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Frequently Asked Questions

What should a patient expect from the visit?

Dr. Kalina will begin with a thorough history followed by physical exam.  In addition, medical records the patient provides will be reviewed.  A potential list of diagnoses will be discussed with the patient.  A treatment plan will then be discussed.  This may include prescribing medications, ordering imaging studies (i.e. X-Ray, MRI), referral for physical therapy, referral to additional specialists, and scheduling for procedures. 

What is a pain clinic and what do they do?

A pain clinic is a location where doctors offer solutions to chronic pain. Conditions that generally respond well to pain clinic services are arthritis, back pain, and cancer. In addition, migraine headaches, shingles pain, and carpal tunnel syndrome pain frequently respond favorably to pain clinic treatments. Many primary care doctors refer their patients to pain clinics when they have exhausted other methods of pain relief.

Is pain management covered by insurance?

In general pain management services are covered by your insurance.  Prior to treatment authorization may need to be requested. 

What are some pain management techniques?

Our goal is to help you live your fullest life, with improved pain levels and function by managing your pain. We use several approaches to pain treatment:

  • Medication management
  • Physical therapy
  • Interventional techniques
  • Psychological therapies
  • Alternative medicine including CBD

Our advanced treatment options include:

  • Non-operative treatments for osteoarthritis of the shoulder, knee and hip, including intra-articular joint injections and genicular (knee) nerve blocks.
  • Surgical implantation of spinal cord stimulators to treat chronic pain in the spine and in other areas of the body.
  • Epidural steroid injection to help lessen the symptoms from degenerative discs or disc bulges.
  • Radiofrequency Ablation to address osteoarthritic pain along the spine.
  • Cancer pain treatment, including medication management to ease painful symptoms caused by the disease and treatment.
  • Nerve blocks and other pain management options to limit pain from carpal tunnel syndrome, diabetic neuropathy and for post-herpetic neuralgia and shingles.
  • Discussion of lifestyle modifications that can sometimes be used to improve pain caused by certain conditions.
What does interventional pain management mean?

Interventional pain medicine is a medical subspecialty, which treats pain with invasive interventions such as epidural steroid injections, facet joint injections, nerve blocks (interrupting the flow of pain signals along specific nervous system pathways), neuroaugmentation (including spinal cord stimulation), vertebroplasty, kyphoplasty, and implantable drug delivery systems.

What to expect from a pain management doctor?

You can expect a thorough evaluation, treatment options and ultimately a return to a higher level of function.  The goal is to put a smile back on your face while you enjoy activities that once were not an option due to pain.