WolMed -  - Pain Management


Pain Management Specialists located in Dallas, TX & Denton, TX

The ultimate goal of injury rehabilitation or chronic pain management is to treat the underlying trauma or problem until functionality is restored and pain is reduced or eliminated. Because the road to a full recovery can be long, however, the pain management specialists at WolMed offer a variety of pain relief options, including steroid and HYALGAN® injections, to patients who are dealing with persistent discomfort. If you’d like to learn more about the pain management program at WolMed, call or go online to request an appointment at one of their convenient locations in Dallas or Denton, Texas.

Hyalgan (osteoarthritis) Injections

What type of pain do injections treat?

Injecting a therapeutic agent into areas affected by inflammation is a common approach in pain management. Although steroid injections are frequently used to alleviate joint pain in the knee, hip, ankle, elbow, shoulder, and spine, not all injections designed to relieve joint inflammation and pain are steroidal; some are simply made with natural lubricating substances. Injections are most commonly used to address:

Knee pain

As one of the strongest and most complex joints in your body, your knees can handle a considerable amount of stress, strain, and daily use. Degenerative wear and tear is a common cause of persistent knee pain, often resulting in conditions like osteoarthritis, tendonitis, and bursitis.

Lower back pain and sciatica

Inflammation in the spinal canal can cause lower back pain as well as sciatic nerve pain, or sciatica. Left untreated, sciatica can quickly become the kind of debilitating pain that radiates down one of your legs, reaching as far as your calf.

What are HYALGAN injections?

HYALGAN is a therapeutic solution that contains hyaluronate, a substance that occurs naturally in the fluid that cushions and lubricates the knee joint. The pain management specialists at WolMed use HYALGAN injections to relieve knee pain caused by osteoarthritis.

Although most patients require a weekly HYALGAN injection for five weeks to experience long-lasting pain relief for up to six months, some patients see these benefits with as few as three injections administered over the course of three weeks.*

HYALGAN is a good treatment option for patients who can’t get adequate pain relief from over-the-counter pain relievers or from exercise and physical therapy.

What are Epidural Steroid injections?

Epidural steroid injections contain a steroid and an anesthetic. When this liquid is injected into the epidural space surrounding your spinal cord and spinal nerves, it reduces swelling and inflammation of the nerves in the epidural space. When your spinal nerves are under less pressure from the surrounding tissues, you find relief from back pain and its associated symptoms, including sciatica.

The pain management physicians at WolMed use an X-ray type of device to look into the spinal area and perform pinpoint injections directly into the affected area. Although the entire procedure takes only a few minutes, its effects can last for several days up to a few months.

Technique whereby a liquid (steroid, anesthetic) is injected clinically into the epidural space surrounding the spinal cord and spinal nerves. We use an “X-ray type” device to look into the spinal area and make “pin-point” injections directly into the affected area.

*Individual results may vary.

What are Epidural Steroid Injections for?

ESI’s reduce swelling and inflammation of the nerves in the epidural space. This can reduce pain and other symptoms associated with back pain.

How long do Epidural Steroid Injections take to work?

ESI’s usually only take a few minutes. Afterwards, we monitor patients to make sure they don’t have any adverse reactions to the injection.

Do I have to be put under anesthesia for this procedure?

No. We use a local anesthetic so that you can remain awake during the procedure.

How long will the medication last?

It could last for several days to a few months.

What are the risks and side effects?

This procedure is relatively safe. However, there could be risks, side effects, or complications. This most common side effect is temporary pain. Other risks involve spinal puncture that could cause headaches, infection, bleeding, nerve damage, and worsening of symptoms, etc. Other cortisone-related side effects include weight gain, increase in blood sugar (primarily in diabetics), water retention, natural cortisone suppression in the body, etc. A licensed anesthesiologist will monitor you after the procedure to make sure you don’t have any of these problems.

What is C-ARM

The C-Arm is a flurographic x-ray device used to look into the spinal area that will be injected. The anesthesiologist uses a television monitor to do accurate, “pin-point” injections.