Pain Management Treatments and Conditions

People usually think that pain management is only necessary when they are suffering from persistent chronic pain: Back aches, neck aches, arthritis, headaches, etc. However, sometimes pain can be the result of an injury, an infection, or from a surgical procedure.

Although many people may be suffering from the same or similar condition(s), pain management protocol is different for each patient. We ask about your lifestyle and what type of work do you do? Do you have stairs in your home? How many hours do you sleep? Are you active? Does your pain inhibit your ability to perform some of the activities of every day life? Based on many important factors, our physicians carefully craft a program for optimum results.

Here at Jersey Rehab and Pain Management, we treat many types of pain, some caused by chronic illnesses, others by acute trauma.

Click on any of the areas below to learn more about the listed conditions and treatments.  Move pointer over upper left part video screen to access the printer or share icons. Click to view, print, email or share the brochure.

Arm and Elbow

This condition is an irritation or inflammation of the biceps tendon at the shoulder. The biceps tendon helps to stabilize the humerus and aids in activities that involve overhead motion such as tennis or throwing a ball.

This condition is a compression injury to the ulnar nerve near the elbow. This is the nerve that produces a jolt when you bump your “funny bone.”

This condition, commonly called tennis elbow, is a degeneration of the tendons that attach to the lateral epicondyle, the bony bump on the outer side of the elbow.

This condition, also known as Little League elbow, is an injury to the medial epicondyle growth plate. It causes pain in the elbow, and may cause swelling. This condition is most common in young baseball pitchers.

This condition is a degeneration of the tendons that bend the wrist toward the palm of the hand. These tendons are located above the medial epicondyle, the bony bump on the inner side of the elbow. Although this condition is often referred to as golfer’s elbow, medial epicondylitis can be caused by any repetitious use of these muscles.

Overuse injures can cause pain and other problems in the elbow, forearm, wrist and hand. These injuries typically affect athletes and people who perform repetitive motions. Children and adolescents, whose bones have not yet matured, and factory workers are particularly susceptible to overuse injuries.

This condition is thought to be a compression injury to the radial nerve near the elbow. This condition is often confused with tennis elbow.

Repetitive throwing places severe stress on the elbow joint. The throwing motion stretches the tendons and ligaments on the inner side of the elbow and compresses the structures on the outer side. These forces can damage tissue and bone, especially in young athletes whose bones have not fully matured.

This condition is an inflammation of the triceps tendon, which connects the triceps muscle to the elbow. Triceps tendonitis causes pain and limits movement in the arm.

This condition is an injury to the medial ulnar collateral ligament, a ligament composed of three bands located on the inner side of the elbow. The MUCL connects the humerus to the ulna. Injury to the MUCL can cause pain, weakness and sometimes a feeling of instability in the arm

Hand and Wrist

This condition is a painful compression of a nerve in the wrist that can interfere with a person’s ability to use the wrist and the hand. Carpal tunnel syndrome is a progressive condition that can worsen without proper care.

This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.

Osteoarthritis, also called degenerative arthritis, is a degenerative condition that commonly affects the small joints of the fingers and the base of the thumb. Common in both men and women, it can cause the joints to become swollen, stiff and painful. It often leads to joint enlargement, interfering with normal hand function and significantly impacting a person’s quality of life. There are two main types of hand arthritis: primary generalized osteoarthritis and erosive osteoarthritis, and they affect the hands differently.

Wrist sprains are common injuries that result when the wrist is forcefully bent or twisted beyond its normal range of motion, causing pain and instability in the joint.

Foot and Ankle

An ankle sprain occurs when one or more ligaments – fibrous bands of tissue that provide stability to the joint – are stretched or torn from excessive force such as a sudden twisting during sports, stepping on an uneven surface, or a blow to the ankle.

This condition, which most often occurs as a complication of long-term diabetes, is a progressive degenerative condition that affects the foot. It is characterized by nerve damage in the foot along with severely weakened foot bones. This combination can result in a person fracturing the foot, but continuing to walk on the broken bones, which leads to debilitating foot deformity.

This chronic condition, also known as reflex sympathetic dystrophy, is an unexplained feeling of pain and discomfort that most commonly affects an arm, leg, hand or foot.  Often, it begins in the hand or foot and then spreads to affect the entire limb.

This condition is an inflammation of one or both peroneal tendons, which travel down the lower leg, behind the lateral malleolus and along the outer side of the ankle.

This condition, common among amputees, is a painful sensation that seems to originate in a missing limb. It is different from stump pain, which is pain in the stump of an amputated limb generally caused by overuse or a poorly-fitting prosthesis.

Plantar fasciitis is an irritation of the plantar fascia. This thick band of connective tissue travels across the bottom of the foot between the toes and the heel. It supports the foot’s natural arch. It stretches and becomes taut whenever the foot bears weight.

Rheumatoid arthritis, a condition of the immune system that can attack joints throughout the body, commonly affects the foot and ankle. It can make walking painful and difficult.

This condition is a painful swelling, usually along the front of the lower leg, that is common among runners and other athletes.

General Body

This chronic condition, also known as reflex sympathetic dystrophy, is an unexplained feeling of pain and discomfort that most commonly affects an arm, leg, hand or foot.  Often, it begins in the hand or foot and then spreads to affect the entire limb.

CT scans, sometimes called CAT scans, are specialized x-rays used to diagnose and treat certain medical conditions. CT scans are most commonly used to study the chest, brain, abdomen and pelvis. They are helpful in diagnosing cancers, vascular diseases and bone injuries.

This outpatient diagnostic test is used to evaluate the health of muscles and the nerves, called motor neurons, which control the muscles. EMG is a valuable diagnostic device for determining the cause of muscle weakness and for identifying neurologic disorders.

This chronic condition, which can be difficult to diagnose, results in pain throughout the body and a feeling of exhaustion that can last for months at a time. Fibromyalgia affects more women than men, and most often develops during early and middle adulthood.

Myofascial Pain Syndrome is caused by injury or damage to the fascia, the soft, stretchy connective tissue that surrounds muscles, organs and other structures inside the body. The syndrome causes chronic pain in muscles throughout the body, especially in the neck and jaw.

Myofascial Pain Syndrome is caused by injury or damage to the fascia, the soft, stretchy connective tissue that surrounds muscles, organs and other structures inside the body. The syndrome causes chronic pain in muscles throughout the body, especially in the neck and jaw.

This noninvasive, outpatient exam is used to measure how quickly nerves conduct electrical signals through the body. NCS is a valuable technique for diagnosing nerve damage. If damage exists, NCS can help a physician find its source.

Pain management, also called pain medicine, is a type of specialized medical care. It is designed to minimize the impact of surgical pain or chronic pain. Chronic pain, in particular, can be difficult to control. It can sometimes be impossible to cure. Pain management treatment can help reduce pain. It can help patients enjoy a better quality of life.

This condition is an irritation of the sciatic nerve, a thick nerve that branches from the lumbar spine and travels through the buttocks and down the back of each leg. An irritation of the sciatic nerve can result in radiating pain or numbness from the buttocks down through the legs.

This injection can both diagnose and treat pain coming from the sympathetic nerves. It is a common treatment for shingles and complex regional pain syndromes affecting the head, face, neck, or arms. Usually a series of these injections is needed to treat the problem.

Head, Neck and Spine

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.

This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

This diagnostic procedure, also called discogram, is used to determine whether back pain is caused by one or more spinal discs. The procedure involves pressurizing suspect discs with an injection of sterile liquid to induce pain. Discography helps the specialist plan a course of treatment.

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

This condition is a deterioration of the facet joints, which help stabilize the spine and limit excessive motion. The facet joints are lined with cartilage and are surrounded by a lubricating capsule that enables the vertebrae to bend and twist.

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

This condition, commonly called tennis elbow, is a degeneration of the tendons that attach to the lateral epicondyle, the bony bump on the outer side of the elbow.

This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.

This diagnostic procedure is performed to identify a painful facet joint. The facet joints are the joints between the vertebrae in the spine. They allow the spine to bend, flex and twist.

Post laminectomy syndrome, also called failed back syndrome, is a continuous and chronic pain that can develop after certain types of back surgery.

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, ams and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

This condition is a narrowing of the spinal canal that results from the degeneration of bones, discs, or joints in the cervical spine.

This condition affects the thoracic spine between the neck and the lower back. It is a narrowing of the spinal canal that results from degeneration of bones in the spine, disc herniation, or thickening of the tissues that surround the spinal cord.

In this condition, damage to bones or joints causes vertebrae to slip forward and distort the spinal cord. This animation will show two types of spondylolisthesis, degenerative and isthmic.

This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.

This injection can both diagnose and treat pain coming from the sympathetic nerves. It is a common treatment for shingles and complex regional pain syndromes affecting the head, face, neck, or arms. Usually a series of these injections is needed to treat the problem.

This outpatient procedure is an injection performed to relieve pain in the upper back.

This minimally-invasive procedure, also called radiofrequency (or RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This procedure is performed with local anesthetic.

Vertebral discs are the spinal column’s shock absorbers. The discs cushion the vertebral bones and allow the spine to twist and bend. Vertebral discs are composed of two main parts, a soft inner nucleus (nucleus pulposis) and a tough, fibrous outer wall (annulus fibrosis).

Vertebral discs are the spinal column’s shock absorbers. The discs cushion the vertebral bones and allow the spine to twist and bend. Vertebral discs are composed of two main parts, a soft inner nucleus (nucleus pulposis) and a tough, fibrous outer wall (annulus fibrosis).

Whiplash, also called cervical acceleration/ deceleration (or CAD) syndrome, is a neck injury commonly caused by car accidents, falls, and contact sports. It results from a quick, jerking motion that forces the neck beyond its normal range of motion.

Hip, Leg and Knee

This injection procedure is performed to diagnose and relieve the pain of piriformis syndrome, an irritation of the sciatic nerve caused by a contraction of the piriformis muscle in the buttocks.

This non-operative, outpatient procedure is designed to provide relief for patients with arthritis of the knee. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.

If you have pain in your hip, your doctor may inject medicine into your hip joint. It can help your doctor find where your pain is coming from. It can also make your hip feel better.

This is an injection of a medicine called HYALGAN. It’s delivered directly into your knee joint. It helps with the pain of osteoarthritis.

This is a problem on the outer side of your thigh. It’s an inflammation of the iliotibial band. That’s a thick band of tissue that spans from your hip to your shinbone. When this band becomes in inflamed, it can hurt.

This outpatient injection procedure relieves hip, leg or buttock pain caused by arthritis or other damage to the hip joint.

This is a common injury of the knee. Your knee joint is cushioned by two c-shaped wedges of cartilage called the “menisci.” Each individual cushion is called a “meniscus.” This injury is a tear of one of these cushions.

Osteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints. Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints. Osteoarthritis is common in the knees because the knees bear the weight of the body. Osteoarthritis of the knee can severely impact a person’s lifestyle.

This is a pain and numbness you feel in your buttock and down the back of your leg. It involves the sciatic nerve. That’s a large nerve that travels from your lower spine down to your foot.

If you have arthritis in your hip, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your hip feel better and work better.

If you have arthritis in your knee, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your knee feel better and work better.

This procedure is an injection of anesthesia (or an anesthetic/steroid mixture) around the sciatic nerve. It can be used to block the pain of surgery on the knee, leg ankle or foot, or it can be used to manage the pain of chronic issues in the lower extremity.

If you have an injury, or if you have tendons or ligaments that have become inflamed, stem cell therapy may help. It uses your body’s own stem cells to help heal damage. It may help you avoid surgery.

Shoulder

This is a problem with a tendon in your shoulder. Most often, it’s the “long head of biceps” tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated.

This is stiffening of your shoulder. It happens over time, and you may not know what caused it. With a frozen shoulder, it can be hard for you to be as active as you like.

This outpatient injection procedure relieves pain in the shoulder and arm caused by arthritis, injury or disorder.

If you have shoulder pain, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your shoulder feel better and work better.

The rotator cuff muscles and tendons hold your upper arm bone in your shoulder socket. A hard fall, repetitive arm motions or problems with the structure of your shoulder can injure the rotator cuff.

This is a painful pinching of soft tissues in your shoulder. It happens when these tissues rub and press against a part of your shoulder blade called the “acromion.” This can irritate your rotator cuff tendons, and also a soft sac called the “subacromial bursa.”

If you have an injury, or if you have tendons or ligaments that have become inflamed, stem cell therapy may help. It uses your body’s own stem cells to help heal damage. It may help you avoid surgery.

This injection goes into your shoulder. It can help reduce your shoulder pain. We use it to treat many conditions. It’s used for adhesive capsulitis, rotator cuff tendinosis and impingement syndrome.

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.