TRIGGER POINT INJECTIONS
Trigger point injections are injections to the muscle belly. Injections are aimed at taut bands or areas of spasm within the muscle belly. Taut bands can be painful and the underlying cause of pain generation. Trigger point injections are diagnostic and therapeutic. If there is significant relief after trigger point injections, certainly one can consider that the muscle spasm is a pain generator. The injection consists of anesthetic as well as anti-inflammatory medication.
ELECTRODIAGNOSTIC TESTING (EMG)
Electrodiagnostic studies are a diagnostic procedure to assess underlying neuropathic problems. EMG can be diagnostic for cervical or lumbar radiculopathy/pinched nerve, neuropathy or distal nerve entrapment such as carpal tunnel syndrome. EMG/NCS can be helpful in determining acute versus chronic conditions and identify neuropathic recovery. EMG/NCS are commonly used in conjunction with MRIs to correlate anatomical findings and neuropathic function.
Physical therapy combines passive and active treatment. Passive treatments include moist head pad, ice packs for analgesia; Ultrasound treatment for production of heat at the muscle bone interphase and stimulate blood flow; Electrostimulation to improve blood flow as well as muscle relaxation and analgesia; Massage treatment for muscle relaxation as well as analgesia to increase extensibility of soft tissue. Active treatments include exercising and stretching as well as cardiovascular treatment to improve strength, range of motion as well as endurance. Physical therapy is a treatment as well as an education and experience to learn how to do things on your own and eventually be progressed to a home exercise program.
FUNCTIONAL CAPACITY EVALUATION
Functional capacity evaluation is an assessment of physical function to identify physical capacity within safe parameters to prevent injury.
Occipital nerve is located in the back of the neck at the junction of the head. Occipital entrapments can occur with underlying spasm commonly causing occipital headaches. This can subsequently produce symptoms radiating to the top of the head as well as in back of the eyes. Occipital blocks can be diagnostic and therapeutic for occipital neuralgia/occipital headaches.
Is a painless treatment using specific wavelengths of light to treat pain in the joints . It stimulates intracellular activity . Improves blood circulation, reduces swelling and relieves pain .
AccuSpina is a proven non-surgical, painless and comfortable treatment of lower back pain and neck pain. The Accu-SPINA™ system is successful in the treatment of degenerative disk disease, herniated discs and bulging discs in the low back and neck, as well as, sciatica and spinal stenosis caused by a herniated or bulging disc. Symptom relief of 86% has been demonstrated in clinical trials using this method of treatment.
Dr. Lichtblau can define impairment, disability and cost for future medical care on all types of patients, which include traumatic brain injury, spinal cord injury, stroke, progressive neurologic diseases, multiple orthopedic trauma, paraplegia, quadriplegia, cerebral palsy, and anoxic brain injuries. This is the patient population that he takes care of on a daily basis.