Understanding the different types of pain…Neuropathic…

It is important to understand that there are different types of pain based on where in the body the pain is felt. Pain of all three types can be either acute or chronic. The three pain types can be felt at the same time or at different times. They respond to different medication and nerve blocks. The three types of pain are:

• Neuropathic
• Somatic
• Visceral

Neuropathic pain is pain caused by damage or disease that affect nerves. Some common causes of neuropathic pain include:

• alcoholism
• amputation
• back, leg, and hip problems
• chemotherapy
• diabetes
• facial nerve problems
• HIV or AIDS
• shingles
• surgery on the spine

Treatment options include:

Medication, which can be divided into three groups:

• Anticonvulsants (Neurontin, Lyrica, Tegretol, Topamax, Lamictal, Gabitril)
• Antidepressants (Elavil, Cymbalta, Remeron, Sinequan, Desyrel)
• Opioids (narcotics) are only used when the anticonvulsants and antidepressants fail

Nerve blocks

• stellate ganglion blocks
• lumbar sympathetic block
• epidurals

Or sometimes a combination of both

In addition patients may reduce their pain levels through exercise, the use of a tens unit, massage, biofeedback, and acupuncture.

Contact Dr. Lipson today, your pain free life is waiting!
Central Florida Pain Management
410 First Street South
Winter Haven, Florida 33880
863-293-4800
http://www.analipsonmd.com

Ana Lipson MD
Central Florida
Pain Management

 

CFPM knows that there is nothing cute about acute pain…

Acute pain defined…

Acute pain begins suddenly and is usually sharp in quality. It serves as a warning of disease or a threat to the body. There are several events or circumstances that may be the cause of acute pain, including:

• Surgery
• Broken bones
• Dental work
• Burns or cuts
• Labor and childbirth

Acute pain may be mild and last for just a moment, or it may be severe and last for weeks or even months. In most cases, acute pain does not last longer than six months, and it disappears when the root cause of the pain has been treated or once the injury that initially caused the pain has healed. It is important to know that unrelieved acute pain could lead to chronic pain. Early treatment of acute pain can prevent chronic pain syndrome.

If you, or a family member, is in pain contact Central Florida Pain Management (CFPM). The CFPM team will be happy to guide you through the steps of scheduling an appointment to see Dr. Ana Lipson.

Contact Central Florida Pain Management Today, Your Pain Free Life Is Waiting!
863-293-4800   OR   ana@analipsonmd.com   OR   http://analipsonmd.com

Ana Lipson MD
Central Florida Pain Management

specializing in many diagnostic and therapeutic procedures, CFPM provides hope…

Ana D Lipson, MD
Central Florida Pain Management
Winter Haven Florida
Successful Treatments Performed at CFPM

Dr. Lipson specializes in the following diagnostic and therapeutic procedures:

Conservative Therapy
* physical therapy and occupational rehabilitation
* psychological evaluation and treatment (e.g. biofeedback, coping mechanism)
* use of noninvasive therapy, (e.g. ice, heat, TRNS, thermography)

Manipulation of Medicines
* aim of therapy is designed to decrease patient’s use of narcotics, improve patient’s ability to return to normal function, and assist to return to work
* narcotic manipulations – with cancer or other severe pain pain syndrome patients (e.g. multiple post laminectomy syndrome

​​​Minor Invasive Procedure
* trigger point injections
* isolated peripheral nerve root blocks – ilionguinal and sciatic nerve block
* IV procedure to assist in determining the etiology of pain (neuropathic and sympathetic pain syndrome)

Moderate Invasive Procedure
* epidural block (caudal, lumbar, thoracic, and cervical)
* sympathetic nerve block: stellate, ganglion, lumbar sympathetic and celiac plexus, hypogastric and inpar ganglion block
* differential nerve blocks: epidural and subarachnoid block
* facet joint injection
* botulinum toxin injection (torticollis and severe spasms)
* isolated nerve root block (diagnostic and therapeutic)

​Major Invasive Procedure
* placement of Dorsal (spinal) Column Stimulator and generator
* placement of intrathecal catheters and implantable pump for infusion
* radio frequency ablation therapy
​* neurolytic procedure
* placement of tunneled inthrathecal catheters
* tunneled epidural catheter of prolonged period, e.g multiple rib fractures
* intrpleural cathetor placement
* reprogramming of dorsal column stimulator
* reprogramming and infusion of intrathecal infusion system, e.g. Medtronics or Neuromed Systems​

Contact Dr. Lipson today, your pain free life is waiting!

Central Florida Pain Management
410 First Street South
Winter Haven, Florida 33880
863-293-4800
http://www.analipsonmd.com

Ana Lipson MD
Central Florida Pain Management

specializing in the diagnosis and management of many types of pain, CFPM provides guidance…

Ana Lipson MD
Central Florida Pain Management
Winter Haven Florida
Diagnosis and Management of Pain

Dr. Lipson specializes in diagnosis and management of the following types of pain:

Neck Pain
* cervical strain or radiculopthay
* torticollis​

Chronic Gastrointestinal Pain
* chronic pancreatitis pain
* visceral type pain
* postsurgical adhesion type pain​

Myofascial/Joint Pain Syndrome
* tender points
* muscle spasms
* pelvic pain
* hip pain
* sacroiliac joint dysfunction
* hand, joint, other joint pain syndromes​

Nerve Root Pain
* brachial plexus lesions
* lumbosacral plexus lesion or injury
* peripheral nerve injury
* radicular pain – lower and upper extremities​

Back Pain
* mechanical injuries
* spinal stenosis
* coccydynia
* failed back – post laminectomy syndrome​

​Sympathetic Mediated Pain/Complex Regional Pain Syndrome (CRPS)
* reflex sympathetic dystrophy/causalgia

​Musculoskeletal Pain
* post thoracotomy syndrome
* rib fractures
* intercostal neuralgia
* spasticiy – secondary to multiple sclerosis​

Neuropathic Pain Syndrome
* acute herpes zoster
* post herpetic neuralgia
* neuropathy, i.e. diabetes, alcohol, idiopathic
* deafferentation type pain, phantom limb pain
* neuroma, post surgical incision pain
* peripheral nerve injury – ilionguinal nerve injury, peripheral vascular disease

Fibromyalgia
Cancer Pain

Contact Dr. Lipson today, your pain free life is waiting!

Central Florida Pain Management
410 First Street South
Winter Haven, Florida 33880
863-293-4800
http://www.analipsonmd.com

Ana Lipson MD
Central Florida Pain Management

understanding the different types of pain…neuropathic…

Ana Lipson MD
Central Florida Pain Management
Winter Haven, Florida
863-293-4800

It is important to understand that there are different types of pain based on where in the body the pain is felt. Pain of all three types can be either acute or chronic. The three pain types can be felt at the same time or at different times. They respond to different medication and nerve blocks. The three types of pain are:

• Neuropathic
• Somatic
• Visceral

Neuropathic pain is pain caused by damage or disease that affect nerves. Some common causes of neuropathic pain include:

• alcoholism
• amputation
• back, leg, and hip problems
• chemotherapy
• diabetes
• facial nerve problems
• HIV or AIDS
• shingles
• surgery on the spine

Treatment options include:

Medication, which can be divided into three groups:

• anticonvulsants (neurontin, lyrica, tegretol, topamax, lamictal, gabitril)
• antidepressants (elavil, cymbalta, remeron, sinequan, desyrel)
• opioids (narcotics) are only used when the anticonvulsants and antidepressants fail

Nerve blocks

• stellate ganglion blocks
• lumbar sympathetic block
• epidurals

Or sometimes a combination of both

In addition patients may reduce their pain levels through exercise, the use of a tens unit, massage, biofeedback, and acupuncture.

Contact Dr. Lipson today, your pain free life is waiting!
Central Florida Pain Management
410 First Street South
Winter Haven, Florida 33880
863-293-4800
http://www.analipsonmd.com

Ana Lipson MD
Central Florida
Pain Management

 

treating odd pain conditions…small nerves and the weird symptoms they cause….

Ana D Lipson MD
Central Florida Pain Management
863-293-4800

Not only large nerves can cause pain, small nerves count as well. Quite often a group of small nerves can cause a cycle of pain which can present with odd or usual symptoms along with pain.

The Stellate Ganglion is located in the neck. By performing a stellate ganglion block, which is a injection of local anesthetic in the front of the neck, we interrupt the cycle of pain in certain conditions, including:

• reflex sympathetic dystrophy (pain, color changes, swelling no know nerve)
• causalgia (known nerve)
• herpes zoster (shingles)
• raynaud (numbness in extremities, excessive reduced blood flow in response to cold or stress)
• crest (connectie tissue disorder)

Stellate ganglion nerve blocks could be diagnostic (provides information regarding the condition we’re treating) and therapeutic (addressing the pain).

Contact Dr. Lipson today, your pain free life is waiting!
Central Florida Pain Management
410 First Street South
Winter Haven, Florida 33880
863-293-4800
http://www.analipsonmd.com

Ana Lipson MD
Central Florida
Pain Management
863-293-4800

 

 

CFPM knows that there is nothing cute about acute pain…

CFPM Knows that there is nothing cute about acute pain!

Acute pain defined…

Acute pain begins suddenly and is usually sharp in quality. It serves as a warning of disease or a threat to the body. There are several events or circumstances that may be the cause of acute pain, including:

• Surgery
• Broken bones
• Dental work
• Burns or cuts
• Labor and childbirth

Acute pain may be mild and last for just a moment, or it may be severe and last for weeks or even months. In most cases, acute pain does not last longer than six months, and it disappears when the root cause of the pain has been treated or once the injury that initially caused the pain has healed. It is important to know that unrelieved acute pain could lead to chronic pain. Early treatment of acute pain can prevent chronic pain syndrome.

If you, or a family member, is in pain contact Central Florida Pain Management (CFPM). The CFPM team will be happy to guide you through the steps of scheduling an appointment to see Dr. Ana Lipson.

Contact Central Florida Pain Management Today, Your Pain Free Life Is Waiting!
863-293-4800   OR   ana@analipsonmd.com   OR   http://analipsonmd.com

Ana Lipson MD
Central Florida Pain Management

What is pain?

Ana Lipson MD
What is pain?

Pain is an unpleasant sensation or an uncomfortable feeling, within the body. The presence of pain is often an indication that there is something wrong. Pain may appear suddenly or it may come about slowly.

Individuals are the best judges of their own pain. Feelings of pain can range from mild and infrequent to severe and constant. Pain is classified as either acute or chronic.

If you, or a family member, is in pain contact Central Florida Pain Management (CFPM). The CFPM team will be happy to guide you through the steps of scheduling an appointment to see Dr. Ana Lipson.

Contact Central Florida Pain Management Today, Your Pain Free Life Is Waiting!
863-293-4800   OR   ana@analipsonmd.com   OR   http://analipsonmd.com

Ana Lipson MD
Central Florida Pain Management