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Posts for category: Pain Management

By Reno Tahoe Pain Associates Team
May 22, 2020
Category: Pain Management

Chronic pain affects roughly 1.5 Billion people worldwide and is most commonly located in the back.  Chronic pain is a persistent, spinal columdebilitating pain that lasts for three months or longer.  It's different from acute pain which commonly results from injury or surgery and heals after time.

What is a Spinal Cord Stimulator?

A spinal cord stimulator is a non-opiate, implanted device indicated to treat chronic neuropathic pain of the trunk and limbs.  Neuropathic pain is the result of damaged or malfunctioning nerve fibers that send false pain messages to the brain.  Patients often describe a burning, shooting or dull ache that can last up to 24 hours per day. This type of pain is very difficult to treat effectively, potentially resulting in a long, frustrating journey to find relief.
How Does a Spinal Cord Stimulator Work?
Spinal Cord Stimulators deliver mild electrical pulses to the nerves, interrupting the pain signals to the brain, thus reducing pain.  Here at Reno Tahoe Pain Associates in Reno, NV, your Board Certified Pain Specialist physician, Dr. Ali Nairizi, often recommends spinal cord stimulation when other treatments for pain management have failed.  For patients that are good candidates there is a 7-day trial of the device that is temporary and totally reversible - basically a ‘test drive’ of the therapy.

These trials are simple in-office procedures. If the therapy provides 50% or more relief from pain and an increase in quality of life, such as better sleep and increased mobility and overall stamina, then the patient can move on to a permanent implant.  Studies show 9 out of 10 patients with chronic neuropathic pain achieve a successful trial.

A spinal cord stimulator consists of two thin leads that are the size and shape of spaghetti that connect to a tiny battery pack and are placed under the skin, similar to a pacemaker. The leads are placed in the spinal canal above your spinal cord, while the generator is placed underneath your skin near the belt line or buttocks. The device is rechargeable and is FDA approved to last at least ten years.  This is a minimally invasive procedure performed at a surgery center or hospital and no hospital stay is required.

 What Conditions Can Be Treated with Spinal Cord Stimulators?
Spinal cord stimulation is typically recommended for patients who aren't finding adequate relief from nonsurgical pain treatments. Your pain management physician recommends spinal cord stimulation for managing different kinds of chronic pain, including:

  • Post-surgery pain
  • Back pain, particularly pain that persists following a failed back surgery
  • Angina or heart pain that isn’t treatable with other options
  • Arachnoiditis, which occurs when the arachnoid, a super-thin membrane covering the spinal cord and brain, becomes inflamed
  • Complex Regional Pain Syndrome or CRPS
  • Nerve-associated pain, as in diabetic neuropathy and neuropathy related to cancer treatments
  • Pain following amputation
  • Peripheral vascular disease
  • Perineal and visceral abdominal pain

Spinal cord stimulation has been shown to significantly improve a person’s quality of sleep and life, while decreasing the requirements for pain medications. For best results, it’s usually used alongside other treatments for pain management such as medicines, relaxation methods, physical therapy, and exercise.
For Questions and More Information on Spinal Cord Stimulation, We Can Help
Dial (775) 384-1127 to set up a consultation with our pain management physician, Dr. Ali Nairizi of Reno Tahoe Pain Associates here in Reno, NV.

By Reno Tahoe Pain Associates Team
May 01, 2020
Category: Pain Management
Tags: back pain  

Back pain can come about suddenly after an injury, before disappearing almost immediately or gradually over time. In other cases, backback pain pain can become chronic and make everyday activities unbearable. Fortunately, here at Reno Tahoe Pain Associates in Reno, NV, Dr. Ali Nairizi can help.

What can cause back pain?

Common causes of back pain include,

  • Muscle strain or sprain: A muscle strain occurs when muscle fibers are stretched out or torn, and a strain occurs when you tear ligaments from their attachments.
  • Bulging disc: This common spine injury occurs when a disc is protruding (this is also referred to as a slipped disc).
  • Herniated disc: This is when a fragment of the disc is pushed into the spinal canal through a tear or rupture and is an early stage of degeneration.
  • Degenerative disc disease: Discs between the vertebrae lose their cushioning, start to fragment, and become herniated. This is related to aging, loss of flexibility, and nerve-pinching bone spurs.
  • Osteoporosis: This is when new bone creation or regeneration can't keep up with bone loss.
  • Scoliosis: Scoliosis is a curve in the spine that occurs during the growth spurt, just before puberty.
  • Arthritis: This inflammation of the joints may affect one joint or multiple joints, and there are two common types: osteoarthritis and rheumatoid arthritis.

Other diseases or conditions that may cause back pain include a spinal fracture, muscle spasms, a car accident, or even a bad fall. Other factors that increase your risk for developing back problems include lifting heavy objects improperly, being overweight, or having poor posture.

Back Pain Treatment

Dr. Nairizi first examines your back pain to understand what’s causing it. Your Reno doctor then finds the best course of treatment for you, based on your symptoms. Don't delay visiting him if your pain is intolerable or your conditions worsen over time.

How do you contact for more information?

Call Dr. Ali Nairizi of Reno Tahoe Pain Associates in Reno, NV, at (775) 384-1127 for more information

By Reno Tahoe Pain Associates Team
March 09, 2020
Category: Pain Management
Tags: Botox   Migraines  

This simple injectable could get your chronic migraines under control.

If you are someone who deals with frequent migraines, then you are certainly no stranger to pain. Migraines are severe headaches that can cause a number of painful symptoms such as sensitivity to light and sound, auras, nausea, and vomiting. If medications, lifestyle changes, and other treatment options haven’t provided the relief you need, then you may want to talk to our Reno, NV, pain management physician, Dr. Ali Nairizi, about whether you could benefit from Botox.

But isn’t Botox a wrinkle treatment?

Yes, Botox is an FDA-approved cosmetic treatment that is typically used to reduce the appearance of lines and wrinkles that develop around the forehead, eyes, and mouth; however, Botox has also been approved to treat a wide range of other non-cosmetic conditions—migraines are one of them.

Of course, Botox is also FDA-approved to handle chronic migraines. What makes migraines chronic? If you have headaches at least 15 days each month then you are dealing with chronic migraines, and these are the headaches that will respond the best to Botox treatment.

What is Botox and how does it work?

These injections administer a purified form of botulinum toxin into the muscles of the face. This neurotoxin temporarily prevents muscle contractions for up to 4 months. It is believed that when Botox is delivered into the muscles, it blocks the pain signals that are being sent to the brain. Botox can provide you with more pain-free, migraine-free days each month.

Who should consider Botox for migraines?

If you are dealing with 15 or more migraine days a month, if you haven’t been able to control your symptoms through medication or other treatment options, or if your migraines are affecting your career and personal life, then it may be the perfect time to talk with our Reno, NV, pain doctors about whether Botox is right for you.

What should I expect from treatment?

It only takes a few minutes to administer Botox, but the first appointment is typically the longest one (lasting up to 20 minutes). Since the injections are shallow, it is easily tolerated without the need for anesthesia. Several sessions are usually necessary, and it can take a few months to experience the maximum effects of this treatment.


Need relief? Give us a call

If you are living with migraines in Reno, NV, you may find great relief with the help of Botox. To learn more about our pain management team and the treatments we offer here at Reno Tahoe Pain Associates, call us at (775) 384-1127.