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    559-447-1432

    ramirehmd@valleypainmanagement.com

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    Services


    Our Services include but are not limited to:

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    Balloon Kyphoplasy/ Vertebroplasty

    donut_small Treatment of compression fractures in the spine

    donut_small Out-patient procedure

    donut_small Immediate pain relief common

    donut_small Uses special cement to fix the cracks in the fracture

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    Cancer Pain Management

    donut_small Rapid assessment with fast pain relief strategies

    donut_small Easy access to physician for phone consultation

    donut_small Office works closely with primary treating doctor

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    Celiac Plexus Blocks

    donut_small Used to help define causes of chronic abdominal pain

    donut_small Can be used to treat pancreatic pain

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Chronic Neck and Low Back Pain Management

    donut_small Chronic neck and low back treatment for a wide range of causes

    donut_small Conservative and advanced interventional treatment strategies available

    donut_small Evidence based treatment guidelines referenced

    donut_small Treatments provided by board certified experts with extensive experience

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    Comprehensive Pain Evaluations

    donut_small Rapid appointment scheduling

    donut_small Board certified Pain Medicine physicians

    donut_small Experts in treating most all chronic pain conditions

    donut_small Wide range of treatment options available

    donut_small Evidence based treatment guidelines referenced

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    Discography

    donut_small Diagnostic procedure frequently requested by spine surgeons

    donut_small Used along with MRI to identify painful discs

    donut_small Helps to ensure the correct surgery - treatment option is provided

    donut_small For both neck and low back injuries

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    Epidural Steroid Injections

    donut_small For neck or low back pain unresponsive to physical therapy or medications

    donut_small An anti-inflammatory class of steroid is administered to the spine

    donut_small Less side effects compared to oral steroid dose packs

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    Facet Blocks

    donut_small For neck or low back pain that does not radiate to hands or feet

    donut_small Injected into the spine joint or at the nerve branch for differential diagnosis

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Intercostal Nerve Blocks

    < donut_small For persistent chest or rib pain from fractures, bruises, or surgery

    donut_small Can be used to treat difficult pain from shingles in the chest-rib areas

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Intrathecal Morphine Pump Implants

    donut_small Long term treatment option for severe chronic pain

    donut_small For patients who have failed conservative treatments and or surgery

    donut_small Small, computerized pump placed in the abdomen

    donut_small Pain medication is administered directly to the spine

    donut_small Non-surgical trial is done before permanent implant to help ensure good outcomes

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    Lumbar Sympathetic Blocks

    donut_small Controls sympathetic type pain (like severe sunburn) in legs-feet

    donut_small Local anesthetic is applied to nerves responsible for abnormal pain messages

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Occipital Nerve Blocks

    donut_small For headache pain resulting from chronic neck pain

    donut_small Can be administered periodically in office

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    Plasma Disc Decompression/ Nucleoplasty

    donut_small Minimally invasive treatment option

    donut_small Used for painful disc injuries unresponsive to conservative treatment

    donut_small Out-patient procedure

    donut_small See link on education page

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    Radiofrequency Neuroablations

    donut_small Long term treatment with neck or low back pain relief up to one year

    donut_small For patients who have had good relief with diagnostic facet blocks

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndrome Therapy

    donut_small Experts in diagnosing and treating Complex Regional Pain Syndrome

    donut_small Conservative and advanced treatment options available

    donut_small Evidence based treatment guidelines referenced

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    Sacroiliac Blocks

    donut_small Sacroiliac joint is a source of pain in up to 15% of chronic low back pain sufferers

    donut_small For low back without numbness or lower extremity weakness

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Selective Nerve Root Blocks/ Transforaminal Epidurals

    donut_small Small amount of steroid is administered near the irritated nerve

    donut_small For spine injuries causing shooting (radicular) pain in the arms or legs

    donut_small Much smaller needle used compared to traditional epidural steroid injections

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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    Spinal Cord Stimulator Implant

    donut_small See link on education page

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    Stellate Ganglion Blocks

    donut_small Controls sympathetic type pain (like severe sunburn) in arms-hands

    donut_small Local anesthetic is applied to nerves responsible for abnormal pain messages

    donut_small Fluoroscopic guidance used to assure accurate medication placement

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