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

Warwick Pain Center RI Blog

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Chronic pain: How to Take a Comprehensive Approach

Darren Kincaid - Thursday, February 22, 2018
Comprehensive Pain Management - Warwick, RI

Chronic pain can mean different things to different people. Whether you are a patient, a doctor, a parent or a politician, your view on pain medications can vary depending on your perspective.

Those who work the front lines of our healthcare infrastructure — police, fire, EMS and emergency departments — know all too well the impact that opioid abuse has on the population. Those who work in chronic care and pain management know the benefits that proper pain medication can have. One of the biggest debates in healthcare right now is how to help decrease the multiple side effects of prescription pain medicine use while at the same time ensuring adequate pain control and preventing under-treatment of chronic pain symptoms.

When should medications be given? How much should be given? To whom and in what quantity should they be given? These are all extremely difficult questions with complex answers that require discussion and an individualized treatment plan. The purpose of this article is to provide information on chronic pain and some of the factors that prescribers take into account when deciding what sort of treatment to offer patients. Understanding the science behind a treatment option is critical in understanding the potential drawbacks and side effects that treatment may have. As I often discuss with my patients, the best decision is an informed decision.

By definition, chronic pain is pain that has been present for more than three months. It is a condition that affects more than 100 million people in the United States and accounts for almost 20 percent of all doctor office visits and 12 percent of all prescriptions written. Prior to treating a patient with chronic pain, a comprehensive pain evaluation should take place. While there are multiple individual aspects to each person’s pain complaint that must be accounted for, there are some commonalities that help physicians classify the type of pain a patient is suffering from.

Chronic pain is often classified into one of four different categories:

Inflammatory Pain – joint pain, pain caused by infection, etc.,

Neuropathic Pain — pain caused by nerve damage such as seen in shingles, diabetic foot pain, fibromyalgia pain, etc.

Mechanical/ Compressive Pain — pain from expanding tumors, kidney stone pain, etc.

Musculoskeletal Pain — back pain, muscle pain, etc.

Often times, pain can be a combination of different types, so while it is important to categorize a patient’s pain symptoms, it is equally important to evaluate the mechanism of injury, how long the pain has been present, any associated symptoms and triggering factors.

A critical next step is to determine what sort of impact the chronic pain is having on the person’s life. Is the patient able to function as he/she normally would? Are they able to go to work and interact socially as they normally did? In other words, how is their quality of life? Asking about what they have used in the past for pain control is also very useful and can help guide the physician in deciding what the most effective option may be.

After obtaining all this subjective data, it is important to quantify a patient’s pain level. There are several pain intensity scales that healthcare workers are currently using. While one scale is not clearly better than another, the use of pain scales should be consistent, with the same scale being used at each visit and the patient being asked to rate his/her pain not only at that visit, but for the week prior as well.

After obtaining a thorough history, a focused physical exam, including a neurological exam should take place. While general lab work and imaging studies are not routinely indicated, directed studies should be performed in order to narrow the list of possible causes of pain.

Once the doctor has decided that some sort of pain medication is indicated, the question then arises, which one? There are many choices of pain medications, and often people assume that prescription pain medications are always more effective than over-the-counter medications; however, that is not always the case. The dose you take, how often you take it, and whether you are taking it as-needed or scheduled throughout the day are all important variables in determining how effective a treatment plan will be.

Over-the-counter pill medications are often categorized into two main categories: acetaminophen (Tylenol) and NSAIDS (ibuprofen, such as Motrin or Advil, or naproxen such as Aleve). While ad campaigns may pitch these medications against one another as competitors, acetaminophen and NSAIDS actually work differently. They both can lower fever and help with muscle type pain, but NSAIDS can help reduce joint swelling and are highly effective on inflammatory pain, while acetaminophen is an effective fever reducer and often used for pain associated with infection.

Guidance should be sought prior to taking these medications to ensure that medication interactions and side effects do not occur. Often physicians will advise patients to take these medications differently than what is written on the bottle, based on the severity of pain or underlying medical conditions.

When it comes to prescription pain medications, there are many different options. Determining the type of pain is important in deciding what medication to start. Neuropathic pain does not typically respond to NSAIDs and acetaminophen very well, therefore prescription medications like Neurontin and Cymbalta often have better efficacy on these conditions. For other types of severe pain, opioid medications may be prescribed.

Opioid medications are found under various brand names: OxyContin, Percocet and Vicodin are several examples. They work on the pain receptors throughout the body to decrease the transmission of pain input, thereby decreasing the perception of pain overall. These receptors are found scattered throughout the body but they have the most effect on receptors found in the central nervous system. While the overall effect is a reduction in pain, there are several significant other effects that occur, such as slowing of heart rate, a slowing of respirations, sedation and a feeling of euphoria. Physical dependence can occur very rapidly if care is not taken both by the physician and the patient.

Ultimately, the best treatment for pain control is a multi-pronged approach. Pain medications are just one tool in the toolbox. There are multiple other tools that have shown to be highly effective in pain management; physical therapy, acupuncture, chiropractic manipulation, acupuncture and cognitive behavioral therapy are just a few examples of modalities that can have fewer side effects than medications and often have excellent results.

It is important to weigh the risks of the medication versus the benefits and discuss possible alternatives and side effects with your physician, prior to taking any pain medication. As a primary care physician I find myself having this discussion with patients quite often. If you are advised to take any medication, whether it be over the counter or prescription, your doctor should not only discuss the risks versus benefits of the medication, but he/she should also talk about how to take it and when to stop it.

The best tool against any diagnosed condition is education. Talk to your physician because with knowledge comes power. Stay healthy.

For more information on pain management, contact Comprehensive Pain Management in Warwick, RI.


Pain and the Brain

Joseph Coupal - Friday, February 02, 2018
Comprehensive Pain Management - Warwick, RI

The difference between acute pain and chronic pain

With acute pain, the affected region eventually heals and the discomfort goes away. This cause-effect-resolution process is simple for the brain to understand and process.

In the case of chronic pain, where the cause goes unresolved and the site of the injury is not healed, the pain cycle can become self-perpetuating. Over time, the signals that indicate pain reverberate into other, more high-functioning areas of the brain as well as throughout the nervous system. In one of the most recent studies on this topic, a report released in February during the American Academy of Pain Medicine Annual Meeting found connectivity differences in brain regions important for mood and cognitive function between those with chronic low back pain and those without.

As a result of all these factors, not only can the original source of pain be disguised, but it also often creates a messy cycle of anxiety causing more pain causing more anxiety, and so on. This is one of the main reasons why chronic pain can be difficult to diagnose and treat.

Pain management

Finding how to manipulate the mind to ease chronic pain is a growing research field, not only because of the increasing number of sufferers, but also because we are finding out that pain-relieving drugs may only be part of the solution.

A study in the Journal of Neuroscience looked at the brain scans of research participants who were taught how to meditate. When subjected to painful stimuli, they had less activity in the part of the brain that registers pain and more activity in the region that handles unpleasant feelings, suggesting they were in greater control of their pain response when meditating.

Cognitive therapy that teaches patients how to be more in control of their emotional response to chronic pain also seems to be promising. A study published in the Archives of Internal Medicine last November found that 30 percent of participants, all who suffered from fibromyalgia, reported less pain after six months of therapy compared to 8 percent of those getting conventional treatments. Interestingly, 37 percent of those who received both cognitive therapy and exercise reported less pain.

Of course, there is no “one size fits all” approach for managing chronic pain, nor am I suggesting that mind-body approaches are in any way superior to drugs or other forms of treatment. There are many cases where drug therapy is the best course of action. There is no argument, however, that the brain plays a vital role in how we perceive and manage pain.

For more information on pain management, contact Comprehensive Pain Management in Warwick, RI.

Source: Everyday Health

Radiofrequency Nerve Ablation Eases Chronic Back Pain

Joseph Coupal - Friday, January 26, 2018
Comprehensive Pain Management in Warwick, RI

Radiofrequency nerve ablation is a medical treatment that offers highly effective, long-lasting relief for chronic pain, including lower back pain.

Also known as radiofrequency neurotomy or lesioning, this technique uses heat generated by radiofrequency energy to interrupt specific pain impulses in the spine.

This minimally invasive technique can provide a safe and effective alternative for patients battling chronic pain in the lumbar or cervical spine.

What is radiofrequency nerve ablation?

To disrupt the transmission of pain signals to the brain, RF ablation applies high radiofrequency waves — a type of electromagnetic energy — to a specific region on a sensory nerve. A radiofrequency needle applies heat to the coating of the nerve or myelin, creating a small, circular lesion.

Thanks to this tiny lesion, the nerve is unable to transmit pain signals to the brain.

For chronic conditions of the back, this procedure is used on medial branch or lateral branch nerves, depending on the location of the pain. These nerves don’t affect movement; this procedure only interrupts signal transmission.

To identify the location of the nerve, the doctor uses fluoroscopic imagery guidance. This form of guidance is also used for corticosteroid injections and regenerative medicine treatments like platelet-rich plasma (PRP) and bone marrow-derived stem cell injections.

When is radiofrequency nerve ablation used?

Neurotomy can be used for many types of spine pain.

One of the most common uses of RF nerve ablation is for osteoarthritis of the spine (spondylosis), knee osteoarthritis, hip osteoarthritis, and continued post-procedure pain following a joint replacement. It is also effective for treating back and neck pain from car accidents (whiplash) and work-related injuries.

This procedure may benefit patients who have pain on one or both sides of the spine, or in the hip or knee joints. If discomfort worsens when extending the back, twisting, laying on your stomach, or lifting — — this procedure may provide relief.

Is radiofrequency nerve ablation right for you?

To determine whether you would benefit from spinal or joint RF (Radiofrequency/Thermal) neurotomy, the doctor will perform a preliminary diagnostic test. During the test, the doctor will administer a temporary nerve block to the identified area. If the procedure relieves your pain (albeit temporarily), you are likely a good candidate for the ablation.

Nerve ablation for back pain is an outpatient procedure that takes less than two hours. The procedure is typically performed in the doctor’s office. You can return home once it is complete and return to work the next day.

Although this procedure is not the answer for everyone, most patients report significant relief lasting as long as two years. Because the nerve will eventually regenerate and the lesion will heal, the doctor can simply repeat the procedure once the pain returns.

The treatment of chronic back or knee pain is best treated with a well-rounded and thoughtful approach as there may be several potential pain generators. Radiofrequency ablation is a minimally invasive option that is great for the patient with pain related to osteoarthritis in the back or knee. It is also effective for patients with persistent knee pain following a joint replacement.

For more information on Radiofrequency Ablation, contact Comprehensive Pain Management in Warwick, RI.


Advantages of Spinal Cord Stimulation

Joseph Coupal - Friday, January 12, 2018
Comprehensive Pain Management in Warwick, RI

When surgery or other treatments have been unsuccessful or are not an option, spinal cord stimulation may offer relief and improved daily functioning.

Potential advantages of SCS include:

Adjustable pain relief. Pain varies widely from person to person, and even within a single individual at different times. The number of pain adjustment options on the hand-held controller continues to grow as new models are introduced. In addition, some models adjust automatically to the person’s movements. Having control over pain can be a welcome change for those dealing with a chronic condition.

Minimally invasive procedures. There is typically just one incision needed—to implant the generator—and ever-smaller generators do not require long incisions. The placement of the leads with electrodes is typically done with a hollow needle, rather than through an incision. It has few side effects and is easily reversible; if it doesn’t work or is no longer needed it can be removed.

Reduced opioid use. The pain relief experienced with spinal cord stimulation and peripheral nerve stimulation may allow people to take fewer pain medications. Results in the medical literature show that more than a third of one study’s participants having high-frequency therapy reduced or stopped taking opioid medications. The study’s participants had been in chronic pain for an average of 13 years.

Targeted pain relief. Instead of taking a medication that affects the whole body and causes sleepiness, constipation, or other problems unrelated to the pain, spinal cord stimulation delivers pain relief only where it is needed.

Limited or no side effects. The therapy does not have the type of side effects associated with many medications.

Cost-effective pain relief. Researchers have found that the costs associated with spinal cord stimulation compare favorably with alternatives, including non-surgical treatments.

Alternative to oral medication. The therapy offers another pain control option for those who have problems taking oral medication.

No refills needed. The pain relief from spinal cord stimulation can continue for years, without a need for new pills or frequent office visits.

For more information on spinal cord stimulation, contact Comprehensive Pain Management in Warwick, RI.


Colombian Athlete wins Gold in Rio Olympics After Disc-FX

Joseph Coupal - Thursday, January 04, 2018
Comprehensive Pain Management in Warwick, RI

Oscar Albeiro Figueroa Mosquera, an olympic athlete from Colombia, had issues with back pain due to a lumbar hernia. After much thought and consideration, the athlete decided that it was time to stop his pain and get back in motion. Dr. Jorge Felipe Ramirez, a pioneer in endoscopic minimally invasive surgery in Latin America, performed the Disc-FX procedure on Olympian Oscar Figueroa. After his recovery, Oscar Figueroa had achieved the ultimate victory by achieving the gold medal at the Rio Olympics on August 8th, 2016. When receiving the medal, he personally thanks Dr. Ramirez for allowing him to continue what he loves to do. “Doctor Ramirez, you know that this medal is also yours” was stated by Oscar Figueroa when he gave his speech.

For more information on Disc-FX, contact Comprehensive Pain Management in Warwick, RI.


What is Kyphoplasty?

Joseph Coupal - Wednesday, December 06, 2017
Comprehensive Pain Management in Warwick, RI

Kyphoplasty is used to treat painful compression fractures in the spine. In a compression fracture, all or part of a spine bone collapses. The procedure is also called balloon kyphoplasty.

Your surgeon places adhesive into your broken bones to help stabilize your spine. It's done through a small opening so you'll heal faster. The procedure helps correct the bone deformity and relieves the pain associated with spinal compression fractures.

Preparing for Surgery

Your doctor will take pictures of your spine with X-rays, MRIs, or CT scans. Let your doctor know if there's a chance you might be pregnant or if you have any allergies. Quit smoking. Tell him what medicines you use. You may have to stop some pain medicines and other drugs that thin the blood. And you can't eat or drink anything after midnight the night before your surgery.

What Happens During Kyphoplasty Surgery?

This procedure helps correct the bone deformity and relieves the pain associated with spinal compression fractures. During the procedure:

  • A tube is inserted through a half inch opening in the back into the damaged vertebrae. X-rays help ensure the accuracy of the procedure.
  • A thin catheter tube -- with a balloon at the tip -- is guided into the vertebra.
  • The balloon is inflated to create a cavity in which liquid bone adhesive is injected.
  • The balloon is then deflated and removed, and bone adhesive is injected into the cavity.
  • The adhesive mixture hardens in about 10 minutes.

What to Expect After Surgery?

It's natural to want to get back to your regular activities as soon as possible after surgery for a spinal compression fracture. Once your procedure is complete, you'll be taken to a recovery room. The medical staff will watch you for an hour or two while the anesthesia, wears off.

You'll leave the facility the same day, but you won’t be able to drive yourself home, so you’ll need a ride.

Once You’re Home

You might have some soreness in your back for a day or two at the spot where the surgery was done. Putting an ice pack on the area can bring some relief.

You may also be able to take an over-the-counter pain reliever such as acetaminophen or ibuprofen. Ask your doctor which is right for you. Or you might need a prescription for a stronger pain medicine.

Often, back pain will start to ease up 24 to 48 hours after the operation. For some people it may take longer -- up to 3 days -- to feel better. Everyone is different. Talk to your surgeon about what to expect. If you're still hurting after surgery, you can discuss other ways to get relief.

Your doctor will probably encourage you to go back to your normal activities as soon as possible. But you shouldn't do intense exercise or heavy lifting for a few weeks -- that could reinjure your back.

A physical therapist can show you exercises to help you recover, too. Your doctor might also recommend that you wear a brace to hold your back in place while it heals.

You'll see your doctor again in the weeks following surgery. He'll check to see if you're healing well and ask you if you’re still having pain.

For more information on Kyphoplasty contact Comprehensive Pain Management in Warwick, RI.

Source: News Channel 5

Back Pain: Myth or Fact?

Joseph Coupal - Wednesday, November 29, 2017
Comprehensive Pain Management in Warwick, RI

Back pain is extremely common. In fact, 80% of people will have significant back pain at some point. Back pain symptoms vary from individual to individual. They can be sharp or dull. Myths regarding back pain are also common. Some common myths and facts follow.

Myth: Always Sit Up Straight

We know slouching in chairs is bad for your back. However, sitting up too straight and still can also irritate the back.

For relief of back pain from prolonged sitting, intermittently try leaning back in your chair with your feet on the floor with a slight curve in the low back.

Also, stand for part of the day when possible (for example, while on the phone or reading).

Myth: Don't Lift Heavy Objects

When lifting, it's the way you lift that is most important, not just the weight you are lifting. When lifting, try to be as close to the object as possible, squatting to make the lift. Use your legs to lift. Don't torque your body or bend during the lift.

Myth: Bed Rest Is the Best Cure

Bed rest can help an acute back strain or injury. But it is not true that you should stay in bed. Sometimes remaining immobile in bed can actually make back pain worse.

Myth: Pain Is Caused by Injury

Back pain can be caused by injuries, disk degeneration, infections, and conditions that are inherited, such as ankylosing spondylitis.

Fact: More Pounds, More Pain

Keeping fit is helpful in preventing or aggravating back pain. Back pain is more common in those who are unfit or overweight. Those who only exercise intermittently are at increased risk for back injury.

Myth: Skinny Means Pain-Free

People who are too thin can also be at risk for back pain, especially those with eating disorders and osteoporosis.

Myth: Exercise Is Bad for Back Pain

Regular exercise is very good for preventing back pain. Actually, for those with an acute back injury, sometimes a guided, mild exercise program is recommended. This often begins with gentle exercises that gradually increase in intensity.

Fact: Chiropractic Care Can Help

Spinal manipulation and massage can be very helpful options for many forms of lower back pain.

Fact: Acupuncture May Ease Pain

Acupuncture can be helpful for relieving many types of back pain that do not respond to other treatments. Yoga, progressive relaxation, and cognitive

behavioral therapy can also be beneficial.

Myth: A Firm Bed Mattress Is Better

People differ in their response to mattress firmness. One study showed that those who slept on a medium-firm mattress (rated 5.6 on a 10 point hard-to-soft scale) had less back pain and disability than those who slept on a firm mattress (2.3 on the scale).

For more information, contact Comprehensive Pain Management in Warwick, RI.


Do You Need a Pain Specialist?

Darren Kincaid - Wednesday, November 08, 2017
Comprehensive Pain Management in Warwick, RI

A pain specialist is a doctor who is an authority on managing pain in their field, whether it's neurology, anesthesiology, or even psychiatry.

There’s no doubt that there is a great need for pain specialists: pain is a tricky and all too common problem. In fact, more than 76 million Americans ages 20 years and older — 25 percent of the population — say they’ve had pain lasting more than 24 hours.

When pain control seems beyond reach, it may be time to turn to a pain specialist: A pain specialist in neurology knows how to treat stubborn migraines, a pain specialist in anesthesiology can handle delicate lung cancer operations, and a pain specialist in orthopedic surgery can address issues that arise around joint replacements, just to name a few examples.

As with any ailment, the first stop for patients looking for pain treatment should be their primary care physician. However, if you can’t find a satisfactory pain management program within an appropriate length of time or if your pain is getting worse, referral to a pain specialist may be the next step.

What Does a Pain Specialist Do?

Unlike acute pain, which is generally caused by a sensation in the nervous system designed to alert a person to a possible injury or ailment and the need to get it treated, chronic pain lasts much longer. In other cases it might be due to an ongoing condition. Still other patients have pain despite no evidence of an injury.

Common types of chronic pain include:

  • Back and neck pain
  • Arthritis
  • Migraines
  • Shingles
  • Cancer pain
  • Nerve pain

Pain Control by Specialty

While acute pain usually improves with time, chronic pain can linger and may even require intervention. How a pain specialist chooses to proceed with pain control depends greatly on his background and expertise. Pain specialists can come from a wide variety of specialties.

Finding a Pain Specialist

Do your homework. Not every pain specialist is the same.

Generally, a pain specialist should have a certificate of pain management from his specialty board. For example, anesthesiologists would have a certificate of pain management from the American Board of Anesthesiology and be board certified in pain medicine by the American Board of Pain Medicine. They also should have received at least one year of fellowship training in pain management after their residency program. Patients can find a pain specialist through their primary care doctor, Internet searches, and the American Society of Interventional Pain Physicians.

When considering a pain specialist, ask about the focus of the physician’s medical practice. True pain specialists will spend most of their time treating people with chronic pain rather than seeing patients with a variety of ailments.

Other questions for the physician should center on his length of time in practice, his approach to pain treatment, and whether he is involved in clinical trials and has published research. Membership in pain specialty societies, such as the American Academy of Pain Medicine, is also a sign of a physician with a focused specialty in pain.

For more information, contact Comprehensive Pain Management in Warwick, RI.


Are Pain Clinics Right for You?

Joseph Coupal - Friday, October 20, 2017
Comprehensive Pain Management in Warwick, RI

People with arthritis and related diseases may benefit from the integrative care offered by pain management centers.

Medications have come a long way in treating arthritis and other related diseases. But when pain persists even with early and aggressive treatment, you may wonder if it is time to consider a pain clinic.

If inflammation is the main driver of your pain, a rheumatologist is the best person to manage that kind of pain because they are the ones who really have the expertise and know what medications need to be added to a regimen to get inflammation under control.

But if your inflammation is well managed (or your arthritis-related disease is not inflammatory) and you are still having pain, a pain clinic or pain management center may be your next step.

What Is a Pain Clinic?

Pain clinics focus on controlling chronic pain and there are two general types. One is for procedures, such as injections to deal with specific areas of pain, for example, neck and back pain. The other offers integrative services, which include medications as well as physical, behavioral, and psychological therapies.

This latter type, like Comprehensive Pain Management in Warwick, RI is often called an interdisciplinary clinic. It helps patients manage chronic pain with non-narcotic medications; nerve blocks; physical and behavioral therapy; patient and family education; lifestyle changes; and complementary and alternative medicine (CAM). CAM therapies may include biofeedback, cognitive behavioral therapy, acupuncture, hypnosis, water therapy, massage and meditation. Services at multidisciplinary centers extend beyond doctors and may include physical and occupational therapists, social workers, psychologists and vocational rehabilitation experts.

A 2009 study of 108 people and found that after four weeks of this kind of comprehensive pain-management care, patients saw improvement in pain, emotional distress and function. Another study that same year found a multidisciplinary approach helped people with fibromyalgia symptoms, especially when treatment was tailored to a patient’s individual needs. People with disabling neuropathic pain from rheumatic diseases also often benefit from integrative pain management services.

More Than Medication: The Importance of Self-Management

Patients with arthritis and other related conditions should not seek out pain clinics that primarily offer narcotic medications. These drugs can be addictive. They don’t treat inflammation, can interact with other medications and don’t help the widespread pain of fibromyalgia. They can actually make fibromyalgia pain worse.

Most pain management doctors are aware of the downsides of narcotics. People can have increased pain when on narcotics because the medications change the way their endorphin system works. There are some people who benefit from narcotics, but it’s a mistaken impression if you think going to a pain center means automatically getting started on them.

Rheumatologists say chronic pain clinics are most helpful when they encourage people to become active partners in their pain relief. That means focusing on self-management techniques like adopting an anti-inflammatory diet, starting low-impact exercise, identifying a personal support system and making self-care a priority.

A study published in 2009 conducted 46 interviews of people with chronic pain and 46 interviews of people with RA-associated pain. The study found that for those living with pain, a sense of well-being is achieved not through pain control alone, but also through various mind/body techniques for managing pain, accepting new limits and adjusting the way people relate to themselves.

For more informaiton, contact Comprehensive Pain Management in Warwick, RI.


The Benefits of Radiofrequency Ablation

Darren Kincaid - Thursday, October 12, 2017

During a Radiofrequency Ablation (RFA) procedure, heat from an electrode is used to cauterize one or more nerves, disrupting pain signals to the brain.

To begin, after the patient has received medicine to help them relax and the area around the injection site has been numbed, the physician inserts a small tube called a cannula into the spinal area and guides it to the right nerve with the help of an X-ray device. An electrode is inserted through the cannula and its position is tested with a small jolt before the nerve is heated.

To heat the nerve, a high frequency electrical current is administered, which causes molecule movement and produces thermal energy. This, in turn, creases a small lesion within the nerve, disrupting its ability to transmit pain signals. The doctor may treat several nerves, if necessary.

Partial or total pain relief from radiofrequency can last for several months. Nerves do grow back, however, so the procedure may need to be repeated. But, unlike invasive surgeries or long-term medication usage, there are few serious side effects to the procedure, allowing you to get back to a better quality of life.

For information on Radiofrequency ablation and for a comprehensive treatment plan, contact Comprehensive Pain Management in Warwick, RI.


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