Therapeutic Injections for Pain Management Front Royal VA

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John Edward Davis, MD
(540) 662-8336
517 Merrimans Ln
Winchester, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1980

Data Provided By:
Nino Mario Dobrovic, MD
(801) 585-7690
Winchester, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1993

Data Provided By:
George Van Osten, M.D.
1870 Amherst Street
Winchester, VA
 
Stephen Pociask, M.D.
1870 Amberst Street
Winchester, VA
 
Taschler Spine and Rehab
(703) 957-0923
10301 Democracy Ln
Fairfax, VA
Hours
Monday 7:00 AM - 7:00 PM
Tuesday 7:00 AM - 7:00 PM
Wednesday 7:00 AM - 7:00 PM
Thursday 7:00 AM - 7:00 PM
Friday 7:00 AM - 7:00 PM
Saturday 9:00 AM - 1:00 PM
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

George Karl Van Osten, MD
(540) 536-1616
190 Campus Blvd Ste 420
Winchester, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1975

Data Provided By:
Family Chiropractic of Winchester
(540) 908-3777
609 Cedar Creek Grade Suite B
Winchester, VA
 
George Van Osten, Md
(540) 536-1616
190 CAMPUS BLVD #420
Winchester, VA
Specialty
Pain Management - Interventional
Associated Hospitals
Advanced Pain Relief Centers Inc

Alok Gopal, Md
(540) 536-1616
190 CAMPUS BLVD SUITE 420
Winchester, VA
Specialty
Anesthesiology, Pain Management - Interventional
Associated Hospitals
Advanced Pain Relief Centers Inc

Gateway Chiropractic
(571) 248-1990
7439 Linton Hall Rd
Gainesville, VA
Hours
Monday 9:00 AM - 1:00 PM
Tuesday 9:00 AM - 12:00 AM
Wednesday 9:00 AM - 1:00 PM
Thursday 9:00 AM - 12:00 AM
Friday 9:00 AM - 1:00 PM
Saturday 9:00 AM - 11:00 AM
Sunday Closed
Services
Auto Accidents, Chiropractic Laser Therapy, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

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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