What is Pain


At Coastal Neurosurgery & Spine, we specialize in treating a variety of injuries and disorders that result in pain, both surgically and non-surgically rooting from the back and or neck. According to the NIH, 20% of American adults suffer from daily chronic pain. So your are not alone in your fight over the anguish that you experience. Nor are you alone in the search for a path that can relieve your aches and pains. Our world-renowned pain management doctors are recognized for excellence in treatment of chronic pain and complex conditions in the neck and back.

At Coastal, our team of multidisciplinary health professionals—including orthopedic surgeons, Pain Management and Rehabilitation Physicians, Neurosurgeons, and Physical Therapist—providing integrated pain therapies & customized treatment plans for each and every patient. This integration is what I giving us faster, more efficient, greater outcomes and results.


What are Common Types of Pain?

Acute pain can be mild and last just a moment, or it might be severe and last for weeks or months.

Chronic pain is pain that is ongoing and usually lasts longer than six months.

This can be caused by a variety of factors. Some of the most common pain conditions we encounter during a diagnosis are:

  • Back & Neck Pain: resulting from a long list of possible reasons.
  • Musculoskeletal Pain: caused by injury to the bones, joints, tendons, ligaments, or nerves. Back pain is a common musculoskeletal pain symptom, often caused by conditions like herniated discs, sciatica, and scoliosis.
  • Neuropathic pain: caused by chronic disease or damage affecting the sensory nervous system. Common neuropathic pain syndromes include spinal cord injuries, diabetic neuropathy, carpal tunnel and radiculopathy.
  • Rheumatologic pain: affects the joints and connective tissue and is often characterized by inflammation. Common conditions include osteoarthritis, arthritis, bursitis, and fibromyalgia.
  • Headaches and migraines: recurrent headaches and migraines are considered neurological disorders. Nearly 50% of adults worldwide experience recurrent headaches.

Non-Surgical Treatments for Pain Management

Our team of integrated healthcare professionals offer effective non-surgical pain management therapies including:

  • Chiropractic Care: can help relieve acute and chronic pain, often associated with musculoskeletal injuries. Chiropractic care may include manual adjustments, spinal decompression therapy, or even manipulation under anesthesia (MUA) for patients suffering from severe back pain/ neck pain or arthritis. We can point you to trusted chiropractors in your area.

  • Physiotherapy and Rehabilitation: Physiotherapy is treatment to restore, maintain, and make the most of a patient's mobility, function, and well-being. Under physical therapy may require different treatment modalities including corrective, stretching, or strengthening exercises, electrical stimulation, and more to restore function and mobility. PM&R: Physicians are medical doctors who have completed training in the specialty of Physical Medicine and Rehabilitation (PM&R), and may be subspecialty certified in Brain Injury Medicine, Hospice and Palliative Medicine, Neuromuscular Medicine, Pain Medicine, Pediatric Rehabilitation Medicine, Spinal Cord Injury Medicine, and/or Sports Medicine. Your route to a spine or neurosurgeon or post op from a spine or neurosurgeon is highly suggested to go through a PM&R Physician.
  • Epidural Injections: used to address severe back and leg pain. Injections may include both local anesthetic and saline solution to flush the area of inflammatory agents.
  • Prescription pain medication and NSAIDs: our physical medicine doctors may recommend pain medication or non-steroidal anti-inflammatory drugs (NSAIDs) for at-home pain management between treatments.
  • Facet joint injections: local anesthetic injections at the facet joints in the spine help relieve pain and help with diagnosis. Injections can be given prior to physical therapy routines to help patients better manage pain during their treatment.
  • Radiofrequency procedures: used when conservative pain management treatments have been exhausted. This treatment involves highly localized cold to destroy the nerves causing pain.

Surgical Treatments for Pain Management

  • Spinal Cord Stimulators: a small surgical implant that delivers electric current to the spinal cord.
  • Spinal Fusion: surgery to “weld” two or more vertebrae together. Cervical and lumbar fusion surgeries are effective for relieving back pain caused by degenerative disc disease, herniated discs, and fractured vertebra.
  • Minimally Invasive Spine Surgery (MISS) through the use of Robotic Surgery: compared to traditional spinal surgeries, MISS offers faster healing times and minimal damage to surrounding muscles and tissue.
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Take Control Of Your Pain Through Education

Our goal is to improve and maintain your overall health by empowering you with an understanding of your condition and wellness plan. We know there is no such thing as one-size-fits-all cure, so we never use a one-size-fits-all approach to your diagnosis.

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