Services Offered at Pain Management Partners in Eugene, OR
Complete Medical Pain Management Consultation
A complete history of the medical problem, physical examination, and a variety of diagnostic services form the backbone of a Pain Management Consultation. Appropriate recommendations to the referring provider and the patient result in new directions and opportunities for management of complex pain problems. Narcotic prescribing and assumption of care is NOT a usual component of the initial Pain Management Consultation, unless prior arrangements have been made.
Ongoing Medical Treatment and Pain Management
Although pain cure is desirable, pain management is an on-going process that maximizes function, improves comfort, and stabilizes medical care for the chronic pain sufferer. Regular office visits are necessary to provide continuity of care. Narcotic/opioid pain medication prescribing may or may not be part of the treatment plan. Special arrangements are made for those who need to take controlled substances in order to maximize function and manage their chronic pain.
Trigger Point Injection
Trigger points are usually small areas of tightly knotted muscle and connective tissue that cause localized and referred pain. By injecting anesthetic medicine into these points the muscle can relax so one can gently stretch the tissues back to normal length, bringing lasting pain relief.
Pain Management Partners offers lidocaine infusion for many types of neuropathic pain. Once one of our providers has approved the patient for this treatment, an appointment is made with one of our receptionists. At the time of the appointment, the patient checks in at the front desk and is directed to the Community Room in the lower level. The specialized room accommodates six patients for treatment, staggered every 15 minutes. The medical assistant checks the patient, the registered nurse administers the IV and a medical doctor concludes the visit. The entire appointment can take up to an hour. Please avoid scheduling other appointments so as not to feel rushed or anxious during this procedure.
Intravenous administration of Lidocaine, an anesthetic medication used to reduce nerve pain, can improve some types of pain. Periodic observation by our registered nurse, Linda, during the one-hour appointment helps ensure the best outcome. Vital signs and cardiac rhythm are monitored as indicated throughout the treatment.
Some conditions respond well to treatment and may have lasting results from several weeks to several months following treatment. IV lidocaine treatment is considered a success if more than 30% pain reduction occurs for 10 days or more.
Reasons for considering treatment are varied:
- Pain flare-ups that are not responding to usual treatment modalities.
- A desire for a reduction in baseline pain in order to improve function.
- Temporary improvement needed for a defined period of time such as travel for an upcoming vacation.
- As part of the treatment plan to achieve the next level in exercise tolerance, physical conditioning, functional capacity, or treatment tolerance.
- As a part of pre- or post-operative care.
Transcutaneous Electrical Nerve Stimulation (TENS) is a device that delivers an electrical pulse through the skin. The TENS unit works by blocking the pain messages and/or releasing endorphins, the body’s natural pain relievers. This non-invasive pain treatment produces a mild electrical current by placing electrode patches on the skin. The electrodes are placed directly on or beside the affected area.
Ketamine is an anesthetic that has been in use for decades. It has also earned a reputation as a drug of abuse. In full doses it can be used in the operating room or veterinary clinic alongside other medications for anesthesia. In low intravenous doses, it can produce light sedation and a profound amount of pain reduction. It is currently used in some Emergency Departments as an alternative to opioids in various situations. Infused intravenously in the outpatient clinic, Ketamine may reduce certain types of pain for hours or days, sometimes even weeks. It is also being investigated for the alleviation of treatment resistant major depressive disorder. At present, Ketamine infusion in the outpatient setting remains “experimental” and is not FDA approved for relieving chronic pain or depression. Ketamine can have side effects, including a dream-like state, hallucinations, unpleasant experiences and other temporary effects. We use Ketamine as a last step in addressing intractable pain conditions like complex region pain disorder (reflex sympathetic dystrophy).
Alpha waves are one type of brain waves. Other types of brain waves include beta, theta, delta waves, each pointing to a different state of brain functioning. Alpha waves correspond with a state of relaxation. Meditation can produce alpha waves. Alpha-Stim is a non-invasisve device that uses microcurrent electrical therapy (MET). This electrical waveform allows the body’s cells to operate naturally, bringing pain relief. www.alpha-stim.com
This non-invasive treatment delivers a variety of drugs directly through the skin, hence bypassing the gastrointestinal tract. An iontophoresis device delivers medication to the specific painful area using a low voltage electrical current. This technique helps manage pain and reduce inflammation without injection. http://www.empi.com
The term “arthritis” means joint inflammation. Inflammation can cause pain, swelling and stiffness. The two common types of arthritis are osteoarthritis (OA), the breakdown of joint cartilage, and rheumatoid arthritis (RA), the inflammation of the joint lining, called synovium. Joint injections are useful therapeutic techniques for arthritis, impingement syndromes and tendinopathies.
The bursa is what cushions the tendon and helps prevent friction between the tendon and the bone. A Bursa Injection can help determine the pain source and may provide long-term relief by reducing inflammation. A thin needle is inserted into the center of the bursa thought to be causing the pain and a combination of anti-inflammatory (steroid) and anesthetic (numbing) medication is then injected to decrease inflammation and relieve pain.
Osteopathic Manipulative Techniques
Manipulation of body structures in specific ways can induce muscle relaxation, mobilize joints, change proprioceptive function, and re-establish function. Examples of these techniques include myofascial release, counterstrain, percussive mobilization, etc.
Urine Drug Screen
Pain Management Partners, LLC, operates a CLIA-certified lab onsite to perform urine drug screens. Testing helps us monitor a patient’s progress and the medications they are prescribed. PMP requires patients to provide a urine sample at their initial visit and at various follow-up visits. Our multi-panel urine drug screen determines the presence of specified drugs or their metabolites. Urine is collected in a secure cup and tested in our lab. Results are generally provided within 48-hours and included in the patient’s chart.