Medical Specialties – Pain Management


Specialized Pain Management pic

Specialized Pain Management

At Specialized Pain Management, a clinic with six locations, including Las Vegas, Nevada, and Henderson, NV, Dr. Daniel Batlan delivers a professional standard of pain management care to patients impacted by problems of back pain, cancer pain, and arthritis. An MD with more than two decades of experience, Dr. Daniel Batlan underwent post-doctoral specialist training at Johns Hopkins Hospital and the Cleveland Clinic.

Pain management physicians focus on diagnosing and treating all kinds of pain, including pain with an obvious cause, such as an injury, and pain with no obvious cause, such as fibromyalgia. Pain management physicians treat pain using medications, including opioids and non-opioids, and through interventional techniques such as nerve blocks, physical therapy, and counseling.

When working with patients, pain management physicians develop personalized and comprehensive treatment plans by carefully examining key metrics, including medical histories and results from laboratory or imaging tests.

Potential Causes and Treatments of Cancer Pain


Dr. Daniel Batlan pic

Dr. Daniel Batlan

Recognized as a leading MD by Vegas Seven magazine, Dr. Daniel Batlan oversees patient care as the founding medical director of Specialized Pain Management (SPM) in Henderson, Nevada, a city near Las Vegas, NV. Dr. Daniel Batlan offers his patients a variety of treatment options for cancer pain and other painful conditions.

One out of every three patients undergoing cancer treatment experiences pain, and the percentage is higher among those with advanced disease. Some patients experience pain as a direct result of a tumor destroying, growing into, or putting pressure on nearby tissues or nerves, while other cancers release pain-causing chemicals into the body. The chemotherapy, radiation, or surgery that treats cancer may also cause pain.

For approximately 90 percent of cancer patients, a medication regimen can help control pain. Non-opioid, over-the-counter medications such as ibuprofen and acetaminophen may ease mild or moderate pain. Opioids for more serious pain are available by prescription, while other specialized medications can address pain with a specific cause or character.

Cancer pain may also respond to alternative treatments, such as relaxation exercises, positive imagery, and hypnosis. Many respond to biofeedback techniques, which help patients learn to control otherwise involuntary processes such as blood pressure and pain levels. Some patients undergo transcutaneous electrical nerve stimulation, or TENS, which uses a mild electrical signal at the location of the pain to interfere with the pain signals, while other patients may prefer massage or heat therapy as localized options.

An Introduction to Sciatica

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Certified in both Anesthesiology and Pain Management, Dr. Daniel Batlan is the founding medical director of Specialized Pain Management in Las Vegas and Henderson, Nevada. Dr. Daniel Batlan has more than 20 years of experience in treating different kinds of pain, including sciatica.

Sciatica is by definition a specific variety of pain, which originates in the lumbar spine and radiates along the sciatic nerve down the back of the leg. Such pain arises when this nerve becomes pinched, most often due to a narrowing of the spine, a bone spur, or a herniated disc in the area.

Sciatica typically develops in individuals who are 30 to 50 years of age. It is more common in patients whose lifestyle requires intense lifting or lengthy periods of sitting. Those who have nerve damage from diabetes, as well as those whose excess weight puts more intense pressure on the spine, are at increased risk.

Some patients experience sciatica as a mild and occasional discomfort, while others suffer from severe and debilitating pain. A patient may also experience tingling, numbness, or weakness in the affected limb.

These symptoms typically resolve on their own and require only over-the-counter medication, stretching, and cold or hot packs. Sciatica is readily treatable with cortisone shots such as Epidurals and Nerve Root Blocks. A lack of response to these treatments may indicate the need for stronger medications, though sustained pain over three months or more can mean that surgery is necessary. A qualified pain physician can provide specific recommendations.

American Academy of Pain Management (AAPM) – Virtual Library

American Academy of Pain Management pic

American Academy of Pain Management

As a professional in the medical industry, Dr. Daniel Batlan is the Founder and Medical Director of Specialized Pain Management (SPM) in Las Vegas, Nevada. An experienced physician, Dr. Daniel Batlan is a member of several professional organizations, including the American Academy of Pain Management.

The American Academy of Pain Management (AAPM) provides several benefits for its physician-members. This includes a subscription to the industry magazine, Pain Management, and access to the academy’s resource center. The resource center features a virtual library for members to access clinical pain medicine information from around the world.

The AAPM Virtual Library provides training programs that assist members with their continued education, along with several forms of research material and learning workshops. The library also includes archived programs like the AAPM Summer School in Colorado Springs, Colorado which features the history and clinical perspective of the AAPM. In addition, the library also details the basic images and practices of the industry.



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As a pain management specialist, one of the most common types of pain that Dr. Daniel Batlan treats is neck and low back pain. The human spine is designed to allow it to protect the body’s central nervous system while supporting the body’s core during weight-bearing activity. Running from the cervical vertebra down to the sacrum, the spinal column consists of 24 bony structures called vertebrae. The spinal cord runs through the center of the spinal column, while cushioned discs rest between each vertebrae to keep the bones from rubbing together, as well as to protect nerves from impingement.

Many factors may lead to degeneration or tearing of these spinal discs, including injuries, genetic factors, hard work, and age. As the discs degenerate or tear, water and other fluids may leak from them, reducing the cushioning and natural protection. Likewise, the fluid that leaks from the disc’s nucleus may irritate nerve tissue. All of these factors may cause significant pain along the spinal column and throughout the back.

When Dr. Batlan suspects intervertebral disc damage, he may recommend that his patient undergo an advanced procedure entitled discography, so he can determine whether specific discs are damaged and causing pain. During a discogram, sterile X-ray contrast dye is injected into a disc using a thin needle while the patient is under sedation. X-rays will show whether the contrast remains in the center of the disc, indicating a healthy disc, or if it spreads, indicating a compromised one. The quality of the information that is created with discography is often far superior than the information that is conveyed from other imaging procedures such as plain Xrays or MRI scans. Discography may enable Dr. Batlan to pinpoint the exact location of tear(s) in the spinal disc(s).

The procedure takes approximately an hour and can be performed on an outpatient basis. The doctor may ask you to assess pain levels during the procedure.v

Pain Management


Dr. Daniel Batlan on the topic: Radiofrequency Ablation Procedure(s)

Dr. Daniel Batlan pic

Dr. Daniel Batlan

Patients with chronic pain often benefit from radiofrequency ablation (RFA). This procedure gently “heats” a small area of nerve tissue, thereby curbing the pain signals that would otherwise be transmitted by those nerve fibers. Patients that may benefit from RFA include those suffering from low back and neck pain, as caused by facet joint disease and spondylosis (degenerative arthritis). Many individuals that suffer with chronic pain experience relief after treatment, and this relief can last for six months to one year or even longer. Some patients report mild discomfort at the treatment site, but this discomfort generally subsides after a day or two. Due to the general safety of the procedure and the extended period of relief afforded by RFA, the treatment has become a great option for a wide range of patients.

Prior to performing RFA, a patient meets with their physician for an evaluation. The physician describes the procedure in detail, covering all aspects of the RFA. If the patient desires to pursue the treatment, he or she generally receives a mild sedative and local anesthetic, which minimizes any discomfort felt during the procedure. The physician then inserts small needle(s) near the area of pain, and guides the instrument to the target area with the help of x-ray technology (flouroscopy). A microelectrode inserted through the needle stimulates the intended nerve tissue with radiofrequency current. The physician may ask the patient several questions during this process to optimize the overall treatment. Following the procedure, the patient is typically observed in the recovery area while the sedation wears off, and then the patient is discharged home. Patients should carefully follow their physician’s recommendations to ensure proper healing.

About the Author

Dr. Daniel Batlan is the Medical Direoctor of Specialized Pain Management, which has six locations in Southern Nevada ( A graduate of the University of Pennsylvania, he subsequently earned his Doctor of Medicine degree from The Loyola University of Chicago School of Medicine. Next he completed his Anesthesiology Residency and Pain Management Fellowship at the Johns Hopkins Hospital and the Cleveland Clinic Foundation, respectively. One of Nevada’s leading pain management specialists, Dr. Daniel Batlan consistently employs the most cutting-edge treatments to provide an optimal level of care.