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CONDITIONS

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.

BACK PAIN

CANCER PAIN

CRPS

HIP PAIN

NECK PAIN

SCIATIC PAIN

ALL CONDITIONS

ABDOMINAL PAIN

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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

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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 utilizes the latest diagnostic methods, from a palpation (visual exam) to the Spurling’s test, to find out what’s causing your pain.

HEADACHE & FACIAL / TRIGEMINAL NEURALGIA PAIN

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Headaches and facial pain can be a sign of Trigeminal Neuralgia, a rare condition that is most common in women over 40. Trigeminal Neuralgia occurs when 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.

HERNIATED DISC

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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. However,  if the herniated disc is more severe, the nationally-recognized specialists at PIOLI offer a wide variety of treatment options, including epidural spinal injections and advanced ultrasound.

KNEE PAIN

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Knee pain is a common ailment affecting thousands of people in the U.S. each year. 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, which is applied energy to the nerves surrounding the knee – stunning them and preventing these nerves from transmitting pain.

LUMBAR RADICULOPATHY

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Radicular pain is often due 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. 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 will a create a customized treatment plan for your condition. Treatment options may include a mixture of injections or physical therapy.

MYOFASCIAL PAIN SYNDROME

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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 is more common among individuals with high stress or anxiety levels. This discomfort is almost always in a particular muscle or muscle group. At the Pain Institute of Long Island, our pain relief specialists us trigger point injections and other advanced measures to treat this condition.

NEUROPATHIC PAIN

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This complex condition normally follows a tissue injury that has also damaged the nerves – triggering a pain reaction in a part of the body that is not actually injured. In some rare cases, neuropathic pain presents as phantom limb syndrome, causing amputees to feel pain where their limbs once were.

Neuropathic pain can be caused by a variety of conditions, even alcoholism or shingles. Our specialists will create a customized plan, which may include HF10, the St. Jude’s burst, or other advanced spinal stimulation therapies.

OSTEOARTHRITIS

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Over three million people a year suffer from osteoarthritis, a condition in which erosion of the cartilage occurs in the hips, knees, elbows, or other joints, causing very intense pain as the bones start to grind together. Aside from chronic discomfort, some symptoms include swollen joints, bony outgrowths, and weather-related pain changes. We are dedicated to providing effective pain management techniques, including physical therapy, analgesic medications, and dietary alterations.

LEG PAIN AND PERIPHERAL ARTERY DISEASE

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Peripheral Artery Disease (PAD) is more than intermittent leg pain. PAD can take away a patient’s mobility due to atherosclerosis, a build-up of cholesterol plaque in the walls of arteries that constricts the arteries not only in the legs but in the arms and other muscle areas as well. Those who smoke, have diabetes, or have high blood pressure or cholesterol are particularly at risk for PAD. PAD often improves on its own with an extended exercise regimen; however, when that is not enough, the pain relief experts at PIOLI can administer injections and explore additional treatment options.

POST LAMINECTOMY PAIN SYNDROME

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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. We are determined to help our patients return to normal functioning.

SACROILIAC JOINT PAIN

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A dysfunctional sacroiliac joint often triggers intense discomfort, similar to sciatica or a herniated disc. This small joint connects the spine with the pelvis and serves as a shock absorber. Patients experience pain if the joint moves too much (hypermobility) or if it does not move enough (hypomobility). Our pain relief specialists use an advanced sacroiliac joint block to treat the condition, providing effective pain relief.


SPINAL STENOSIS

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Spine stenosis occurs 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. To treat this condition, our specialists will recommend a variety of treatments, including targeted exercise, injections, or other pain relief methods.

SHINGLES & POSTHERPETIC NEURALGIA PAIN

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If you or a loved one have had a shingles rash that has dissipated, but the pain still lingers – it may be Postherpetic Neuraliga. Postherpetic Neuraliga is shingles-induced nerve damage. When traditional fixes, such as wearing loose-fitting clothes, isn’t enough, our knowledgable pain management specialists can evaluate and treat Postherpetic Neruaglia.

THORACIC, ABDOMINAL, AND PELVIC PAIN

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Patients who experience visceral pain may also experience chagnes in breathing and heart rate, nausea, vomiting, and unusual emotional reactions – including feelings of deep uncertainty or dread. These symptoms may be accpomanied by a dull and sickening pain in the pit of the stomach. Our specialists are dedicatd to providing innovative therapies that are effective alternatives to medication, including nitrates that dilate coronary arteries to lessen anginal pain.