Rolling Hills Medical: Leading Pain Management Clinic in Torrance
Common Types of Pain
- Musculoskeletal Pain – caused by injury to the bones, joints, tendons, ligaments, or nerves. Back pain is a common musculoskeletal pain symptom, often caused by conditions like herniated discs, sciatica, and scoliosis.
- Neuropathic pain – caused by chronic disease or damage affecting the sensory nervous system. Common neuropathic pain syndromes include spinal cord injuries, diabetic neuropathy, carpal tunnel and radiculopathy.
- Rheumatologic pain – affects the joints and connective tissue and is often characterized by inflammation. Common conditions include osteoarthritis, arthritis, bursitis, and fibromyalgia.
- Headaches and migraines – recurrent headaches and migraines are considered neurological disorders. The World Health Organization estimates that nearly 50% of adults worldwide experience recurrent headaches.
Pain conditions can affect any and all parts of the body. While back pain and headaches are the most prevalent pain conditions, many people suffer from pain affecting other parts of the body, including:
- Knee Pain – symptoms include swelling, redness, instability, and inability to straighten the knee. Common causes include ACL tears (a fairly common sports injury) or underlying conditions like arthritis, bursitis, or tendinitis.
- Foot and Ankle Pain – often caused by sprains or high-impact injuries due to falls or an auto accident. Foot and ankle pain may also be indicative of arthritis or nerve compression, and can result in reduced mobility.
- Hip Pain – can affect surrounding areas of the hip joint, including the groin, buttocks, and thigh. Common causes of hip pain include musculoskeletal injury caused by overuse or inflammation from arthritis.
- Shoulder and Elbow Pain – overuse injuries, including occupational and sports-related, often result in shoulder or elbow tendon inflammation.
- Hand and Wrist Pain – symptoms of hand and wrist pain can vary from dull aches to a pins and needle sensation, depending on its cause. Arthritis and carpal tunnel are leading causes of hand and wrist pain symptoms.
Non-Surgical Treatments for Pain Management
- Chiropractic Care – can help relieve acute and chronic pain, often associated with musculoskeletal injuries. Chiropractic care may include manual adjustments, spinal decompression therapy, or even manipulation under anesthesia (MUA) for patients suffering from severe back pain/ neck pain or arthritis.
- Physiotherapy and Rehabilitation – physical therapy may require different treatment modalities including corrective, stretching, or strengthening exercises, electrical stimulation, and ultrasound to restore function and mobility.
- Epidural Injections – used to address severe back and leg pain. Injections may include both local anesthetic and saline solution to flush the area of inflammatory agents.
- Sports Injury Rehabilitation – our sports medicine doctors use targeted exercises to restore function post-injury and reduce susceptibility to future injuries.
- Prescription pain medication and NSAIDs – our physical medicine doctors may recommend pain medication or non-steroidal anti-inflammatory drugs (NSAIDs) for at-home pain management between treatments.
- Facet joint injections – local anesthetic injections at the facet joints in the spine help relieve pain and help with diagnosis. Injections can be given prior to physical therapy routines to help patients better manage pain during their treatment.
- Radiofrequency/ Rhizotomy procedures– used when conservative pain management treatments have been exhausted. This treatment involves highly localized heat to destroy the nerves causing pain.
Peripheral Nerve Blocks
Medial Branch Blocks (lumbar, cervical, thoracic)
Botox (cosmetic and therapeutic)
Sacroiliac Joint Injections
Spinal Cord Simulations
Surgical Treatments for Pain Management
- Spinal Cord Stimulators – a small surgical implant that delivers electric current to the spinal cord.
- Spinal Fusion – surgery to “weld” two or more vertebrae together. Cervical and lumbar fusion surgeries are effective for relieving back pain caused by degenerative disc disease, herniated discs, and fractured vertebra.
- Minimally Invasive Spine Surgery (MISS) – compared to traditional spinal surgeries, MISS offers faster healing times and minimal damage to surrounding muscles and tissue. Lumbar micro-decompression involves the removal of bone spurs, thickened ligament tissue, and herniated disc material that is causing spinal pressure.
- Sacroiliac Joint Fusion
Spinal Cord Stimulation
DRG Stimulation (Dorsal root ganglion)
Peripheral Nerve Stimulation
MILD (Minimally invasive lumbar decompression)
Contact Rolling Hills Medical in Torrance
Our team of multidisciplinary health professionals offers comprehensive pain management options. We work with each patient to carefully diagnose symptoms and conditions before deciding on an appropriate course of treatment. Contact our integrated pain management specialists today at 424-250-8699
Munish Lal, MD: Pain Management
Dr. Lal offers a variety of interventional pain management services including minimally invasive state-of-the-art techniques, spinal, nerve, joint, soft tissue, and trigger point injections, education about individual pain syndromes, their diagnoses, treatment and prognosis and medication management. Medication management emphasizes use of non-opiate, non-addicting drugs and includes reduction or elimination of drugs which have risk of dependency, misuse and abuse whenever possible.