- Headaches
- Fibromyalgia
- Plantar Fasciitis
- NeurologyThe training for neurology includes the full range of conditions causing neck and back pain. Neurologists are therefore more likely to perform a more thorough evaluation and explore all treatment options.
- Multiple SclerosisWhile the practice focus of Northstar Pain Care/Neurological Clinic is on the evaluation and treatment of pain, Dr. Trobiani is a board certified neurologist with training and experience in the entire range of neurological conditions and welcomes patients with seizure disorders, Parkinson’s disease, Alzheimer’s disease, multiple sclerosis and other assorted neurological conditions.
- PsychiatryAll independent medical evaluations are performed by Steven Trobiani, M.D. Dr. Trobiani is a neurologist certified by the American Board of Psychiatry and Neurology. He has 30 years of experience in the practice of neurology and abundant experience in deposition and trial testimony.
- UltrasoundV.S. is a 51 year-old female who was first seen at Northstar Pain Care/Neurological Clinic in September of 2011. She gave a history of back pain and pain in both legs of 4-5 years duration, with continuous pain for the last year. Prior evaluation had included a normal EMG of both legs, a normal MRI of the lumbar spine and a normal Doppler/ultrasound study of both legs. Examination did reveal tenderness over the psoas and pyriformis muscles bilaterally and she was diagnosed with bilateral psoas and pyriformis syndromes. Marcaine injection into these muscles confirmed the diagnosis and Botox injection into these muscles resolved those sources of pain.
- MRIH.P. was initially seen at Northstar Pain Care/Neurological Clinic in November of 2004. He had been involved in 2 prior motor vehicle accidents in which he suffered back injuries successfully treated with chiropractic care. He had begun an exercise program which re-aggravated his back pain. His examination did not suggest a discogenic source for his pain, nor did it suggest a soft tissue source for his pain. I was therefore concerned that his pain was emanating from the facet joints of the lumbar spine and an MRI scan was scheduled for evaluation.
- Computed TomographyThe practice focus of Northstar Pain Care/Neurological Clinic is on the evaluation and treatment of pain—whether the pain is generalized or is localized to the head, neck, back, shoulders, hips, knees, arms or legs. All evaluations are performed by Steven Trobiani, M.D. who is board certified in Neurology. On site MRI and CT scans are available through our affiliation with Suburban Imaging, allowing scans to often be obtained during the same appointment. For the treatment of soft tissue (muscle and fascia) sources of pain, we also provide on-site physical medicine services as well as trigger point and Botox injections performed by Dr. Trobiani. Dr. Trobiani is a registered expert for Botox injections in the treatment of chronic migraine.
- BotoxTherapy was going well and the pain relief was getting better each time I visited. I unfortunately had a setback though when I was involved in an apartment fire. The stress and shock brought the pain back. I sat back down with the doctor and we discussed Botox injections in my psoas to help temporarily relax the muscles that were causing the pain, in hopes that this combined with my therapy would help get my spasming muscles to release. The injections were quick and fairly painless, and like the doctor said it relieved a majority of the pain almost immediately. Knowing that this was only temporary we kept working on the therapy until I was able to move again without any pain, even after the effects of the Botox wore off.
- Lesions
- Physical TherapyIn December of 2009, D.Y. was involved in a motor vehicle accident and again developed back pain extending down the back of his right leg. He was seen by his surgeon who did not identify any new disc injury as the source of his pain. He underwent a course of physical therapy without benefit and then consulted a chiropractor but still obtained no relief from his back and leg pain.
- Back Pain
- Plantar Fasciitis