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Neuropathy

Neuropathy is a result of nerve damage that often causes weakness, numbness and pain, usually affecting the hands and feet.

The course of the condition can vary; it can come and go, slowly progress over years, or quickly become severe and debilitating.

Neuropathy is often a compilation of other underlying medical conditions including diabetes, trauma to the neck and spine, infection, metabolic problems and exposure to certain toxins. It affects automatic nerves, motor nerves and sensory nerves, described by patients as creating a burning or tingling sensation.

Information comes courtesy of Neuropathy.org and the Mayo Clinic.




Treatments

  • Spinal Cord Stimulator
    Spinal cord stimulation is a form of electrical neurostimulation designed to reduce chronic pain felt by patients in their back and limbs as a result of various conditions including failed back surgery syndrome, reflex sympathetic dystrophy, and peripheral neuropathy. Rather than directly targeting the source of chronic pain, SCS interferes with the transmission of pain signals from certain nerves, preventing the brain from fully recognizing sensations of pain. The implantation of a spinal cord stimulator comprises three stages. The first is a psychological evaluation, which is required by insurance. The purpose is to resolve any psychological contraindications to the procedure beforehand. The second stage is a trial phase lasting typically between five and seven days. In this phase, electrodes are implanted in the epidural space using a technique very similar to a standard epidural injection. The electrodes are then activated to determine whether the stimulation is effectively relieving the pain. If the trial stage is successful, the patient returns to have the electrodes removed. A permanent device is then implanted through a simple outpatient surgical procedure. The strength of electrical stimulation can be changed by the attending physician or patient to adjust to shifting pain levels, providing adaptive, optimal pain relief in the process. For more information visit http://www.medtronic.com/patients/chronic-pain/living-with/index.htm
  • Image-guided Nerve Blocks and Injection Therapies
    Image-guided nerve blocks and injection therapies allow specialists to treat pain in a specific part of the body, such as an organ or a limb. Targeting an isolated group of nerves that carry the pain sensation from the affected area, a needle is inserted in the spine and guided to the area where the nerve or nerve cluster is irritated. Using the imaging technique of fluoroscopy to track the needle’s movement, local anesthetic is then administered to numb acute pain. Steroids can also be used to control nerve inflammation. Nerve blocks can be used for different reasons associated with chronic pain. While therapeutic nerve blocks control pain associated with various conditions, Diagnostic and Prognostic nerve blocks help to determine the source of a pain and predict the outcome of certain treatment respectively. Preemptive nerve blocs are also used before certain procedures to prevent ensuing discomfort.
  • Chronic Pain Management
    Chronic pain refers to any pain lasting in excess of six months. There is no clear cause, as the term applies to any long-term discomfort arising from an initial injury. Chronic pain can occur in virtually any part of the human body and often contributes to other residual health problems including fatigue, decreased appetite, mood swings, and a lack of mobility. These difficulties negatively affect a person’s ability to lead a comfortable lifestyle. Many advances in modern medicine are helping people to manage their chronic pain more effectively to reduce suffering and enhance a patient’s quality of life and functionality. We will fully evaluate your condition and design a holistic, individually tailored plan to help you return to your life.
  • Botox
    Botox is a a highly purified preparation of botulinum toxin A. Very small amounts of botox are injected into specific muscles, and it acts by blocking the transmission of nerve impulses to muscles, and therefore relaxing them. Information courtesy of MedicineNet. For more information, visit http://www.allergan.com/treatments/neurosciences/chronic_migraine.htm.



Providers

George Montgomery Baylor, M.D.

Dr. George Montgomery “Monty” Baylor is a board certified anesthesiologist and pain management physician with a wealth of experience with advanced interventional therapies. Dr. Baylor completed his medical school training at Marshall University School of Medicine.  … Read More

Anthony L. Dragovich, M.D.

Dr. Anthony Dragovich is a board certified anesthesiologist and pain medicine physician with expert proficiency in the placement of implantable devices and ultrasound guided procedures. Dr. Dragovich performed his anesthesiology residency at Walter Reed Army Medical Center … Read More

Marc A. Swanson, M.D.

Dr. Marc Swanson has been a pillar of the Roanoke Valley for the past 23 years.  He is board certified in both Anesthesiology and Pain Management.  He practices holistic pain medicine with a focus on … Read More

Dana Hurt, PA-C

Ms. Dana Hurt is an area native who feels fortunate to be able to give back to her beloved community. She was born in Bedford and has completed her education in the local region.  She attended … Read More

Laura Davis, PA-C

Mrs. Laura Davis is a caring, compassionate Physician Assistant who has practiced pain medicine for the past six years. She was born in Ohio and completed her undergraduate work at Wright State University.  Her acceptance to … Read More