What We Treat

At Georgia Pain Associates, we treat a wide range of chronic pain conditions, including:

Back Pain and Neck Pain
Herniated Discs
Degenerative Joint Disease
Osteoarthritis and Rheumatoid Arthritis *
Sciatica and Radiculopathy
Shingles and Post-Herpetic Neuralgia
Failed Back (post-laminectomy) Syndrome
Complex Regional Pain Syndrome / Reflex Sympathetic Dystrophy
Peripheral Neuropathy
Arm and Leg Pain
Nerve Pain / Neuropathy
Cancer-Related Pain
Coccydynia – Tailbone Pain
Fibromyalgia
Headaches (cluster, tension, migraine) **
Chronic Muscle Spasm and Contracture
Muscular Injuries
Interstitial Cystitis ***
Spondylolisthesis – Slipped Vertebra
Spondylolysis – Stress Fracture of Vertebra
Trigeminal and Occipital Neuralgia **

* with consultation and co-management by Rheumatologist

** with consultation and co-management by Neurologist

*** with consultation and co-management by Urologist

Treatments

Medication Management

Provides pain control and improves the patient’s quality of life. Medication may be used alone or in conjunction with invasive and non-invasive treatments.

Pain medicinesOpioid pain medications are safe and effective when used properly by trained physicians in a controlled setting. They are often used to treat acute pain or cancer-related pain, but may be prescribed for non-cancer-related chronic pain in conjunction with other treatment modalities, or after other treatments have failed.
Anti-inflammatory drugsOver-the-counter non-steroidal anti-inflammatory drugs (NSAID) such as aspirin, ibuprofen and naproxen sodium are the most commonly used medications of this type. They not only reduce swelling and inflammation but can also relieve pain. Prescription NSAIDs are also available, such as Mobic (meloxicam) and diclofenac.
Anti-depressantsOriginally used only to treat depression, studies have shown that these medications can alleviate pain in certain situations. Furthermore, they may have the added benefit of helping the patient to sleep at night, which is extremely important in alleviating pain and regaining function. Examples of these medications include Cymbalta (duloxetine), trazodone and nortriptyline.
Anti-seizure medicationsThese medications may help relieve certain types of pain by reducing abnormal electrical discharges in damaged nerves. Examples of these medications include Neurontin (gabapentin) and Lyrica (pregabalin).
Topical medicationsYou may be prescribed other types of medications that are more specific to the type of pain that you are experiencing, such as topical preparations containing anesthetics, NSAIDs or corticosteroids.
Muscle relaxersIn certain situations, we may prescribe muscle relaxers such as baclofen or cyclobenzaprine.
Trigger Point Injections

Trigger points are areas of pain, spasm and inflammation located in certain muscle groups.  Trigger points most commonly occur in the upper back and shoulder muscles, but may also occur in the lower back or less commonly in the extremities.  By injecting these trigger points with a local anesthetic, usually coupled with a steroid, we are able to help alleviate the discomfort associated with this painful condition.  This safe and effective procedure requires no sedation and is performed in the physician’s office.

Epidural Steroid Injections, Facet Joint Injections and Nerve Blocks

Epidural Steroid Injections (ESI’s) involve injecting an anesthetic and corticosteroid into the epidural space surrounding certain nerves of the spinal cord with the goal of alleviating pain.  This procedure is performed at our Tucker location and can be a very effective non-surgical method of pain control due to herniated discs, degenerative disc disease, spinal stenosis and compression fractures.

In the same way, Facet Joint Injections have been effective tools for the treatment of back pain associated with degenerative arthritis of the spinal facet joints.

Selective nerve root blocks may also be performed to help diagnose and treat pain from individual nerve roots.

Physical Therapy

We work with local Physical Therapists to provide effective non-surgical treatment utilizing specialized exercise regimens, heat and cold treatment, aquatic therapy, kinesiotaping, manual/massage therapy and other proven physical therapy modalities.

Locations

Our pain management centers are conveniently located in Canton, Tucker and Braselton, Georgia.  There are Imaging Centers and Physical Therapists nearby, in some cases located in the same building.

Georgia Pain Associates has all of the pain management services that you need under one roof. To see one of our pain specialists, call our office today or use our interactive form to request an appointment online.