Specialties and Treatments

Neurology and interventional pain medicine

Learn about all of our chronic pain management services.

Pain Management at Neurosciences Centers

At Neurosciences Centers, we understand that pain can drastically impact your quality of life. Our mission is to provide compassionate and effective pain management solutions that not only address the symptoms but also work to restore your overall well-being. We offer a comprehensive approach that combines medication management with advanced procedures and injections to provide relief tailored to your specific needs.

1. Medication Management

Our expert team at Neurosciences Centers works closely with you to develop a personalized medication plan that targets your pain while minimizing side effects. Depending on the nature of your pain, we offer various medications designed to provide both short-term and long-term relief.

2. Procedures and Injections for Pain Management

At Neurosciences Centers, we also offer a range of minimally invasive procedures and targeted injections to provide relief from chronic pain. These options are designed to address the underlying causes of pain and restore function.

joint Injections

Knee Injections: For knee pain from arthritis, injury, or other conditions, we offer corticosteroid injections for inflammation or hyaluronic acid injections for lubrication and pain relief.
Hip Injections: For conditions like hip arthritis, bursitis, or tendonitis, corticosteroid injections or platelet-rich plasma (PRP) therapy can provide significant relief from pain and stiffness.
Shoulder Injections: Steroid injections for shoulder injuries like rotator cuff tears or arthritis can reduce inflammation, while viscosupplementation injections (hyaluronic acid) help improve joint function and reduce pain.
Elbow and Wrist Injections: For conditions such as tennis elbow, carpal tunnel syndrome, or wrist arthritis, steroid injections can help alleviate pain and inflammation.

Spinal Injections

A spinal injection is a minimally invasive treatment for pain management. It is a simple procedure in which a steroid injection mixture, consisting of a steroid and/or anesthetic and sometimes a numbing agent, is delivered to the area of the spine believed to be the source of pain.

The steroid or cortisone and/or anesthetic medication reduces inflammation, thus providing pain relief. The anesthetic drug is administered in a procedure called a nerve block or nerve root block.

It is not always easy to identify the specific source of spinal pain. For this reason, the spinal injection is used as injection therapy for back pain or as a diagnostic injection back pain procedure.

Types of Spinal Injections

Epidural Steroid Injections: These are commonly used for conditions like herniated discs, sciatica, and spinal stenosis to reduce inflammation and relieve pain in the neck, back, or legs.

Facet Joint Injections: These injections target the small joints in the spine and can provide relief for chronic neck or back pain caused by conditions like arthritis.

Diagnostic Spinal Injections :Spinal injections help identify the source of pain. If the injection relieves the pain, the physician can pinpoint the specific spinal area to evaluate further. Surgery is only considered as a last resort.One example is the Facet Rhizotomy. After several facet joint injections identify the pain source, a facet rhizotomy can be performed. This procedure uses a heated electrode to deaden the nerves in the affected area, providing long-term relief for months or even years.

Additional Targeted Nerve Blocks

Medial Branch Block: This procedure targets the medial branch nerves that supply the facet joints in the spine. A medial branch block is often used to help diagnose and treat pain originating from these joints, particularly in the neck or lower back. It can provide temporary relief and, when successful, can be followed by more permanent treatments like radiofrequency ablation.
Stellate Ganglion Nerve Block: This injection targets the stellate ganglion, a group of nerves in the neck that can influence pain and swelling in the arms, hands, and face. A stellate ganglion nerve block is particularly effective for conditions like complex regional pain syndrome (CRPS), as well as certain types of neuropathic pain, and can provide relief for conditions like migraines, phantom limb pain, and excessive sweating.

Other Pain Management Procedures

Radiofrequency Ablation (RFA): This technique uses heat to disrupt nerve pathways responsible for transmitting pain, offering long-term relief, especially for back, neck, and joint pain.
Platelet-Rich Plasma (PRP) Injections: PRP therapy uses your body’s own platelets to accelerate healing in injured tendons, ligaments, and joints, providing relief from chronic pain in areas such as the knee or shoulder.
Spinal Cord Stimulation (SCS): For individuals with chronic pain that doesn’t respond to other treatments, spinal cord stimulation offers a promising solution by sending mild electrical pulses to the spinal cord to block pain signals.
Intrathecal Pump Therapy: This therapy delivers pain medication directly to the spinal cord through a small implanted pump, providing targeted relief for those with severe chronic pain.

Why Choose Neurosciences Centers?

At Neurosciences Centers, we are committed to delivering the highest quality care for pain management. Our multidisciplinary team of specialists utilizes the latest advancements in pain management to create a personalized treatment plan tailored to your unique needs. Whether through medication, injections, or innovative procedures, our goal is to help you find lasting relief and regain control over your life.

Contact Us Today

If you’re struggling with chronic or acute pain, don’t wait to get the help you need. Contact Neurosciences Centers today to schedule a consultation with one of our expert pain management specialists. Together, we can create a plan that helps you live a pain-free, active life.

About Us

Services

Get In Touch

171 S Anita Dr, Orange, California 92868, USA

Parkinson’s Disease

Parkinson’s disease is a progressive neurodegenerative disorder that primarily affects movement. It is caused by the gradual loss of dopamine-producing neurons in a part of the brain called the substantia nigra. Dopamine is a neurotransmitter that plays a critical role in controlling muscle movement and coordination. As these neurons die, the brain’s ability to control smooth and coordinated movements is impaired, leading to a wide range of motor and non-motor symptoms.

Causes and Risk Factors: The exact cause of Parkinson’s disease is not entirely understood, but a combination of genetic and environmental factors appears to play a role. Some genetic mutations can increase the risk of Parkinson’s, though the majority of cases are sporadic. Exposure to certain toxins, age (usually diagnosed in people over 60), and family history are all factors that may increase one’s likelihood of developing the disease.

Common Symptoms:

Tremors: Involuntary shaking or trembling, typically starting in the hands or fingers while at rest.
Bradykinesia (Slowness of Movement): People with Parkinson’s often experience a gradual reduction in movement speed, making everyday tasks more difficult.
Muscle Rigidity: Stiffness and tightness in the muscles that may lead to pain, reduced range of motion, and difficulty with posture and movement.
Postural Instability: Difficulty balancing and walking, often leading to falls.
Speech and Swallowing Issues: As the disease progresses, it can cause soft or slurred speech and difficulty swallowing (dysphagia).
Non-motor Symptoms: These can include depression, anxiety, sleep disturbances, constipation, cognitive decline, and in advanced stages, dementia.

Spinal Cord Injuries (SCI)

A spinal cord injury (SCI) occurs when damage to the spinal cord disrupts the normal function of the nervous system, preventing the brain from sending signals to the body and vice versa. SCI can happen as a result of trauma, such as car accidents, falls, sports injuries, or violent events like gunshots, or it may develop from diseases like tumors, infections, or degenerative conditions affecting the spinal cord.

The severity of SCI depends on the location and extent of the injury. In general, injuries that occur higher up the spine tend to result in more significant impairment. A complete spinal cord injury results in a total loss of sensation and movement below the injury site, leading to paralysis. In contrast, an incomplete SCI allows some function or sensation to remain, though it may still cause significant motor and sensory deficits.

Common Symptoms:

Paralysis: The loss of movement in the limbs or other parts of the body.
Sensory Loss: Numbness, tingling, or the complete loss of sensation in certain areas.
Autonomic Dysfunction: Problems with breathing, blood pressure regulation, bladder control, or temperature regulation.
Pain: Nerve-related pain, including sharp, burning sensations or deep, aching pain.

Treatment Options:

Emergency Management: Stabilization of the spine to prevent further injury is critical, often involving immobilization and early surgical intervention.
Surgery: Surgeons may need to remove fragments of bone, repair ligaments, or stabilize the spine.
Physical and Occupational Therapy: These therapies are designed to help patients improve mobility, strength, and independence, often through adaptive techniques and the use of assistive devices like wheelchairs.
Medications: Pain management and drugs to reduce inflammation or prevent complications such as blood clots and infections.
Rehabilitation: A crucial part of recovery, focusing on regaining independence and teaching patients how to adapt to new challenges.

Diabetic neuropathy

Diabetic neuropathy is a complication of diabetes that damages the nerves, primarily in the feet, hands, legs, and arms.

Causes:

High blood sugar levels damage the blood vessels that nourish the nerves
Oxidative stress caused by high blood sugar damages the myelin sheath, the protective layer around the nerves.

Symptoms:

- Numbness, tingling, or burning sensations
- Pain, especially at night or when walking
- Weakness or muscle cramps
- Foot deformities
- Difficulty with balance and coordination
- Loss of sensation in the feet, making it susceptible to injuries

Types:

Peripheral neuropathy: Most common type, affecting the nerves in the feet and hands.
Autonomic neuropathy: Affects the nerves that control involuntary functions, such as digestion, urination, and heart rate.

Proximal neuropathy: Affects the nerves in the thighs and buttocks.

Diagnosis:

Physical exam, Blood tests to check blood sugar levels, Nerve conduction study (NCS), and Electromyography (EMG).

Treatment:

Blood sugar control: Maintaining stable blood sugar levels is crucial.
Medications: Nerve pain medications, such as antidepressants or anticonvulsants.
Foot care: Regular foot checks, proper footwear, and avoiding smoking.
Physical therapy: To improve balance, coordination, and strength.
Surgery: In severe cases, to correct foot deformities.

Trigeminal neuralgia

Trigeminal neuralgia, also known as tic douloureux, is a chronic pain disorder that affects the trigeminal nerve, the main sensory nerve in the face.

Causes: The exact cause of trigeminal neuralgia is unknown, but it is believed to be related to a compression or irritation of the trigeminal nerve by a nearby blood vessel or other structure.

Symptoms: Trigeminal neuralgia typically causes sudden, severe, and excruciating pain on one side of the face. The pain is often described as: electric shock-like, stabbing, burning, and throbbing. The pain can be triggered by everyday activities such as brushing teeth, washing the face, or eating. It may also occur spontaneously.

Diagnosis: A doctor can diagnose trigeminal neuralgia based on a physical examination, medical history, and imaging tests such as an MRI or CT scan.

Treatment: Treatment for trigeminal neuralgia typically involves medication, such as anticonvulsants or pain relievers. Other treatments include:

Nerve blocks, Surgery, and Transcutaneous electrical nerve stimulation (TENS).

Prognosis: Trigeminal neuralgia is a chronic condition, but it can be managed with treatment. Most people with trigeminal neuralgia experience periods of remission between pain episodes.

See Dr. Sayed Monis at Neurosciences Centers Within 10 Days !

Orange Clinic: 714 562-8753

Brawley Clinic: 760 351-8669

El Centro Clinic: 760 592-4137

Imperial Clinic: 760 355-5248

Surgery Center: 760 355-6602