Pain Management Center - Chapel Hill, NC
Chapel Hill Pain Management Physician Doctors for Pain ManagementType of Physician: Pain Management Physician What is a Pain Management Physician? An interdisciplinary subspecialty certification by the Boards of Anesthesiology, Psychiatry & Neurology, and Physical Medicine & Rehabilitation; practitioners provide a high level of care either as a primary physician or consultant for patients experiencing problems with acute or chronic pain in both inpatient and outpatient settings, and coordinate a multidisciplinary approach toward pain management. Specialty: Pain Management Common Name: Pain Management Physician Doctors in Chapel Hill * Blue Ridge Clinical Associates  Pain Evaluation & Treatment Services  HEAG Pain Management Center  Brier Creek Integrated Pain & Spine  Capital Neurology & Headache Center PA  Carolina Pain Consultants Rex Pain Management Center  Raleigh Spine & Headache Center  Wake Interventional Pain Institute  Sonia Pasi MD  Piedmont Spine Pain Medicine Center  ARMC Pain Management Services  Burlington Anesthesia PA  ARMC Pain Management Services  Burlington Anesthesia PA  Carl L Smith MD  The Center for Pain & Rehabilitative Medicine  Guilford Pain Management PA  Greensboro Orthopaedics  Cape Fear Treatment Center  Rudolph J Maier MD  Carolina Regional Orthopaedics Inc  Wake Forest Baptist Medical Ctr  Family Medicine & Rehab Ctr  Carolinas Pain Institute PA  Carolinas Pain Institute PA  Triad Neurological Associates  David L Spivey MD  Advanced Interventional Pain Management  Advanced Interventional Pain Management  Advanced Interventional Pain Management  Vein Clinic Of North Carolina PA  Heritage Medical Clinic Pain Management  Ashleybrook Clinic PA Chapel Hill, North CarolinaUpcoming Local Events2012-06-16
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Pain ManagementRead the Pain Management article » Introduction to pain managementPain management can be simple or complex, depending on the cause of the pain. An example of pain that is typically less complex would be nerve root irritation from a herniated disc with pain radiating down the leg. This condition can often be alleviated with an epidural steroid injection and physical therapy. Sometimes, however, the pain does not go away. This can require a wide variety of skills and techniques to treat the pain. These skills and techniques include:
All of these skills and services are necessary because pain can involve many aspects of a person's daily life.
How is pain treatment guided?The treatment of pain is guided by the history of the pain, its intensity, duration, aggravating and relieving conditions, and structures involved in causing the pain. In order for a structure to cause pain, it must have a nerve supply, be susceptible to injury, and stimulation of the structure should cause pain. The concept behind most interventional procedures for treating pain is that there is a specific structure in the body with nerves of sensation that is generating the pain. Pain management has a role in identifying the precise source of the problem and isolating the optimal treatment. Fluoroscopy is an X-ray guided viewing method. Fluoroscopy is often used to assist the doctor in precisely locating the injection so that the medication reaches the appropriate spot and only the appropriate spot. What are the basic types of pain?There are many sources of pain. One way of dividing these so... Recommended Reading Related to Pain ManagementHow are the spine and its discs designed?The vertebrae are the bony building blocks of the spine. Between each of the largest parts (bodies) of the vertebrae are the discs. Ligaments are situated around the spine and discs. The spine has seven vertebrae in the neck (cervical vertebrae), 12 vertebrae in the mid-back (thoracic vertebrae), and five vertebrae in the low back (lumbar vertebrae). In addition, in the mid-buttock, beneath the fifth lumbar vertebra, is the sacrum, followed by the tailbone (coccyx). The bony spine is designed so that vertebrae "stacked" together can provide a movable support structure while also protecting the spinal cord (nervous tissue that extends down the spinal column from the brain) from injury. Each vertebra has a spinous process, which is a bony prominence behind the spinal cord that shields the cord's nerve tissue. The vertebrae also have a strong bony "body" in front of the spinal cord to provide a plat... Other Related Pain Management ArticlesEmergency Contact for Chapel Hill
Nearby Chapel Hill Hospitals *UNC Health Care Duke University Medical Center Durham VA Medical Center Durham Regional Hospital Select Specialty Hospital Durham North Carolina Specialty Hospital WakeMed Cary Hospital Rex Healthcare John Umstead Hospital Duke Raleigh Hospital Chatham Hospital Alamance Regional Medical Center WakeMed Raleigh Campus Holly Hill Hospital Central Carolina Hospital Person Memorial Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
Suggested Reading on Pain Management by Our Doctors
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Related Diseases & Conditions
25 articles-
Lower Back Pain
- There are many causes of back pain. Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.
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Fibromyalgia
- Fibromyalgia, formerly known as fibrositis, causes chronic pain, stiffness, and tenderness of muscles, tendons, and joints without detectable inflammation. Fibromyalgia patients have an unusually low pain threshold. Symptoms of fibromyalgia include fatigue, abnormal sleep, mental/emotional disturbances, abdominal pain, migraine and tension headaches, and irritable bladder. Treatment of fibromyalgia involves patient education, medication, exercise, and stress reduction.
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Migraine
- Migraine is usually periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Treatments for migraine headache include therapies that may or may not involve medications.
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Peripheral Neuropathy
- Peripheral neuropathy is a problem with the functioning of the nerves outside of the spinal cord. Symptoms may include numbness, weakness, burning pain (especially at night), and loss of reflexes. Possible causes may include carpel tunnel syndrome, meralgia paresthetica, vitamin or nutritional deficiencies, and illnesses like diabetes, syphilis, AIDS, and kidney failure. Most causes of peripheral neuropathy can be successfully treated or prevented.
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Facial Nerve Problems and Bell's Palsy
- Facial nerve disorders affect the muscles of the face. There are many causes of facial nerve disorders including: trauma, nervous system disease, infection, metabolic disorders, tumors, toxins, or Bell's palsy. Symptoms of facial nerve problems include: facial muscle paralysis, weakness, or twitching of the face; dryness of the eye or mouth, or taste alteration.
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Sciatica
- Sciatica pain, caused by irritation of the sciatic nerve, typically radiates from the low back to behind the thigh to below the knee. Disc herniation is usually the cause of sciatica. Medication to alleviate pain, physical therapy, and bed rest are treatments for sciatica.
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Neck Pain
- Neck pain (cervical pain) may be caused by any number of disorders and diseases. Tenderness is another symptom of neck pain. Though treatment for neck pain really depends upon the cause, treatment typically may involve heat/ice application, traction, physical therapy, cortisone injection, topical anesthetic creams, and muscle relaxants.
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Chondromalacia Patella (Patellofemoral Syndrome)
- Chondromalacia patella (housemaid's knee or secretary's knee) results from misalignment of the kneecap as it slides over the lower end of the thigh bone. Symptoms include tightness or fullness in the knee area, swelling, and mild discomfort. Treatment includes the use of anti-inflammatory medications, in addition to stretching, strengthening and icing the knee.
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Degenerative Disc Disease & Sciatica
- Degenerative disc disease makes the disc more susceptible to herniation (rupture) which can lead to localized or radiating pain. The pain from degenerative disc or joint disease of the spine is usually treated conservatively with intermittent heat, rest, rehabilitative exercises and medications to relieve pain, muscle spasm and inflammation.
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Arthritis
- Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, and pseudogout.
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Chronic Pain
- Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
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Headache
- Headaches can be divided into two categories: primary headaches and secondary headaches. Migraine headaches, tension headaches, and cluster headaches are considered primary headaches. Secondary headaches are caused by disease. Headache symptoms vary with the headache type. Over-the-counter pain relievers provide short-term relief for most headaches.
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Whiplash
- Whiplash is a common injury to a person's neck following a car accident (in most cases). Symptoms include: headache, neck pain, neck and shoulder stiffness, shoulder pain, fatigue, dizziness, jaw pain, arm pain, weakness of the arm(s), visual disturbances, and tinnitus. Diagnosis is generally with a physical exam, x-rays, or possibly an MRI. Treatment generally includes physical therapy and time.
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Repetitive Motion Disorders (RMDs)
- Repetitive motion disorders (RMDs) are muscular conditions that result from repeated motions. Carpal tunnel syndrome, trigger finger, bursitis, and tendonitis are types of RMDs. Symptoms and signs include pain, swelling, numbness, tingling, and loss of strength and flexibility. Treatment involves stopping the activity that's causing symptoms, adopting stretching and relaxation exercises, icing the affected area, and using pain relievers.
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Pain Management: Musculoskeletal Pain
- Natural menopause is the permanent ending of menstruation that is not brought on by any type of medical treatment. For women undergoing natural menopause, the process is described in three stages: perimenopause, menopause, and postmenopause. However, not all women undergo natural menopause. Some women experience induced menopause as a result of surgery or medical treatments, such as chemotherapy and pelvic radiation therapy.
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Cancer Pain
- Cancer pain results from the tumor pressing on nerves or invading bones or organs. Cancer treatments like chemotherapy, radiation, or surgery can also cause pain. Over-the-counter pain relievers, prescription medications, radiation, biofeedback, and relaxation techniques are just some treatments for cancer pain.
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Complex Regional Pain Syndrome
- Complex regional pain syndrome is a chronic pain condition in which high levels of nerve impulses are sent to an affected site is called complex regional pain syndrome (CRPS). CRPS is most common in people aged 20-35. The syndrome also can occur in children; it affect women more often than men.
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Trigeminal Neuralgia
- Pain that originates in the face is referred to as trigeminal neuralgia. This pain may be caused by an injury, and infection in the face, a nerve disorder, or it can occur for no known reason. Trigeminal neuralgia can be treated with antiseizure medications. Some antidepressant drugs also have significant pain relieving effects.
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Neuropathic Pain
- Neuropathic pain is chronic pain resulting from injury to the nervous system. The injury can be to the central nervous system (brain and spinal cord) or the peripheral nervous system (nerves outside the brain and spinal cord).
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Diabetic Neuropathy
- Diabetic Neuropathy is a complication of diabetes that causes damage to the nerves; this is related to the blood glucose of the body being too high for a long period of time. The four types of neuropathy include peripheral, autonomic, proximal and focal.
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Sacroiliac Joint Dysfunction (SI Joint Pain)
- Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
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Herniated Disc
- A herniated disc may be caused by injury or degeneration from age. Symptoms depend on the location of the herniation and whether nerve tissue is being irritated. An MRI or CT scan is performed to diagnose a herniated disc. Treatment may involve physical therapy, cortisone injection, pain medications, antiinflammatory medications, muscle relaxants, and surgery.
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Pinched Nerve
- A pinched nerve can be caused of a variety of conditions, for example, carpal tunnel syndrome, herniated disc, sciatica, arthritis, spinal stenosis, trauma, and more. Common symptoms of a pinched nerve include pain, numbness, tingling, and weakness. Treatment of a pinched nerve depends on the cause of the pinched nerve.
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Spondylolisthesis
- The five types of spondylolisthesis include 1) dysplastic, 2) isthmic, 3) degenerative, 4) traumatic, and 5) pathologic. The most common symptom of spondylolisthesis is lower back pain. Treatment depends on the type and severity of spondylolisthesis. Surgery is required in some cases of spondylolisthesis.
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Hospice
- Hospice is a service that offers support, resources, and assistance to terminally ill patients and their families. In such late stages of diseases, especially when there is "nothing left to do," hospice can offer help for patients and families. There are many aspects of a patient's well-being that can be addressed. Hospice can play a key role in managing physical symptoms of a disease (palliative care) and supporting patients and families emotionally and spiritually.
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