Sacroiliac Injections By Pain Management Doctors in San Diego

What are sacroiliac injections?

Sacroiliac injections are injections of steroids or other medications directly into the sacroiliac joint by a pain management doctor in San Diego. These joints can be found on either side of the tailbone, and they connect your tailbone to your pelvis.

What is the purpose of the sacroiliac injections?

These injections are designed to reduce inflammation or swelling in or around the sacroiliac joint space. This can help to reduce pain or any residual symptoms that inflammation may cause to your joint or any surrounding structures.

How long does this process take?

The actual injections take between five and ten minutes at a San Diego pain management clinic.

What is injected?

With the sacroiliac injections a mixture of local anesthetic and steroids are injected to reduce pain and to prolong the positive effects.

Is the process painful?

The sacroiliac injections is an injection performed by a pain management doctor in San Diego through the skin and the deeper tissue which causes some pain. Before the injection takes place the skin and the deeper tissue are numbed using a local anesthetic. This helps to alleviate the discomfort felt during the procedure. Some patients will receive sedation in addition to this to make the process easier. The procedure is conducted under a local anesthetic not a general anesthetic which means that you are not “out” during the process. Some patients opt for additional sedation, as mentioned above, and the amount provided is often contingent upon the tolerance levels of the patient.

How is the process performed?

The sacroiliac injections are conducted with the patient lying on their stomach at a San Diego pain management clinic. There is often an x-ray used to determine the correct placement for the needle but thinner patients may not need this. Patients who have IV sedation will be monitored using a blood pressure cuff, EKG, and blood oxygen monitoring device. The skin where the injection will take place is cleaned using an antiseptic and then numbed using an anesthetic. The injection needle will be placed appropriately and the injection carried out. After the process is complete the needle is removed and a covering applied to the area of injection.

What can be expected after the procedure?

After the sacroiliac injections you will feel no pain or little pain, but this is due to the anesthetic. This feeling will go away after a few hours. You may feel sore at the site of the injection for a day or two. This is because of the mechanical process used to place the needle. After the third day you will begin to notice pain relief.

You should have someone else drive you home following the procedure as the injection can cause temporary leg weakness. Any patient undergoing sedation for the sacroiliac injections is required to have a ride home. Patients are advised to have a day or two to relax after the procedure and ice can be applied to the injection site.
Unless you faced complications you can return to work the following day. The most common complication felt is soreness at the injection site. The medication should bring with it lasting effects for several days to several months. If the first injection is not effective, you may return for another in two weeks.

Trigeminal Neuralgia Diagnosed By Pain Management Doctors In San Diego

What is Trigeminal Neuralgia?

Trigeminal Neuralgia is a chronic pain condition or inflammation of the trigeminal nerve that causes facial pain. This condition is referred to as tic douloureux since the intense pain can cause patients to contort their face into a grimace causing the head to move away from the pain, a condition called a tic.
Trigeminal nerve sends impulses of pain, touch, pressure and temperature directly to the brain from areas such as the face, gums, jaw, forehead and around the eyes. The pain caused by trigeminal neuralgia is quite intense and may occur in few hours, minutes or seconds. The outcome can be months or years of attack but in some patients it can be fully controlled.

Trigeminal Neuralgia have been known to affect people of any age, but it is more common in people older than 60 years old. The effects are seen in the right side of the face five times more than the left side.

What Causes Trigeminal Neuralgia?

Headache treatment San DiegoIn the vast majority of the common cases, trigeminal neuralgia is caused by compression of the main nerve to the brain, trigeminal nerve. This nerve is the largest in the skull. This compression is caused by a nearby blood vessel pressing on the main nerve inside the skull.

What are the Symptoms of Trigeminal Neuralgia?

Trigeminal Neuralgia is characterized by a sudden, sharp, electric-like, or stabbing pain that may last for several seconds. The pain mostly occurs on the face and around the eyes, lips, nose, scalp and forehead. These symptoms can be transferred from one person to another by brushing the teeth, touching the face, putting on make-up, swallowing or even feeling just a slight breeze.

Being one of the most painful disorders, the pain is felt on one side of the jaw or cheek though different people experience pain at different times on both sides. The attack result to a sharp pain that may be repeated one after the other. This pain may come and go throughout the day lasting for days, weeks or months. The disorder may be seen to disappear for months or years. It is more frequent in women than men and in rare cases does it affect younger than 50 years of age.

How is Trigeminal Neuralgia Diagnosed?

In diagnosing this condition, your pain management doctor in San Diego will first take a history of the situation and perform a physical examination which should be normal. The main area of test is muscle weakness and presence of corneal reflex controlled by V1. V3 is in control of chewing, and there should be no existence of muscle weakness. When the cornea is touched, the eye should blink in response. The two discoveries must be normal if not, the treatment for trigeminal nerve should begin.

Some pain management doctors in San Diego may order for a Magnetic Resonance Imaging (MRI) to help in the diagnosis of other conditions that may cause trigeminal neuralgia. This disorder is diagnosed based on the description of the patient’s symptoms.

How can Trigeminal Neuralgia Be Treated?

Trigeminal Neuralgia is a long term condition. It can be managed through treatment to some degree. The first treatment to be administered by a pain clinic San Diego should be with an anticonvulsant medication (mostly used to treat epilepsy) called carbamazepine. This medication should be taken several times in a day, with an increase of the dose over the course of few days or weeks so that the medication can build up in your bloodstream.

Migraine Treatment San DiegoTrigeminal neuralgia can also be treated with antiseizure drugs including Neurontin (gabapentin) or Tegretol (carbamazepine). Other medication like Depakote and Klonopin may also be quite effective when used in combination with other drugs to achieve pain relief.

If the treatments turn out to be ineffective, neurosurgical procedures are available to relieve pressure on the nerves and also reduce the amount of sensitivity on the nerves. Some patients have shown successive or reduced pain with the help of medical therapies such as chiropractic treatment, acupuncture adjustments as well self-hypnosis.
Well, these treatment options will help you achieve the very best when relieving pain caused by trigeminal neuralgia. To learn more about them, contact a pain clinic San Diego today.

Top Knee Arthritis Treatment at San Diego Pain Clinic

Top Knee Arthritis Treatment In San Diego Pain Clinic

Arthritis is a known cause of knee pain. Arthritis is defined as an inflammation of one or more joints. The most common symptoms related to arthritis are pain, stiffness and swelling. There are various types of arthritis that can affect the knee joint; however, treatment may vary depending on the condition that causes these symptoms.
The most common is Osteoarthritis also known as wear and tear arthritis or degenerative joint disease. It is involves continuous wearing away of the cartilage in the joint. Once the cartilage is completely worn away, the bone become exposed, and the knee become very swollen and quite painful. This condition affects people as they age. The most common one being those who are overweight. Also, knee arthritis is said to be genetic meaning that it can be passed down the family tree.
Some other factors that may lead to knee arthritis include; torn cartilage, injuries to the knee as well as fractures to the bone around the joint.

What are the Symptoms of Knee Arthritis?

Symptoms of arthritis to progress gradually as the condition worsens but the conditions may become even worse due to minor injury or overuse. Some patients may experience prolonged episodes of mild systems, accompanied by sudden changes that may increase the severity of their symptoms. Generally, the pain develops gradually over time. Other common symptoms of knee arthritis are;
• Joints become stiff and swollen and the person experiences difficulty bending and straightening the knees.
• Vigorous activity may cause severe pain
• Severe pain may cause a feeling of weakness in the knee.
• Loose cartilage fragments and other tissues can interfere with the smooth motion of the joints.
• People with arthritis may experience increased joint pain with a rainy weather.

What are the Causes of Knee Arthritis?

There is no proven cause of knee arthritis specially Osteoarthritis. Though, studies have shown that aging and women are prone to being diagnosed with arthritis. The risk factors associated with knee arthritis include;
• Genetic where arthritis runs in the family
• Obesity
• Severe trauma which involves fractures and removal of the supporting cartilages of the knee.

What Tests show you have Knee Arthritis?

Pain Doctors San DiegoKnee arthritis can be diagnosed by a San Diego pain clinic by use of X-ray which can be taken with the patient standing up where it diagnoses the condition with great accuracy. The pain doctors San Diego will also need to take a thorough history when performing a physical examination.

What are the Treatment Options for Arthritis?

Treatment of arthritis should start with the basic steps at a San Diego pain clinic and proceed to the more severe and invasive state even to an extent of surgery. For those patients with mild arthritis, the arthritis can be managed with simple things like an ice rest-activity or joint injections.
When it comes to surgery cases, there are two kinds of joint replacement surgeries:
• Partial knee replacement
• Total knee replacement surgery can be done using a minimally invasive quadriceps sparing approach that helps to shorten the recovery and decrease the pain after surgery.
Other treatment that works well with knee arthritis include;
Weight Loss, physical therapy, walking aids, activity modification, anti-inflammatory medication as well as cortisone injections.
To learn more about treating knee arthritis, contact a pain doctors San Diego today.

Pain Management Doctors in San Diego

Featured Oceanside, Vista & San Diego Pain Management Doctors in the CA Pain Network

All of the doctors in the California Pain Network are Board Certified and experts in their field. San Diego pain doctorsThe physicians offer medication as well as interventions as pain management options.

Over 25 treatment options are provided which include the latest, cutting edge options like spinal cord implants and radiofrequency lessoning and multiple types of epidural injections.

The physicians offer treatment that is compassionate, highly skilled and typically effective. The providers offer you the time necessary to perform a full history and physical examination while answering your questions completely.

Brenton Wynn, MD – San Diego

Dr. Wynn is a Board Certified pain management doctor offering both medical and interventional treatments.

Education

Brenton Wynn, MD

Brenton Wynn, MD

  • Medical School – Howard University
  • Residency – Stanford University
  • Fellowship – LSU Health Sciences Center – Interventional Spine

Specialties

  • Physical Medicine & Rehabilitation

Board Certifications

  • Physical Medicine & Rehabilitation
  • American Board of Pain Medicine

Anuj Gupta, MD – Vista and Oceanside

Dr. Gupta is a bilingual Board Certified pain management doctor in Vista and Oceanside. He offers both medical and interventional treatments that are cutting

Pain Management Oceanside CA

Dr. Anuj Gupta, MD

edge and customized to individual patient needs.

Education

MD – Albany Medical College 2002

Residency – University of Southern California – Anesthesiology

Pain Fellowship – Louisiana State Health Sciences Center 2009

Specialties

  • Anesthesiology

Board Certifications

  • Diplomate American Board of Anesthesiology
  • Sub-Specialty Certification in Pain Medicine

Pain Management Vista CA

 

Pain doctors in San Diego