西布里纪念医院疼痛中心
如果你患有慢性疼痛, chances are your physician will refer you to a pain center that offers a wide variety of services to help you live a more pain-free life.
The 西布里纪念医院 Pain Center provides the latest in minimally invasive treatment options for relieving pain associated with everything from sports injuries to chronic arthritis. 疼痛管理领域充满了新的东西, minimally invasive pain treatment modalities that are replacing oral narcotics as the standard of care, 为患者提供更多的疼痛管理选择. The Pain Center’s staff focuses on pain treatment and has a wide range of tools to tailor pain treatments to the many causes of chronic pain. Sibley’s specialists have brought a hugely improved quality of life to many people who have been dealing with persistent pain for years.
推荐十大正规网赌平台形式
新推荐十大正规网赌平台和复诊推荐十大正规网赌平台应打印、填写并携带一份 用药核对表 去赴约.
期待什么
当你来疼痛中心预约时，请:
- 把贵重物品或珠宝留在家里
- 带上你的保险卡和带照片的身份证
对于我们的许多程序，你需要安排回家的交通工具. Your physician will let you know if you will be able to drive home when you discuss the procedure.
大多数主要的保险计划都包括止痛药服务. 但保险政策各不相同，所以请与您的保险公司核实.
我们治疗的疾病
慢性背部和颈部疼痛
- 椎间盘退行性疾病
- 神经根病
- 颈椎和腰椎劳损
- 方面的疾病
- 对象的痛苦
神经相关疼痛
- 复杂区域性疼痛综合征(又称反射性交感神经营养不良)
- 周围或糖尿病性神经病变
- 幻肢疼痛/截肢后疼痛
- 与艾滋病毒相关的疼痛
- 周围神经损伤
- 中风或脊髓损伤后的中枢性疼痛综合征
- 疱疹后神经痛和带状疱疹
- 头痛(枕神经痛、偏头痛、紧张性头痛、丛集性头痛)
- 面部疼痛-颞下颌关节，神经瘤(创伤)，非典型面部疼痛
- 肌肉骨骼疼痛
- 肌筋膜疼痛综合征
- 胸壁痛
- 梨状肌综合症
- 关节炎和关节疼痛
其他类型的疼痛
- 腹部或骨盆疼痛
- Whiplash-associated障碍
- 癌性疼痛:治疗包括鞘内泵(由患者植入和控制)
- 骶髂关节疼痛
我们的方法
在西布里，我们提供一套全面的方法来提高你的生活质量. Care begins with a comprehensive evaluation of each patient to determine the best treatment possible, 这可能包括转介给其他专家. 最终的结果是针对您的特定情况制定个性化的计划, 以及与正确提供者的连接, 他们是否专攻神经外科, 骨科手术, 神经学, 物理治疗, 职业治疗或心理服务.
因为疼痛有很多种，所以治疗的方法也有很多种. 理想情况下，疼痛的原因得到了治疗, but when the cause is not immediately treatable a pain management team may use a number of other methods.
- 物理方法, 比如理疗和按摩, 可以用来强健身体，减轻患处神经的压力吗.
- 介入手术 are used to disrupt or alter the transmission of pain in the body; common methods include nerve blocks, 小关节注射和神经刺激.
- 心理的方法 involve teaching coping techniques that allow a person with persistent pain to process and reduce the effects of pain.
- 药物 range from over-the-counter non steroidal anti-inflammatory drugs such as acetaminophen to extremely powerful opiate painkillers; due to the possibility of addiction and potential side effects, 药物必须由团队仔细管理.
疼痛测试服务
- 适当的检查(MRI, CAT扫描)
- 综合评价(医疗), 康复, 心理, 功能能力/职业评估, 残疾的决心)
- 特殊研究(诊断性神经阻滞)
- 医疗和药物管理
- 麻醉相关治疗(神经阻滞注射治疗), 脊柱内的注入, 射频neuroablation, myofacial注射)
- 经皮神经电刺激(TENS)
- 转介进行物理和职业治疗, 心理咨询, 放松和压力管理训练和针灸
介入性疼痛手术
-
硬膜外类固醇注射 是否用于在靠近损伤部位或脊柱病理部位的地方给药. 类固醇的作用是减轻炎症，减轻疼痛，并可能改善功能.
我们使用的技术包括:
- 膜间硬膜外注射该技术通常将药物输送到硬膜外后腔, 由荧光镜(一种实时x射线)引导. This procedure is especially useful in the treatment of diffuse spinal disorders like spinal stenosis.
- 尾侧硬膜外注射: 这种方法利用尾骨上的接入点. 这种方法通常用于治疗下脊柱或尾骨疼痛. It is particularly useful in patients with previous spinal surgery where the interlaminar approach is less reliable. 这种注射也是在透视引导下进行的.
- 经椎间孔硬膜外注射: 这种技术是非常精确的, fluoroscopically guided approach to delivering a small volume of medication to the site of the problem in the spine, 通常位于前硬膜外间隙. 这种方法对治疗神经根痛(四肢痛)也非常有效。.
-
The facet joints are located in the posterior aspect of the spine and are responsible for about 10 to 15 percent of the support of the body given by the spine. 由于这一重要作用，小关节是常见的疼痛来源. 他们经常受到退行性关节炎或像颈部扭伤这样的急性损伤的影响. 在脖子上, 从这个关节引起的疼痛可能表现为头痛, 肩痛或上背部疼痛. These joints can cause low back, buttock or thigh and leg pain when originating in the lumbar spine.
在关节内注射时, 这些关节是用针扎穿的, 然后注射造影剂以确认位置. 然后，注射局部麻醉剂和类固醇.
Medial branch blocks involve the injection of a small amount of local anesthetic at the two small nerves that supply each facet joint. 这种高度特异性的程序是诊断性的，通常预测手术的成功 射频消融术.
-
In situations where pain originating from the facet joint can be fully isolated through medial branch blocks, these specific nerves can be selectively destroyed by delivering thermal energy through a procedure called radiofrequency消融. 这项技术也可用于交感神经介导的疼痛. This procedure involves the precise placement of radiofrequency needles along the appropriate nerves. 一旦放置, there are number of motor and sensory stimulation tests performed to confirm that the targeted nerves are the sources of the pain. 这个确认之后是热能的传递, 破坏神经，终止疼痛的传递.
-
骶髂关节位于脊柱和骨盆的交界处. 这些成对的关节易受应力影响, 损伤和关节炎, 并且经常是慢性腰痛的原因. 他们通常在透视指导下对类固醇注射有反应. 骶髂关节可用射频消融术, 诊断性局部麻醉注射可以预测其有效性.
-
Provocative discography is a technique utilized to diagnose internal disc disruption and resulting pain. 这一过程分为挑衅和形态成分. The provocative portion is an attempt to reproduce the patient’s “typical” pain — by inducing the pain, 可以验证原因. Abnormal discs are identified and injected; adjacent control (normal) discs are also injected. Concordant pain is elicited when an abnormal disc is injected replicating the patient’s typical pain. 常作disc morphology(椎间盘的形状, which can result in affected nerves) can also be noted with injection of contrast material which makes it easier to see the mechanics of the disc and nerves. 手术后立即通过CT扫描确认形态学. The combination of the information gleaned from these two components of the study can be useful in identifying the causative agent in disc-related low back pain.
-
脊髓刺激 可有效治疗持续性肢体疼痛(手臂或腿部), 神经相关性疼痛, 某些类型的腰痛, 特殊情况下腹痛和其他顽固性病例疼痛与多种原因.
-
-
最常见的适应症为外周 联合注射 包括关节炎和关节积液. These procedures are often performed based on anatomical landmarks in select joints (such as the hip or glenohumeral in the shoulder) using fluoroscopic guidance. 通常，注射局部麻醉剂和类固醇. Joint fluid replacement is also utilized in appropriate situations to treat pain related to joint pathology.
-
在颈部或腰背部手术后的罕见情况下, scar tissue (adhesions) might develop around a nerve root that causes compression and severe pain. 使用可操纵的导尿管通过引入针放置, 这些粘连被破坏或破裂. This treatment is reserved for those patients who have previously failed conservative treatments such as medications and epidural injections.
-
椎间盘减压可有效治疗小椎间盘, 包含椎间盘突出，主要引起下肢疼痛. This procedure involves using a needle to remove excess material from the center of the disc to reduce pressure on the nerve roots and to potentially resolve the disc protrusion. 通过去除物质, 椎间盘恢复到更圆的形状，通过保护神经来防止疼痛.
-
这些手术被用于椎间盘相关性腰痛的治疗. 一旦椎间盘造影术被用来确定哪个椎间盘引起疼痛, these procedures involve the delivery of thermal energy to the posterior aspect of the disc resulting in collagen formation, thereby “sealing” the ruptured disc as well as reducing aberrant nerve growth into the disc. IDET使用一根针来提供能量, 而经椎间盘双孔成形术则使用两根引入针来封闭更大的区域.
-
在某些情况下, 特定的肌肉会变得紧张并引起疼痛, 作为主要过程或作为底层触发器的结果. These trigger points can be treated with injections of local anesthetic and steroids as part of a treatment plan which typically also includes 物理治疗 and stretching.