At LewisGale, our pain management techniques are designed to be minimally invasive with maximum effectiveness. You benefit from long-lasting pain relief administered by our caring team of experts.

Our outpatient rehabilitation services also provide diagnosis and treatment options for individuals experiencing ongoing pain.

Advanced Pain Treatment Options at LewisGale

Cryoanalgesia

Physicians use the cryoanalgesia system to relieve pain by freezing it away. Precision probes are used to isolate a nerve and extreme cold is applied intermittently over several minutes. The nerve temporarily "dies" and ceases to transmit pain impulses. Pain relief lasts from three months to one year. Chance of nerve damage is low with this method. Individuals with highly localized pain due to nerve injury are good candidates for cryoanalgesia.

Discography

Discography is a diagnostic procedure, not a treatment, in which X-ray dye is injected into the spinal disc(s) and an X-ray called a discogram is taken. The discogram provides information on whether tears occur in the spinal disc. The results of a discography can be used to plan spinal surgery or pain management therapy.

Epidural Steroid Injection

An epidural steroid injection involves the injection of steroids into the neck or low back. Sometimes, a local anesthetic may be injected with the steroid. These injections are often provided to individuals with herniated discs, degenerative disc disease or spinal stenosis who have nerve pain in their arms or legs. This procedure is performed by interventional radiologists at LewisGale.

Intrathecal Pain Therapy (ITC)

ITC is a surgically implanted pump that works by delivering small, regular doses of analgesic directly to the pain receptors in the spinal cord, blocking the pain messages to the brain. The medication goes through a catheter to the intrathecal space around the spinal cord where it’s most effective. This treatment requires test dosing or placement of a temporary catheter for trial screening.

Nerve Blocks

A local anesthetic is used for injecting a nerve block for specific areas of the body. The nerve block also can be used to diagnose which neural pathway is causing the chronic pain. Sciatic nerve block is one example of treatment for pain in the lower extremity.

Radiofrequency

Radiofrequency lesioning utilizes radiofrequency electricity to produce heat that melts away nerves, nerve endings or other tissues and blocks pain messages to the brain. This technique is used to treat several areas of the spine causing back pain, such as diseased or injured facet joints (small joints between vertebrae) or spinal discs.

Spinal Cord Stimulators (SCS)

This surgically implanted pain pump therapy uses electrical impulses to block pain from being perceived in the brain. Instead of pain, the patient feels a pleasant tingling sensation. Implanting the device requires a local anesthesia so the patient can provide feedback to the doctor for the most effective lead placement. Once the lead is in place, the system is activated and the patient helps determine how well it’s working.

Treatment is most effective when pain is in one or both arms or legs, or for low back pain that persists after surgery and requires a trial of 24 hours to two weeks.

Transcutaneous Electrical Nerve Stimulation (TENS)

Electrode patches are applied to the skin in the area to be treated. A mild current runs from the stationary stimulator through these patches, sending a painless electrical current through the skin to specific nerves. The current may be delivered intermittently and generates heat that serves to relieve stiffness, improve mobility and relieve pain. The treatment is believed to stimulate the body’s production of endorphins or natural pain killers.

This treatment relieves back, knee, shoulder, neck, and muscle-associated pain, myofascial and arthritic pain, bladder incontinence, neurogenic and visceral pain, postoperative pain, work and sport related injuries, carpal tunnel syndrome and repetitive strain injuries.

Take the Next Step Toward Managing Your Pain

Our free referral service, Consult-A-Nurse®, can help you:

  • Find a doctor and make an appointment
  • Answer healthcare questions
  • Register for classes and events

Call (877) 242-2362. Available 24/7.