Pain Medicine Conditions and Clients

  • Headache
  • Migraine
  • Neck Pain
  • Back Pain
  • Thoracic Outlet Syndrome
  • Chronic Pain
  • Knee Pain
  • Shoulder Pain
  • Wrist/Hand Pain
  • Hip Pain
  • Foot/Ankle Pain

Athletic injuries, work injuries, falls, motor vehicle accidents, medical conditions, hereditary conditions, degenerative conditions, surgeries, and other etiologies can cause pain significant enough to seek or require medical attention. In many situations, patients benefit from consultation, or evaluation and management for pain by a specialist rather than treatment by their primary treating physician. Common examples include:

  • Persistent or Chronic Pain
  • Severe/Incapacitating Pain
  • Pain out or proportion to what would be expected based on the individual’s diagnosis
  • History of poor pain control
  • History of side effects or difficulties with pain medication
  • Pain in conjunction with depression, anxiety, psychological or psychiatric disorder
  • Pain in an individual with history of substance abuse
  • Pain in association with neurological signs/symptoms (weakness, numbness/tingling, etc.)
  • Pain requiring injection or interventional procedure for control
  • Pain interfering with function, performance, or quality of life
  • Pain interfering with sleep
  • Pain limiting ability to exercise
  • Pain requiring the use of controlled substances or for extended periods

Neurological and Musculoskeletal pain can involve any body part. Certain combinations of symptoms suggest specific pain syndromes, requiring specialized approaches. Pain can be acute, persistent or chronic. And pain can be further classified as Nociceptive, Neuropathic, or Mixed.

In Dr. Williams’ practice, an individual’s pain can be treated with medications, physical therapies, non-pharmacologic, bio-behavioral, complementary and alternative, or even neuromodulatory techniques. One of Dr. Williams’ goals in Pain Medicine is to minimize and/or eliminate the need to use medications with side effects (particularly opioids) to manage pain whenever possible. Each and every patient with pain benefits from targeted, meaningful and effective education as a critical aspect of the approach to treatment. And Dr. Williams tends to focus on improving function, reestablishing movement and exercise, as well as using the Brain and Nervous System to overcome pain and disability. Increasingly, Dr. Williams remains interested in applying Neuromodulatory techniques such as Cryoablation, Radiofrequency, and Trans-Cranial Magnetic Stimulation to bear with excellent results.

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