CHRONIC PAIN SYNDROME
You may experience temporary neck pain if you sleep in an awkward position or sit in an uncomfortable chair, but pain in your neck that lingers for weeks or months warrants medical attention. At Phoenician Pain & Rehabilitation Center in Chandler, Arizona, Shimul Sahai, MD, evaluates your neck pain and offers treatments for lasting relief.
Back Pain is one of the most common complaints people seek medical care for. In fact, 80 percent of adults experience low back pain at some point in their lifetimes. Many treatment options are available. Our providers complete a full diagnostic evaluation with the goal of offering treatment options tailored to each individual patient.
Hip pain prevents you from living life to the fullest and can cause compensatory issues in your back and legs. Pain management expert Shimul Sahai, MD, of Phoenician Pain & Rehabilitation Center in Chandler, Arizona, can help determine what’s causing your hip pain and offer solutions to help resolve it for the long-term. She takes a multidisciplinary approach to pain management, so you can get back to doing all the activities you love.
Chronic Pain Syndrome
Chronic pain can be severely debilitating and often leads to the development of chronic pain syndrome (CPS), which comes with additional health issues such as anxiety, depression, and sleep problems. Shimul Sahai, MD, and her expert team at Phoenician Pain & Rehabilitation Center in Chandler, Arizona, specialize in helping people who are in pain, not just by treating their physical symptoms, but by providing additional therapies and support.
A musculoskeletal evaluation is an examination that your provider carries out to assess the bones, joints, connective tissues, and muscles that make up your musculoskeletal system. By observing the range of movement you have, examining your posture at rest and when moving, and looking for signs of swelling or other abnormalities, Dr. Sahai can form an accurate picture of any problems that may be causing your chronic pain.
INTERVENTIONAL PAIN PROCEDURES
Epidural Steroid Injections
An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. Medicines are delivered to the epidural space, which is a fat-filled area between the bone and the protective sac of the spinal nerves. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities The doctor who will perform the procedure reviews your medical history and previous imaging studies to plan the best approach for the injections.
Medial Branch Blocks/Facet Injections
The facets joints provide stability and control but also allow for motion in the spine, so that you can bend and twist. The nerves that supply these facet joints are called the medial branch nerves.The goal of a medial branch block is to help diagnose whether or not the cause of your pain is coming from the facet joints by numbing the medial branch nerves.
Radiofrequency neurotomy uses heat generated by radio waves to target specific nerves and temporarily turn off their ability to send pain signals. Radiofrequency neurotomy is most commonly used for pain in the back, neck and sacroiliac joints.
Spinal Cord Stimulation
Spinal cord stimulation (SCS) is a pain-relief technique that delivers a low-voltage electrical current continuously to the spinal cord to block the sensation of pain. It is commonly used for the management of failed back syndrome, complex regional pain syndrome, and peripheral neuropathy. We will place a temporary SCS device to test the degree of pain relief you experience prior to receiving a permanent implant.
Osteoarthritis (OA) is one of the most common forms of arthritis. The joint pain and stiffness caused by OA can make it difficult to work, play sports and perform daily activities. Various different injections are available to control the inflammation and pain which is caused by this condition. Contact our office to schedule a thorough evaluation and recommnedations.
Hyaluronic Acid Injections
In a healthy joint, synovial fluid provides lubrication, allowing bones to glide against one another. It also acts as a shock absorber. People with osteoarthritis develop breakdown of hyaluronic acid, a critical substance in synovial fluid. This contributes to joint pain and stiffness. A synthetic replacement may be injected into the affected joint. Schedule a consultation today to see if you are a candidate for this procedure.
Sacroiliac Joint Injections
Sacroiliitis is an inflammation of one or both of your sacroiliac joints — situated where your lumbar spine and pelvis connect. Injections into this joint can include corticosteroids, stem cells, or radiofrequency ablation. Contact our office today to see if you may be a candidate for one of these advance treatment options.
Comprehensive medication management can be an important part of a patient’s treatment plan. Medications used can include anti-inflammatories, muscle relaxants, neuromodulators, and herbal supplements. In some cases, opiates are indicated. These are prescribed only after a careful consultation during which the risks and benefits are thoroughly assessed. The goal of medication management is to minimize dosing and side effects and maximizing quality of life and functional abilities.