Precision Pain Management

My Philosophy

My philosophy on Interventional Pain Management employs a simple and pragmatic approach to the control of pain. My approach avoids old dogmatic thinking such as a “series of three” when it was evident the first of three showed no improvement or promise of relief at all. Listening to the patient problems is the essential beginnings of my interaction with a patient and is first and foremost to my approach. Listening should be a part of any and all physician’s interaction with patients. A treatment plan follows only after an extensive and detailed history is obtained, a directed and extensive physical exam is performed and an accurate assessment and review of all imaging including X-rays and MRI with the patient is made. The consent is then informed and agreed to

Narcotics play little if any at all role in my management. Of course there are instances and conditions where narcotics play a part in pain control but they are far and few in between. Rather a non-narcotic regimen is used and avoids issues such as addiction, narcotic side effects and complications. I insist on communicating with and involving your primary care physician so as to assist in and avoid complicating your medical management of conditions like diabetes, hypertension and heart disease. I also work at Maintaining a balance of avoiding traditional open surgery in favor of a minimally or less invasive interventional technique and at the same time knowing when a surgical consult is appropriate.