Therapeutic Injections for Pain Management Kailua Kona HI

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Robert Sloan, M.D.
75-127 Lunapule Road
Kailua Kona, HI
 
David Bliss, M.D.
P O Box 383400
Waikoloa, HI
 
Jackie L. Guadagnoli
(808) 246-1114
2970 Kele St, Ste 109
Lihue, HI
Services
Individual Psychotherapy, Behavioral Health Intervention involving Life Threatening/Terminal Disease, Hypnosis or Hypnotherapy, Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: New Mexico State University
Credentialed Since: 2000-08-07

Data Provided By:
Annette A. Shimizu
(808) 522-4521
Straub Clinic & Hosp
Honolulu, HI
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Hypnosis or Hypnotherapy, Individual Psychotherapy, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Hawaii - Manoa
Credentialed Since: 1984-10-30

Data Provided By:
Bradley Ross Hall, MD
(808) 531-1116
4711 Matsonia Dr
Honolulu, HI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1985

Data Provided By:
Robert R. Sloan, M.D.
75-127 Lunapule Road
Kailua Kona, HI
 
Robin Emi Sugihara Miyamoto
(808) 531-5711
2226 Liliha St. Suite 306
Honolulu, HI
Services
Behavioral Health Intervention involving Medical Conditions/Disorder, Behavioral Health Intervention involving Life Threatening/Terminal Disease, Biofeedback, Stress Management or Pain Management, Behavioral Health Intervention involving Primary Care
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Argosy University - Hawaii
Credentialed Since: 2004-05-10

Data Provided By:
William T. Tsushima
(808) 522-4521
Straub Clinic & Hosp, Inc.
Honolulu, HI
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Stress Management or Pain Management, Individual Psychotherapy, Clinical Neuropsychological Assessment, Biofeedback
Ages Served
Adults (18-64 yrs.)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Fordham University
Credentialed Since: 1975-02-25

Data Provided By:
Laurie Edwards
(808) 772-0423
40 Aulike Street Suite 411
Kailua, HI
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), PostTraumatic Stress Disorder or Acute Trauma Reaction, Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Behavioral Health Intervention involving Medical Conditions/Disorder, 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: Alliant International University - San Francisco Bay
Credentialed Since: 2009-02-17

Data Provided By:
Greg Wm Ruhland, MD
(808) 961-6420
28 Makakai Pl
Hilo, HI
Specialties
Anesthesiology, Pain Management, Critical Care Medicine-Internal Medicine
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1981

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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