Ketamine

What is Ketamine? Ketamine is an anesthetic medication that is commonly used by anesthesiologists during surgery. Unlike many other anesthetic medications, ketamine does not produce respiratory suppression, which makes its use desirable in certain medical settings. In fact, ketamine gained popularity on the battlefield in the 1970s since it was safe and effective in providing […]

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Pain Management Doctors in Chalfont PA

Delaware Valley Pain & Spine Institute (DVPSI) is a practice that is dedicated to providing the highest quality of care to treat patients experiencing pain. Our team of Pain Management Doctors in Chalfont PA are highly specialized physicians who use the most advanced, minimally invasive techniques to restore function and renew hope in our patients. Chronic pain can lead to […]

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Trigeminal Neuralgia

Trigeminal Neuralgia, or TN, is a cranial nerve condition that causes intense facial pain on one or both sides of the face in sudden and sporadic episodes. Though the pain typically only lasts seconds, many people with trigeminal neuralgia describe the pain as debilitating and unbearable. Usually, this impulsive pain occurs unexpectedly and without warning, […]

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Occipital Nerve Block

Occipital Nerve Block

Occipital nerve blocks  are shallow scalp injections used for the purpose of diagnosing or treating pain stemming from the greater and lower occipital nerves. The occipital nerves are located along the back of the head just above the neck. By injecting a numbing or anti-inflammatory medication, it is possible to reduce swelling and inflammation in […]

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Migraine Headaches

Migraines are headaches that cause throbbing or pulsating pain that is usually limited to one side of the head. These headaches affect everyone differently, with some people experience mild to moderate migraines lasting for only a half hour, and others battling debilitating pain for hours or even days on end. Not everyone is prone to […]

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Cervical Medial Branch Block

Cervical Medial Branch Block

Cervical medial branch blocks are diagnostic injections used patients who suffer from chronic neck, upper back, shoulder, and headache pain. These injections contain an anesthetic that is applied to the medial branch nerves located near the facet joints of the cervical spine. When the facet joints become inflamed, the nearby medial branch nerves send pain […]

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Cervical and Lumbar Radiculopathy

Cervical and Lumbar Radiculopathy

Cervical radiculopathy is a condition in which nerve roots in the cervical spine (neck) are compressed by surrounding vertebrae. Lumbar radiculopathy is an equivalent condition of the lower spine and is more common than cervical radiculopathy. Compression can damage the nerves nearest to the spine, causing immense pain, muscle weakness and even numbness in various […]

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Cervical Epidural Injection

Cervical Epidural Steroid Injection

Cervical epidural steroid injections are used for the treatment of chronic pain stemming from the cervical spine. This may present as upper back pain, neck pain, head pain, and pain that radiates into the upper extremities. The injections are non-surgical and performed on an outpatient basis. Usually, a combination of steroidal and numbing medications is […]

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Atypical Facial Pain

Atypical Facial Pain

Facial pain that originates from an unknown source is usually diagnosed as atypical facial pain. Not to be mistaken for trigeminal neuralgia, which is sporadic and intense facial pain caused by pressure on the trigeminal nerve, atypical facial pain occurs chronically and is often of psychologic origin. This condition can present with either sharp or […]

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Botox for Migraines

Botox for Migraines

Botox – the cosmetic formulation frequently used to help smooth lines and wrinkles – is effective in the treatment of chronic migraine headaches. Millions of Americans suffer from migraine headaches, many of which are debilitating. As an alternative to pain medications, which provide only temporary relief, Botox that is given at regular intervals, a few […]

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Spinal Cord Stimulator Trial

Spinal Cord Stimulator Trial

A spinal cord stimulator trial is a temporary stimulating wire used over the course of several days to determine whether a permanent stimulator implant would be effective for providing a patient with long-term pain relief. Spinal cord stimulators deliver low voltage electrical pulses to the epidural space outside the spinal cord, relieving chronic or intense […]

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Sacroiliac Joint Pain

Sacroiliac Joint Injection

The sacroiliac (SI) joints are found at the base of the spine at the convergence of the sacrum and ilium bones. The joints where these two bones come together can become injured or inflamed, causing radiating pain, tingling, and other uncomfortable sensations in the lower back, hips, and lower extremities. Injections are given to both […]

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Peripheral Nerve Stimulator

Peripheral Nerve Stimulator

Peripheral nerve stimulation is a pain management method used to treat chronic or intense pain associated with the peripheral nervous system. It works by using internal electrodes to emit low voltage electrical currents that interrupt pain signals sent by nerves in the peripheral nervous system. These devices are especially helpful for many patients who have […]

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Lumbar Transforaminal Epidural Steroid Injection

Lumbar Transforaminal Epidural Steroid Injection

Lumbar transforaminal epidural steroid injections are pain management tools used to hone in on specific nerves responsible for lower back pain and radiculopathy in the lower extremities. During a transforaminal injection, steroids are injected directly into the neural foramen where nerves exit the spine. In comparison to interlaminar and caudal epidural steroid injections, transforaminal ESIs […]

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Lumbar Sympathetic Block

Lumbar Sympathetic Block

A lumbar sympathetic block is an injection of numbing medication to temporarily numb the nerves in the sympathetic nervous system. The sympathetic nerves are located in the lower back on each side of the spine, stretching from the spine into the lower body and legs. They are primarily responsible for regulating blood flow, although they […]

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Lumbar Radiofrequency Ablation

Lumbar Radiofrequency Ablation

Radiofrequency ablation is a medical procedure used to alleviate chronic lower back pain caused by an inflamed facet joint. The facet joints are located in pairs along the spine, from which medial branch nerves submit pain signals to the brain. A radiofrequency ablation (RFA) destroys these nerves using an electrically charged needle that submits heat […]

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Lumbar Medial Branch Block

The lower spine is lined with small joints called facet joints. These joints contain medial nerves that submit pain signals to the brain when the joint has become inflamed. A lumbar medial branch block is a numbing injection administered to the nerves of an inflamed facet joint in the lower back. The medication ‘blocks’ pain […]

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Complex Regional Pain Syndrome (CRPS)

What is Complex Regional Pain Syndrome (CRPS) Complex regional pain syndrome, previously called RSD, is a chronic pain condition.  The pain usually starts in one limb after an injury such as a broken bone, surgery, or trauma.  Over time, the pain can spread to areas outside of the injury.  The hallmark feature of this condition […]

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Pain and ADHD

A Wandering Mind Attention deficit/hyperactivity disorder (ADHD) is a diagnosis that welcomes sociology into medicine. According to the CDC, 5-10% of children are treated for this condition each year. ADHD was first described in 1902, but in the past 20 years there has been a marked increase in the number of children treated for behaviors […]

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DON’T MISS DR. BROMBERG AT THE ARTHRITIS CONFERENCE!

Todd Bromberg M.D. will be among a select group of presenters at the upcoming Arthritis Conference on May 14, 2016 at the Doylestown Health and Wellness Center. Don’t miss his presentation on Pain Management Strategies for Arthritis, and hear from some of the leading experts in the field on topics related to arthritis. For more […]

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New physician joining the practice in July, 2016

Samuel Grodofsky, MD emphasizes a patient-centered, multidisciplinary approach in the treatment of chronic pain. He graduated from the University of Maryland with a degree in English literature, and then pursued a research fellowship in the neurosciences at the National Institute of Health. He received his medical degree at the Sidney Kimmel School of Medicine of […]

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Home Exercise Program

Heal your back at home while receiving care at the Delaware Valley Pain and Spine Institute. Successful care for chronic back pain requires a regular home exercise program. This handout describes seven exercises that you can complete in 30 minutes or less. Injections and medications play a role in managing pain, but these are typically […]

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