Therapeutic Injections for Pain Management Cheyenne WY

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Harlan Robert Ribnik, MD
(307) 633-8100
PO Box 20270
Cheyenne, WY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1985
Hospital
Hospital: United Med Ctr -East, Cheyenne, Wy; United Med Ctr -West, Cheyenne, Wy; Veterans Affairs Medical Ctr, Cheyenne, Wy
Group Practice: Physicians Medical Park

Data Provided By:
Reed Shaffer, M.D.
5050 Powderhouse Road
Cheyenne, WY
 
George Girardi, Md
(307) 633-8121
3235 SPARKS RD
Cheyenne, WY
Specialty
Anesthesiology, Pain Management - Interventional
Associated Hospitals
Front Range Pain Medicine, Llc

Harlan R. Ribnik, M.D.
3235 Sparks Road
Cheyenne, WY
 
Anne Bunn
(307) 399-7499
507 South 4th St
Laramie, WY
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Wyoming
Credentialed Since: 2008-12-02

Data Provided By:
Raymond Charles Lansing, MD
(307) 631-2000
214 E 23rd St
Cheyenne, WY
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1991
Hospital
Hospital: United Med Ctr -East, Cheyenne, Wy

Data Provided By:
Jonathan Singer, Do
(307) 635-4362
1401 AIRPORT PARKWAY STE 200
Cheyenne, WY
Specialty
Allergy and Immunology, Family Practice, Osteopathy, Other, Pain Management - Interventional, Physical Medicine and Rehabilitation, Preventive Medicine, Rheumatology

Kenneth Kranz, M.D.
1200 E. 20th Street
Cheyenne, WY
 
Gerald Arthur Burger, MD
111 W 2nd St Ste 107A
Casper, WY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1979

Data Provided By:
Raymond Charles Lansing, MD
(307) 631-2000
214 E 23rd St
Cheyenne, WY
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1991
Hospital
Hospital: United Med Ctr -East, Cheyenne, Wy

Data Provided By:
Data Provided By:

Injections for Pain

Pain Management: A Patient's Guide to Injections for Pain

Introduction

Injections are commonly used by pain specialists, both to help diagnose the painful condition and to help treat the painful condition.

This guide will help you understand

  • the difference between diagnostic and therapeutic injections
  • what the common medications injected are intended to do
  • the risks and benefits of injections for pain

Rationale

What is the difference between diagnostic and therapeutic injections?

Injections used for pain management can be divided into two categories: diagnostic injections and therapeutic injections.

Diagnostic injections are intended to help your doctor determine what part of the body is causing the pain you are experiencing. The part that is causing the pain is sometimes referred to as the pain generator. Diagnostic injections are used by your doctor to determine the pain generator by a process of elimination. You should also understand that there may be more than one part that is painful. There may be several pain generators.

The process of finding the pain generator begins with a careful history and physical examination. This may lead to a differential diagnosis. The differential diagnosis is a list of all the possibilities that the physician can think of that best fit with the findings from the initial history and physical examination. Once the differential diagnosis list has been determined, the goal is to figure out which item on the list is actually causing your symptoms.

The next step may be to obtain x-rays , MRI scan , or CT scans. Each of these radiological tests gives your doctor information about the structure of your spine, bones and joints. These images may show abnormalities that may account for your pain. For example, a spine x-ray may show arthritis of the joints of the spine that could be causing the pain that you are experiencing. But, simply because the structural abnormality could be causing your pain does not mean that it is. Structural abnormalities are commonly seen on radiological tests. Many of these abnormalities are not necessarily causing pain.

The rationale behind diagnostic injections is simple: If a structural abnormality identified on the radiological tests is causing your pain, and if your doctor can inject that structure to temporarily numb that and only that specific structure and the pain stops temporarily, then it makes sense that this is what is actually causing your pain.

It is also likely that you may have several abnormalities visible on the radiological tests. It may be unclear which abnormality is the cause of your symptoms. For example, you may have several intervertebral discs that appear worn out on the MRI scan of your lumbar spine. It could be that all of the discs are causing your pain - or it could be that there is only one disc causing your pain. If you are considering surgery, you would want to be sure which disc is causing the pai...

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