- Headaches
- ArthritisSpinal stenosis is most often seen in older people (age 50 and above) who have weakened joints or ligaments in their backs, cartilage loss and spinal degeneration. Certain conditions that are common in this age group, such as osteoarthritis and rheumatoid arthritis, can cause inflammation and put additional pressure on the spinal cord, contributing to spinal stenosis.
- FibromyalgiaIn a nutshell, fibromyalgia is a chronic central nervous system disorder that causes widespread pain, stiffness and tenderness of the muscles, tendons and ligaments. People who suffer from this condition have “tender points” in specific locations on their bodies (usually on the neck, collarbone, chest, upper back, sides of the spine, inside of either arm at the elbow, lower back, knee caps and buttocks) that hurt when touched or pressed.
- Plantar Fasciitis
- Medical Weight LossFor most people, pain from herniated discs can be controlled with medication, and non-surgical treatments such as bed rest, limitations on physical activity, ice and heat applications, weight loss programs, use of a lumbosacral back support, physical therapy (massage, aerobics, stretching exercises, hydrotherapy, pilates, etc.), and osteopathic or chiropractic manipulations.
- RheumatologyIn 1976, the condition was renamed fibromyalgia—a name derived from the Latin word “fibro” (fibrosis tissue), and the Greek terms for “myo” (muscle) and “algia” (pain). In 1987 the American Medical Association first recognized fibromyalgia as a disease entity and a cause of physical illness. Three years later in 1990, the American College of Rheumatology (ACR) established diagnostic criteria to help physicians diagnose fibromyalgia: that there must be a history of pain for at least three months, and pain in at least 11 of the body’s 18 “tender points.”
- Irritable Bowel Syndrome
- GlaucomaIt is important to understand that ESI is not right for everyone. Injections should NOT be performed on individuals with an infection, bleeding problems, high blood pressure or glaucoma, or on individuals who are pregnant. If you think you have any of these conditions, please discuss this during your initial medical consultation.
- Pelvic Pain
- NeurologyOur physician specializes in Interventional Pain Medicine and Neurology. She is fellowship trained in interventional pain management from Duke University Medical Center and is highly qualified and trained in the most advanced, cutting edge, state-of-the-art technology.
- Carpal Tunnel Syndrome
- Multiple Sclerosis
- Stress ManagementLifestyle modifications, such as regular exercise, dietary changes (eating a high-fiber, low-fat diet and limiting caffeine), good sleep hygiene, and stress management (i.e., hypnosis, meditation, massage therapy and biofeedback) may also help relieve some of the symptoms.
- Depression
- Mental HealthSome patients may be predisposed to the development of post-surgical back pain due to systemic disorders such as diabetes, autoimmune disease, peripheral blood vessels (vascular) disease, and mental health issues such as anxiety and depression. Some evidence suggests that tobacco smokers are more likely than non-smokers to develop post-laminectomy syndrome following surgery to the back.
- Anxiety
- Diabetes Care
- HypothyroidismA variety of other tests may be conducted to rule out other conditions that commonly present with fatigue, (such as anemia chronic fatigue syndrome, hypothyroidism and arthritis). These tests include electro-diagnostic testing, neuroradiological imaging, sleep studies, urine tests and blood tests (to check blood count, antibodies, thyroid and liver function, etc.).
- Thyroid
- UltrasoundWe treat all aspects of pain ranging from a herniated disc, to back and neck joint arthritis pain, and cover the most complex pain conditions. We provide fluoroscopy-guided and ultrasound-guided nerve and joint block treatments such as epidural steroid injection, nerve and joint blocks, radiofrequency ablation procedure, spinal cord stimulator, and vertebroplasty intrathecal pain pump.
- MRIThe best way to know find out if a sacroiliac injection is right for you is by scheduling a consultation with Dr. Pasi. She will conduct a comprehensive physical examination, which will include an assessment of your health history and medical imaging (such as x-rays or an MRI). This will help Dr. Pasi determine whether a sacroiliac injection can meet your pain management goals.
- X-Rays
- Computed TomographyTo further confirm the diagnosis, Dr. Pasi may order radiologic studies such as x-rays, magnetic resonance imaging (MRI) scans, and computed tomography (CT) scans to examine the internal structures of the spinal cord. These tests will reveal any bone fragments that may be remaining or if there is spinal cord compression, both of which could irritate the nerves in the spine and cause significant pain. Once she knows exactly what is going on, Dr. Pasi works with each patient she sees to develop an effective and customized treatment plan.
- SciaticaIn general, Dr. Pasi recommends facet joint blocks to patients with neck, arm, lower back or leg pain (sciatica) stemming from inflammation of the facet joints. These patients will have failed to respond to more conservative pain treatments (physical therapy, pain relieving medications, bed rest, heat therapy, back braces, etc.).
- Whiplash
- BotoxBotox® is well-known for smoothing wrinkles and rejuvenating aging skin. Increasingly, physicians have been using for Botox® for another purpose: to treat patients with chronic backaches, headaches, muscle spasms and other types of physical pain. Dr. Sonia Pasi offers Botox® injections to her patients at Advanced Pain Consultants. If you suffer from chronic pain that does not always respond well to over-the-counter or even prescription painkillers and analgesics, Botox® might be the solution you’ve been looking for.
- PsoriasisThe sacroiliac joints have a layer of cartilage which covers the bones, which acts as a “shock absorber” during movement. Trauma (falls, injuries, car accidents), hip or spinal surgery (e.g., laminectomy and lumbar fusion), and disease processes (e.g., gout, rheumatoid arthritis, psoriasis and ankylosing spondylitis) can damage or wear away at the cartilage and cause inflammation in the sacroiliac joints. This can lead to severe, sometimes debilitating pain in the lower back, buttocks, abdomen, groin or legs.
- Physical TherapyDr. Pasi has also conducted several clinical studies relating to chronic pain, and is dedicated to diagnosing and treating all types of pain conditions. She uses a holistic approach to each treatment that includes pharmacotherapy, the most advanced interventional procedures, physical therapy, psychotherapy, acupuncture, and diet and lifestyle modification that help patients return to active life without pain.
- Tennis Elbow
- Shoulder Pain
- Neck Pain
- Back Pain
- Plantar Fasciitis
- Allergies