Pain Management & Rehabilitation Medical Services of New York

Pain Management & Rehabilitation Medical Services of New York

Tel: 646.521.0404
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Physical therapy is a common pain treatment
  Physical therapy is a common
  pain treatment

Common Pain Treatments



Epidurals

Treatment usually involves a series of injections, repeated at regular intervals. Epidural steroid injection is a medical procedure that involves the administration of a dose of pain-killing medication into a small space in your back or neck. This treatment has brought relief to many patients who suffer from pain caused by local inflammation, such as bulging discs, arthritis or ligament strain.

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Botox® for Pain Managment

Botox® injections allow therapy to be targeted to specific problem muscles, not possible with existing medications. Botox can be used to reduce the muscle tension involved with chronic headaches, neck aches and back pain. It can also be used to reduce spasticity or excessive muscular contractions to relieve pain; assist in posturing and walking; and allow better range of motion.

Dr. Leff is a pioneer in the performance of CT Guided Deep Muscle Botox Injections. By using Computed Tomography (CT), Dr. Leff is able to pinpoint the exact area of muscle spasm and can differentiate the muscles and soft tissue structures. Dr.Leff has helped thousands of individuals manage their pain with this procedure.

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Medication Management for Pain

While drug therapies differ for each person, the most common are the following:

  • Adjuvant pain medications, including: antidepressants, anticonvulsants and muscle relaxors.
  • Opiates or "pain killers" used to treat acute pain or cancer-related pain, and often prescribed for chronic pain.
  • Anti-inflammatory drugs to alleviate pain by reducing swelling and irritation.

There are alternative delivery methods for medications. Common methods used at the office are oral medications, topical creams, sublingual medicines, nasal sprays, injections and patches.

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Nerve Blocks

Nerve Blocks can produce pain relief by temporarily stopping the transmission of pain signals. Pain medicine is injected directly around a nerve or into the spine to block the pain.

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Trigger Point Injections

Often when a muscle is knotted, blood can not circulate through the tissue to nourish it. Some of the tissue will eventually degenerate and form small nodules called trigger points. Trigger points can occur anywhere in the body and cause serious pain.

By injecting a trigger point with medicine, pain is reduced and movement is increased.

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Physical Therapy

For the pain patient, physical therapy is a critical element in the quest to regain the function that has been lost. In many cases, it hurts so much to move that the patient stops moving - for fear that increased movement will increase the pain. However, in many cases, the way to reduce pain and increase function is to start moving again - with the guidance of a trained physical therapist.

The physical therapist will work with the patient to gradually rebuild flexibility, strength, coordination and endurance. A skilled physical therapist will educate the patient on what is going on within their body and why certain treatments work best.

To learn more about our physical therapists, please visit their bios.

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Feldenkrais®

The FELDENKRAIS METHOD® teaches — through movement — how we can improve our capabilities to function in our daily lives.

In Awareness Through Movement (ATM)® lessons, the FELDENKRAIS practitioner verbally guides you through a sequence of movements: sitting or lying on the floor, standing or sitting in a chair.

You discover how you do the movements and notice the quality of changes in your body. You learn to relax and to abandon habitual patterns. Through the subtle ATM movements, you develop awareness, flexibility and coordination. You experience relaxation and a sense of release.

Functional Integration® is a one-to-one learning process. The movements are communicated through slow, gentle touch. Comfortably clothed, you lie or sit on a low padded table, or you may be standing, walking, sitting in a chair, or in other various positions. The practitioner guides you through a series of precise movements that alter habitual patterns and provide new learning directly to the neuromuscular system.

Functional Integration is especially useful for people who want to learn to overcome limitations brought on by stress, misuse, accident, or illness. It is equally beneficial for people who want to perform and feel better physically and mentally.

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