Comprehensive Pain Management
(Formally known as Franklin Pain and Wellness and Warwick Pain)

Attleboro, MA(508) 236-8333
Franklin, MA(508) 507-8818
South Kingstown, RI (401) 234-9677
Warwick, RI(401) 352-0007

Franklin, MA • (508) 507-8818
Warwick, RI • (401) 352-0007
South Kingstown, RI • (401) 234-9677

South Kingstown Pain Center RI Blog

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Outpatient Balloon Kyphoplasty Offers Low-Risk Treatment for Fractured Backs - South Kingstown, RI

Joseph Coupal - Friday, April 28, 2017

Medically fragile patients may benefit most from kyphoplasty

For older Americans, standing up can be a painful challenge after falling down, especially if they've suffered a fracture in their back.

“Pain was terrible," said an 81-year old patient. "It (the pain) went from an 8 to a 9. It was very bad."

He spent all day in his bed or a chair, hoping that time would heal whatever injury he had, but an X-ray later revealed two broken bones in his spine.

He had a very typical, common fracture.

Doctors see a lot of patients like this one with cracked bones in the vertebrae that start to compress and collapse. Some arrive at the office hunched over.

The pain can be intense. It leads to people staying home; not doing things. They don't take deep breaths as well. And it really can be a rapid downward spiral, not just in pain but in their health.

The patient was scheduled for a balloon kyphoplasty, a minimally invasive outpatient procedure to repair the fractures in his spine.

The concept of this procedure is to put a balloon inside the broken vertebrae. The balloon restores the height of the compressed bone and creates a space for the doctor to insert toothpaste-like bone cement so the previously collapsed vertebrae can remain restored  

The balloon kyphoplasty procedure can take 30 minutes.

Patients are on their belly for a short time. And two weeks later, they don't even remember having the treatment done.

But for this particular patient, the procedure was something he'll never forget. He now moves around his house comfortably with a walker.

Often, medically fragile patients benefit the most from the procedure, which improves overall health.

For more information, contact Comprehensive Pain Management in South Kingstown, RI.

WCVB - Boston

Radiofrequency Ablation for Arthritis Pain - South Kingstown, RI

Joseph Coupal - Friday, April 21, 2017

Radiofrequency ablation (or RFA) is a procedure used to reduce pain in your back and neck and in arthritic joints. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, decreasing pain signals from that area.

RFA can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis.

How Long Does Pain Relief Last?

The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief.

Is it Safe?

Radiofrequency Ablation has proven to be a safe and effective way to treat some forms of pain. It also is generally well-tolerated, with very few associated complications. There is a slight risk of infection and bleeding at the insertion site. Your doctor can advise you about your particular risk.

What Are the Side Effects?

The main side effect of Radiofrequency Ablation is some discomfort, including swelling and bruising at the site of the treatment, but this generally goes away after a few days.

Radiofrequency Ablation is the most modern treatment available for treating facet joint related pain in the neck, mid back, and low back area.

Radiofrequency ablation is done under local anesthesia and generally takes about 20 minutes to one hour. For more information on treating chronic pain, contact Comprehensive Pain Management in South Kingstown, RI.

Source: WebMD

Recommended Therapies for Lower Back Pain – South Kingstown, RI

Joseph Coupal - Thursday, March 16, 2017

According to new guidelines recently issued by the American College of Physicians, physicians should avoid prescribing narcotics for acute lower back pain when possible.

Instead, doctors should recommend minimally invasive procedures aimed to treat painful conditions.

Low back pain is one of the most common reasons for doctor visits in the U.S. Approximately one-fourth of U.S. adults reported having low back pain lasting at least one day in the past three months.

In the evidence-based clinical practice guideline the American College of Physicians said if drug therapy is desired, physicians and patients should select nonsteroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxants.

Acute pain is defined as lasting less than four weeks, subacute pain lasts four to 12 weeks and chronic pain lasts more than 12 weeks. Physicians should reassure their patients that acute and subacute low back pain usually improves over time and there are innovative treatments that can be performed to promote faster pain resolution. Physicians should avoid prescribing unnecessary tests and costly and potentially harmful drugs, especially narcotics, for these patients.

For chronic low back pain, the American College of Physicians initially recommends non-drug therapy with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercise (MCE), progressive relaxation, electromyography biofeedback, low level laser therapy, operant therapy, cognitive behavioral therapy or spinal manipulation.

Physicians should remind their patients that any of the recommended physical therapies should be administered by providers with appropriate training. Physicians should consider opioids as a last option for treatment and only in patients who have failed other therapies, as they are associated with substantial harms, including the risk of addiction or accidental overdose.

Clinical outcomes evaluated included reduction or elimination of low back pain, improvement in back-specific and overall function, improvement in health-related quality of life, reduction in work disability/return to work, global improvement, number of back pain episodes or time between episodes, patient satisfaction and adverse effects.

For more information, contact contact Comprehensive Pain Management in South Kingstown, RI.