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Frequently Asked Question

Do Pain Management Doctors get special training?
Pain Management Doctors are board-certified in a specialty such as sport injuries, anesthesia, diabetes or cancer. They undergo an additional one-year fellowship in pain management, and are eligible for subspecialty board certification in pain management by the American Board of Anesthesiology.
Can I find a Doctor for Pain Management who takes my insurance?
First find the Pain Management Doctor that best fits your needs, review their experience, and determine that the location is convenient for you. Then, from that page, upload your insurance information. The Doctor’s office will contact you to verify whether your plan is accepted. 
Would I have to pay more if I use my out of network benefits?
Many plans allow for access to out of network providers for the same out of pocket cost as in network providers.
How can I avoid spine surgery?
Conservative treatment in back pain is gaining more and more acceptance as an effective approach to managing chronic back pain. They include a wide spectrum of options ranging from common medications to acupuncture, physical therapy, spinal injections, regenerative medicine injections, nerve blocks, massage or even biofeedback. Some studies suggest that, in the long-term, surgical procedures for chronic low back pain do not result in outcomes that are clearly better than conservative treatment.
What is 'interventional' pain management?
Interventional pain management utilizes pain blocking techniques such as infusions, injections, RF ablation, spinal cord stimulation, electrostimulation, nerve blocks, peripheral nerve field stimulation or implantable drug delivery systems as modalities for treatment.
How do epidural steroid injections work?
Epidural injections deliver steroids, anesthetics and/or regenerative medicine, like stem cells or PRP, into the epidural space around spinal nerve roots. These pain management injections can help reduce inflammation and pain, and also promote healing.
How long do epidural steroid injections last?
Pain relief may be experienced within 30 minutes after the injection due to the anesthetic effect. Longer-term relief from steroids usually begins in two to three days. Stem cells and PRP can take up to 4 to 6 weeks. On average, pain relief from the shots lasts about 3 months.
What is the difference between epidural and transforaminal steroid injections?
Interlaminar Epidural Steroid Injections (ILESI) are generally used in patients with posterior diffuse disc herniation. Transforaminal Epidural Steroid Injection (TFESI) is used in patients with neural foraminal disc herniation, lateral reses or neural foraminal stenosis, neural root indentation. Your doctor will review your symptom profile, correlated with the imaging studies to determine the most effective approach.
What is fluoroscopy? How is it used in pain management?
Fluoroscopy is an imaging technique that is vital for precisely locating the internal injection site for injection therapies such as pain medication, steroids, regenerative medicine and contrast dye material. During epidural injection procedures, fluoroscopic x-ray images accurately guide the doctor to position the needle so that medication is correctly administered.
How is radio frequency used in pain management?
Radiofrequency neurotomy (RF) uses heat generated by radio waves to target specific nerves and create an induced injury of the nerve, which temporarily turns off its ability to send pain signals. The procedure is also known as radiofrequency ablation. It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. Patients who have had good results with nerve block injection may be good candidates for a radiofrequency ablation.
Is the Hyaluronic Acid used for my knee pain the same as the HA for my face?
While all HA injectable products are derived from an extraction and purification of hyaluronic acid from rooster combs, the HA products targeting facial aesthetic injections and injection    treatment for osteoarthritis are distinctly different.
What is regenerative medicine? How is it used in pain management?
Regenerative medicine seeks to harness the body's own healing power rather than relying on a strategy that focuses primarily on treating pain symptoms. It focuses on ways to, repair, replace, or regenerate damaged tissues. Studies have illustrated that if adult stem cells are harvested and then injected at the site of diseased or damaged tissue, they can stimulate repair and reduce or eliminate pain. 
What is PRP and how is it used in pain management?
Platelet-rich plasma (PRP) is a form of regenerative medicine that harnesses the body's ability to heal itself. Platelets are blood cells that cause blood clots and other healing functions. They are separated from the liquid portion of the blood by a centrifuge. The concentrated and activated platelets are injected directly into the injured or diseased body tissue, releasing growth factors that stimulate and increase the number of reparative cells the body produces.
What is the difference between stem cells from fat and stem cells from bone marrow?
Stem cells from fat tissue are an excellent source for the repair of cartilage degeneration. Fat tissue provides the largest volume of adult stem cells, while bone marrow provides far fewer stem cells, but yields additional growth factors to aid with the repair process. Combining them can amplify the healing power of the cartilage regeneration stem cell procedure. However, stem cells from fat tissue have been shown to provide better cell content and superior ability to differentiate into cartilage than those from bone marrow.
Does acupuncture work for pain management?
Traditional Eastern practitioners believe acupuncture unblocks and balances the energy which flows through the body along pathways called meridians. Western practitioners think that acupuncture minimizes pain through biological mechanisms, such as stimulating the hypothalamus and pituitary gland or causing change in neurotransmitters, hormones and immune function.
Can a pain management doctor treat migraine headaches?
Migraine headaches are a neurological disorder that is characterized by over excitability of specific areas of the brain. Pain Management Doctors are using Botox injections into key muscle areas of the head and neck .This blocks the release of chemicals involved in pain transmission and prevents activation of pain networks in the brain.
What is spinal cord stimulation?
Spinal cord stimulation therapy masks pain signals before they reach the brain. A small device, similar to a pacemaker, is implanted into the epidural space and delivers electrical pulses to the spinal cord. The electric pulses modify pain signals so they are either not perceived or are experienced as a tingling feeling. If unsuccessful, the implant can be removed and does not damage the spinal cord or nerves.
How does Ketamine treat pain?
Ketamine infusions are typically recommended when other treatment modalities for chronic pain have not been effective. Ketamine can deliver relief for some types of chronic pain. Ketamine works by blocking certain pain receptors in the brain and resetting the signaling of some nerve cells in your spine and brain. In sub-anesthetic doses, ketamine acts as an NMDA receptor block, which is significant in the treatment of chronic pain. By blocking the NMDA receptor in the spine’s dorsal horn, pain signal transmission is interrupted, giving central pain centers a chance to “reboot.”
What is "medical necessity justification"?
"Medical necessity" is defined by insurance carriers as medical services or items that are reasonable and necessary for the diagnosis or treatment of illness or injury. Your provider should discuss with you whether your desired procedure qualifies as medically necessary. If a procedure can be proven to be a medical necessity, it may be covered by insurance.
What is rehabilitation medicine?
Physical Medicine and Rehabilitation (PM&R) physicians are also known as physiatrists. PM&R physicians manage injuries and disorders with non-surgical modalities, focusing primarily on rehabilitation techniques and exercise.  They treat a wide variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. 
Can I find a Pain Management Doctor who sees patients after hours?
PreferredMD’s online service allows you to filter for Pain Management Doctors with availability after 5 p.m. Just choose the special hours filter at the top of our search page. 
Can I schedule a video visit with a Pain Management Doctor online?
PreferredMD’s online service uses a purple video icon on the profiles of Pain Management Doctors who offer online video visits. You can filter your search results to show only Pain Management Doctors who offer video visits. 
Are video visits with a Pain Management Doctor covered by my insurance?
Most insurers provide coverage for video visits at the same rate as in-person visits. You can search on PreferredMD specifically for Pain Management Doctors who accept your insurance for video visits. Select your carrier and plan from the drop-down menu at the top of the page to verify. If that information is not available, we recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
Can I find a Pain Management Doctor who sees patients in the morning or evening?
PreferredMD’s online service allows you to search specifically for Pain Management Doctors who have appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page. 
Can I find a Pain Management Doctor who sees patients during the weekend?
PreferredMD’s online service allows you to see real-time availability for Pain Management Doctors that offer appointments on Saturdays and Sundays. Just choose the special hours filter at the top of our search page. 
Can I specify a male or a female Pain Management Doctor?
PreferredMD’s online service allows you to filter your results for Pain Management Doctors by gender. That way, you’ll only see Doctors who match your preferences.
Can you manage chronic pain without medication?
There are several effective non-medication alternatives for chronic pain; mind-body techniques, biofeedback and ancient Chinese therapies. For pain that has become more difficult to manage, injection therapy may also be a conservative modality to consider. Pain management injections can include nerve blocks, steroids, and/or regenerative/healing substances. Most pain management injections can be performed in less than an hour, with little or no downtime and can be used as a stand-alone treatment or in conjunction with other treatments.
Can I make a same-day appointment with a Doctor for a Pain Management Consultation?
PreferredMD patients can often get same day appointments; on average within 24 hours. You can search for real-time availability of Pain Management Doctors in your area, with Doctors who accept your insurance and make an appointment online.
Can I book an appointment online with a Doctor for a Pain Management Consultation?
Now that you’re here, you can use PreferredMD’s free online service to find Pain Management Doctors and book appointments instantly. You can easily search for a Pain Management Consultation in your desired location and specify your insurance plan. Based on that information, you’ll see a list of Doctors who meet your search criteria, accept your insurance, and their available appointment slots. 
Can I find a top-rated Pain Management Doctor?
You can use PreferredMD’s online service to find Pain Management Doctors who are highly rated by real patients. Every time a patient completes an appointment booked on PreferredMD, they are invited to review their experience. All ratings are based on verified reviews submitted by real patients. Each review must comply with PreferredMD’s guidelines.

Pain Management

Pain is the most common reason patients seek medical attention. Pain can be simple or very complex. It can have an obvious source such as a cut, burn or broken bone. Or it can be highly elusive, with no obvious source. When that happens, a wide variety of skills and techniques are required to treat and resolve it. That is what we mean when we say that an interdisciplinary approach is often implemented in the treatment plan for pain management.

The typical pain management team may include all or some of these areas of expertise: Physicians, physiotherapists, occupational therapists, clinical psychologists, mental health specialists and massage therapists. Often pain can be resolved quickly, by one practitioner with nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants and/or antidepressants. However, in the case of chronic, long term pain, the coordinated efforts of an interdisciplinary pain management team are usually required.

Pain Management doctors are board-certified in a specialty such as sport injuries, anesthesia, diabetes or oncology. They then undergo an additional one-year fellowship in pain management. The fellowship consists of training in all aspects of pain management. When a board certified physician completes an accredited pain management fellowship, they are eligible for subspecialty board certification in pain management by the American Board of Anesthesiology.

Your pain management specialist will evaluate your particular pain problem by taking a detailed medical history, conducting a physical exam and reviewing any diagnostic tests that you underwent such as X-rays, computed tomography [CAT] scans, or magnetic resonance imaging [MRI] scans.

You will be asked to complete a questionnaire with detailed questions about your pain problem. You should know before your appointment if you will be undergoing a procedure; in that case you may need a driver to take you home.

Your pain physician will provide you with an initial assessment of your pain problem, and perhaps a treatment if indicated. He or she may know exactly what is causing your pain, or may prescribe further diagnostic procedures. In either case, you should have a clearer understanding of the source of your pain, and the course of further evaluation and the treatment that is planned.

Conditions Treated

  • Achilles Tendonitis
  • ACL & PCL Tear / Sprain
  • Arthritis
  • Back Pain / Back Injury
  • Biceps Tendonitis
  • Carpal Tunnel Syndrome
  • Cervical Radiculopathy
  • Chronic Tension Headaches
  • Degenerative Disc Disease
  • Elbow Sprain/Strain
  • Facet Joint Syndrome
  • Ganglion Cyst
  • Golfer’s Elbow (Medial Epicondylitis)
  • Hand & Wrist Arthritis
  • Herniated Discs
  • Herniated Discs
  • Knee Bursitis
  • Knee Tendonitis (Patellar Tendonitis)
  • MCL & LCL Tear / Sprain
  • Meniscus Tears
  • Migraines
  • Muscle Spasm
  • Myofascial Pain Syndrome
  • Neck Pain / Neck Injury
  • Nerve Impingement (Radiculopathy)
  • Occipital Neuralgia
  • Post Laminectomy Syndrome
  • Rotator Cuff Injuries
  • Sacroiliac Joint Dysfunction
  • Sciatica
  • Scoliosis
  • Shin Splints
  • Shoulder Arthritis
  • Shoulder Impingement
  • Shoulder Instability
  • Shoulder Pain
  • Shoulder Tendonitis/Bursitis
  • Spinal Arthritis
  • Spinal Infection
  • Spinal Stenosis
  • Tendonitis
  • Tennis Elbow (Lateral Epicondylitis)
  • Thoracic or Lumbar Sprain or Strain
  • Trigger Finger
  • Whiplash Headaches
  • Wrist/Hand Sprain/Strain

Procedures/Treatment modalities

  • Acupuncture
  • Botox for migraine
  • Caudal Steroid Injection
  • Celiac Plexus Block
  • Cervical Epidural Steroid Injection
  • Cervical Radiculopathy
  • Diagnostic Discography
  • Epidural Blood Patch
  • Epidural Steroid Injection
  • Epidural Steroid Injection
  • Facet Joint Injections
  • Fascia Iliaca Block
  • Hip Injections
  • Hyaluronic Acid - Viscosupplement
  • Interventional Procedures
  • Intra-Articular Ozone Therapy
  • Intradiscal PRP
  • Joint Injections
  • Ketamine infusions
  • Kyphoplasties
  • Light Therapy
  • Lumbar Epidural Steroid Injection
  • Lumbar Sympathetic Block
  • Medial Branch Block
  • PRP
  • RACZ Caudal Neurolysis
  • Regenerative Medicine
  • Sacroiliac Joint Steroid Injection
  • Soft Tissue Injection: Shoulder
  • Stellate Ganglion Block
  • Stem Cell Infusion
  • Transforaminal Epidural Injection
  • Trigger Point Injections
  • Trigger point therapy and myofascial release
  • Viscosupplements

Sources – Read More

 

https://www.asra.com/

https://en.wikipedia.org/wiki/Pain_management