Spinal Cord Stimulator for Peripheral and Diabetic Neuropathy


Neuromodulation for Peripheral and Diabetic Neuropathy: Innovative Treatments Emerging for Neuropathy at any Stage

Neuropathy is a body condition that plagues sufferers with painful tingling in their feet and hands, as well as the inability to feel certain body parts. Those with this condition may suffer from extreme sensitivities to touch. While this is a debilitating condition, there are options for easing the pain.Neuropathy Treatment Phoenix

The pain of peripheral and diabetic neuropathy will rarely disappear completely, but it is treatable. If the condition is detected early, the chances for a more complete recovery are possible. When you have any of the symptoms of neuropathy, speak to your Phoenix pain management doctor right away, as he or she can assist with easing the pain.

Causes of Neuropathy

Neuropathy is sometimes hard to diagnose in the early stages. It is caused by various Neuropathy Specialist Phoenixother diseases such as diabetes, cancers, and even infectious diseases, and the exact cause will vary by the disease. For example in a diabetic patient, the high levels of blood sugar will cause damage to the nerves in the legs first, usually.

If the blood sugar is regulated, it can begin to be lowered and the damage can stop and even heal. This is why if you are prone to any of the diseases that cause the neuropathy; you should closely monitor your body for further signs of it.

If neuropathy causes localized pain, a topical ointment can be used or a prescription pain reliever can be offered by your physician. At any point, your pain management doctor in Arizona can provide you with expert advice on how to properly treat this condition, and if you are ever in doubt, consult with a professional.


Spinal Cord Stimulator for diabetesOne of the most innovative ways to treat neuropathy is through neuromodulation, also called a spinal cord stimulator. This is usually an option in patients who cannot tolerate medicines or pain relievers. Neuromodulation utilizes an electrical stimulator that interrupts the pain messages that are sent to the brain.

This type of therapy is frequently used to stop pain in patients when other methods aren’t working. If you have tried others methods with no success, consider this method as a way to ease the pain.

When you can’t move without pain from neuropathy, or even sit still without feeling that sharp shooting pain, life can be miserable. In spite of the positive outlook for patients with neuropathy, the pain endures, day in and day out.

Neuromodulation can be an option, as the electrical surges are safe to relieve the pain. However, this therapy does not repair the damage. The change in the pain patterns achieved with neuromodulation can provide a great deal of relief. In addition, studies have shown that spinal cord stimulator implants can restore sensation that has been lost over Diabetic Neuropathy Pain Doctor Phoenix3/4 of the time!

Living with neuropathy is not easy. Whether or not you think neuromodulation will work, your pain management doctor in Phoenix can evaluate you and This type of therapy is common for those with pain that cannot be treated, and while it may seem strange the first time you have a treatment, you may be surprised to learn that you can actually relieve the pain and it will last for days, even weeks.

For the top pain management in Arizona, call Arizona Pain Specialists. With over 5 locations and several Board Certified and Award Winning pain doctors and chiropractors, the clinics offer comprehensive options for neuropathy pain relief.

Over 50 insurances are accepted, call (602) 507-6550 for more information and scheduling today!

An Overview of Topical Analgesics in Pain Medicine


When pain medicines are taken by mouth, there can be adverse events associated. This may include common side effects such as constipation. However, once in a while something more serious may happen such as an ulcer or an overdose.Arizona pain center

Topical analgesics that are applied to the skin are an excellent method of achieving pain relief with a lower side effect profile. When a medication is applied topically, it often provides substantial relief while having only little bit even enter the bloodstream.

There are three types of topical pain relievers often prescribed at Arizona pain clinics. One are numbing agents, another involves actual analgesic pain medication, and the third is counter-irritants.

The first, numbing agents, are designed to simply numb locally. This may include Lidocaine patches over a painful region. The medication seeps in a bit, and very little actually enters the bloodstream. One great application for Lidocaine patches is post-surgical around the incision.

Arthritis Treatment Phoenix

Voltaren is the brand name for Diclofenac

Another medication that does well with local administration is diclofenac gel. Diclofenac by mouth is an NSAID that works well, however, there are instances of GI problems and potential kidney issues with chronic use. However, the topical route has been shown to be much safer and is FDA approved in a 1% solution. Studies have shown it is significantly more effective than placebo and great for arthritic pain (Drugs. 2009).

The second type of topical analgesics are actual medications that you want to get absorbed in the bloodstream. This includes fentanyl, clonidine, nitroglycerin, testosterone and more. These come in a gel form or a patch. The fentanyl patch for instance, stays on for a couple days and the medication gets into the bloodstream for systemic pain relief. One note here – Lidocaine patches can be trimmed to fit the area of treatment. A fentanyl patch should not be cut as all the medication will leak out.

Because of the serious potential adverse events with opiates or anti-inflammatory drugs taken by mouth, the topical analgesics are often used because there are minimal systemic side effects. You don’t have the risk of ulcers or kidney problems or fatalities due to respiratory depression (except with a drug meant to achieve systemic penetration like Fentanyl).

When it comes to counter-irritants, one very common one is known as capsaicin. This is a compound derived from chili peppers that desensitizes painful areas through repeated

Pain Clinics Phoenix

Capsaicin is available over the counter.

doses. This could be very useful on a painful knee, shoulder or any extremities. This medication has extremely low side effects and may reduce pain nicely.

There also counter-irritant’ that are hot and cold products that have menthol or camphor as the active ingredients. Most of these are over-the-counter products such as Icy Hot or BenGay and the like. Another type of counterirritant includes topical products that have salicylates or benzyl nicotinate in them.

Overall, topical analgesics are an excellent way to reduce the need for oral medications and reduce side effects. There are various methods of increasing penetration through the skin for some of them, such as iontophoresis. This is a method kind of like ultrasound that pushes cortisone deeper into the skin that it would otherwise go.

Arizona Pain Specialists offers comprehensive Phoenix pain management at 4 locations that span the East & West Valley along with Phoenix itself. The Arizona pain doctors are Fellowship Trained, Board Certified and Award Winning. There are also physical rehabilitation doctors, acupuncture and chiropractic treatments offered.

The pain doctors accept Medicare, Major Medical like BCBS, Aetna, United, Arizona PainCigna, Humana and many more. They are APIPA doctors in Phoenix along with Mercy Care and PHP. Workers Compensation and Personal Injury claims are accepted as well. Call today at (602) 507-6550 for more information and scheduling!

Treatment Options for Spinal Stenosis from an AZ pain center

Spinal Stenosis

Spinal stenosis can cause pinching in the middle of the canal or also the side areas where the nerve roots are exiting.

Spinal stenosis affects millions of Americans predominately as they enter the fifth decade and older. It is a condition that results mostly from spinal arthritis causing bony and soft tissue overgrowth which then pinches on nerve roots as they come off of the spinal cord and attempt to leave the spinal canal.

Symptoms of spinal stenosis tend to vary between individuals. It may cause some buttock and hip pain, or it may cause pain that radiates down a person’s legs into the thighs or past the knee to the feet. Because the pinching of nerves may be positional, the symptoms may wax and wane on any given day or may come on for a few weeks and then subside. Inflammation may spark up and then die down every few months.

Undergoing surgery for symptomatic spinal stenosis is a quality of life decision. No one ever died from having spinal stenosis, so whether or not to have a laminectomy performed is completely an elective decision. Most of the time, non-surgical pain management options work very well for individuals.

First line treatment for symptomatic spinal stenosis should involve over-the-counter medications such as Tylenol and nonsteroidal anti-inflammatory’s. These should be taken according to the manufacturer’s recommended dosing. As a low risk, inexpensive treatment, these may provide excellent relief for spinal stenosis pain that is mild to moderate.

Spinal stenosis treatmentFor those periods when the symptoms are severe, short term narcotic medications provide excellent relief. It is not a good idea to take opiate medications for a chronic duration for spinal stenosis. The risks of those medications start to outweigh the benefits including potential tolerance and addiction issues.

Additional treatment for symptomatic spinal stenosis may include neurologic modifying agents such as gabapentin, otherwise known as Neurontin. It is unknown exactly how this medication works for relieving the pain from pinched nerves, but it does work fairly well. There is a newer medication that is similar called Lyrica, and they are low risk non-narcotic prescription medications that may provide excellent symptomatic relief from the pain of spinal stenosis. Some studies have displayed their benefits.

Physical therapy and chiropractic treatment also can provide excellent symptomatic relief. The chiropractic manipulations can un-pinch nerves that are causing pain. This is not a permanent solution, they can provide some relief, especially if performed on a regular basis. Physical therapy can strengthen up the muscles around the spine and relieve some of the pain as well. Electrical stimulation can help modify the way that the brain perceives pain signals. This can be applied during treatment sessions, or it can also be applied by the patient themselves with a TENS unit.

Spinal decompression therapy is another nonsurgical treatment that has been shown to help provide nerve root decompression. As spinal stenosis is a mechanical problem, spinal decompression therapy does not provide a permanent solution. But it is low risk, FDA cleared, and the cost is less than 5% that of spine surgery.

Interventional pain management treatments with epidural steroid injections are the gold standard for pain management injections for spinal stenosis. Multiple studies have shown injection for spinal stenosisthem to be extremely beneficial for the condition, and over 75% of individuals with symptomatic spinal stenosis obtain relief from these cortisone injections.

There are some pain management injections involving nonsteroidal medications, but there is not extensive research to show their benefit for spinal stenosis. The epidural cortisone injections may provide weeks to months of pain relief, and can then be repeated as necessary for the condition.

If you suffer from symptomatic spinal stenosis, let Arizona Pain Specialists help you. These Award-Winning and Board-Certified pain management doctors and chiropractors offer comprehensive pain management for spinal stenosis. The treatments range from medication management to chiropractic treatment as well as physical rehabilitation and interventional pain treatments.

Each location serving Chandler, Scottsdale, Glendale, Mesa, Phoenix, Avondale, Tempe, Fountain Hills and more also has a spinal decompression therapy table as well.

Call today at 602-507-6550 for more information and scheduling, sometimes same day appointments are available!