Pain Management

Pain Management is the branch of medicine that focuses on treatments of many different types of pain.  Pain may arise from an array of different reasons whether it be injury, nerve damage, surgery, or even metabolic problems like diabetes.  In addition to back and neck pain, we work to alleviate joint pain and other types of pain without the use of narcotic medications. 

Alternative Pain Management

Individualized care plans offer safe alternatives,helping you return to the activities that are important to you.
Care Plan Development:
A comprehensive evaluation by a PVH physical therapist with specialized training in pain management, in collaboration with a patient’s primary care physician (PCP), will lead to a highly individualized care plan, setting patients up for success!

Treatment options may include:
  • Hands-on manual therapies and massage customized to patients needs and may include joint mobilization, muscle energy techniques, or soft tissue mobilization
  • Laser therapy - Low-level laser therapy (LLLT) is a painless, non-invasive treatment used to treat a variety of pain syndromes, injuries, and pathologies, such as tendonitis, trigger points and joint injuries.  It uses light with specific characteristics to produce therapeutic effects by non-thermal absorption of photons by cells, decreasing the inflammatory process.  
  • Dry needling - Physical Therapists (PTs) insert a thin filiform needle, or "dry needle", one without medication or injection, through the skin into areas of muscle known as trigger points to treat myofascial pain. Dry needling is not acupuncture, but is part of modern Western medicine principles and supported by the American Physical Therapy Association. Research supports that it releases or inactivates trigger points, reduces muscle tension and improves pain control.     
  • Myofascial tapingPTs apply kinesiotape to the skin with various amounts of stretch to decompress areas of swelling and inflammation, delay fatigue of the muscles, normalize muscle tone, and reduce pain.  Unlike traditional taping, which prevents movement, myofascial taping allows full movement of the taped area and distributes forces to nearby areas through fascia, ligaments, and bones.  
  • EMG Biofeedback - PTs use this to provide neuromuscular reeducation.  Small electrodes are placed on specific muscles and painlessly read motor activity, then feedback information is used in therapy sessions to facilitate or inhibit the recruitment of these muscles during gentle exercise.  
  • Electrical stimulationThis is a comfortable therapeutic treatment that applies electrical stimulation to areas of the body to reduce muscle spasm and pain.  There are different types of electrical stimulation treatments, including interferential current (IFC) and TENS.  PTs work with PCPs to obtain units for home use when appropriate. 
  • Customized therapeutic exercise programspatients referred for PT services are allowed free use of the Community Fitness Center during their treatment plan.  Physical Therapists develop, modify, and progress exercise programs to normalize movement patterns, improve joint mobility and flexibility, and address deficits in postural strength and stability.  All patients are actively involved in their treatment program.  Low-to-no impact fitness classes that encourage stretching and strengthening are now offered.
If you suffer from pain, the PVH Rehab & Wellness Center encourages you to consider these non-pharmacologic, research-driven treatment approaches first!

Interventional Pain Management

If pain is having a negative impact on your life, you may be a good candidate for interventional pain management services.  Many people suffering from pain report a negative impact on their overall quality of life, feelings of depression, trouble concentrating, negative impact on energy levels, and trouble sleeping.  Interventional pain management offers relief through joint blocks, injections, and even a spinal cord stimulation trial.

Speak with your primary care physician about a referral for interventional pain management services at the PVH Specialty Clinic.

Dr. Jonathan Herland will work closely with your primary care physician to ensure good communication, which in turn helps provide the optimum treatment for patients.