We are an interventional pain practice offering a wide variety of treatment modalities for the management of acute and chronic pain conditions.
The primary physicians associated with the PPGO division are Steven Harrison, M.D. and Jessica Solá-Acevedo , M.D. These board certified physicians have extensive training and experience in pain management and offer services throughout the greater Orlando area.
Each patient’s care plan is carefully and individually developed to maximize their daily functioning by minimizing or eliminating their pain. Some of the conditions treated and services offered in this practice include:
- Management of intractable pain.
- Spinal diagnostic procedures.
- Peripheral neuropathy.
- Spinal cord stimulation (AKA neuomodulation)
- Cancer pain
- Viscosupplementation for Osteoarthritis
- Degenerative Disc Disease
- Degenerative Joint Disease
- Complex Regional Pain Syndrome
- Spinal Stenosis
- Epidural Adhesions
- Myofascial Pain
- Post-herpetic neuralgia pain
- Post-laminectomy/Failed back Syndrome
- Facet Arthropathy
- Headache due to occipital neuralgia.
Cancer pain is a special interest of Dr. Harrison. He works closely with many Orlando area physicians to provide effective pain control for patients undergoing cancer treatment; especially those with pancreatic and hepatic cancer.
Pain Physicians of Greater Orlando offers a wide variety of treatments. The choice of treatment is a highly individualized decision based on a complete assessment of the patient. Some of the treatments offered are briefly described below:
Epidural Steroid Injections
Epidural steroid injection is commonly utilized for certain back pain conditions. Steroid medication, a potent anti-inflammatory, is injected into the epidural space. This is the space surrounding the spinal cord. It is done to reduce inflammation and painful sensations at or near its source. Although these injections may be performed at any level of the spine, they are most often done in the lumbar region for lower back pain or in the cervical region for neck, shoulder, and/or arm pain.
Facet Joint Injections
Facet joints are small joints that connect each vertebral level to the level above and below. These joints provide stability and support movement in the spine. With aging and trauma, these joints become arthritic and inflamed. They may become a source of pain, typically in the back, buttocks or legs. Injections can be done at these joints using local anesthetics to block the pain and steroids to reduce the inflammation.
Radiofrequency ablation is a procedure which can be used to interrupt nerve transmission sent from select nerves near the spine. Using fluoroscopic (X-ray) guidance, a small needle is inserted into the area of the nerve that is believed to be the source of the pain. Specialized techniques allow a physician to determine if the active tip of the needle is near the intended target nerve. Once the needle electrode is in place, a radiofrequency current is passed causing the nerve tissue to heat. This results in an interruption of abnormal and painful nerve sensation for a period of several months.
Spinal Cord Stimulators
This is a rapidly evolving and promising area of pain management. Spinal cord stimulators are advanced implantable devices that are being used to alleviate various pain conditions. Common applications include post-laminectomy syndrome pain, complex regional pain syndrome, neuropathic pain conditions, and vascular related pain. The procedure involves using fluoroscopic guidance for the placement of electrodes into the epidural space, attaching them to an external generator (in essence a battery coupled to a small computer), and carefully adjusting the electrical pulses to produce pain relief.
Initially, this is done as a “trial” to determine its effectiveness prior to permanent implantation. Permanent placement involves placing the generator just below the skin, usually in the abdomen or over the upper outer quadrant of the buttock (below the beltline).