Epidermal nerve fiber density testing is employed to diagnose patients who have presumed peripheral neuropathy or a peripheral neuropathy from some other cause such as radiation therapy or chemotherapy. In this procedure we are able to take a small segment of skin from the ankle of the patient and look at that under microscopic evaluation to determine exactly how severe the condition is.... MORE
Intrathecal drug delivery systems also known as a spinal pump are devices that we can implant that actually deliver medications specifically to the spinal cord itself into the spinal fluid itself. Studies have shown that the small concentrations of medication employed directly to the spinal cord fluid itself have a much higher and effective ability to control pain.... MORE
In addition to chronic pain, we are also able to treat acute pain. This is pain that is associated maybe postoperatively or perioperatively around the time of surgical procedures having been performed.... MORE
The neuro stem device is also a peripheral nerve stimulator that we’ve been employing lately, probably within the last 3 to 4 months. This device is percutaneous; it is placed behind the left or right ear, and directly sends electrical signals directly to the brainstem itself where it is meant to modulate pain.... MORE
Spinal cord stimulators have been around for several decades now. They are implantable devices that we are able to place on the top of the spinal cord, just in the area known as the epidural space. We do this in the safety of an operating room, under anesthesia, and utilizing x-ray guidance to determine the exact level at which the leads need to be placed.... MORE