Pain Management Practices

By Dr Daniel Batlan

In order to treat patients appropriately, pain management physician Dr. Daniel Batlan uses established medical practices. These approaches include: documenting subjective complaints via detailed medical history, establishing objective findings via examination and other studies, assessing a patient’s condition by achieving an accurate diagnosis, and providing a treatment plan to manage pain and its underlying conditions. Some of the treatment techniques Dr. Batlan employs with his patients include the following.

1. Medication Management: In some cases, controlled, supervised medication administration remains the most reliable method for treating pain. Pain medications may include anti-inflammatories, muscle relaxants, corticosteroids, and anesthetics. Additional pain relievers include anticonvulsants, which may relieve nerve pain; disease-modifying anti-rheumatic drugs (DMARDs); and other agents that may help manage pain from rheumatic conditions such as rheumatoid arthritis and ankylosing spondylitis.

2. Nerve Blocks: Highly effective at relieving multiple types of pain, nerve blocks consist of strategically injected medications that “turn off” pain signals from a given area. Although results vary, for many patients that pain relief can last months or even years. Nerve blocks may effectively treat pain from degenerative arthritis or bulging discs in the neck and back, sciatica, spinal stenosis, neuropathy (including from diabetes), headaches, endometriosis, some cancer pain, and pain associated with internal organ disease such as pancreatitis.

3. Spinal Column Stimulators: These implantable electronic devices treat chronic back pain using electrical stimulation. Units generate electrical pulses to the spinal column via small leads running under the skin. These pulses modify or interrupt pain signal transmission.At his practice, Dr. Batlan tests a temporary device for effectiveness before the permanent device is implanted. The permanent device is entirely placed underneath the skin (similar to a heart pacemaker), and often the permanent stimulator can be inserted in an outpatient procedure under local anesthesia and sedation. Spinal Column Stimulation is the most advanced means of achieving profound pain control, and it may be indicated for patients that suffer from single or multiple failed back surgeries, patients that are not candidates for formal spine surgery, or selected patients that suffer from neuropathies such as Reflex Sympathetic Dystrophy:  http://www.youtube.com/watch?v=5YqfmFVlmDE&feature=related

4. Trigger Point Injections: Helpful in treating muscle pain or spasms, trigger point injections contain an anesthetic and, sometimes a corticosteroid. Dr. Batlan uses a small needle to inject these substances into knots of muscle in order to relax them and diminish pain.

5. Joint Injections: Dr. Batlan uses these simple in-office injections to help relieve pain in joints, such as hips or knees.

You can learn more about Dr. Daniel Batlan and Specialized Pain Management at the website: www.treatpainlv.com

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