Therapeutic Injections for Pain Management Reno NV

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Paul Matthew Mailander, MD
(775) 348-1313
1005 Terminal Way
Reno, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1982
Hospital
Hospital: St Marys Reg Medctr, Reno, Nv; Washoe Med Ctr, Reno, Nv
Group Practice: Sierra Anesthesia

Data Provided By:
Richard Joseph Kroening, MD
(775) 797-2431
Reno, NV
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717
Graduation Year: 1962

Data Provided By:
Brian William Dubois, MD
(775) 853-3545
604 Rabbit Ridge Ct
Reno, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

Data Provided By:
Charles Filippini, M.D.
81 S. Mills Street
Reno, NV
 
R. Gary Holt, M.D.
4600 Kietzke Lane
Reno, NV
 
Susan Loring
(775) 843-2846
3732 Lakeside Drive
Reno, NV
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management, Psychological Assessment
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Loma Linda University
Credentialed Since: 2005-10-31

Data Provided By:
Christopher John Hussar, DO
(775) 826-1200
9408 Double R Blvd
Reno, NV
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1986

Data Provided By:
Jerry Matsumura, M.D.
300 S. Arlington Avenue
Reno, NV
 
Michael Lewandowski, PhD
3312 S. McCarran Blvd
Reno, NV
 
W. John Diamond, M.D.
4600 Kietzke Lane
Reno, NV
 
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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