Posts for tag: back pain
Is it time that you saw a pain management doctor to help you with your back problems?
Dealing with chronic back pain can be frustrating and at times unbearable. Unfortunately, back pain is one of the leading causes of disabilities in American adults. If you’ve had surgery to correct the problem, you may be distraught to discover that you’re still dealing with pain. Fortunately, our Victoria and Sugar Land TX, interventional pain management physicians Dr. Wilson Almonte and Dr. Ted Lin provide other solutions to help get your back pain under control, even after failed back surgery.
How do you know if your back surgery failed?
If you are still dealing with rather persistent pain even after recovering from back surgery, or if the pain gets worse, then these are signs that back surgery failed. You may also notice symptoms of leg pain, as well.
What should you expect from our pain management practice?
When you come into our office, regardless of whether you’ve had back surgery before or not, the goal of Dr. Wilson Almonte, Dr. Ted Lin, and their team is to try and provide a definitive diagnosis so that we know how to proceed. We may require imaging tests, metabolic tests to look for thyroid function, and nutritional deficiencies.
There are many reasons for failed back surgery. Some of them include,
- Too much rest and immobility after surgery
- Addressing the primary pain problem with surgery but not addressing other underlying problems
- The surgery didn’t actually treat the underlying cause of the pain (or the diagnosis was incorrect)
- You’re dealing with back instability due to surgery
There are a variety of treatment options that we can employ that can effectively manage back pain even after surgery. Some of these include,
- Spinal cord stimulator implants (can be incredibly effective for treating failed back surgery syndrome)
- Epidural injections
- Exercise therapy/physical therapy
- Neuropathic pain medications
- Psychotherapy/counseling recommendations
In some cases, minimally invasive surgery may be necessary to correct the problem, particularly if there are several causes for your back pain that weren’t properly addressed in the first surgery. We can sit down with you to fully discuss your treatment options to make sure that you finally get the pain management and care you deserve.
If you are experiencing back pain despite having undergone surgery here in Victoria or Sugar Land, TX, turn to Dr. Almonte and his team at Victoria Pain & Rehabilitation Center, and Brazos Pain Management by calling today. To contact Victoria Pain & Rehabilitation Center, call (361) 575-2882. For Brazos Pain Management, call (281) 240-4300.
Find out how motor control exercises and training can improve back pain and other muscular issues.
Around 80 percent of people will experience back pain at some point. Chronic back pain can make it impossible to get through your normal routine let alone perform effectively at work. If chronic back pain is affecting your quality of life Dr. Wilson Almonte, Dr. Ted Lin, and our physical therapy team can provide motor control training to alleviate your pain. We have offices in both Victoria and Sugar Land TX. Contact Victoria Pain & Rehabilitation Center, Victoria Physical Therapy, and Brazos Pain Management today.
What is motor control training?
Motor control training includes a variety of exercises that are designed to help improve the functionality, range-of-motion, and coordination of the muscles around the spine. The physical therapists at our Victoria location will walk you through several exercises, and as you progress and your pain improves, will continue to provide you with more complex exercises to make everything from minor to more complex tasks and activities easier and pain-free.
The types of motor control exercises we offer focus on improving all forms of movement including reflexive, adaptive, and voluntary movements. Our physical therapists will factor in posture, biomechanics, neurophysiology, and motor re-learning to create customized solutions to help make tackling your everyday routine possible.
What is proprioceptive neuromuscular facilitation (PNF)?
PNF stretching is another effective technique that can stretch out just about any muscles of the body. This helps send signals to the brain to help the muscles fully relax. There are three main types of PNF techniques:
PNF stretching can help improve flexibility and range of motion particularly in the hip flexors, hamstrings, back, and glutes. These therapeutic exercises can provide amazing results when it comes to improved mobility. It’s even been effective for those dealing with mobility issues as a result of certain neuromuscular health problems such as multiple sclerosis.
If you are dealing with chronic back pain know that you have treatment options that can help you lead a pain-free life. Turn to the experts at Victoria Pain & Rehabilitation Center and Brazos Pain Management, Dr. Wilson Almonte, Dr. Ted Lin, and our Victoria physical therapy team. To contact Victoria Pain & Rehabilitation Center, call (361) 575-2882. For Victoria Physical Therapy, call (361) 578-7396. Lastly, for Brazos Pain Management, call (281) 240-4300. We are located in Victoria and Sugar Land TX.
Spinal Cord Stimulation and You
Chronic back pain along your spinal cord can be debilitating, keeping you uncomfortable during the day and awake at night. You may have tried physical therapy, medications, or injections to relieve your back pain, but when non-invasive treatments have proven ineffective, it may be time to try a spinal cord stimulator.
Dr. Wilson Almonte in Victoria and Sugar Land TX offers spinal cord stimulation treatments and is here to help you evaluate if this is the right remedy for your back pain.
What Is a Spinal Cord Stimulator?
A spinal cord stimulator uses electrodes and a generator to send electrical impulses along the spinal cord to relieve pain. The electrodes are positioned between the spinal cord and vertebrae, while the generator is implanted under the skin near your abdomen or lower back. You are in control of the stimulations, using a button remote to activate the electrical impulses when you are experiencing pain. Instead of pain, you will feel a tingling sensation.
Is Spinal Cord Stimulation the Right Treatment for My Chronic Back Pain?
Spinal cord stimulation has proven effective for many in reducing back pain, including those for which surgery proved ineffective. The electrical impulses are intended to reduce pain, allowing you to rest easier, perform daily activities, and feel comfortable.
Before committing to having a generator implanted, you can try out an external version of a spinal cord stimulator. This temporary treatment uses insulated leads inserted under the skin near the spinal cord, located at a spot that best minimizes your pain. The leads will be connected to a stimulator attached to a belt and controlled by remote, allowing you to spend a few days testing out the process of using electrical impulses to alleviate pain. If you are happy with the results, you can schedule an appointment to have a permanent version implanted.
Let Dr. Wilson Almonte help you find a solution for your chronic back pain. Call 361-575-2882 today for a consultation at our office in Victoria TX or (281) 240-4300 for our Sugar Land TX office.
Is back pain interfering with your daily life? At Brazos Pain Management in Sugar Land and Victoria Pain & Rehabilitation Center in Victoria, Texas, Dr. Wilson Almonte and Dr. Ted Lin help patients manage and overcome their pain and its associated disabilities. Read on to learn more about back pain and how these highly-skilled and compassionate physicians can help you live the life you deserve.
What is back pain?
It can be chronic or acute, resulting from a degenerative process, surgery, accident, or malformation. Whatever the source, sufferers agree that back pain impacts how they interact with their loved ones, function on the job and simply go about their daily activities.
Back pain is a leading cause of disability in the United States, causing loss of work and school days and impacting health care costs. In particular, lower back pain seems to be on the rise across the world. In other words, back pain is an ongoing, and often frustrating, problem.
Dr. Almonte and Dr. Lin use a holistic approach to back pain management. They investigate a person's overall health, the source of the injury or chronic condition and what needs to change to improve the pain and quality of life.
As such, your individualized care plan may include various therapeutic modalities such as physical therapy and minimally invasive treatments. Our professional team will work with you closely to understand your condition every step of the way and vary your treatments as needed.
Offered treatments for back pain
After an initial evaluation by Dr. Almonte or Dr. Lin, you will be offered a tailor-made care plan. Back pain services include:
- Nerve block and steroid injections
- Spinal cord implant stimulators which block pain through locally-applied electricity
- Radiofrequency ablation, which decreases pain reception through the application of radio waves
- Lumbar decompression (lower back pain treatment)
- Intrathecal Pump Trial, to deliver pain medication to the spinal cord through a catheter
Take charge of your back pain and your life
At Brazos Pain Management in Sugar Land, TX and Victoria Pain & Rehabilitation Center in Victoria, TX. It's our honor and privilege to help you achieve maximum comfort, mobility and function. For a back pain consultation with Dr. Almonte or Dr. Lin, please call one of our two pain management locations. In Victoria, phone (361) 575-2882, or in Sugar Land and the Fort Bend/Greater Houston area, call (281) 240-4300. Proudly serving patients in southeast Texas and the greater Houston area.
Recently on our blog, we’ve discussed general neck pain symptoms and neck pain treatments; now, we’re taking a deeper dive, into the lower back.
Low back pain is one of the most frequent musculoskeletal complaints. Pain may arise from damage or irritation to structures of the lower back including the vertebrae (bony spine), facet joints, discs between the vertebrae, vertebral ligaments, muscles of the lower back, spinal cord, and peripheral nerves, as well as internal organs of the pelvis and abdomen (spleen, kidney, pancreas, and liver).
Acute vs. Chronic Lower Back Pain
Typically the symptoms of low back pain resolve within four weeks – acute pain – depending on the pathology associated with the complaint. However, the pain often returns, leading to a high percentage of the U.S. population with a chronic condition that requires lower back pain management.
Acute low back pain typically comes on abruptly and occurs during a specific activity. Acute lower back injury is more commonly due to overuse by excessive exercise, lifting of heavy objects, motor vehicle accidents, or any trauma involving the lower back. The anatomy typically involved in acute low back pain is the muscles and surrounding ligaments. Vertebral body fractures, ruptured discs, and spinal cord compressions can also be seen acutely with pre-existing osteoporosis, cancer, or spinal stenosis. Acute pain due to ligament and muscle injury typically responds to activity and NSAIDs (ibuprofen-like drugs). Acute back pain should be evaluated by a physician to rule out other causes like kidney stones, kidney infection, and acute pancreatitis.
In some cases of acute back pain, a specialist and proper imaging is required for immediate evaluation (emergency room, pain specialist, spine surgeon). These cases might include:
- Acute vertebral compression fractures
- Acute disc herniation
- Fever or chills
- Weakness or paralysis
- Loss of bowel or bladder control
- Spinal cord compression
Chronic low back pain is defined as pain over three to six months in duration. Typically the symptoms are more gradual and occur over an extended period of time. With chronic low back pain a person may experience pain in their back as well as down either leg. Causes of chronic low back pain are numerous and include:
- Arthritis in the facet joint
- Sacroiliac joint disease
- Spinal stenosis (narrowing of the spinal canal)
- Degenerative disc disease
- Disc protrusion
- Disc herniation
- Disc extrusion
- Facet joint osteoarthritis
- Nerve root irritation or compression (sciatica)
- Central sensitization
- Excessive breast size
- Poor posture
- Psychological and emotional factors
- Vertebral body fractures
- Ankylosing spondylitis
In our next blog, we’ll discuss the anatomy of the lower back, and how chronic conditions can arise from disk disease and more.
In the meantime, if you’re experiencing some of these symptoms or have chronic pain from one of the conditions above, schedule an appointment with us so you can get out of pain and back to your life!