Treatments – University Pain Consultants

Let people know about your SCS with this t-shirt

UPC Admin — Mon, 13 Nov 2023 20:13:43 +0000

Introducing a unique and educational T-shirt featuring a detailed illustration of a spinal cord stimulator system! This shirt is specially designed for individuals who have undergone spinal cord stimulator implantation, offering them a stylish and informative way to share their experience with others.

Key Features:

High-Quality Graphic: The T-shirt showcases a vivid, anatomically accurate diagram of a spinal cord stimulator system, highlighting key components like the electrodes, leads, and the implanted pulse generator.
Educational Tool: It serves as a conversation starter, educating others about this advanced medical technology and its role in managing chronic pain.
Comfort and Style: Made with soft, breathable fabric, this T-shirt ensures comfort throughout the day while its sleek design makes it a fashionable choice for casual wear.
Inclusive Sizing: Available in a range of sizes to ensure a perfect fit for everyone.
Durable Material: Crafted to withstand regular wear and washing, the print retains its clarity and color, making it a long-lasting educational and fashion statement.
Inspiring Message: This T-shirt not only educates but also inspires, showcasing the incredible technology that aids in pain management and improves quality of life.

Whether you’re wearing it to a casual outing or a special awareness event, this T-shirt is the perfect way to express your journey, spread awareness, and educate others about spinal cord stimulators. It’s more than just apparel; it’s a story, a conversation, and an educational piece rolled into one.

Disclosure:

Unipain.com may earn a commission when you purchase through links on our site. As an affiliate, we only promote products and services that we believe in and use ourselves.

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The post Let people know about your SCS with this t-shirt appeared first on University Pain Consultants.

Narcotic Contracts – what you need to know

Rainier Guiang MD — Fri, 07 Apr 2023 15:31:51 +0000

Disclosure:

Unipain.com may earn a commission when you purchase through links on our site. As an affiliate, we only promote products and services that we believe in and use ourselves.

Narcotic contracts, also known as opioid contracts or pain contracts, are agreements between patients and healthcare providers that outline the terms and conditions for using prescription pain medications. These contracts are becoming increasingly common as a way to manage the risks associated with opioid use and abuse. Learn more about why narcotic contracts matter and how they work.

What is a narcotic contract?

A narcotic contract is a written agreement between a patient and their healthcare provider that outlines the terms and conditions for using prescription pain medications. These contracts typically include information about the patient’s medical history, the types of medications they will be prescribed, and the responsibilities of both the patient and the healthcare provider. The goal of a narcotic contract is to ensure that patients receive the care they need while minimizing the risks associated with opioid use and abuse.

How do narcotic contracts help manage pain?

Narcotic contracts help manage pain by establishing clear guidelines for the use of prescription pain medications. Patients who sign a narcotic contract agree to follow certain rules, such as only obtaining prescriptions from one healthcare provider, not sharing their medications with others, and submitting to drug testing if requested. Healthcare providers, in turn, agree to closely monitor the patient’s use of pain medications and adjust their treatment plan as needed. By establishing these guidelines, narcotic contracts help ensure that patients receive the appropriate level of pain management while minimizing the risk of addiction, overdose, and other complications.

What are the potential risks of not using narcotic contracts?

Without the use of narcotic contracts, patients may be at a higher risk for addiction, overdose, and other complications associated with prescription pain medications. Healthcare providers may also face legal and ethical issues if they do not closely monitor their patients’ use of these medications. Additionally, without clear guidelines in place, patients may be more likely to misuse or share their medications, which can lead to further health complications and risks. Overall, the use of narcotic contracts is crucial in ensuring safe and effective pain management for patients.

How can healthcare providers implement narcotic contracts effectively?

Healthcare providers can implement narcotic contracts effectively by clearly communicating the terms and expectations to their patients. This includes outlining the specific medications that will be prescribed, the dosage and frequency of use, and any potential side effects or risks. Patients should also be informed of the consequences of violating the contract, such as termination of treatment or referral to a pain management specialist. It’s important for healthcare providers to regularly monitor their patients’ use of these medications and adjust the treatment plan as needed. By working closely with their patients and following established guidelines, healthcare providers can ensure safe and effective pain management while minimizing the risks associated with prescription narcotics.

Medical News Today reached out to us to ask our view on pain management narcotic contracts and what may happen if you break the rules of your signed narcotic contract. This is fully discussed in the linked article below:

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Penetrex, magnesium cream, Voltaren gel – which is best?

Rainier Guiang MD — Mon, 27 Mar 2023 22:14:54 +0000

Disclosure:

Unipain.com may earn a commission when you purchase through links on our site. As an affiliate, we only promote products and services that we believe in and use ourselves.

If you are one of the millions of people who suffer from joint and muscle pains, you may be looking for ways to manage your discomfort without relying on medications that can cause unwanted side effects. Fortunately, there are several topical treatments that can help alleviate pain and inflammation in a safe and effective way. In this article, we will discuss the benefits of using three popular topical treatments: Penetrex, magnesium cream, and Voltaren gel.

What are Topical Treatments?

Before we delve into the specific benefits of these treatments, let’s first define what we mean by “topical.” Topical treatments are medications or substances that are applied directly to the skin. They come in various forms, including creams, gels, sprays, and patches. When applied to the skin, they can penetrate through the dermis and into the underlying tissues, providing localized pain relief and anti-inflammatory effects.

Penetrex

Penetrex is a popular topical cream that contains a blend of natural anti-inflammatory ingredients, such as arnica, MSM (methylsulfonylmethane), and boswellia. It is designed to provide fast-acting relief for a variety of pains, including joint and muscle pains, arthritis, and carpal tunnel syndrome.

How Does Penetrex Work?

Penetrex works by blocking the production of certain chemicals in the body that cause pain and inflammation. It also helps to improve blood flow to the affected area, which can promote healing and reduce swelling. Penetrex is easy to apply and is quickly absorbed into the skin, making it a convenient and effective option for managing pain.

Magnesium Cream

Magnesium is a mineral that is essential for many bodily functions, including muscle and nerve function. Magnesium cream is a topical treatment that contains magnesium and can help alleviate joint and muscle pains.

How Does Magnesium Cream Work?

Magnesium is known to help relax muscles and reduce inflammation, making it a natural choice for pain relief. When applied topically, magnesium cream can help deliver magnesium directly to the affected area, providing targeted pain relief. It can also be used to help prevent muscle cramps and spasms.

Voltaren Gel

Voltaren gel is a prescription-strength topical treatment that contains diclofenac, a non-steroidal anti-inflammatory drug (NSAID). It is designed to provide pain relief and reduce inflammation in joints affected by osteoarthritis.

How Does Voltaren Gel Work?

Diclofenac works by inhibiting the production of prostaglandins, which are chemicals in the body that cause pain and inflammation. When applied topically, Voltaren gel can help reduce pain and swelling in affected joints. It is important to note that Voltaren gel is a prescription medication and should only be used under the guidance of a healthcare provider.

Final thought

Topical treatments can be a safe and effective way to manage joint and muscle pains. Penetrex, magnesium cream, and Voltaren gel are three popular options that offer unique benefits for pain relief and inflammation reduction. When used as directed, these treatments can help alleviate discomfort and improve your quality of life. Which is best cannot be determined as results vary from patient to patient.

Related: See our supplements recommendations

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Do stem cell injections really work?

Rainier Guiang MD — Wed, 08 Mar 2023 14:53:37 +0000

As a board certified specialist in interventional pain medicine, I was excited about the idea of using stem cells to treat chronic pain. Stem cell injections for spine and joint pain have been on the rise in popularity in recent years. We have seen advertisements promoting their use for almost every disease. There is no shortage of practitioners who are willing to take your money and take advantage of those desperate for relief. Many patients who suffer from chronic pain have turned to these injections as a way to alleviate their symptoms. However, there are concerns about the effectiveness and safety of these procedures.

Firstly, it is important to understand what stem cells are. Stem cells are cells that can differentiate into many different types of cells in the body. This means they have the potential to become cells that can repair or regenerate damaged tissues. Stem cells can be obtained from various sources, including bone marrow, adipose tissue, and umbilical cord blood.

The idea behind stem cell injections for spine and joint pain is that the stem cells will migrate to the affected area and help regenerate the damaged tissue, thereby reducing pain and improving function. However, there is a lack of scientific evidence to support this idea. Most of the studies on stem cell injections for spine and joint pain are small and of low quality, making it difficult to draw any conclusions about their effectiveness.

Despite the lack of evidence, many doctors are offering stem cell injections for spine and joint pain and charging high fees for the procedure. In fact, the cost of stem cell injections can range from a few thousand dollars to tens of thousands of dollars, depending on the provider and the type of procedure.

Furthermore, stem cell injections for spine and joint pain are not FDA-approved. This means that they have not undergone rigorous testing to ensure their safety and effectiveness. While some doctors argue that they are using the patient’s own stem cells, many are using donated stem cells. There is no way to prove whether these donated stem cells are viable or effective in treating pain.

In addition, there are concerns about the ethical implications of using donated stem cells. Some of these stem cells may come from embryonic tissue, which raises ethical questions about the use of human tissue for medical purposes.

Given the lack of scientific evidence and FDA approval, it is important for patients to carefully consider the risks and benefits of stem cell injections for spine and joint pain before undergoing the procedure. Patients should also be aware of the high costs associated with the procedure and the potential for donated stem cells to be ineffective or even harmful.

While stem cell injections for spine and joint pain may sound like a promising treatment option, there is not enough scientific evidence to support their use. Patients should be cautious when considering this procedure and should seek out other, more established treatment options. It is important for doctors to be transparent about the risks and benefits of stem cell injections and to refrain from offering them as a cure-all for chronic pain.

Platelet rich plasma injections have some mild evidence of effectiveness for joint pains. See our blog post about platelet rich plasma.

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The post Do stem cell injections really work? appeared first on University Pain Consultants.

Botox for migraines

Rainier Guiang MD — Fri, 03 Mar 2023 14:55:14 +0000

Botox for migraines

Migraine headaches are a debilitating condition that affects millions of people worldwide. They can cause intense pain, nausea, and sensitivity to light and sound, among other symptoms. While there are several treatments available for migraines, one of the most effective and popular options is the use of Botox injections.

Botox, which is short for Botulinum toxin, is a neurotoxin that is produced by the bacteria Clostridium botulinum. It works by blocking the release of a neurotransmitter called acetylcholine, which is responsible for transmitting signals between nerve cells. When injected into the muscles, Botox temporarily paralyzes them, reducing muscle spasms and contractions.

In the case of migraines, Botox is believed to work by relaxing the muscles in the head and neck that are responsible for triggering migraines. These muscles include the temples, forehead, and the back of the neck. By reducing the tension in these muscles, Botox can help to alleviate the frequency and intensity of migraines.

Botox is typically administered through a series of injections around the head and neck every three months. The treatment is relatively quick, taking only about 15 minutes, and is relatively painless. The effects of Botox injections can last for up to three months, after which time additional injections may be required.

It is important to note that Botox is not a cure for migraines, but rather a treatment that can help to manage the symptoms. It is typically recommended for people who experience chronic migraines, which are defined as having 15 or more headache days per month, with at least eight of those being migraines.

In addition to its use for migraines, Botox is also used for a variety of other medical and cosmetic purposes, including reducing the appearance of wrinkles, treating muscle spasms, and controlling excessive sweating.

Botox injections can be a highly effective treatment option for people who suffer from chronic migraines. By relaxing the muscles in the head and neck, Botox can help to alleviate the frequency and intensity of migraines, making it easier for people to manage their condition and enjoy a better quality of life. If you suffer from migraines, talk to your doctor about whether Botox injections may be a good treatment option for you.

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The post Botox for migraines appeared first on University Pain Consultants.

Platelet rich plasma

Rainier Guiang MD — Thu, 02 Mar 2023 20:42:09 +0000

Platelet-Rich Plasma Therapy for Joint Pain: A Comprehensive Guide

At our clinic, we offer platelet-rich plasma (PRP) therapy for patients who suffer from joint pain. This therapy is a cutting-edge treatment that has shown promising results in the reduction of joint pain and improvement of joint function. In this article, we will explore the science behind PRP therapy, how it works, and its effectiveness in treating joint pain.

What is Platelet-Rich Plasma (PRP)?

Platelet-rich plasma (PRP) is a component of your own blood that contains a high concentration of platelets. Platelets are a type of blood cell that play a key role in blood clotting and wound healing. They also contain growth factors, which are proteins that help to stimulate tissue growth and repair.

PRP is created by taking a small sample of your own blood and placing it in a centrifuge, which separates the platelets from the other components of the blood. The resulting concentrated platelets, suspended in a small amount of plasma, can then be injected directly into the affected joint.

How Does PRP Therapy Work?

PRP therapy works by harnessing the natural healing properties of your own blood. When injected into the affected joint, the concentrated platelets release growth factors that promote tissue repair and regeneration. This helps to reduce inflammation and pain, as well as improve joint function.

In addition to its healing properties, PRP therapy is also believed to have an anti-inflammatory effect. This is because the platelets contain a high concentration of anti-inflammatory proteins, which can help to reduce swelling and inflammation in the joint.

Is PRP Therapy Effective for Joint Pain?

The effectiveness of PRP therapy for joint pain has been studied extensively, and the results have been promising. In a recent meta-analysis of 29 studies, PRP therapy was found to be an effective treatment for knee osteoarthritis, with statistically significant improvements in pain, function, and quality of life.

PRP therapy has also been found to be effective in the treatment of other joint conditions, including hip osteoarthritis, rotator cuff tears, and tennis elbow.

While the exact mechanism of action of PRP therapy is not yet fully understood, it is believed to work by stimulating the body’s natural healing processes. This makes it a safe and effective alternative to more invasive treatments, such as surgery or steroid injections.

Final Thoughts on PRP

At our clinic, we believe that platelet-rich plasma therapy is a safe and effective treatment option for patients who suffer from joint pain. By harnessing the natural healing properties of your own blood, PRP therapy can help to reduce pain and inflammation, as well as improve joint function. If you are suffering from joint pain, we encourage you to consider PRP therapy as a minimally invasive and potentially effective treatment option.

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The post Platelet rich plasma appeared first on University Pain Consultants.

What is Spinal Cord Stimulation?

Hamilton Chen MD — Wed, 01 Mar 2023 05:35:36 +0000

Spinal cord stimulation (SCS)

SCS is a relatively new, minimally invasive procedure that has been proven to provide relief from chronic pain. The process involves implanting a small device in the spine that delivers electrical impulses to the spinal cord and surrounding tissue. The stimulation helps to block signals of pain and reduce inflammation in the affected area. SCS has been used to treat a variety of chronic pain conditions, including back pain, neck pain, and complex regional pain syndrome. It’s an effective treatment for those who have not found relief through other methods, such as medications, physical therapy, and lifestyle changes. When considering SCS, it’s important to consult with a qualified healthcare professional to determine if it’s the right option for you. In general, this procedure is best suited for those with chronic pain that has not responded to other treatments. It’s important to note that SCS is not a cure-all, and it may not be effective for some patients. The procedure itself is relatively simple. A small medical device is implanted under the skin near the spine. This device is connected to leads, which are then connected to the spinal cord. Once everything is in place, the device can be programmed to deliver electrical impulses to the nerves in the area to help block pain signals. The greatest benefit of SCS is that it can provide long-term relief from chronic pain without the need for medications or surgery. It can also reduce the need for painkillers, which can be addictive and have serious side effects. Overall, SCS is an effective option for those suffering from chronic pain that has not responded to other treatments. If you’re interested in this procedure, you may consult with a physician at University Pain Consultants to determine if it’s the right option for you.

The post What is Spinal Cord Stimulation? appeared first on University Pain Consultants.

How does an RFA work?

Rainier Guiang MD — Tue, 28 Feb 2023 04:19:39 +0000

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What is an RFA?

Low back pain is a common ailment that affects millions of people around the world. There are several treatment options available for low back pain, including medications, physical therapy, and surgery. In this article we will discuss what a radiofrequency ablation (RFA) is.

Radiofrequency ablation is a medical procedure that uses heat generated by high-frequency electrical currents to destroy sensory nerves that transmit pain signals from the affected area. In the case of low back pain, RFA targets the nerves that supply the facet joints in the spine, which are the small joints that between bones that protect the spinal canal where the spinal cord is.

How is an RFA done?

During the RFA procedure, the patient is given local anesthesia to numb the area around the affected facet joints. A small needle is then inserted into the skin and directed toward the targeted nerve under the guidance of fluoroscopy, a type of X-ray imaging. Once the needle is in place, a small electrode is inserted through the needle and positioned next to the nerve.

The electrode is then heated, using a high-frequency electrical current, which creates a lesion on the nerve. This destroys the nerve’s ability to transmit pain signals, providing pain relief. The entire procedure typically takes about 30-60 minutes, and patients can return home the same day.

One of the advantages of RFA is that it is a minimally invasive procedure, which means that there is no need for general anesthesia or a hospital stay.

How long does an RFA last?

Every patient is different and no one can guarantee any efficacy due to the many factors that can contribute to low back pain. The average would be 3-6 months if effective. However if the patient also has degenerative disc disease or spinal stenosis, the duration is usually shorter.

Risks of RFA

RFA is a safe treatment option for many patients with low back pain. However, as with any medical procedure, there are potential risks and complications, including bleeding, infection, and nerve damage. It is important for patients to discuss the potential benefits and risks of RFA with their healthcare provider to determine if it is the right treatment option for them.

Radiofrequency ablation is a minimally invasive treatment option for patients with low back pain. By targeting the nerves that transmit pain signals from the facet joints in the spine, RFA can provide long-lasting pain relief and improve function for patients. As with any medical procedure, it is important for patients to discuss the potential benefits and risks of RFA with their healthcare provider to determine if it is the right treatment option for them.

What RFA does not do

RFA is a treatment for pain that that originates from the facet joint.

It does not permanently cure the problem.
It does not help with pain due to degenerative disc disease, sciatica, or spinal stenosis.

The post How does an RFA work? appeared first on University Pain Consultants.

Spinal Cord Stimulation for sciatica

Rainier Guiang MD — Tue, 28 Feb 2023 03:07:31 +0000

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Sciatica is a painful condition that affects millions of people worldwide. It is caused by compression or irritation of the sciatic nerve, which runs from the lower back down to the legs. Sciatica can cause a range of symptoms, including pain, tingling, numbness, and weakness in the lower back, hips, and legs. While there are many treatment options available for sciatica, one option that has shown promise in recent years is spinal cord stimulation.

Spinal cord stimulation involves the use of a small device, called a spinal cord stimulator, which is implanted under the skin near the spinal cord. The device delivers electrical impulses to the spinal cord, which can help to block pain signals and provide relief from sciatica symptoms. Spinal cord stimulation is typically recommended for people who have not responded to other treatments, such as medication or physical therapy.

The spinal cord stimulator is made up of three parts: the battery, the leads, and the generator. The battery is the power source for the device, and it is typically implanted under the skin in the abdomen or buttocks. The leads are thin wires that are threaded through the spinal canal and attached to the spinal cord. The generator is the control center for the device, and it is usually worn outside the body, like a pager or cell phone.

One of the main benefits of spinal cord stimulation for sciatica is that it can provide targeted pain relief without the use of medication. This can be particularly beneficial for people who are unable to take pain medication due to side effects or interactions with other medications. Additionally, spinal cord stimulation can provide long-term pain relief, which can improve quality of life and reduce the need for other treatments.

Spinal cord stimulation is typically recommended for people who have chronic sciatica that has not responded to other treatments. It is also often used for people who have had back surgery but continue to experience pain. In some cases, spinal cord stimulation may be used as a first-line treatment for sciatica, particularly in people who are not good candidates for surgery.

While spinal cord stimulation can be an effective treatment for sciatica, it is not suitable for everyone. People who have pacemakers or other implanted devices may not be able to have a spinal cord stimulator implanted. Additionally, spinal cord stimulation is not recommended for people who have untreated psychiatric conditions, as it can exacerbate these conditions.

Spinal cord stimulation is a promising treatment option for people with sciatica who have not responded to other treatments. The procedure involves implanting a small device under the skin near the spinal cord, which delivers electrical impulses to block pain signals. Spinal cord stimulation can provide targeted pain relief without the use of medication, and it can provide long-term pain relief that can improve quality of life. If you are experiencing sciatica symptoms, speak to your doctor to determine if spinal cord stimulation may be an appropriate treatment option for you.

The post Spinal Cord Stimulation for sciatica appeared first on University Pain Consultants.