The Multiple
Sources Of Pain

The first step in pain relief is to accurately determine the nature of the problem, a task that only experienced doctors with the latest tools can perform well. PIOLI specialists are on hand to address a variety of different conditions. Please click on a condition below to better understand your symptoms and find out what we can do to alleviate your pain.

All Conditions

Persistent abdominal pain may be indicative of a more serious condition, like acid reflux disease, a urinary tract infection, or irritable bowel syndrome. All these conditions can be incredibly painful and bring your everyday life to a near halt. Since many anti-inflammatories cause stomach pain, instead of turning to your medicine cabinet, count on PIOLI to provide celiac plexus blocks and other cutting-edge treatments that work.

Cervical Radiculopathy is a nerve condition in the cervical spine (neck). Cervical Radiculopathy patients usually endure pain in their shoulders and arms and a persistent numbness or tingling in their fingers, making everyday tasks like grasping, writing, and dressing almost impossible to perform. PIOLI has the latest diagnostic methods, from a good old-fashioned palpation (visual exam) to the Spurling’s test, to find out what’s causing your pain.

Headaches and facial pain can be a sign of Trigeminal Neuralgia, a rare condition that is most common in women over 40. Essentially, there is a dysfunction in the trigeminal nerve, which is the primary means of communication between facial muscles and the brain. The most common symptom is a persistent pain which intensifies during some everyday activities, like chewing or speaking. Trigger point injections often bring the nerve back into alignment and provide near-permanent relief.

Three million people a year suffer from a herniated disc. Usually due to physical strain, the spine’s soft center squeezes through a crack in the vertebrae and causes unwanted pressure. When this happens, in addition to back, foot, and arm pain, many patients experience overactive reflexes, muscle spasms, and general weakness. Sometimes, the condition gets better on its own after extended rest, but if doing nothing is not an option or if the herniated disc is more severe, the nationally-recognized specialists at PIOLI stand ready with a wide variety of treatment options, including epidural spinal injections and advanced ultrasound.

Knee pain is a common ailment affecting thousands of people in the U.S. each year, and osteoarthritis is the most common cause of knee pain. At the Pain Institute of Long Island, our physicians utilize the most advanced treatments for knee pain. Our physicians use both conservative measures, particularly a referral to physical therapy, as well as visco supplementation and genicular nerve ablation (applied energy to the nerves surrounding the knee which stuns them and prevents these nerves from transmitting pain).

Radicular pain is often secondary to compression or inflammation of a spinal nerve that presses on the sciatic nerve. Millions of people experience near-debilitating pain that radiates from the lumbar spine to the back of the left or right leg, because sciatica normally occurs on only one half of the body. In addition to a noticeable pain in the lower back or buttocks region, many patients lose sensation in their legs and/or feet. At PIOLI, our expert physicians normally recommend a mixture of injections and physical therapy, but each case is unique and requires special attention.

Continual muscle contraction usually causes Myofascial Pain Syndrome, which is characterized by referred pain in seemingly unrelated parts of the body; Myofascial Pain Syndrome can happen to anyone, but it is a little more common among individuals with high stress or anxiety levels. This discomfort is almost always in a particular muscle or muscle group. PILOI pain relief specialists treat this condition with trigger point injections and other advanced measures.

This complex condition normally follows a tissue injury that also damaged the nerves, triggering a pain reaction in a part of the body that is not injured. In fact, in some rare cases, neuropathic pain presents as phantom limb syndrome, because some amputees continue to feel pain where their limbs once were. A wide variety of conditions, from alcoholism to shingles, may cause neuropathic pain. It’s almost impossible to treat this condition with medication, at least over the long term. So, a better way is to partner with PIOLI specialists, and they will design a customized plan that may include HF10, the St. Jude burst, and other advanced spinal stimulation therapies.

Well over three million people a year suffer from incurable osteoarthritis. This condition is an erosion of the cartilage in the hips, knees, elbows, or other joints, and when the bones grind together, the pain is very intense. Aside from chronic discomfort, some telltale signs include swollen joints, bony outgrowths, and weather-related pain changes. Effective pain management usually includes a combination of physical therapy, analgesic medications, and dietary alterations.

Peripheral Artery Disease goes well beyond intermittent leg pain to basically take away a patient’s mobility. That’s because atherosclerosis or some other condition has constricted the arteries not only in the legs, but possibly in the arms and other muscle areas as well. Smokers, diabetics, and those with high blood pressure or cholesterol are particularly at risk for Peripheral Artery Disease. Peripheral Artery Disease often improves on its own after an extended exercise regimen. When that is not enough, the pain relief experts at PIOLI can administer injections and explore other treatments.

About one in five patients who undergo spinal surgery continue to experience chronic pain after the procedure. Patients experiencing failed back syndrome may have a persistence or worsening of pain after surgery. Our physicians treat Post Laminectomy Pain Syndrome with physical therapy, spinal cord stimulation, and radiofrequency ablation, and return our patients to normal functioning.

A dysfunctional SI joint often triggers intense discomfort that’s similar to sciatica or a herniated disc. This small joint connects the spine with the pelvis and basically serves as a shock absorber. Patients experience pain if the joint moves too much (hypermobility) or if it does not move enough (hypomobility). If most doctors suspect SI joint dysfunction, they ask their patients to perform a series of low-intensity physical tests. But the PIOLI pain relief specialists normally use an advanced sacroiliac joint block to diagnose the condition. These injections provide effective pain relief in most cases.

This condition normally comes about due to age-induced wear and tear which causes undue pressure on the nerves and spine, commonly in and around the lower back and neck. Many patients experience pain, weakness, and numbness. Targeted exercise often helps to reverse the wear and tear. To speed this process by partially or mostly removing the pain during exercise, a regimen of injections and other pain relief protocols is usually a good idea.

If the shingles rash has dissipated but the pain has not gone away, that’s usually a sign of Postherpetic Neuralgia, which is essentially shingles-induced nerve damage. When traditional fixes aren’t enough, like wearing loose-fitting clothes, the pain management specialists at PIOLI can evaluate and treat postherpetic neuralgia.

Visceral pain is quite unlike back pain, neck pain, and some of the other issues our Board Certified specialists deal with, because instead of physical discomfort, many patients experience changes in breathing and heart rate, nausea, vomiting, and unusual emotional reactions, such as a feeling of deep uncertainty or dread. These symptoms may or may not be accompanied by a dull and sickening pain in the pit of your stomach. Innovative therapies, such as nitrates that dilate coronary arteries and thus lessen anginal pain, are normally effective alternatives to medication alone.