Chronic pain can be a relentless burden, affecting every aspect of your life. If you've tried traditional treatments without success, you may be searching for alternative solutions. At Pain Specialists of America, we offer innovative therapies like peripheral nerve stimulation (PNS) to help you find lasting relief.
To understand how PNS works and its potential benefits, we need to first understand the nervous system.
Dr. Jerry Gutierrez explains the nervous system in a way that's easy to understand: "It's divided into central and peripheral.Central refers to the brain and spinal cord... The peripheral nervous system is all the little nerve branches that are an extension of the central nervous system."
Think of it like a tree, he says. "They typically start with nerve roots that turn into branches, that turn into peripheral nerves, that turn into other peripheral nerves. So it's like a tree trunk that has several branches and then little twigs..."
This intricate network of nerves extends throughout your body, carrying signals that control movement, sensation, and organ function.
When these peripheral nerves are damaged or diseased, they can send faulty pain signals, leading to chronic pain. PNS therapy offers a targeted approach to addressing these issues, focusing on the specific "twig" or "branch" that's causing the problem.
A peripheral nerve stimulator is a small, minimally invasive device that is implanted near a specific peripheral nerve. These nerves extend outside of your brain and spinal cord, carrying signals to and from your limbs and organs. When these nerves are damaged or diseased, they can send faulty pain signals, leading to chronic pain.
PNS works by delivering mild electrical impulses to the affected nerve, effectively blocking these pain signals from reaching your brain. Think of it like a "mute" button for your pain. Dr. Gutierrez, a pain management specialist at PSA, explains that PNS devices can operate in two modes: one that produces a tingling sensation and another that alleviates pain without any sensation at all.
PNS is highly effective in treating various types of chronic pain, particularly those associated with nerve damage. Some conditions that can benefit from PNS include:
PNS can be particularly helpful for peripheral nerve stimulator implant knee pain after surgery or due to nerve damage. It's a less invasive option for patients who may not be ideal candidates for surgery or those who want to avoid the risks of general anesthesia.
Before receiving a permanent PNS implant, you'll undergo a trial period with a temporary device. This allows you to experience the therapy and assess its effectiveness for your pain.
The implantation procedure itself is minimally invasive, typically performed as an outpatient procedure. Recovery time is generally short, with most patients able to return to their daily activities within a few days.
The longevity of a peripheral nerve stimulator (PNS) depends on several factors, including the type of device, the settings used, and the individual's pain condition.
In some cases, PNS is used as a short-term treatment to "reset" or correct nerve activity and provide long-lasting relief. Dr. Gutierrez explains that "sometimes we can change the course of nerve pain by stimulating it for 60 days, and it might go back to normal and not return." He's observed patients experiencing pain relief for up to two years, or even permanently, after just a 60-day treatment with a temporary PNS system.
For those with more chronic pain, a permanent PNS implant may be recommended. These implants typically have a battery life of several years, depending on the device and usage. When the battery eventually runs low, a minor procedure is required to replace it, similar to replacing a pacemaker battery.
Interestingly, Dr. Gutierrez notes that PNS often provides a "lingering effect," where patients continue to experience pain relief even after the stimulation is turned off. This extended relief is attributed to the way PNS can "alter the behavior of a nerve." This means that with PNS, you may not need to have the stimulator on constantly to experience pain relief, which can prolong the battery life of your device.
Ultimately, the lifespan of a PNS system is influenced by individual factors and the specific device used. Your doctor can provide more personalized information about what to expect based on your condition and treatment plan.
While both PNS and transcutaneous electrical nerve stimulation (TENS) use electrical stimulation, they differ in key ways. TENS units are external devices with electrodes placed on the skin, providing temporary pain relief. This pain relief is also more specific to the musculoskeletal system.
PNS, on the other hand, involves a more targeted and long-term approach, targeting the specific nerve causing pain. The stimulator can be either external or implanted under the skin, with leads placed close to the affected nerve. This allows for far more precise and continuous stimulation.
While both PNS and spinal cord stimulation (SCS) use electrical impulses to relieve pain, they target different areas of the nervous system. Dr. Gutierrez explains the difference using a helpful analogy: "Think of the nervous system like a tree. SCS is like treating the trunk, while PNS is like treating a specific branch or twig."
"A peripheral nerve stimulator would be good for somebody that has maybe just a certain twig or small branch that's injured," says Dr. Gutierrez. "You can really get a PNS in intimate proximity to that one nerve that we've identified as being the culprit... and just get that one focal area."
This means that PNS is ideal for treating pain that originates from a specific nerve, while SCS is more effective for widespread pain.
PNS offers several advantages over traditional pain management methods:
Improved quality of life: By reducing pain, PNS can help you regain your mobility, participate in activities you enjoy, and improve your overall quality of life.
While PNS is generally safe and effective, it's essential to be aware of potential considerations:
Your doctor will discuss these factors with you in detail and address any concerns you may have.
At PSA, we're committed to providing comprehensive and patient-centered PNS therapy. Our experienced pain specialists, like Dr. Gutierrez, will guide you through the process, from the initial consultation to the trial period and, if appropriate, the permanent implant. We're dedicated to helping you achieve the best possible outcome with PNS.
If you're struggling with chronic pain and want to explore whether PNS is right for you, contact PSA today to schedule a consultation. We're here to answer your questions, address your concerns, and help you find lasting relief.
Living with chronic pain can significantly impact your quality of life. It can limit your ability to work, enjoy hobbies, and spend time with loved ones. If you're searching for pain management in Temple, TX, Pain Specialists of America is here to help. We offer comprehensive, patient-centered pain management with a focus on improving your overall well-being.
At PSA, we understand that pain is a complex and personal experience. That's why we take a multidisciplinary approach, combining cutting-edge treatments with compassionate care to address your unique needs. Our team of experienced pain specialists is dedicated to helping you find lasting relief and reclaim your life from pain.
We're fortunate to have Dr. Andrés Gutiérrez Robles as part of our team in Temple. Let's take a closer look at the services he and the PSA Temple team provide to help the community find lasting relief.
Dr. Gutiérrez Robles brings a wealth of knowledge and experience to PSA. He completed his medical studies at Ponce Health Sciences University and a residency in Physical Medicine and Rehabilitation at Memorial Healthcare System. He further honed his skills through a fellowship in Pain Medicine at Oregon Health Science University.
Beyond his impressive credentials, Dr. Gutiérrez Robles is known for his compassionate approach and dedication to patient care. He's passionate about helping people overcome pain and improve their quality of life. This commitment was evident in his volunteer efforts during Hurricane Maria, where he provided much-needed medical assistance to those affected by the disaster.
Fluent in both Spanish and English, Dr. Gutiérrez Robles is a valuable asset to the Temple community, providing culturally sensitive care to a diverse patient population.
305 Clinite Grove Blvd, Temple, TX 76502
P: (254) 401-5250
As a compassionate pain specialist in Temple, we believe in a personalized approach to pain management. Dr. Gutiérrez Robles and his team take the time to understand your unique needs and develop a treatment plan that targets the root cause of your pain. We believe in accurate diagnoses and individualized treatment strategies to help you achieve the best possible outcomes.
Some of our interventional pain management services in Temple include:
When you choose PSA for your pain management needs, you can expect:
Pain Specialists of America is committed to providing high-quality, compassionate pain management care to the Temple community. With experienced specialists like Dr. Gutiérrez Robles and a focus on personalized treatment, we're here to help you find lasting relief and reclaim your life from pain.
If you're ready to take control of your pain, we encourage you to schedule an appointment with Dr. Gutiérrez Robles at PSA Temple.
November is National Family Caregivers Month, a time to recognize and celebrate the millions of individuals who provide invaluable support to loved ones facing chronic pain or other health challenges. Did you know that more than 1 in 5 Americans (21.3%) are caregivers? That's a significant portion of the population who dedicate their time and energy to caring for others. At Pain Specialists of America, we understand the vital role family caregivers play in the pain management journey. We witness their unwavering dedication, compassion, and resilience every day.
This month, we want to honor these unsung heroes and shed light on the challenges and rewards of caregiving, while also emphasizing the importance of self-care and providing helpful resources.
Family caregivers are the backbone of support for those living with chronic pain. They provide physical assistance, emotional support, manage medications, and handle countless other tasks, often while juggling their own responsibilities.
Caregiving can be incredibly rewarding, fostering deep bonds and a sense of purpose. However, it can also be physically and emotionally demanding.
Caregivers spend an average of 26 hours per week providing care, often while juggling their own work, family, and personal responsibilities. Many caregivers are also part of the "sandwich generation," meaning they are caring for both children and aging parents simultaneously. This can lead to significant physical, emotional, and financial strain.
Caregivers often face:
It's essential to acknowledge these challenges and provide caregivers with the support and resources they need to thrive.
It's essential to acknowledge these challenges and provide caregivers with the support and resources they need to thrive. Caregiving can take a toll on caregivers' health and well-being. 41% of caregivers report low overall well-being, and nearly half have experienced increased anxiety or depression. That's why prioritizing self-care is crucial for caregivers to avoid burnout and maintain their own health and happiness.
Here are some essential self-care tips for caregivers:
Seek Professional Help: If you're struggling with stress, anxiety, or depression, don't hesitate to seek professional counseling.
There are many resources available to support family caregivers. Here are a few:
These organizations offer information, support groups, respite care services, and other resources to help caregivers navigate their journey.
At PSA, we understand that family caregivers are an integral part of the pain management team. We believe in a family-oriented approach, recognizing that chronic pain affects not just the individual but also their loved ones. Our commitment to supporting caregivers is woven into every aspect of our care.
We strive to support caregivers by:
Encouraging open communication: We believe in collaborating with caregivers to ensure the best possible care for our patients. We value your insights and perspectives and encourage you to be active participants in the treatment process.
Our focus on patient-centered care and comprehensive pain management extends to caregivers as well. By addressing the patient's pain comprehensively, we aim to:
At PSA, we believe that supporting caregivers is an essential part of providing compassionate and effective pain management. We're committed to working together with patients and their families to achieve the best possible outcomes.
To all the family caregivers out there: Thank you. Thank you for your unwavering dedication, your compassion, and your strength. You are truly making a difference in the lives of your loved ones.
If you're a caregiver for someone with chronic pain, please know that you're not alone. Reach out to PSA to schedule an appointment for your loved one. We're here to help.
November is International Nerve Pain Awareness Month, a time to shed light on this often debilitating and misunderstood condition. Led by the International Pain Foundation, this campaign aims to raise awareness about the causes and symptoms of nerve pain, offer support to those who live with it, and encourage early diagnosis and treatment.
At Pain Specialists of America, we understand the profound impact nerve pain can have on individuals' lives. We're committed to providing compassionate care, innovative treatments, and personalized support to help our patients find relief and reclaim their lives.
Nerve pain, also known as neuropathic pain or neuralgia, is a unique type of pain caused by damage or dysfunction in the nervous system. Unlike other types of pain that result from tissue injury, nerve pain originates from within the nerves themselves. Imagine faulty wiring in your home's electrical system—the pain signals get mixed up, leading to sensations that are often described as burning, tingling, shooting, or electric-like.
Nerve pain can stem from various sources, including:
The impact of nerve pain extends far beyond physical discomfort. It can disrupt sleep, limit mobility, affect work and relationships, and lead to anxiety and depression. The emotional and economic toll can be significant.
Nerve pain often presents with distinct symptoms, including:
If you experience any of these symptoms, it's important to consult with a healthcare professional. Early diagnosis and intervention are crucial for managing nerve pain effectively.
Diagnosing nerve pain often involves a collaborative effort between you and your doctor. They will want to hear a detailed description of your symptoms, including the type of pain, its location, and any triggers that worsen or improve it. Your medical history, including any past injuries, illnesses, or medications, is also crucial in understanding the potential causes of your nerve pain.
A physical exam may include tests of your reflexes, sensation, and muscle strength to assess nerve function. In some cases, your doctor may recommend nerve conduction studies and electromyography (EMG) to measure the electrical activity of your nerves and muscles. Imaging tests, such as MRI or CT scans, can help rule out other conditions that may be causing your pain.
Once a diagnosis is confirmed, your doctor will work with you to develop a personalized treatment plan. This plan may involve various approaches including nerve blocks, which are injections that can temporarily interrupt pain signals.
For more severe or persistent nerve pain, spinal cord stimulation or peripheral nerve stimulation may be an option. These non-invasive treatments involve implanting a small device that delivers electrical impulses to the spinal cord or peripheral nerves, disrupting pain signals and providing relief. Throughout your treatment journey, your doctor will monitor your progress and adjust your plan as needed to ensure you're receiving the most effective care.
Living with nerve pain can be challenging, but there are ways to manage your symptoms and improve your quality of life. One of the most important things you can do is to take an active role in your care. This includes working closely with your doctor, following your treatment plan, and being open and honest about your experiences.
In addition to medical treatments, adopting a healthy lifestyle can make a significant difference. Managing stress through relaxation techniques like deep breathing, meditation, or yoga can help reduce pain flare-ups.
Prioritizing sleep hygiene and aiming for 7-8 hours of quality sleep each night is also essential. Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol can further support your overall well-being and help manage pain.
Finding support through online communities or local support groups can provide a sense of connection and empower you on your journey with nerve pain. Remember, you are not alone. With the right support, treatment, and self-care strategies, you can navigate the challenges of nerve pain and live a fulfilling life.
International Nerve Pain Awareness Month is a reminder that nerve pain is a real and debilitating condition that affects millions worldwide. By raising awareness, we can reduce stigma, encourage early intervention, and support those living with nerve pain.
If you're struggling with nerve pain, please know that you're not alone. Reach out to PSA for compassionate care and personalized treatment options. We're here to help you find relief and reclaim your life.
Driven by a relentless pursuit to alleviate pain, Dr. Massey's journey began in his home state of Texas, where he graduated from Texas Tech University. His passion for anesthesiology led him to California for residency, during which he encountered the debilitating effects of chronic pain, particularly Complex Regional Pain Syndrome (CRPS). Recognizing the profound impact CRPS has on individuals' lives, Dr. Massey dedicated himself to finding solutions. He furthered his expertise through a fellowship in pain management at Rush University, where he had the privilege of learning from two professors who were instrumental in creating the Budapest Criteria, the gold standard for diagnosing CRPS.
Today, Dr. Massey stands as a beacon of hope for those grappling with CRPS. His commitment to providing compassionate and comprehensive care is evident in his approach. He believes in fostering open communication, ensuring patients feel heard and understood throughout their journey to pain relief.
Complex Regional Pain Syndrome (CRPS) formerly known as causalgia, is a chronic pain condition characterized by an overactive nervous system response. It typically affects one or more limbs, often following an injury, surgery, or even seemingly minor events like a flu shot. Dr. Massey explains, "Essentially, it's an overreaction of the nerves due to damage, leading to inflammation and persistent pain signals."
The precise cause of CRPS remains elusive. However, it's widely believed to involve a combination of factors, including:
Diagnosis of Exclusion: CRPS is often diagnosed when other potential causes of the patient's pain have been ruled out.
CRPS Type 1 (formerly RSD): This type is characterized by an overactivity of the nervous system, often leading to symptoms like swelling, changes in skin color and temperature, and tremors. The key distinction is that there is no identifiable nerve injury in CRPS Type 1. It often occurs after trauma or crush injuries where multiple minor nerves are damaged, making it difficult to pinpoint the exact source of the pain.
Reflex sympathetic dystrophy (RSD) is an older term that was once used to describe CRPS Type 1. While the terminology has evolved, the underlying condition remains the same.
CRPS Type 2 (formerly causalgia): This type also involves an overactive nervous system response, but it is distinguished by the presence of a clear nerve injury. The pain and other symptoms can often be traced back to the specific damaged nerve.
CRPS diagnosis often involves a process of elimination, ruling out other potential causes of the patient's pain. While there's no single definitive test, a skilled pain specialist like Dr. Massey can reach an accurate diagnosis through a thorough evaluation of medical history, physical examination, and potentially additional tests like bone scans or nerve conduction studies. The Budapest Criteria, a set of clinical diagnostic guidelines, further aids in confirming CRPS. Early diagnosis is crucial for effective treatment and better outcomes, emphasizing the importance of seeking help promptly if you suspect you may have CRPS.
CRPS often progresses through three distinct stages, each with its own typical timeframe and set of symptoms:
Recognizing these stages and their typical time frames is critical for guiding appropriate treatment and minimizing the long-term impact of CRPS. Early diagnosis and intervention are key to managing symptoms and improving quality of life.
CRPS manifests in a variety of symptoms that can significantly impact a person's daily life. These symptoms can vary in intensity and may change over time. They include:
In some cases, CRPS can spread beyond the initial site of injury or affected limb. This phenomenon, referred to as "spreading CRPS," can involve the opposite limb or even distant areas of the body. While the exact mechanisms behind CRPS spreading are not fully understood, it is believed to involve a complex interplay of the nervous system and immune system. Early recognition of spreading symptoms is crucial for timely intervention and management.
If you notice new pain, swelling, or other CRPS symptoms in areas beyond the original site, it is essential to inform your healthcare provider promptly. They can assess the situation and adjust your treatment plan accordingly to address the spreading CRPS and help manage your pain effectively.
At PSA, we believe in a personalized approach to CRPS treatment. Dr. Massey emphasizes, "We start with the most conservative therapies and gradually escalate if needed. The goal is to find the most effective treatment plan for each individual patient."
A multidisciplinary team is often involved in the treatment of CRPS. At PSA, you'll have access to a dedicated pain specialist like Dr. Massey, who will create a comprehensive treatment plan tailored to your specific needs.
In addition to professional treatment, self-care plays a crucial role in managing CRPS. This can include gentle exercises, stress management techniques, maintaining a healthy lifestyle, and following any recommendations provided by your healthcare team.
Unfortunately, one of the most common misconceptions Dr. Massey encounters is the belief that CRPS isn't a real condition. "Some physicians don't know about CRPS and don't see it as a true pathology," he says. This lack of awareness can lead to delayed diagnosis and treatment, which can significantly impact patient outcomes.
Another misconception is that CRPS always involves a clearly identifiable nerve injury. "While this is true for CRPS Type 2, in CRPS Type 1, the affected nerves may be too small to be easily identified with current technology," Dr. Massey clarifies.
However, advancements in medical imaging and diagnostic techniques offer hope for the future. "We're constantly improving our ability to visualize and understand the nervous system. With increased awareness and research, we'll be able to identify and treat CRPS more effectively," Dr. Massey assures us.
"While I've seen the devastating impact CRPS can have, I want the world to know that it is treatable," Dr. Massey emphasizes. "The earlier we intervene, the better the chances of achieving complete remission. If you're experiencing persistent pain after an injury or surgery, don't hesitate to seek help from a pain management specialist."
Dr. Massey shares a particularly inspiring success story about a young nurse who developed CRPS after receiving a flu shot. "She was in excruciating pain and couldn't even pick up her children," he recalls. "After undergoing spinal cord stimulation at PSA, she experienced remarkable relief and was finally able to embrace her kids again. It's moments like these that make my work so rewarding."
At Pain Specialists of America, we're committed to helping you overcome the challenges of CRPS and reclaim your life. Contact us today or find a pain specialist near you to schedule a consultation with Dr. Massey and our team of experts. We're here to support you every step of the way.
October is Bone and Joint Health Awareness Month, and at Pain Specialists of America, we're dedicated to providing comprehensive care and empowering you to take control of your musculoskeletal health.
As we age, it's common to experience aches, pains, and stiffness in our bones and joints. While some discomfort may be a natural part of aging, it's important to understand how to maintain optimal bone and joint health throughout life, and to seek expert care when needed.
Dr. Jason Lo, a pain management specialist at PSA, brings a unique perspective to this topic, not only as a physician but also as someone who has personally experienced injury and recovery.
Our bones and joints provide the framework for our bodies, allowing us to walk, run, lift, and simply enjoy daily activities. When these systems are healthy, we experience less pain and greater mobility. However, conditions like arthritis, osteoporosis, and injuries can significantly impact our quality of life. Spinal health is also a critical component of overall bone and joint health. Learn more about prioritizing your spine health in our dedicated World Spine Day post.
"Joint pain is incredibly common," says Dr. Lo. "Think of your joints like the tires on your car. Over time, they experience wear and tear." This wear and tear affects the cartilage that cushions the bones within a joint, leading to friction, inflammation, and pain. This is the hallmark of osteoarthritis, a common cause of joint pain, especially as we age.
But it's not just about aging. Several other factors can contribute to joint pain:
Early warning signs that you may be developing a joint condition like arthritis include:
If you experience these symptoms, it's important to seek medical advice to determine the underlying cause and receive appropriate treatment early on.
If you're experiencing widespread joint pain, it's essential to seek medical advice to determine the underlying cause. This type of pain can be a sign of a more systemic issue affecting multiple joints throughout the body. Some possible causes include:
It's crucial to consult with a healthcare professional to pinpoint the exact cause of your widespread joint pain. At PSA, our experienced physicians will conduct a thorough evaluation, considering your medical history, symptoms, and lifestyle factors to arrive at an accurate diagnosis and develop an effective treatment plan.
Dr. Lo emphasizes the crucial role muscles play in supporting and protecting our joints. "Healthy muscles act as shock absorbers and help keep our joints aligned," he explains. "If you have weak muscles around a joint, it can accelerate wear and tear and lead to pain." This is because strong muscles help to stabilize the joint, reducing the strain on the ligaments and cartilage. When muscles are weak, the joint becomes less stable, making it more susceptible to injury and the development of conditions like osteoarthritis.
He explains that many factors can contribute to muscle weakness and inflammation, which in turn compromises joint support. These factors include:
Maintaining strong and healthy muscles is essential for optimal joint health. This can be achieved through regular exercise, including strength training and flexibility exercises, as well as a balanced diet and healthy lifestyle choices.
The good news is that there's a lot you can do to improve and maintain your bone and joint health. Dr. Lo recommends a proactive approach that incorporates these key elements:
Calcium and Vitamin D: These are the cornerstones of bone health. Ensure you're getting enough through your diet or supplements.
Vitamin K: Found in leafy greens, broccoli, and Brussels sprouts, vitamin K helps with calcium absorption.
Omega-3 fatty acids: These healthy fats, found in oily fish and flaxseed, can help reduce inflammation.
Protein: Adequate protein intake is crucial for muscle health and repair. Include lean meats, poultry, fish, beans, and lentils in your diet.
Weight-bearing Exercise: Activities that force you to work against gravity help strengthen bones.
Low-impact Activities: These are gentler on your joints while still providing benefits.
Flexibility and Range of Motion: Stretching and exercises that improve your range of motion help keep your joints flexible and reduce stiffness.
Maintain a Healthy Weight: Excess weight puts extra stress on your joints, especially your knees and hips.
Avoid Smoking: Smoking impairs blood flow and can contribute to inflammation and joint damage.
Limit Alcohol Consumption: Excessive alcohol intake can weaken bones and increase the risk of osteoporosis.
By taking these steps, you can actively contribute to your bone and joint health, reducing your risk of pain and maintaining mobility as you age. Remember, it's never too early (or too late) to start prioritizing your musculoskeletal health.
At PSA, the approach to bone and joint pain is comprehensive and personalized. "We start with a thorough evaluation to understand the root cause of your pain," says Dr. Lo. "Then, we create a customized treatment plan that may include physical therapy, injections, or other interventions."
Dr. Lo's personal experience with pain recovery after being hit by a truck has given him valuable insight into the challenges patients face. "I can relate to the post-operative and rehabilitation process," he shares. "I even gave myself a knee injection once to understand what my patients experience!"
Dr. Lo's main takeaway? "The best treatment for pain is prevention. Stay active, eat a healthy diet, and don't ignore early signs of discomfort."
Bone and joint pain can significantly impact your quality of life, but it doesn't have to be a life sentence. PSA is dedicated to helping you reclaim your life from pain. Contact us today to learn how our comprehensive approach to pain management can help you find lasting relief and get back to doing the things you love.
In honor of National Pain Awareness Month, let's challenge the pervasive misconceptions surrounding chronic pain and illuminate the path toward a brighter future.
Too often, individuals suffering from chronic pain face dismissive attitudes and outdated beliefs. They may hear phrases like, "It's all in your head," or "You don't look sick." These misconceptions can be incredibly isolating and discouraging, leading patients to believe they have no choice but to endure their pain.
But the reality is far different.
Dr. Bennjamin Fronk isn't just a physician; he's a passionate healer and educator, driven by a deep-seated desire to empower his patients through knowledge and compassionate care. Embracing the true meaning of the word "doctor" - Latin for "teacher" - Dr. Fronk is dedicated to fostering an environment of continuous learning, not only for himself but also for his patients and staff. He understands that informed patients are empowered patients, capable of making the best decisions for their health.
This dedication to education manifests in his patient interactions, where he takes the time to explain complex medical concepts in layman's terms, ensuring that each individual feels heard, understood, and equipped to navigate their treatment journey.
He also extends this passion for teaching to his staff, recognizing that a well-informed team creates the best possible environment for patient care. By sharing his knowledge and expertise, Dr. Fronk cultivates a culture of continuous improvement, where everyone is encouraged to grow and learn, ultimately leading to better experiences and outcomes for his patients.
This commitment to lifelong learning, combined with his compassionate approach, makes Dr. Fronk a true advocate for those suffering from chronic pain, providing not only cutting-edge treatment but also the knowledge and support necessary for a brighter future.
The landscape of pain management has undergone remarkable transformations in the past decade, fueled by relentless advancements in medical science and technology. Once dominated by invasive procedures and limited options that weren’t always effective, the field now boasts a growing array of less invasive, more effective treatments. From minimally invasive surgeries and targeted neuromodulation to endoscopy and more, these innovations are revolutionizing the way we approach pain relief, prioritizing precision and minimizing disruption to the body.
As science and technology continues to develop, we can anticipate even more groundbreaking developments on the horizon, further expanding the possibilities for those seeking lasting relief from chronic pain. The future of pain management is bright, promising a new era of personalized, effective, and accessible care for all. The experts at PSA, including Dr. Fronk, are committed to continually learning about new practices and technologies that can better serve our patients.
Dr. Fronk and his colleagues at Pain Specialists of America adopt a patient-centered, holistic approach to pain management, prioritizing the identification and treatment of the root cause of pain rather than simply addressing symptoms. They understand that lasting relief comes from understanding the underlying issue, not just masking the discomfort.
This starts with a thorough evaluation, going beyond just reviewing medical records or imaging results. The focus is on the individual's experience of pain, their lifestyle, and how it affects their daily life. They believe in educating patients about their condition, empowering them to make informed decisions about their treatment.
It's not uncommon for patients to come in with preconceived notions about their diagnosis or treatment needs, often influenced by previous experiences, online information, or other healthcare providers. While Dr. Fronk appreciates their initiative, he stresses the importance of a comprehensive assessment to pinpoint the true origin of the pain.
This approach often reveals that the most obvious issue, such as a disc abnormality on an MRI, may not be the actual culprit behind the pain. By focusing on the individual's specific pain patterns and lifestyle factors, the team can develop a targeted treatment plan designed to address the root cause, not just the symptoms.
The ultimate goal is not just to alleviate pain, but to empower patients to regain control of their lives. By understanding their condition, making informed choices, and actively participating in their treatment, patients can move beyond pain management and get back to doing what they love. This commitment to lasting relief and improved quality of life sets Dr. Fronk and Pain Specialists of America apart, creating a welcoming environment for our patients
Chronic pain often carries an invisible burden. Unlike a visible injury, it can be difficult for others to understand the depth of suffering a patient experiences. This invisibility can lead to a sense of isolation, as family and friends may unintentionally doubt the severity of the pain, further compounding the patient's distress.
The stigma and misconceptions surrounding chronic pain can create a sense of hopelessness. Patients may feel trapped, believing that if one treatment doesn't work, they're doomed to a life of pain. They might resign themselves to the idea that there are no options, that they simply have to "live with it."
This is where Dr. Fronk's approach shines. He understands the emotional toll of chronic pain, the frustration of feeling unheard, and the despair that can accompany a seemingly endless search for relief. He listens. Not just to the physical symptoms, but to the patient's entire story – their fears, their hopes, and their struggles.
Dr. Fronk's compassionate approach helps break down the stigma surrounding chronic pain. He validates his patients' experiences, offering them a safe space to express their concerns without judgment. By actively listening and acknowledging their pain, he instills a sense of hope and empowers patients to actively participate in their journey towards recovery. He reassures them that they are not alone, that there are options, and that together, they can find a path towards a better quality of life.
If you're living with chronic pain, remember:
You have a voice. Advocate for yourself and seek out compassionate healthcare professionals.
At Pain Specialists of America, we understand the unique challenges of chronic pain – the invisible struggle, the doubts from loved ones, and the fear that there's no way out. We're here to tell you: there is hope. With a compassionate approach, cutting-edge treatments, and a dedication to uncovering the root cause of your pain, we empower you to reclaim your life. Don't settle for a life limited by pain.
Schedule an appointment today and let Dr. Fronk and the expert team at PSA guide you on the journey to a pain-free, fulfilling life. Remember, for every pain, we have a plan.
Dr. Fronk is currently accepting new patients at the following Pain Specialists of America locations:
7003 Woodway Drive, Suite 313, Waco, TX 76712
(254) 401-4403
305 Clinite Grove Blvd, Temple, TX 76502
(254) 414-2243
2701 East Stan Schlueter Loop, Suite 100, Killeen, TX 76542
(254) 415-7673
Chronic pain can significantly impact your quality of life, making everyday activities challenging and reducing your overall well-being. For those who have not found relief through traditional pain management methods, a spinal cord stimulator (SCS) can be a transformative solution. This advanced technology offers a new take on life for many chronic pain sufferers, allowing them to return to a more active and fulfilling lifestyle. In this post, we'll explore what it's like living with a spinal cord stimulator and discuss any permanent restrictions associated with the device.
A spinal cord stimulator (SCS), also known as a dorsal column stimulator, is a minimally invasive device implanted under the skin to help manage chronic pain. It sends mild electrical pulses to the spinal cord, which block pain signals from reaching the brain. This process replaces the sensation of pain with a mild tingling, known as paresthesia. For those who don’t care for the tingling sensation, there are also paresthesia-free SCS options to effectively reduce pain.
Key Components of an SCS System:
Before committing to a permanent SCS implant, patients undergo a trial period. This trial involves a temporary SCS system to evaluate its effectiveness and determine if it's the right solution for you. The trial mimics the experience of the permanent device and helps assess pain relief and overall comfort.
At Pain Specialists of America (PSA), a leading provider of interventional pain management in central Texas, our focus is on personalized care. We offer state-of-the-art therapies and diagnostics to tailor pain management solutions to individual needs. Our mission is to provide exceptional, outcomes-based pain management so patients can lead active and fulfilling lives.
Once the permanent SCS implant is in place, you will begin a new chapter in managing your chronic pain. Here’s what you can expect:
While there are no specific permanent restrictions, some precautions are advised to protect your device and ensure its optimal functioning:
Pain Specialists of America is dedicated to providing compassionate and comprehensive pain management. With 13 locations and 3 surgery centers across central Texas, PSA offers advanced therapies and personalized treatment plans to address chronic pain effectively. We offer spinal cord stimulator trials and permanent systems at our surgery centers in Killeen, South Austin, and Duval.
Our vision is to improve the quality of life for patients through innovative, integrated care, making sure you have the support you need throughout your pain management journey.
If you’re considering a spinal cord stimulator or need support with your current device, PSA’s team is here to help. We are committed to ensuring that you receive the best possible care and achieve meaningful pain relief.
Dr. Jacob Caylor, a dedicated pain management and pain pump doctor in Round Rock, Cedar Park, and North Austin, has a unique and compassionate approach to patient care. Originally from Seattle, he spent time in San Diego before returning to the Pacific Northwest. With a background in anesthesiology, Dr. Caylor longed for a deeper connection with patients and the opportunity to see improvement over time. This longing for a more personal, patient-centered practice led him back to pain medicine, where he could witness firsthand the progress and healing of those he treats.
"My job is to show you the options," says Dr. Caylor. "It doesn’t mean we do anything, but you should know what and why we're doing things." His philosophy centers on the idea that there is no "pain-o-meter"—no magic wand to determine the exact source of a patient's pain. Instead, he relies on patient history and a collaborative approach to identify where the pain is coming from. He likens his work to solving a puzzle, peeling back the layers to uncover the truth. "Everything we do teaches us something about the patient," he notes. It may take trial and error, “like discovering thousands of ways not to make a light bulb,” but this ensures the best approach for each individual patient.
Pain pumps, also known as intrathecal drug delivery systems, are advanced medical devices used to manage chronic pain. Intrathecal means delivering medication straight into the fluid around your spinal cord, allowing it to work directly on your nerves.
In order words, it delivers medication directly into the cerebrospinal fluid surrounding the spinal cord, offering significant relief with smaller doses than oral or intravenous methods. The system includes a small pump implanted under the skin, a catheter to deliver the medication, and an external programmer to adjust settings. Intrathecal pain pumps administer medication continuously or in controlled doses, targeting pain receptors in the spinal cord.
This method is more effective and causes fewer side effects compared to systemic medication, making it a valuable tool for treating chronic pain, including, but not limited to:
Opioids are the most commonly used medications in pain pumps, but other options may be better suited to your specific condition. Antispasmodic medications can help manage muscle spasms and reduce pain associated with conditions like spasticity. Numbing medications can effectively block pain signals by targeting specific nerves. Additionally, medications designed for nerve pain, like gabapentin or pregabalin, can be used to treat neuropathic pain by calming overactive nerves. Your provider will help identify the best combination of medications based on your individual needs, ensuring optimal pain relief with minimal side effects.
Long-term use of oral opioids can lead to habituation, where the body becomes desensitized as it deletes opioid receptors, forcing the brain to downregulate its response to the medication. This often results in the need for higher doses, which can cause side effects like constipation and dizziness.
Unlike oral medications that are dispersed throughout the body, pain pumps deliver medication directly into the spinal column, targeting pain receptors with precision and minimizing systemic side effects. By providing continuous, localized relief, pain pumps eliminate the need for increasing dosages, reducing the risk of side effects and allowing patients to maintain effective pain management without the common problems associated with oral opioids.
Additionally, pain patients often face significant stigma, with others wrongly assuming they are seeking drugs rather than genuine relief. At PSA, the discreet use of a pain pump eliminates the need for frequent pharmacy visits, allowing patients to manage their pain privately and without judgment.
A pain pump looks like a small hockey puck. While typically implanted in the abdomen, Dr. Caylor often implants the device in the back of the hip, making it discreet and not easily noticeable. Because it's internal, there's no need for external tubes or attachments. Most patients can wear regular clothing without the pump being visible, allowing them to manage their pain privately and without drawing attention.
Before committing to a pain pump, patients undergo a trial process to determine its suitability. For the trial, a spinal tap will deliver medication, which lasts for approximately 18 hours, and the patient and doctor will work together to assess the response.
Most patients experience significant pain relief during the trial and choose to move forward. Following a successful trial, the pain pump is implanted, delivering medication directly to the spinal neurons. The initial recovery involves monitoring the incision before the pump is filled. Dosages are adjusted every two weeks until the pain is controlled, and then the patient only needs to return every three months, give or take, for refills.
One of Dr. Caylor’s patients, a woman with metastatic breast cancer, experienced life-changing relief from a pain pump. The cancer had spread to her hip, causing excruciating pain that previous treatments couldn’t alleviate.
She had one goal – to see her grandchildren graduate. Yet her pain was so intense, the idea of traveling was out of the question.
With the pain pump, she was able to sleep comfortably, fulfill her dream of seeing her grandchildren graduate, and continue to live pain-free, enjoying her life to the fullest.
Another patient, who was once bedridden, found a new lease on life with a pain pump implant. It allowed her to travel the world, something she had always dreamed of, yet wouldn’t have been possible with oral medications.
Good Candidates:
Individuals with chronic pain conditions, such as severe back or neck pain, failed spinal surgeries, or chronic abdominal pain, are typically good candidates for a pain pump. Those who have not found relief from other treatments, including oral medications, and are committed to regular follow-ups for maintenance and refills, are ideal for this therapy. Additionally, patients who want to reduce the side effects associated with systemic pain medications may benefit from a pain pump.
Not Suitable for:
Patients who are not ready to commit to the regular appointments necessary for pain pump maintenance may not be suitable candidates. Additionally, those with conditions that contraindicate surgery or who may have difficulty following through with the required care plan might need to consider alternative pain management options.
At PSA, we believe in offering the therapies our patients deserve. Our approach is personalized, focusing on understanding all available options before proceeding with treatment. We strive to identify the true root cause of pain, rather than just treating the symptoms.
Unlike some practices, our goal isn’t profit-driven but mission-driven – to alleviate pain through comprehensive, outcomes-based care, enabling our patients to lead active, healthy, and fulfilling lives.
We understand the stigma that pain patients often face, and we work to create a discreet and supportive environment. With a pain pump, our patients can reclaim their lives, free from the constant need for medication and the associated judgment.
Pain management is a complex field, but with the right tools and a compassionate approach, patients can achieve significant relief. Pain pumps offer a powerful solution for those struggling with chronic pain, providing targeted, effective relief with minimal side effects. Under the care of dedicated professionals like Dr. Caylor, patients can explore all their options and find a path to a better quality of life.
If you’re looking for a pain pump doctor in Round Rock, with a personalized approach, consider requesting a new patient appointment, to see how you can restore your quality of life.
At Pain Specialists of America in New Braunfels, located conveniently off highway 46, we understand that pain management is not a one-size-fits-all approach. Our dedicated team, led by Dr. Trey Mouch, is committed to providing personalized, multidisciplinary care that sets us apart from other clinics. For personalized pain management in New Braunfels, Dr. Mouch and his team are your trusted source. Our goal is to ensure that each patient receives a treatment plan tailored specifically to their unique needs, enhancing their overall quality of life.
Dr. Trey Mouch, a Texas native from Dallas, brings a wealth of knowledge and experience to our pain clinic in New Braunfels. He completed his medical education at the University of Texas Health Science Center San Antonio, followed by a residency in Anesthesiology at Stony Brook University. Dr. Mouch further honed his skills through a pain management fellowship at prestigious institutions including Weill Cornell Medical Center, Memorial Sloan-Kettering Cancer Center, and Hospital for Special Surgery.
Dr. Mouch’s special interests include cancer pain, peripheral nerve therapies, and minimally invasive spinal therapy. He also works with many patients managing degenerative diseases. His approach is deeply rooted in a belief that effective pain management requires a personalized and multidisciplinary strategy. This philosophy not only guides his clinical practice in New Braunfels but extends across each of the Pain Specialists of America locations.
Our New Braunfels location is equipped to handle a wide array of pain management needs. Whether you’re suffering from spine pain, degenerative disease, or nerve-related conditions, Dr. Mouch and his team can provide thorough diagnostics and devise a multidisciplinary approach helping you achieve lasting pain relief. Please note, some treatments, such as spinal cord stimulation or other surgeries, may not be completed on-site at our New Braunfels location. However, our New Braunfels pain management specialists can help you figure out which treatment(s) are best for your condition and help facilitate the process.
We offer a broad spectrum of treatments designed to address your specific concerns. Our services include:
Our clinic is distinguished by our commitment to diagnostics. We focus on understanding the root causes of pain rather than resorting to a repetitive treatment approach. We work closely with local neurologists, pathologists, and more in New Braunfels to collect detailed information about each client's condition. This allows us to offer more specialized and effective care compared to others who may prioritize financial gain over patient well-being.
What truly sets us apart is our dedication to quality care. Unlike other clinics that might take a one-size-fits-all approach, we prioritize the individual needs of each patient. Our broad capability and specialized treatments reflect our commitment to providing comprehensive pain management solutions that genuinely improve our patients' lives.
Many of our patients come from rural areas, often facing challenges such as degenerative disc or joint disease and severe arthritis. They appreciate the convenience of our New Braunfels location and the ease of scheduling appointments without the need to travel to larger cities.
When you visit our New Braunfels clinic, you'll experience a team dedicated to your comprehensive care. Dr. Mouch works closely with two exceptional nurse practitioners, Traci Thompson and Ciara Rubenstein, who bring their extensive expertise and compassion to our practice.
Traci Thompson, FNP-C, specializes in pain management and critical care. With a background in emergency medicine and critical care management, Traci excels in critical thinking and problem-solving. Her empathetic nature and dedication to patient care make her an invaluable asset to our team.
Ciara Rubenstein, MSN, APRN, FNP-C, has over ten years of patient care experience in Central Texas. Her passion for patient care is reflected in her numerous accolades, including Excellence Awards and Employee of the Month recognitions. Ciara’s involvement in community activities and her commitment to outstanding patient care further enhance the quality of service we provide.
Together, Dr. Mouch, Nurse Thompson, and Nurse Rubenstein form a dedicated team that offers a seamless continuum of pain management in New Braunfels. Our collaborative approach ensures that every patient receives personalized care and the most effective treatment options available.
In addition to the pain clinic in New Braunfels, you can find Dr. Mouch at our Seguin pain clinic and Pain Relief SurgiCenter on Duval.
213 Hunters Village New Braunfels, TX 78132
P: (830) 627-3800
417 South King Street Seguin, TX 78155
P: (830) 609-9478
701 FM 1626 Suite 301, Austin, TX 78748
P: (512) 953-8127
At Pain Specialists of America, we are committed to offering unparalleled access to today’s most effective pain management solutions. Our mission is to provide high-quality care that addresses your individual needs and improves your quality of life. If you’re struggling with chronic pain, ask your doctor about our innovative, minimally invasive treatments and take the first step towards a pain-free future.
For every pain, we have a plan. If you’re a new patient, schedule an appointment today to see how our team can provide compassionate and personalized pain management in New Braunfels, to help you find relief and regain control of your life.