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.
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.
As a pain management specialist in Las Vegas, Nevada, Dr. Daniel Batlan treats conditions that cause significant pain. Acute and chronic pains often debilitate those who suffer from these conditions, leading to a significantly reduced quality of life. Pain management physicians like Dr. Batlan seek to improve the lives of their patients by identifying the causes of pain and applying therapeutic modalities to help them manage pain levels.
Before a physician can effectively treat pain, he or she must obtain an accurate diagnosis. In order determine the cause of pain, Dr. Batlan employs multiple techniques, including:
1. Compiling a detailed medical history: During this part of the process, Dr. Batlan asks about the patient’s subjective symptoms. Subjective complaints are symptoms self-reported by patients detailing their experiences, how frequently they occur, their intensity, and activities that cause them to worsen or improve. To obtain this data, Dr. Batlan has his patient to complete medical history forms, and he consults with them to gain a more in depth understanding of pertinent background information.
2. Acquiring past medical records: A patient’s past medical history may shed light on his or her current condition. Accordingly, Dr. Batlan may request records, labs, and imaging studies ordered or performed by previous health care providers.
3. Conducting a physical examination: Physical examinations provide Dr. Batlan with objective findings that demonstrate medical evidence of conditions that may be present. Along with obtaining basic vital signs, Dr. Batlan may conduct in-office studies that test range of motion, reflexes, and neurological function.
4. Taking images: In order to obtain further objective evidence, Dr. Batlan may order imaging studies that allow him to see structural and internal issues contributing to pain conditions. Some of these studies include X-rays, ultrasound, or magnetic resonance imaging (MRI).
5. Requesting laboratory tests: Dr. Batlan may also order labs, such as blood tests or urinalysis to look for chemical or biological elements present that may contribute to pain conditions.
6. Consulting with a specialist: In order to gain an accurate assessment, Dr. Batlan may also seek additional evaluation or consultation with specialists in related fields, such as neurology, rheumatology, or orthopedics.
Used by medical practitioners for more than 2,500 years to treat a range of medical conditions, acupuncture pulls from the theory of qi, which maps the flow of energy through the body. Good health depends on proper energy flow, which sometimes becomes impeded or otherwise thrown off balance. Acupuncture, the application of needles at certain points on the body, helps to correct energy flow and achieve or maintain total health. Many patients have found acupuncture a vital part of their individual pain management plans. While those suffering with chronic pain should not necessarily rely on acupuncture as a primary part of their care, the practice offers a great supplement to other pain relief methods. Acupuncture has proven helpful in the management of several different types of chronic pain, including back and neck discomfort. The process of applying needles to the skin stimulates the central nervous system, altering the ways in which the body interprets pain.
Last year, the journal Anesthesia & Analgesia actually featured a study conducted by the University of Munich that examined the potential therapeutic benefits of acupuncture. The study found that the practice likely affects the “A delta” and “C” pain fibers to produce analgesic benefits for patients. In the study, 24 volunteers received various types of acupuncture, including the regular needle process, high frequency electrical stimulation, or a combination of both. After receiving the therapy, the study showed that pain thresholds increased by up to 50 percent in the patients, as demonstrated by thermal and mechanical testing administered before and after acupuncture treatment. Although subjects received acupuncture in only one leg, the pain threshold for both legs increased.
Scientists still have not uncovered the exact mechanism by which acupuncture benefits the patients. At present, many believe that the process releases opioid peptides in the brain, a naturally occurring pain reliever. Acupuncture may also alter the release of neurotransmitters involved in pain sensation. The team plans to conduct further studies that look more directly into the mechanisms involved.
About the Author
Dr. Daniel Batlan serves as the Medical Director of Specialized Pain Management (SPM), an practice located in Las Vegas, Nevada, that specializes in the relief of chronic and acute pain. After graduating from The Loyola University of Chicago School of Medicine, he completed a residency in Anesthesiology at The Johns Hopkins Hospital, followed by a fellowship in Pain Management at The Cleveland Clinic Foundation. Dr. Daniel Batlan employs cutting edge technologies to manage pain, complementing traditional “western” medical treatments [e.g., Epidurals, Trigger Point Injections, Discography, Spinal Column Stimulation, Physical Therapy] with alternative approaches, such as acupuncture. You can learn more about Dr. Batlan & Specialized Pain Management at their website: http://www.treatpainlv.com
One of the most highly advanced options for chronic pain management, spinal cord stimulation involves the application of an incredibly small “current” directly to the spinal column through the use of a small generator. The pulses that the generator emits interfere with the transmission of “pain impulses” within the spinal cord, thereby interrupting the feeling of pain. Similar in concept to a cardiac pacemaker, patients have the spinal stimulator implanted immediately underneath the skin with the use of local anesthetic and sedatives. Before implanting a generator, physicians generally perform a temporary test of the treatment by using a trial generator that emits pulses through the skin (or, transcutaneous placement of temporary leads into the epidural space). Generally, fifty percent (50%) or more of the patients that have the temporary spinal cord stimulator trial can anticipate excellent relief. If a patient receives this outstanding pain relief, then he / she can opt for the permanent implant. Once again, the permanent iimplant is gently inserted immediately underneath the skin above the buttocks or in other areas, and thin coated wires connect the generator to the spinal column. The stimulator allows for outstanding pain control for selected patients WITHOUT the need for extensive spinal surgery (such as spinal fusion or repeat spinal fusion).
The generator produces different pulse strengths as well as different pulse patterns, and patients work with their physicians to decide on the optimal strength and pattern for their individual situations. Usually, patients use the spinal cord stimulator for several hours each day. Most patients report a soothing tingling sensation while using the stimulator, which replaces the continuous feeling of pain.
Spinal cord stimulation treats a variety of conditions, such as sciatica (radiculopathy), failed back surgery syndrome, and other forms of chronic or complex regional pain. Some patients with intractable angina, diabetic neuropathy, phantom limb (amputation related pain), and multiple sclerosis have pursued spinal stimulation on an investigational basis. Researchers have shown that more than half of the individuals who try spinal cord stimulation report pain reduction or temporary relief. Those interested in the technique should discuss the possibility with their physician and understand the risks and potential benefits before undergoing any procedures.
About the Author
One of the most prominent pain management specialists in the State of Nevada, Dr. Daniel Batlan serves patients through his practice: Specialized Pain Management. Dr. Batlan is a Diplomate of the National Board of Medical Examiners, the American Academy of Pain Management, and The American Board of Anesthesiology. A graduate of The Loyola University of Chicago School of Medicine, Dr. Daniel Batlan pursued postgraduate training in Anesthesiology and Pain Management at The Johns Hopkins Hospital and The Cleveland Clinic Foundation, respectively. You can learn about Dr. Batlan and Specialized Pain Management at his website.
One of the most common procedures utilized by Dr. Daniel Batlan involves the injection of small amounts of cortisone into the spine to alleviate pain associated with degenerative conditions and other ailments. This treatment, along with other services offered by Dr. Daniel Batlan at the Specialized Pain Management clinic, is meant to treat those who experience moderate to severe pain.
Cortisone, one of the hormones released by the adrenal glands when a person responds to stress, is a steroid hormone. When it is introduced to the body’s immune system, cortisone reduces inflammation, pain, and swelling at the injury site. Inflammation of a particular joint, tendon, or bursa can be relieved through a cortisone shot directly into the shoulder, knee, or elbow. Dr. Daniel Batlan also offers epidural, facet, trigger point, sacroiliac, hip and knee, and stellate ganglion injections. After a cortisone shot has been administered, pain relief often begins within twelve (12) hours.
For more information about pain management options, individuals can visit the Specialized Pain Management website at www.treatpainlv.com. This comprehensive website includes extensive information about the field of pain management, as well as the educational background of Dr. Daniel Batlan and numerous testimonial letters from his patients.
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