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South Shore Neurologic Pain Management Group, our multidisciplinary pain management program, integrates traditional and alternative approaches for the management of long term pain. Our treatment modalities include Neurology, Interventional and Non-interventional Procedures, Chiropractic, Physical Therapy and Acupuncture. A Neurologist, certified in Neurorehabilitation and Pain Management, supervises the program. The goals of South Shore Neurologic Pain Management Group are twofold. First, to offer a more effective treatment option for people suffering from long term pain by providing the benefits of both conventional and alternative therapies in an integrated and cost-effective program. Second, to reduce pain to a level that allows our patients to return to their normal activities without continuous dependency on pain medication.
To give our patients who suffer from long term pain the advantage of both conventional and alternative treatment modalities. We have found this to be the most effective approach in managing difficult pain problems. Our goal is to reduce pain through our treatment modalities, allowing the resumption of normal activity without continuous reliance on pain mediation. We believe this is a more effective and desirable approach to pain management.
Our professional staff is composed of pain management specialists from the fields of Neurology, Interventional Pain Medicine, Advanced Practice Nursing, Chiropractic, Physical Therapy and Acupuncture. The program is supervised by a Neurologist certified by the American Board of Pain Medicine.
Our treatment program is organized into three divisions:
I. Medical Pain Management
Medical Pain Management includes: injection of muscle trigger points to release spasm of individual muscles; peripheral and paravertebral nerve blocks to release regional muscle spasm; ligament injection (prolotherapy) to strengthen ligament attachments to bone; and articular (joint) injection to relieve joint pain.
II. Manual Therapy
Manual Therapy includes chiropractic and physical therapy, utilizing various manual treatment modalities such as joint mobilization and manipulation, soft tissue stretching and myofascial release, ultrasound and TENS electrotherapy. Training programs include functional rehabilitation, spinal stabilization, strength and endurance training, aerobic conditioning, balance therapy and postural re-education.
Acupuncture is effective in the treatment of headache, musculoskeletal and arthritic pain and pain from nerve injury (neuropathy). It is also used for detoxification during withdrawal from dependency on narcotic pain medication and smoking. Acupuncture is frequently used in combination with other treatment modalities to enhance the therapeutic response.
There are three stages to the treatment process:
Your treatment plan is individually designed based on the Pain consultation, which will include an assessment of your pain history, relevant medical history and a comprehensive examination of constitutional, musculoskeletal and Neurologic systems. Treatment recommendations may include any one or several of our treatment programs listed above. Risk factors that may limit your treatment of your recovery will be considered when determining your treatment program.
Although we prefer a multi-modality treatment plan as the most effective approach when dealing with complex long term pain problems, utilization of any single treatment or combination of treatments will depend on insurance approval. Authorization will be obtained before treatment if your insurance requires it. During treatment, your progress will be closely monitored and periodically reviewed at our weekly Multidisciplinary Staff Conference. If you are not progressing satisfactorily, recommendations for change of treatment modality will be considered.
Depending on the chronicity and severity of your pain problem and possible insurance restrictions, re-evaluation occurs after three to six Medical Pain Management treatments, ten to twelve Acupuncture treatments and twelve to sixteen Manual Therapy treatments. Progress is evaluated using your subjective report of improvement and objective measures based on examination findings at the time of your re-evaluation. Recommendation for further treatment or possible change of treatment modality will be based on your measured improvement and residual pain.
During the initial phase of treatment, medication may be required as a supportive measure, or to facilitate your ability to enter a functional rehabilitation program. However, the goal of South Shore Neurologic Pain Management Group is to formulate a treatment program to reduce your pain through the employment t of our treatment modalities to a level which will allow you to resume normal activities without continuous reliance on pain medication.
77 Medford Avenue
Patchogue, NY 11772
877 East Main Street
Riverhead, New York 11901