Therapeutic Injections for Pain Management Oak Ridge TN

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Russ V. Reynolds
(865) 574-3434
B&W Y-12 Occupational Hlth Serv
Oak Ridge, TN
Services
Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Health Services Consultation to Business or Organizations, Stress Management or Pain Management, Behavioral Health Intervention involving Medical Conditions/Disorder
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Ohio U
Credentialed Since: 1995-11-13

Data Provided By:
Jack Emile Scariano Jr, MD
(865) 769-9595
9333 Park West Blvd Ste 205
Knoxville, TN
Specialties
Neurology, Pain Medicine
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1975
Hospital
Hospital: Fort Sanders Parkwest Med Ctr, Knoxville, Tn
Group Practice: West Knoxville Neurological

Data Provided By:
Edward Alva Workman, MD
(540) 774-9571
Knoxville, TN
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1988

Data Provided By:
James Paul Beretta, DO
(205) 663-2481
1128 E Weisgarber Rd
Knoxville, TN
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Nova Se Univ, Coll Of Osteo Med, Ft Lauderdale Fl 33328
Graduation Year: 1988

Data Provided By:
David Compton, M.D.
100 Vermont Avenue
Oak Ridge, TN
 
Susan J. Stalgaitis
(865) 691-2425
9217 Park West Boulevard
Knoxville, TN
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), Couples Psychotherapy, Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Memphis
Credentialed Since: 1985-09-23

Data Provided By:
Edward Alva Workman, MD
(865) 470-4181
801 Kempton Rd
Knoxville, TN
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1988

Data Provided By:
Matthew Burris Vance, MD
(865) 776-4239
PO Box 51947
Knoxville, TN
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1999

Data Provided By:
Daniel L. Simmons
(865) 376-1585
1002 Bradford Way
Kingston, TN
Services
Individual Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Stress Management or Pain Management
Education Info
Doctoral Program: U Wyoming
Credentialed Since: 1985-08-19

Data Provided By:
David Teicheira, M.D.
990 Oak Ridge Turnpike
Oak Ridge, TN
 
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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