Stylet Pain Management provides comprehensive, non-surgical, minimally invasive treatment options for musculoskeletal pain including back pain, neck pain, headaches, and more.
We are proud to provide the highest quality, state-of-the-art procedures to improve the quality of life of our patients.
Some Pain Conditions
Coccydynia (Tailbone Pain)
Coccydynia can be caused by sitting for extended periods, childbirth, an injury such as a fall or even spontaneously with an unknown cause.
This condition produces severe sensitivity and an aching sensation around the tailbone. It is made worse by sitting, during bowel movements or during sexual intercourse.
The treatment can include a padded seat cushion, medications, nerve blocks or sacral nerve stimulation. Occasionally, surgery in the coccyx is needed.
Complex Regional Pain System (CRPS)
Complex Regional Pain Syndrome
People with CRPS (complex regional pain syndrome) experience intense pain in their limbs, hands, or feet, as well as changes in skin color, temperature (first warm, then cold), and loss of movement or function
In most cases, the pain is constant. It is often greater than one would expect from the injury they received (hyperalgesia), Also, the patients have severe pain after a very mild stimulus (hyperesthesia). There may also be changes in hair and nail growth in the affected limb.
CRPS sometimes starts spontaneously, but it usually occurs after an injury—usually a fracture. While it is unusual, some patients develop CRPS after a stroke, heart attack, surgery, or other condition.
In most cases, CRPS is a permanent condition. When CRPS is diagnosed and treated early, there is a chance it can disappear permanently. Nevertheless, with most patients, the goal is to reduce the pain and slow down the symptoms. Learning how to cope with some pain and learn to live a full life with some symptoms is key to successful management.
Degenerative Disc Disease (DDD)
Degenerative Disc Disease
Degenerative Disc Disease is a weakening of one or more intervertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.The disease typically begins when small tears that appear in the periphery of the disc wall, called the annulus. These tears can cause pain. When the tears heal, it creates scar tissue that is not as strong as the original disc wall. If the back is repeatedly injured, the process of tearing and scarring may continue, increasing the weakening of the disc wall.
Over time, the nucleus (or center) of the disc becomes damaged and loses some of its water content. This center is called the nucleus pulposus. Its water content is needed to keep the disc functioning as a shock absorber for the spine. Once dry, unable to act as a cushion, the nucleus collapses. The vertebrae above and below this damaged disc slide closer together. This improper alignment causes the facet joints – the areas where the vertebral bones touch – to twist into an unnatural position.
In the long term, this awkward positioning of the vertebrae may create bone spurs. If these spurs grow into the spinal canal, they may pinch the spinal cord and nerves (a condition called spinal stenosis). The site of the injury may be painful.
Some people experience pain, numbness or tingling in the legs. Strong pain tends to come and go. Bending, twisting and sitting may make the pain worse. Lying down relieves pressure on the spine
Facet Joint Syndrome
Facet Joint Syndrome
Facet Joint Syndrome is a deterioration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and are surrounded by a lubricating capsule that enables the vertebrae to bend and twist.The facet joint syndrome occurs when the facet joints become stressed and damaged. This damage can occur from everyday wear and tear, injury to the back or neck or because of Degenerative Disc Disease.
The cartilage that covers the stressed facet joints gradually wears away. The joints become swollen and stiff. The vertebral bones rub directly against each other, which can lead to the growth of bone spurs along the edges of the facet joints.
Pain from facet joint syndrome differs depending on which region of the spine is damaged. If the cervical or upper spine is affected, pain may be felt in the neck, shoulders, and upper or middle back. The person may also experience headaches.
If the lumbar spine is affected, pain may be felt in the lower back, buttocks, and back of the thigh.
Facet joint syndrome is first treated conservatively with rest, ice, heat, anti-inflammatory medications, and physical therapy.
In addition, facet joint blocks may be administered not only to diagnose facet joint pain but also to treat it. If necessary a radiofrequency procedure may be used to block the pain information in the way to the brain,
Herniated Cervical Discs
Herniated Cervical Disc
This condition is a rupture of one of the vertebral discs in your neck. A herniated disc can allow disc material to press harmfully against the spinal nerves.Vertebral discs are tough, elastic pads that act as shock absorbers for the vertebrae. They cushion the vertebrae and allow the spine to twist and bend. Each disc has a tough, fibrous outer wall and soft inner nucleus.
A herniated disc can result from the normal wear and tear of aging. It can be caused by heavy lifting or by sudden, damaging motions. It can also be caused by a traumatic spine injury. In a typical rupture, small cracks or tears form in the disc’s outer wall. The soft material in the nucleus pushes through this weakened area. This disc material can bulge into the spinal canal. It can press against the spinal cord. It can also press against nerve roots.
A herniated cervical disc can cause pain when you turn your head or bend your neck. This pain may radiate down your arm to the hand. You may feel burning, tingling or numbing sensations in your shoulder, arm, and hand. You may have muscle weakness. This may affect your grip strength.
Treatment options for a herniated cervical disc may include rest and medications to control pain and swelling in the neck. Your healthcare provider may recommend a soft collar to support your neck. You may benefit from injections or physical therapy. If those options are not helpful, surgery may be needed to remove the bulging portion of your disc
Spondylolisthesis occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.
Spondylolisthesis has a variety of causes. In children, it is often due to a birth defect in that area of the spine. Some people develop this condition because of an overuse injury called “spondylolysis.” This is a stress fracture of the vertebral bone. In adults, arthritis and the loss of disc elasticity that results from aging are the most common causes of spondylolisthesis.
Less commonly, spondylolisthesis can result from a sudden injury that leads to a broken vertebra. Diseases or tumors that weaken the spine can also result in spondylolisthesis.
Symptoms vary from person to person. Many people who have this condition have no symptoms at all. If you do have symptoms, you may experience pain in your lower back. You may have hamstring spasms. Pain may spread down your leg to your foot. You may also have foot numbness and tingling.
Treatment options depend on the severity of the condition. Rest and medications may relieve your pain. A back brace may also help and physical therapy could be useful.
Lumbar Radiculopathy (Sciatica)
Lumbar Radiculopathy (Sciatica)
Lumbar Radiculopathy results from irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs, and feet, an injury in the lumbar spine can cause symptoms in these areas.One common cause is a Herniated Disc. A herniated disc is a rupture in the fibrous outer wall of a vertebral disc, which allows the soft nucleus of the disc to bulge outward. This bulge can press harmfully against a nerve root.
Another common cause of nerve root injury is Degenerative Disc Disease. It occurs when a spinal disc weakens, allowing vertebral bones above and below the disc to shift out of position. The bones can touch, pinching nearby nerve roots.
When bones, discs or joints of the spine degenerate, bony spurs may form and push into the spinal canal or foramen space. This is called Spinal Stenosis, and it can also create harmful pressure against the nerve roots.
The nerve root injury may occur at any of the five vertebrae in the lumbar spine (called the L1 through L5), or at the level of the sacrum (the upper portion of which is called the S1). Symptoms may include pain, weakness, numbness, and tingling, and may vary depending on the level of the injury. For example, an injury at the L2 level can create thigh pain and hip weakness. An injury at the L3 level may result in thigh pain and knee and thigh weakness. Damage at the L4 level may cause pain from the lower back to the foot and also foot weakness. Damage at the L5 level can create pain from the outer leg to the top of the foot and also foot weakness. And finally, damage at the S1 level can create pain from the calf to the outer foot and also foot weakness.
Myofascial Pain Syndrome
Myofascial Pain Syndrome
Myofascial pain syndrome causes localized muscle pain generally affecting one side of the body much more than the other. The patients with myofascial pain develop “trigger points.” A trigger point may be felt as “knots” or a “band” of muscle that may be palpated beneath the skin. When pressure is applied to the painful trigger point it causes pain in other parts of the body “radiated pain”.Myofascial pain may result from a single trauma to a muscle or from repetitive minor trauma over time. There is no laboratory, radiographic or other diagnostic tests to prove the diagnosis of myofascial pain syndrome so it is considered a “subjective” diagnosis.
Physical therapy methods are considered the best treatments for myofascial pain syndrome. Other treatments include a “stretch and spray” technique, in which the muscle with the trigger point is sprayed along its length with a coolant, then slowly stretched. Your Pain Doctor could also work in the “trigger points” injecting local anesthesia on it or specifically stimulating the affected area with needles or electric acupuncture.
Peripheral neuropathy is damage of the peripheral nerves. Your peripheral nerves are the nerves that travel to your arms and legs. When the nerves are damaged, they don’t function properly. People with peripheral neuropathy have decreased or abnormal sensation in their toes and fingers. Sometimes, they develop problems moving these parts of the body as well.
The most common cause of peripheral neuropathy is diabetes. According to the American Diabetes Association, 60 to 70 percent of people with diabetes will develop neuropathy within their lifetime.
Other causes of peripheral neuropathy include:
- Certain medications, including some chemotherapy drugs.
- Heredity. Some people have a family history of peripheral neuropathy.
- Advanced age. Peripheral neuropathy is more common as people age.
- Arthritis. Certain type of arthritis, especially involving the back, can cause peripheral neuropathy.
- Alcoholism. Up to half of all long-term heavy alcohol users develop peripheral neuropathy
- Neurological disorders. Certain neurological disorders, including spina bifida and fibromyalgia, are associated with peripheral neuropathy.
- Injury. Acute injury to the peripheral nerves may also cause peripheral neuropathy.
The most common symptoms of peripheral neuropathy include burning, numbness, tingling, or shooting or stabbing pain in the toes and/or fingertips. Any change in sensation in the fingers or toes may be a symptom of peripheral neuropathy. Be sure to report any abnormal sensations to your doctor. Those sensations may be the first sign of another problem, such as diabetes.