Best Pain Management in Long Island

Long Island Pain Management

At Heart & Health Medical, our board-certified pain management and rehabilitation specialist is dedicated to providing comprehensive diagnostic and non-surgical treatment options for pain stemming from various causes, including sports injuries, birth deformities, muscle and ligament strains, spinal pain, headaches, and joint injuries affecting the foot, ankle, wrist, and other areas of the body.

Our team understands that chronic pain can significantly impact your quality of life, and we are committed to helping patients in Nassau and Suffolk County find relief. With four convenient locations throughout Long Island, we aim to make it easy for you to access the care you need.

Trust Heart & Health Medical for effective pain management and rehabilitation services tailored to your unique needs, helping you regain control of your health and well-being.

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Pain Management Specialties

  • Spinal Rehabilitation

  • Sports Medicine

  • Mechanism of Injury Reports & Evaluations

  • Leg Pain (Herniated Disc / Stenosis)
  • Cervical Radiculopathy – A herniated (slipped) disk
  • Cervical Spinal Stenosis
  • Compression Fractures
  • Degenerative Disc Disease
  • Degenerative Disorders of Cervical and Lumbar Spine
  • Disc Herniations (Cervical /Lumbar / Thoracic)
  • Pinched Nerve, Scoliosis, Sciatica, Spinal Stenosis
  • Fractures
  • Inflammatory Conditions
  • Neck and Arm Pain (Herniated Disc / Stenosis)
  • Radiculopathy (Cervical / Lumbar)
  • Spondylolysis / Spondylolisthesi
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Pain Management Diagnosis is & Treatments

Pain Management Treatments

Cortisone shots are a valuable tool in pain management and can provide almost immediate relief for various conditions that involve inflammation, such as joint pain, tendonitis, and bursitis. These injections are administered directly at the site of the injury, helping to reduce swelling, stiffness, and pain.

One of the key benefits of cortisone shots is that they are non-invasive and non-surgical procedures, allowing patients to return home shortly after receiving the injection. This makes them a convenient and effective option for individuals seeking fast pain relief.

Botox injections have gained recognition for their effectiveness in treating various medical conditions, including chronic migraines and neck spasms. These injections utilize botulinum toxin, a naturally occurring substance, to temporarily block nerve signals in specific muscles.

For individuals suffering from chronic migraines, Botox injections can help reduce the frequency and severity of migraine episodes, providing relief from this debilitating condition.

In addition to migraines, Botox injections can also be used to address neck spasms, a condition characterized by involuntary muscle contractions in the neck. Botox can help relax the affected muscles, reducing discomfort and improving mobility.

Peripheral nerve blocks are a valuable tool in pain management, particularly for individuals experiencing localized pain in specific areas of the body. This procedure involves the injection of anesthetic medication near a targeted bundle of nerves, effectively blocking pain signals from reaching the brain and providing relief for a period of time typically ranging from 12 to 36 hours.

Peripheral nerve blocks can be used to manage pain in various conditions, including:

  1. Orthopedic Injuries: For individuals with musculoskeletal injuries or conditions, peripheral nerve blocks can help alleviate pain and discomfort associated with specific joints or areas of the body.

  2. Postoperative Pain: After surgery, peripheral nerve blocks may be administered to manage postoperative pain, reducing the need for opioid pain medications and their associated side effects.

  3. Chronic Pain: Some individuals with chronic pain conditions, such as complex regional pain syndrome (CRPS) or neuropathy, may benefit from peripheral nerve blocks as part of their pain management regimen.

  4. Headaches: Nerve blocks can also be used to relieve certain types of headaches or migraines by targeting nerves involved in headache generation.

  5. Labor and Delivery: Obstetric nerve blocks, like epidurals, can provide pain relief during labor and delivery.

  6. Diagnostic Purposes: In some cases, nerve blocks may be used diagnostically to determine the source of pain or to confirm the effectiveness of a specific treatment.

Joint injections are valuable non-surgical procedures designed to alleviate pain, reduce inflammation, and improve the function of damaged or painful joints. These injections typically involve the use of a combination of local anesthetic and corticosteroid medications that are directly administered into the affected joint. Joint injections can be highly effective in providing relief and improving the range of motion in joints that are causing discomfort or limiting mobility.

Common conditions that can benefit from joint injections include:

  1. Osteoarthritis: Joint injections can help manage pain and inflammation associated with osteoarthritis, a degenerative joint condition that often affects the knees, hips, and shoulders.

  2. Rheumatoid Arthritis: Individuals with rheumatoid arthritis may find relief from joint injections to reduce inflammation and pain in affected joints.

  3. Tendinitis: Inflamed tendons, such as those in the shoulder (rotator cuff tendinitis) or elbow (tennis or golfer’s elbow), can benefit from targeted joint injections.

  4. Bursitis: Injections can provide relief for painful bursitis, commonly found in the shoulder, hip, or knee.

  5. Joint Injuries: Acute joint injuries or traumatic conditions, like meniscus tears or ligament sprains, may benefit from joint injections to reduce swelling and pain.

Medial nerve blocks are a specialized form of nerve block used in pain management to alleviate pain originating from the facet joints of the spine. Facet joints are small joints located between the vertebrae of the spine, and they can become a source of chronic pain due to conditions like facet joint arthritis, injury, or degeneration.

Medial nerve blocks work by delivering a regional anesthesia to block pain signals that arise from the facet joints. These pain signals are typically transmitted through the medial branch nerves, which extend from the facet joints and carry pain signals to the brain. By targeting and blocking these medial branch nerves, medial nerve blocks can provide effective pain relief in the affected area.

Here’s how the procedure generally works:

  1. Diagnosis: Before performing a medial nerve block, a diagnostic procedure called a medial branch block may be done. This involves injecting a local anesthetic near the medial branch nerves to confirm that they are indeed the source of pain. If the patient experiences significant pain relief after the diagnostic block, a medial nerve block may be recommended for longer-lasting relief.

  2. Injection: During the medial nerve block procedure, a combination of local anesthetic and corticosteroid medication is injected near the medial branch nerves that supply the facet joint causing pain. The local anesthetic provides immediate pain relief, while the corticosteroid helps reduce inflammation and provides longer-term relief.

  3. Pain Relief: The injected medications work to block pain signals originating from the facet joint, providing relief to the patient. The degree and duration of pain relief can vary from person to person.

Medial nerve blocks can be a valuable tool in the management of chronic spinal pain, particularly when the facet joints are involved. These procedures are minimally invasive and can offer significant relief for those experiencing facet joint-related pain. However, they are often used as part of a comprehensive pain management plan that may include physical therapy, medications, and other interventions to address the underlying causes of pain.

A Ganglion Impar block, also known as a Coccyx block, is a specialized interventional pain management procedure used to alleviate chronic pain originating from the pelvic or rectal area. This procedure targets the Ganglion Impar, a cluster of nerves located near the base of the spine (coccyx) responsible for transmitting pain signals from the pelvic and perineal regions.

Here’s an overview of how a Ganglion Impar block is typically performed:

  1. Patient Positioning: The patient is positioned on their abdomen, and the area to be treated is cleaned and sterilized to reduce the risk of infection.

  2. Local Anesthesia: A local anesthetic is used to numb the skin and tissues in the area where the injection will be administered. This initial numbing helps minimize discomfort during the procedure.

  3. Needle Placement: Using fluoroscopy (real-time X-ray guidance) for precision, a thin needle is inserted through the skin and advanced toward the Ganglion Impar. Fluoroscopy ensures accurate needle placement.

  4. Medication Injection: Once the needle is correctly positioned near the Ganglion Impar, a mixture of local anesthetic and corticosteroid medication is injected into the Ganglion Impar or the surrounding nerves. The local anesthetic provides immediate pain relief, while the corticosteroid helps reduce inflammation and offers more sustained pain relief.

  5. Post-Procedure Observation: After the injection, the patient is monitored for a short period to ensure there are no immediate adverse reactions.

Physical therapy is a crucial branch of healthcare dedicated to helping patients regain functional ability, mobility, and overall physical well-being. At Heart and Health Medical, our expert physical therapists work closely with patients to develop personalized treatment plans aimed at promoting recovery, reducing pain, and enhancing physical performance.

Here’s an overview of the physical therapy services offered at Heart and Health Medical:

  1. Comprehensive Evaluation: Your journey with physical therapy begins with a thorough evaluation by our experienced physical therapists. During this assessment, they will discuss your medical history, current condition, symptoms, and treatment goals. They may also perform various tests and assessments to evaluate your strength, range of motion, flexibility, and functional limitations.

  2. Customized Treatment Plans: Based on the evaluation results, our physical therapists create individualized treatment plans tailored to your specific needs and goals. These plans incorporate evidence-based techniques and modalities designed to address your unique condition.

  3. Hands-On Manual Therapy: Manual therapy techniques, such as joint mobilization, soft tissue mobilization, and myofascial release, are used to improve joint function, reduce pain, and enhance tissue flexibility.

  4. Therapeutic Exercises: Therapeutic exercises play a central role in physical therapy. These exercises are prescribed to improve strength, flexibility, balance, and overall physical function. Your physical therapist will guide you through exercises both in the clinic and provide home exercise programs to continue your progress independently.

  5. Modalities and Technologies: Physical therapists may utilize various modalities and technologies, such as ultrasound, electrical stimulation, heat, cold, and laser therapy, to manage pain, reduce inflammation, and accelerate healing.

  6. Education and Injury Prevention: Patient education is a key component of physical therapy. You’ll receive guidance on proper body mechanics, ergonomics, and techniques to prevent future injuries or manage chronic conditions effectively.

  7. Postoperative Rehabilitation: For patients recovering from surgery, physical therapy is essential for a safe and optimal recovery. Our physical therapists work closely with your surgeon to develop a rehabilitation plan that supports your surgical outcome.

  8. Sports Rehabilitation: Athletes and sports enthusiasts benefit from sports-specific rehabilitation programs that aim to restore performance, prevent future injuries, and enhance athletic abilities.

  9. Geriatric Physical Therapy: Our physical therapists are experienced in addressing the unique needs of older adults, helping them maintain independence, improve mobility, and manage age-related conditions.

  10. Chronic Pain Management: Physical therapy can be effective in managing chronic pain conditions, such as osteoarthritis, fibromyalgia, and lower back pain, by improving function and reducing pain levels.

Pain pump therapy, also known as intrathecal drug delivery, is an advanced medical treatment option available at Heart and Health Medical. This therapy involves the use of a specialized pump system to deliver medication directly to the spinal cord, providing effective pain relief for patients dealing with chronic pain conditions.

Here’s an overview of pain pump therapy and how it is offered at Heart and Health Medical:

1. Evaluation and Consultation: If you’re suffering from chronic pain that hasn’t responded to other treatments, you may be a candidate for pain pump therapy. Your journey begins with a comprehensive evaluation by our experienced medical team. During this evaluation, we will review your medical history, current pain symptoms, and past treatment efforts.

2. Customized Treatment Plan: If pain pump therapy is deemed appropriate for your condition, our healthcare providers will work closely with you to create a personalized treatment plan. This plan will outline the specific medication(s) to be used, the delivery method, and the dosage schedule.

3. Surgical Placement of Pain Pump: The next step involves the surgical placement of the pain pump system. A small, programmable pump is implanted beneath the skin of the abdomen, and a thin catheter is carefully threaded into the spinal canal. This setup allows for the precise delivery of medication to the spinal cord.

4. Medication Delivery: The pain pump system is programmed to deliver the prescribed medication directly to the spinal cord. By bypassing the digestive system and bloodstream, this method ensures that the medication reaches its target site more effectively, providing pain relief with lower doses and fewer side effects.

5. Ongoing Monitoring and Adjustments: After the pain pump is implanted, our medical team will monitor your progress closely. The pump can be adjusted as needed to optimize pain relief while minimizing side effects. Regular follow-up appointments are essential to ensure that you receive the most effective pain management.

6. Improved Pain Control: Pain pump therapy can provide significant pain relief for patients suffering from conditions such as chronic back pain, neuropathic pain, and other chronic pain syndromes. The ability to fine-tune medication delivery directly to the spinal cord often results in improved pain control and an enhanced quality of life.

7. Enhanced Quality of Life: By reducing pain and the need for oral pain medications, pain pump therapy can improve your overall quality of life. Many patients experience increased mobility, better sleep, and a greater ability to engage in daily activities.

Peripheral nerve stimulation is an advanced pain management technique offered at Heart and Health Medical. This therapy involves the use of mild electrical currents delivered to peripheral nerves to disrupt pain signals, providing relief for patients dealing with chronic pain conditions.

Here’s an overview of peripheral nerve stimulation and how it is utilized at Heart and Health Medical:

1. Comprehensive Evaluation: If you’re suffering from chronic pain that hasn’t responded to other treatments, you may be a candidate for peripheral nerve stimulation. Your journey begins with a thorough evaluation by our experienced medical team. During this evaluation, we will assess your medical history, current pain symptoms, and previous treatment efforts.

2. Customized Treatment Plan: Once we determine that peripheral nerve stimulation is a suitable option for your condition, our healthcare providers will work closely with you to create a personalized treatment plan. This plan will outline the specific nerves to be targeted, the electrode placement, and the electrical current parameters.

3. Placement of Peripheral Nerve Stimulator: The next step involves the placement of a peripheral nerve stimulator system. This system typically consists of small electrodes that are implanted near the targeted peripheral nerves. The electrodes are connected to a small device that generates electrical impulses.

4. Electrical Stimulation: The peripheral nerve stimulator is programmed to deliver mild electrical currents to the peripheral nerves. These electrical impulses disrupt pain signals traveling along the nerves, effectively reducing pain perception.

5. Ongoing Monitoring and Adjustments: After the peripheral nerve stimulator is implanted, our medical team will closely monitor your progress. The stimulator can be adjusted as needed to optimize pain relief while minimizing side effects. Regular follow-up appointments are essential to ensure that you receive the most effective pain management.

6. Improved Pain Control: Peripheral nerve stimulation can provide significant pain relief for patients suffering from various chronic pain conditions, including neuropathic pain, complex regional pain syndrome (CRPS), and other chronic pain syndromes. By disrupting pain signals at the peripheral nerve level, this therapy offers an alternative to traditional pain medications.

7. Enhanced Quality of Life: Many patients experience an improved quality of life with peripheral nerve stimulation. This therapy can lead to reduced pain, increased mobility, better sleep, and a greater ability to engage in daily activities.

Carpal Tunnel Injections consist of corticosteroids to reduce the swelling in the connective tissue around the median nerve, to reduce pressure. The symptoms of carpal tunnel generally become milder two to three days after an injection and benefits may last several months.

Radiofrequency Ablation is a non-surgical procedure in which specialized radiofrequency waves are used to reduce or eliminate pain signals at the site of the injury. This is a minimally invasive technique that utilizes heat generated from the radiofrequency to burn the nerve and disrupt the transmission of pain signals.

Spinal Disc Decompression creates negative pressure in the discs of the spine which relieves pressure and allows bulging or herniated disc tissue to realign and heal, alleviating pain.

Trigger Point Injections are single anesthesia or mixed anesthesia sometimes also containing a corticosteroid which is injected directly to the point of pain. The local anesthetic will create a numbness in the area which lasts from one to three hours while the corticosteroid will be active for approximately thirty days.

Cervical Steroid Injection are administered to reduce pain in the neck, shoulders, and arms caused by a inflamed or pinched nerve in the cervical spine, generally caused by herniated discs, spinal stenosis, or arthritis.

Epidural Steroid Injection give short term pain relief using corticosteroids to reduce inflammation and pain for up to three months, allowing the body to heal.

Occipital Nerve Block is used to treat headaches, and pain in the neck or back of the head by injecting a local anesthetic, Lidocaine or bupivacaine, and Dexamethasone, a steroid to reduce inflammation and pain.

Platelet Rich Plasma therapy uses a patient’s own platelets to create concentrated injections used to accelerate healing time for connective tissue, muscles, and joints.

Platelet Rich Plasma therapy uses a patient’s own platelets to create concentrated injections used to accelerate healing time for connective tissue, muscles, and joints.

Spinal Cord Stimulator is a device placed under the skin to send electrical current directly to the nerves of the spinal cord to block the pain signals from be transmitted to the brain.

Sacroiliac Joint Injections are a mixture of local anesthetic and a steroid that is injected directly into the sacroiliac joint that may help reduce pain for several weeks or months.

A Sympathetic Block is an injection of local anesthetic around the sympathetic nerves located on either side of the spine in the lower back.

Nerve Pain

Pain Management For Sports Injuries

  • Shoulder dislocations, Labral injuries
  • Rotator cuff tears, Arthroscopic rotator cuff repair
  • Clavicle fractures
  • AC joint injuries
  • Biceps tendon injuries
  • Hip arthritis, rapid recovery hip replacement
  • Knee Injury
  • Meniscus tears
  • ACL injuries
  • Ankle fractures
  • Achilles tendon ruptures
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