Summit Pain offers multiple treatments and therapies to combat your unique pain issues. With over 30 years combined experience, and state of the art treatment facilities, we work with you to find a solution that fits your life. View our services and treatment options below or click on the button below to view an animation video to learn more about your specific pain.What’s Your Pain?
MAT Program (Medication Assisted Treatment)
Buprenorphine is an opioid but the effects are much less than heroin and methadone. Using low doses of buprenorphine helps opiate addicted individuals stop their use of opiate drugs and avoid withdrawal symptoms.
Suboxone is also used to treat individuals addicted to opiates. Suboxone is a combination of buprenorphine and naloxone. Suboxone was approved for the treatment of opiate addiction in 2002. Suboxone tablets are dissolved under the tongue and never chewed or swallowed, Suboxone sublingual film is dissolved under the tongue also. When combining comprehensive substance abuse treatment with Suboxone treatment, individuals addicted to opiate drugs can successfully recover from their addiction.
Combining medications with counseling and behavioral therapy individual’s addicted to drugs and can stand a much higher chance of recovering from their dependency. Addicts are able to change their behaviors and the way they look at drugs. Medication assisted treatment also helps the addicted substance user stay in treatment longer which reduces the chance of relapse and increases their success in recovery.
Many people complain about some of the medications listed above and say they’re addictive and lead to dependency. If you’re serious about getting help for your addiction to drugs and you’re willing to work hard to recover, you can and you will. Dedicated people who are dependent on drugs or alcohol recover from their addiction all the time. Counselors and Therapists are here to help in any way they can but it’s up to you to work hard and be honest with them. If you’re having a problem with a medication that’s prescribed to help you during treatment it’s up to you to let them know.
Our trained staff want to see you succeed and recover from your addiction and they will work with you no matter what your needs are. Medication treatment therapy is designed to help the addict recover but if treatment medications are abused it will only make a person’s life more miserable, decrease your health, increase relapse and stand in your way of a healthy substance free future.
Peripheral Nerve Block
Peripheral Nerve Blocks affect the peripheral nerves; nerves beyond the brain and spinal cord. These nerves transmit sensation and motor (movement) signals.
Peripheral Nerve Block Overview
Peripheral nerve blocks are given mainly to control pain arising from a nerve. Nerve injury can be caused by many things including: trauma, compression, ischemia, or toxic exposure to a nerve. The block involves the injection of a local anesthetic with a steroid in proximity to the injured nerve to decrease the conduction of pain signals along the nerve.
Common Areas for Nerve Blocks
- Median nerve = for carpal tunnel syndrome
- Ilioinguinal nerve = for groin pain after hernia surgery or trauma.
- Sciatic or femoral = for leg or knee pain
After the Procedure
Mild bruising may occur in some instances. Applying ice to the injection site for the first couple days is recommended to minimize local inflammation. Please notify your doctor should the injection site become infected or inflamed, or you suspect nerve injury.
Epidural Steroid Injections
The traditional epidural (ep-e-do-ral) steroid injection technique involves the physician feeling the patient’s spine in order to guide the placement of the needle between the spinal vertebrae. A newer technique involves using x-ray fluoroscopy to guide the needle directly into the neural foramen; the point where the affected nerve root exits the spinal canal. Injections of steroids into the lumbar epidural space are particularly useful to alleviate pain that radiates from the lower back into a leg. This pain may be caused by disc herniation or spinal stenosis, which triggers nerve root irritation, inflammation, and pain. Similarly, ESIs are used to treat neck pain that extends into the arms.
Overview – Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
The patient lies face down. A cushion under the stomach area provides comfort and flexes the back. In this position, the spine opens and allows for easier access to the epidural space.
A local anesthetic is used to numb the skin. All the tissue down to the surface of the lamina portion of the lumbar vertebra bone is anesthetized. The physician slides a thicker needle through the anesthetized track.
Using a fluoroscope for guidance, the physician slides the needle toward the epidural space between the L-4 and L-5 vertebra. A contrast solution is injected. The physician uses the fluoroscope to confirm the correct location of the needle tip.
A steroid-anesthetics mix is injected into the epidural space, bathing the painful nerve root with soothing medication.
End of Procedure
The needle is removed, and a small bandage is applied to cover the tiny needle surface wound. In some cases it may be necessary to repeat the procedure as many as three times to get the full benefit of the medication. Many patients get significant relief from only one or two injections.
Facet Joint Injections
Facet join injections involve the injection of steroid medication into the affected spinal facet joint (fah-set joint) to reduce inflammation and pain. Injections into these joints or blocks of the nerves that feed the facet joints can often be very helpful to relieve pain. This problem is more common in the lumbar spine, but does occur in the cervical spine too.
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation. Skin Numbed In preparation for the procedure, the physician numbs the skin and tissue above the facet joint with an injection of local anesthetic.
With the aid of an x-ray device called a fluoroscope, the physician guides a needle through the numbed tissue and into the facet joint. Contrast dye is injected into the joint to confirm the needle’s placement.
Once the needle is positioned properly, the physician injects a soothing mixture of numbing anesthetic and anti-inflammatory steroid medication. One or more facet joints may be treated. If this causes the pain to subside, it suggests that the facet joint (or joints) injected were the cause of pain.
End of Procedure
Back or neck pain may disappear immediately after a successful injection because of the anesthetic that is administered. As this anesthetic wears off, pain may return. The steroid will begin to take effect in the days after the injection. The steroid will reduce inflammation and pain. The injection can provide relief for a span ranging from several days to several months. Up to three injections may be given per year.
Radiofrequency Facet Ablation
A facet rhizotomy destroys facet nerve(s) either in the lower back (lumbar) or the neck (cervical) region, using radiofrequency (heat) waves. This procedure is done if you have pain due to disease in the facet joints of your spine, and you have had pain relief from your facet nerve blocks. You will be placed in the prone position. Your back or neck will be cleaned with an antiseptic solution and the skin area will be numbed with a local anesthetic. Fluoroscopy is used to guide the placement of the needle probe to the area of the facet nerve. Radiofrequency waves are transmitted to lesion (destroy with heat) the involved nerve(s). This temporarily stops sensation from that area, which may last for an average of 6 months or more.
During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called Radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.
In preparation for the procedure, you lie on your stomach. You are given medicine to make you feel relaxed. The skin and tissue of your neck is numbed.
Inserting the Cannula
The physician inserts a tube called a “cannula.” A video x-ray device called a “fluoroscope” helps guide the cannula to the medial branch nerves in your spine. These tiny nerves carry pain signals from your facet joints to your brain.
Treating the Nerves
The physician inserts an electrode through the cannula. A weak electric jolt is used to test its position. If the jolt recreates the pain but does not cause any other muscular effects, it is positioned correctly. Then the physician uses the electrode to heat the nerve. This disrupts its ability to transmit pain signals. Several nerves may be treated if necessary.
End of Procedure
When the procedure is complete, the electrode and cannula are removed. A small bandage is placed on your skin. You will be monitored for a brief time before you are allowed to go home. Your injection site may feel sore after the procedure, and you may still have neck pain. If the correct nerves were treated, you will gradually experience pain relief as you heal. This may take several weeks. Your relief may last for several months.
Spinal Cord Stimulation
Who is a candidate for SCS?
Not everyone with chronic pain is a candidate for spinal cord stimulation therapy. Candidates for spinal cord stimulation generally have chronic pain in their arms, legs or back for six months or longer. Their pain is “neuropathic,” meaning that it produces a burning, tingling, or numb sensation; and they have not found adequate relief with other treatment options.
Potential benefits of SCS
Along with being a reversible procedure, the benefits of SCS may include:
- A significant reduction in chronic pain
- A reduced need for oral pain medication
- An improved ability to perform daily activities
As with any treatment plan, the exact measure of success with SCS depends on the individual. In general, SCS is considered successful if you experience at least a 50% decrease in your pain.
Algovita® SCS – The Next Generation SCS System
The Algovita® Spinal Cord Stimulation System combines the best aspects of proven SCS technology into a single, patient-friendly system. It enables you to customize pain therapy to your individual needs, so you can get back to living the active life you want
Intrathecal Pain Pumps
An Intrathecal Pump is a specialized device, which delivers concentrated amounts of medication(s) into spinal cord area via a small catheter (tubing).
An intrathecal pump relieves chronic pain. It uses small amounts of medicine applied directly to the intrathecal space (the area surrounding the spinal cord) to prevent pain signals from being perceived by the brain. Pump candidates include people for whom conservative treatments have failed and surgery is not likely to help.
After local anesthetic is administered, a catheter is inserted through a needle or small incision into the intrathecal space. This catheter is connected to a temporary pump. It will be used for several days to determine if the system will help the patient. If pain decreases during the trial period, a permanent system may be implanted.
The second procedure is usually performed while the patient is under general anesthesia. The temporary catheter is removed and, through a needle or incision, a permanent catheter is implanted. The pump is implanted under the skin, usually in the abdomen. The catheter is then connected to the pump. The pump’s battery may last seven to ten years, after which a new pump is implanted. The amount of medication dispensed by the pump is programmed with an external unit. Regular visits to the doctor are needed to refill the pump every 30-90 days. After surgery, patients may experience mild discomfort and swelling at the incision sites for several days.
Kyphoplasty & Vertebral Augmentation
Kyphoplasty is a minimally invasive spinal surgery procedure used to treat painful, progressive vertebral compression fractures (VCFs). A VCF is a fracture in the body of a vertebra, which causes it to collapse. In turn, this causes the spinal column above it to develop an abnormal forward curve. VCFs may be caused by osteoporosis (an age-related softening of the bones) or by the spread of tumor to the vertebral body. Certain forms of cancer can also weaken bone and cause the same problems.
This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine’s natural shape. Some patients experience rapid pain relief after the procedure.
Before the procedure, you are anesthetized. The physician guides a needle through the skin of your back and into your fractured vertebra. A special x-ray device called a “fluoroscope” helps the physician position the needle.
A balloon device is placed through the needle and into the vertebral body. The physician carefully inflates this balloon to expand the fractured bone. When the balloon is deflated, it leaves a cavity in the middle of the vertebral body. The balloon is removed. For some patients, more than one needle and balloon may be used.
The physician injects bone cement through the needle. This cement fills the cavity. It hardens inside the vertebral body, stabilizing the fracture.
End of Procedure and Aftercare
When the procedure is complete, the needle is removed. The opening in your skin is closed. Your doctor will give you instructions to aid your recovery.