• Arthritis/Osteoarthritis
• Back Pain – General, Cervical, Thoracic,
  Lumbar/Sacral
• Carpal Tunnel Syndrome
• Cervical Post – Laminectomy Syndrome
• Complex Regional Pain Syndrome
  Type 1 – Reflex, Sympathetic Dystrophy,
  Type 2 – Causalgia
• Facet Joint Pain/Spondylosis
• Failed Back Surgery Syndrome
• Failed Neck Surgery Syndrome
• Fibromyalgia
• Headaches – General, Migraines
• Hip Pain
• Knee pain
• Lumbar Post – Laminectomy Syndrome
• Lumbar Spinal Stenosis – Neurogenic
  Caudication
• Neck pain
• Neuralgia – Intercostal, Occipital
• Peripheral Neuropathy
• Post Herpetic Neuralgia
• Sacroiliac Joint Dysfunction/Pain
• Sciatica/Radiculopathy
• Shoulder Pain
• Spondylosis/Facet Joint Pain
• And More

Chronic pain can be defined as pain that persists most days or every day for three months or more. For some individuals, pain can last a lifetime. Chronic pain can take many forms: mild to severe, intermittent to continuous, annoying to disabling. 

THE FACTS: There are 50 million American adults, or 20% of the population, that live with chronic pain. 7% of American adults, that’s 20 million people, live with significant pain that frequently limits life or work related activities. Pain is the number one reason Americans seek medical care. Chronic pain is the leading cause of long-term disability in the United States. Our country spends $635 billion each year on chronic pain in terms of lost productivity, medical treatments and disability payments. Chronic pain is associated with a reduced quality of life and increased risk of anxiety and depression. The National Institutes of Health dedicate only 2% of its funding to pain research.

Dr. Prusinski will identify the root cause of your pain. It is not uncommon to have suffered pain over an extended period of time and not to have undergone a modern laboratory investigation to exclude any medical causes for your suffering including: paraneoplastic (cancer related), auto-immune, inflammatory or infectious etiologies. 

Your musculoskeletal examination will include identification of osteopathic somatic dysfunction and a discussion of osteopathic treatment which may be applied to your condition such as counterstrain and indirect techniques.

You deserve a thorough investigation.

Dr. Prusinski will enhance your existing knowledge of traditional and non-traditional non-surgical treatment options for chronic pain. 

Dr. Prusinski will discuss the following as they relate to your chronic pain: your medical health and current treatment of illness, your current medications, non-narcotic medications options, modification of daily activities at work or play, habits (such as posture, substance use, sleep, etc), diet, stretching, exercise, sleep hygiene, elimination of stressors, mindful meditation, socialization, even virtual reality, music and laughter. 

Alternative therapies may be discussed including the use of supplements, herbs, acupuncture, and massage therapy.  Once a complete diagnostic review has been performed, a detailed custom-made therapeutic plan will be discussed, implemented and guided by your unique response to each measure. 

If after an exhaustive diagnostic and therapeutic effort your pain continues to adversely impact your life, advanced interventional therapy is available in our innovative, on-site, state of the art procedure room that employs fluoroscopic guidance.

Interventional procedures are indicated when pain does not improve with conservative management comprising of greater than 3 months of physical therapy, activity modification, medications. They are also indicated if pain is severe.

Interventional procedures available in our office include:

• Trigger point injections for localized neck, mid and low back pain
• Joint injections: spinal facet, sacroiliac, shoulder, as well as joint bursa
• Anesthetic nerve block: greater occipital, suprascapular, etc
• Carpal tunnel corticosteroid injections
• Transforaminal epidural steroid injections
• Epidural steroid injections
• Interlaminar epidural steroid injection
• Medial branch blocks
• Radiofrequency ablation
• Fluoroscopy guided sacroiliac joint injections
• Spinal cord stimulator trial