Pain Management Center

The MIND Pain Management Center is committed to improving the comfort of the patients we serve.

We treat a wide variety of painful conditions with minimally invasive procedures under either fluoroscopic or ultrasound guidance. Our goal is to help each patient eliminate or greatly decrease their pain and maximize their overall function.

Chronic pain can be debilitating component of many spine, neurological and non-neurological conditions, including headaches and facial pain. In addition to alleviating pain as a therapeutic measure, a variety of nerve blocks can also aid in the diagnosis of neurological conditions.

The MIND Pain Management Center is supervised by Dr. Daniel Feldman, MD, who completed a Residency in Anesthesiology, as well as a Fellowship in Interventional Pain at the University Michigan Health System. Dr. Feldman is Board Certified in both Anesthesiology and Pain Management.

Pain Management Center

In some respects, pain may be considered as a basic protective reflex. However, pain can manifest itself in complex ways, depending on the disease process causing it, as well as how an individual patient processes the experience.

Chronic pain can be a debilitating component of many spine, neurological and non-neurological conditions, including headache and facial pain. In addition to alleviating pain as a therapeutic measure, a variety of nerve blocks can also aid in the diagnosis of various neurological conditions.

The MIND Pain Management Center is supervised by Dr. Daniel Feldman, MD, who completed a Residency in Anesthesiology, as well as a Fellowship in Interventional Pain at the University Michigan Health System. Dr. Feldman is also Board Certified in both Anesthesiology and Pain Management.

Modern pain management modalities.

Therapies available for the alleviation of pain at the MIND Pain Management Center include:

  • Epidural steroid injections – A minimally invasive procedure that can help relieve neck, arm, back and leg pain caused by inflammation of the spinal nerves due to spinal stenosis or disc herniation. Epidurals at MIND can be performed in three regions: Cervical, Thoracic and Lumbar.
  • Cervical and lumbar medial branch blocks, as well as radiofrequency ablation (RFA) – Minimally invasive nerve blocks that target the facet joints are used to diagnose axial neck and low back pain, as well as cervicogenic headaches. If the blocks provide 12-24 hours of relief, RFA can be considered, which involves cauterizing the small medial branch nerves. The nerves take 9-12 months to grow back, so 9-12 months of relief can be expected.

 

  • IV ketamine infusions – 30-minute infusions performed under anesthesiologist supervision on a monthly basis to treat chronic migraines, fibromyalgia, CRPS and various other neuropathic pain conditions.
  • Suprascapular, occipital, supraorbital and auriculotemporal nerve blocks performed under ultrasound guidance. These may also be accompanied by a steroid medication.
  • Hip, knee and shoulder joint injections under fluoroscopic guidance
  • Trigger point injections under ultrasound guidance
  • Sphenopalatine ganglion nerve blocks under fluoroscopic guidance
  • Stellate ganglion blocks under ultrasound guidance
  • Botox injections for migraines, cervical dystonia, TMJD and thoracic outlet syndrome