Pain Conditions

Hoag’s team consists of physicians, physician assistants, and nurse practitioners who have specialized training in pain management. They treat various types of chronic pain in both an outpatient and inpatient setting including:

• Back and Neck pain due to injuries or degenerative arthritis
• Lumbar and Cervical Radiculopathy (aka “Sciatica”)
• Post-laminectomy syndrome (aka “Failed Back Surgery Syndrome”)
• Cancer pain
• Complex regional pain syndrome (aka “Reflex Sympathetic Dystrophy”)
• Arthritis
• Headaches
• Orofacial Pain
• Myofascial (Muscular) pain syndromes
• Neuropathic pain including diabetic neuropathy and post shingle neuropathy
• Lumbar Spinal Stenosis due to Ligamentum Flavum Hypertrophy
• Coccydynia (tailbone pain)
• Pelvic pain
• Post traumatic or post surgical acute pain

If a full work-up of pain has not been performed, the team will refer for appropriate diagnostic procedures. The clinic has the capability to perform Nerve Conduction Studies/Electromyography to diagnose neuropathy or radiculopathy. Additionally there are diagnostic blocks which can help identify the source of pain in some cases. These include medial branch blocks and lateral branch blocks to diagnose facet and sacroiliac joint pain, respectively. Discography of the cervical or lumbar discs can be utilized to identify the most symptomatic disc and may help guide surgical intervention.

Hoag’s team employ a multi-disciplinary approach to complex chronic pain conditions since clinical studies have demonstrated that this approach is superior than any single modality.