might be able to help you identify the cause of your migraines if the cause is a very common one. If it is not a very common cause that is triggering your headaches, you might find yourself going through rounds of treatment that might only lessen, but will probably not be effective at all.

The way to avoid this cycle of diagnosis, treatment, migraines, and then a new diagnosis and treatment is to make an appointment with one of the best headache specialists Los Angeles can offer. We can help you find the real cause of your migraines, so you do not continue to suffer through days, months, or years of debilitating headaches.

Personalized Treatment Program

Every person has their own set of circumstances that can contribute to headaches and migraines. What causes each person’s migraines varies depending on that person and their body. This means that you need a treatment plan that meets your specific needs. The most effective treatment is one specifically for you. When you meet with the best migraine specialist Los Angeles has to offer, you’ll find not only that your specialist understands your struggle with headaches and migraines, but is also able to help you find effective treatment that tangibly improves the frequency and severity of your chronic headaches.

Visit the Right Spine Center to Get Proper Treatment for Chronic Pain

Millions of Americans suffer from chronic pain and spend their lives miserably trying to figure out ways to get over it. Some who follow the right direction towards better healthcare somehow manage to get back to the right track. However, for few unfortunate ones, the dream of living an active life without chronic pain seems like a dream that is impossible to realize.

The pain clinics differ in their area of expertise. The professionals here make use of multidisciplinary approach to help the patients regain their lives. The team of healthcare experts includes physician specialists with fellowship-training and board-certification in chronic pain management, physiotherapists, massage therapists, acupuncturists and staff trained to understand patients of chronic pain.

Prompt medical attention is given when a patient is present to our center for evaluation and treatment.  Precision diagnosis is often made prior to initializing any treatment.  Or further imaging or laboratory studies are ordered in assisting physicians making the correct diagnosis.

Once the source of the pain (so-called “pain generator”) is identified and a diagnosis is made, a comprehensive, multi-disciplinary and yet individualized treatment plan is then formulated and discussed in details with the patient by our physician specialist.  These treatment options often range from medication management, rehabilitation programs to minimally invasive procedures to surgeries.

At the beginning of the treatment, the patient is advised to modify their lifestyle to minimize exacerbation of the pain condition.  Further, a course of medication treatment is often initiated.  These medications include,

  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) and Acetaminophen
  • Muscle Relaxants
  • Neuroleptic Medications
  • Neurotransmitter Modulators
  • Local Anesthetics
  • Topical Agents

Simultaneously rehabilitation therapies and counseling are often offered to the patient.

A doctor who is specialized in pain management details a rehabilitation program which is specifically individualized to provide relief from the agonizing pain.  Osteopathic manipulation treatment, Infrared, Ultrasound and deep-muscle massage, TENS unit are a few modalities that are frequently utilized.

Dealing with unrelenting pain sometimes causes anger, sadness, and lack of concentration. To address such issues, a psychological support is also given along with the on-going treatment. These mental health professionals will also help you know the relaxation techniques that can be followed at home or work. In the worst care scenarios when nothing is really helpful, then an injection procedure is often carried out under proper image-guidance under either ultrasound or real-time X-ray (fluoroscopy).

With multitude of treatment options we have available, we are confident we can offer you the most cutting-edge treatment options for your chronic pain conditions or spinal pain.  We thank you for placing your confidence in letting us treat you, not only a patient, but as a whole.

So please take the time and effort to find the best place pain clinic in Los Angeles that offers services for spine-related problems. After all, your body is your temple and taking good care of it is our expertise!