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Piedmont Interventional Pain Care, PA, takes a gentle, but effective, approach to pain management. Every patient’s pain and tolerance level is unique, so we strive to determine the cause of the pain and the best possible treatment option. Because we are an interventional pain practice, we take a gentle, but effective approach to treating pain. Our goal is to try the least invasive options possible with minimal or no pain medication to provide the best outcome. A return to an enjoyable, productive lifestyle is our ultimate goal for our patients.

Some Common Conditions We Treat Include:
Myofascial pain (muscle pain)
Cervical facet arthropathy (neck joint pain)
Cervical degenerative disc disease
Neck, shoulder and arm pain
Occipital headaches (neuralgia)
Thoracic facet arthropathy (back joint pain)
Thoracic degenerative disc disease
Lumbar facet arthropathy (low back joint pain)
Lumbar degenerative disc disease
Back and leg pain
Hip and knee pain
Sacroiliac joint pain
Coccygeal (tail bone) pain
Sciatica (radicular pain)
Shingle (herpes zoster) pain
Complex regional pain syndrome (CRPS) and Reflex sympathetic dystrophy (RSD)
Cancer pain

Myofascial pain (muscle pain)

A type of chronic pain syndrome, myofascial pain is caused by injury or damage to the soft, connective tissue surrounding the muscles and organs. Myofascial pain creates sensitive areas in the muscles called “trigger points” that can create radiating pain throughout the muscle. While the exact cause of myofascial pain is not completely understood, there are conditions and systemic disorders that may contribute to the syndrome including connective tissue diseases, depression and fibromyalgia.

Cervical facet arthropathy (neck joint pain)

Pain can come from the facet joints of the neck and are often caused by an arthritic condition generalized as cervical facet arthropathy. Facet joints are where the vertebrae (bones in the back) connect. While cervical facet arthropathy may be caused from rheumatoid arthritis or osteoarthritis or other type of degeneration, simple diagnostic tests can be used to help diagnose the condition and define the treatment options.

Cervical degenerative disc disease

Cervical degeneration may be the result of an injury or the natural process of aging. As a person ages, the discs of the vertebrae start to lose their resiliency. With the disc reduced, the “shock absorber” affect is lost resulting in bone and joint inflammation that can cause pain. In the neck area, it is referred to as cervical degenerative disk disease. Cervical degenerative disc disease can cause extreme discomfort, headache and/or pain that radiates down the shoulders and arms.

Neck, shoulder and arm pain

Muscle (myofascial) pain, joint pain (facet, shoulder, elbow, wrist, hand), nerve pain (central spinal nerves or peripheral – distal from the spinal column).

Occipital headaches (neuralgia)

An occipital headache (neuralgia) is caused by irritation or injury to the occipital nerve – a nerve running from the top of the top of the vertebrae to the base of the skull. Occipital neuralgia can feel like a migraine-type headache or tension headache, but the cause stems from the inflammation of the nerves just under the skin at the back of the skull.

Thoracic facet arthropathy (back joint pain)

Pain coming from the facet joints in the back is referred to as thoracic facet arthropathy. Facet joints are located where the vertebrae (bones in the back) connect. While thoracic facet arthropathy may be caused from rheumatoid arthritis or osteoarthritis or other type of degeneration, simple diagnostic tests can be used to help diagnose the condition, its causes, and treatment options.

Thoracic degenerative disc disease

Thoracic degeneration may be the result of an injury or the natural process of aging. As a person ages, the discs of the vertebrae start to lose their resiliency. With the disc reduced, the “shock absorber” affect is lost resulting in bone and joint inflammation that can cause pain. In the upper back area, it is referred to as thoracic degenerative disk disease. Thoracic degenerative disc disease can cause extreme discomfort in the back and/or pain that radiates down the hips and legs.

Lumbar facet arthropathy (low back joint pain)

Pain coming from the facet joints in the lower back is referred to as lumbar facet arthropathy. Facet joints are where the vertebrae (bones in the back) connect. While lumbar facet arthropathy may be caused from rheumatoid arthritis or osteoarthritis or other type of degeneration, simple diagnostic tests can be used to help diagnose the condition, its causes, and treatment options.

Lumbar degenerative disc disease

As a person ages, the discs of the vertebrae start to lose their resiliency. With the disc reduced, the “shock absorber” effect is lost resulting in bone and joint inflammation that can cause pain. In the upper back area, it is referred to as thoracic degenerative disk disease. Lumbar degenerative disc disease can cause extreme discomfort in the back and/or pain that radiates down the hips and legs.

Back and leg pain

Muscle (myofascial) pain, joint pain (facet & sacroiliac joint), nerve pain (central spinal nerves or peripheral – distal from the spinal column).

Hip and knee pain

Hip and knee joint pain from inflammation secondary to an arthritic or other inflammatory condition.

Sacroiliac joint pain

Located at the very bottom of the back, the sacroiliac joints are located between the sacrum (the large triangular bone at the base of the spine) and the ilia (hip bones). Typically pain results from an injury causing the joints to become locked or too loose. When this occurs, a host of symptoms can affect the lower back, buttocks, thighs and groin. While he condition may be mistaken for sciatica, sacroiliac joint pain typically is causes by trauma, injury or inflammatory disease in the joints.

Coccygeal (tail bone) pain

Inflammation and pain in the coccyx (tailbone) area is referred to as coccydynia. Pain in this area is usually caused by an injury (bruise/broken bone) involving the coccyx.

Sciatica (radicular pain)

When one of the nerve roots that branches out from the spinal column suffers an injury or impingement, pain, numbness, weakness or other symptoms may be felt in other parts of the body. Ruptured discs, spinal stenosis, degenerative disc disease and injuries that occur in the lower back may refer pain from the lower back to the lower extremities is referred to as sciatica. This pain can radiate from the back, hips, and legs and down to the foot.

Shingle (herpes zoster) pain

Its clinical term, shingles is the herpes zoster virus (also known as the “chicken pox” virus). More common in the elderly population, shingles may appear when immune defenses are lowered and are unable to keep the virus dormant. The virus replicates and reappears in the patient at the dermatome level (an area of skin that is mainly supplied by a single spinal nerve) across the chest or abdomen and is very painful – even debilitating.

Complex regional pain syndrome (CRPS) and Reflex sympathetic dystrophy (RSD)

Complex regional pain syndrome (also known as Reflex sympathetic dystrophy) causes extreme, chronic pain that typically affects one of the arms, legs, hands or feet. Burning, swelling and redness in the affected area(s) may accompany the condition. While the cause is still somewhat a mystery, there is some evidence that it may stem from a breakdown in the central or peripheral nervous system.

Cancer pain

Cancer pain may come from the disease itself or the treatment for the cancer itself. The patient and his or her individual situation define this type of pain.

Please see our educational videos and animations for more information on some of our
procedures and common pain conditions treated at Piedmont Interventional Pain Care.
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