Knowledgeable and experienced physicians and therapists provide pain management and chiropractic with scientific presentations at multiple national conventions and extensive training at world renowned institutions will take care of your acute and chronic pain conditions.

Arthritis is one of the most common diseases in the world today. The knee is among the most commonly involved joints with arthritis, and can be one of the most serious affecting many aspects of an individual's quality of life. Patients with arthritis of the knee are susceptible to complications from other medical conditions, as they are more likely to live a sedentary lifestyle and are more often obese. Effective treatment for arthritis is a priority of orthopedic surgeons.

In conjunction with East West Internal Medicine we are able to offer interventional pain management procedures administered by our affiliated MD's which can improve your quality of life if you are suffering from chronic pain associated with but not limited to arthritis.

Interventional Pain Management Procedures

For chronic pain sufferers, finding relief from their pain can be difficult and time consuming. Sometimes patients are shuffled back and forth between primary care physicians, specialists, and therapists of all kinds in search of a solution to their pain problems. Interventional Pain Management can be a useful alternative for patients who have exhausted other treatment methods without success and may be the solution chronic pain sufferers are looking for.

The goals of interventional pain management are to relieve, reduce, or manage pain and improve a patient's overall quality of life through minimally invasive techniques specifically designed to diagnose and treat painful conditions. Interventional pain management also strives to help patients return to their everyday activities quickly and without heavy reliance on medications.

Hyalgan Injections - Motor Oil for the Arthritic Knee Joint

Thanks to Hyalgan injections, chronic pain in your knees and other joints caused by osteoarthritis are no longer a fact of life. Arthritic joints can now be 'lubricated' using a technique called visco-supplementation. Hyaluronan, the name of the substance in Hyalgan, is secreted by cells in the cartilage of joints. Hyaluronan is one of the major molecular components of joint fluid, also called synovial fluid, and it gives the joint fluid, its viscous, slippery quality. The high viscosity of synovial fluid allows for the cartilage surfaces of joints to glide upon each other in a smooth fashion.

By injecting Hyalgan in a knee, some people consider this a so-called joint lubrication. This is why you may hear of Hyalgan as 'motor oil' for the knee joint.

Hyalgan is indicated for the treatment of knee pain in osteoarthritis of the knee for those who have failed to respond to more conservative therapy.

Hyalgan is injected directly into the knee joint to restore the cushioning and lubricating properties of normal joint fluid.

East West Internal Medicine uses ultrasound to give an accurate diagnosis and help guide the needle to the correct target area which helps provide the best results for the patient. Studies show that injections that are not guided by ultrasound have a much lower success rate.

Intra- Articular and Trigger Point and Bursae Injections

Trigger points are muscle knots or nodules that cause muscle or nerve pain.  They can radiate to other areas, causing unrecognized problems.  For example, a trigger point in your upper back may be causing shoulder pain, neck pain, headaches or lower back pain. A trigger point in your lower back may be causing back, hip or leg pain.  Trigger points are areas of ischemia(inadequate blood supply), pain signaling, inflammation and/or muscle spasms or tightness Conventional treatments include pain medicines, physical therapy and steroid injections.  Alternative treatments include massage, acupuncture and chiropractic.  These treatments often provide temporary relief, while trigger point shots and auriculotherapy often provide long lasting benefits.

Trigger point injections may be used to treat many painful soft-tissue conditions. Intra-articular aspiration or injection of the knee is dedicated to obtain fluid for analysis, treat painful osteoarthritis, or relieve a tense effusion. Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms’ of hip bursitis.

Sacroiliac Joint Injections

The sacroiliac joint is a large joint in your lower back and buttocks region. When the joint becomes painful, it can cause pain in its immediate region or it can refer pain into your groin, abdomen, hip, buttock or leg.

A sacroiliac joint injection serves several purposes. First by placing numbing medicine into the joint, the amount of immediate pain relief you experience will help confirm or deny the joint as a source of your pain. That is, if you obtain complete relief of your main pain while the joint is numb it means this joint is more likely than not your pain source. Furthermore, time-release cortisone will be injected into the joint to reduce any presumed inflammation, which on many occasions can provide long-term pain relief.