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Back and Neck Pain Management at Randall Pain Management

In today’s society, admitting you have pain can be looked at as almost criminal. Often, it is hard for those who have never experienced pain to understand what someone is going through. Our goal is to offer a friendly environment where you are treated as a person with dignity and respect. We treat your pain as a whole offering a multitude of treatments including injections (epidurals, nerve blocks, nerve burns, stimulators and more), medications, physical therapy, and biologics. Dr. Randall is a quadruple board-certified physician and is fellowship trained in pain management. This type of training has allowed him to meet and treat patients from all different walks of life with different problems and needs. In the event you need surgery, Dr. Randall will be happy to refer you to a surgeon of choice or he can send you to a surgeon he works closely with and recommends.

Chronic Back Pain

Nearly all of us experience back pain at some point in our lives. Those with persistent low or upper back pain are a smaller percentage of pain sufferers. Common causes of back pain include aging, degeneration, and injury to muscles, tendons, ligaments, joints, sacroiliac joints, bursa, nerve roots and tailbone. The discs in the back can become affected by herniations, protrusions or extrusions. Many people suffering with lower back pain in Oklahoma City lack a clear diagnosis for their low or upper back pain. An accurate diagnosis is the first step in getting the treatment you need. Other anatomic structures, such as the hip joints, are often confused for lower back pain and must be ruled out as well as a cause of the low back pain. Diagnostics used to understand back pain include: MRI scans, X-rays, Nerve conduction studies, CT scans, myelograms or diagnostic injections. Therapy should be utilized before considering surgery.

Chronic Neck Pain

Zygapophysial, or facet joints, have been identified as the primary source of chronic neck pain in up to 67% of sufferers. (source: International Association for the Study of Pain). These facet joints have ample nerve supply with pain receptors causing sharp and dull constant pains in the neck, shoulders, base of the skull, and upper arms.

The facet joints can be a significant pain generator for neck pain, headaches, shoulder pain and all upper extremity pain. Causes of neck pain include trauma, degeneration, dislocation, tumor, fracture or even infection. The discs, nerve roots, bones, soft tissues such as muscles, tendons, bursa and ligaments can also cause notable neck pain. Tests that can diagnose neck pain include x-rays, MRI scans, CT scans and nerve conduction studies. Treatments for neck pain include NSAIDs, antidepressant medications, anticonvulsants, opiates, physical therapy, and chiropractic care. Other notable treatment options are stretching, neck braces, gravity inversion, manipulation therapy, injection therapy and, as a last resort, spinal surgery.

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