- Osteoporosis
- ArthritisFor those patients already diagnosed with arthritis of the knee or with ongoing knee pain despite having knee surgery, multiple treatment options have likely already been considered. These treatments may have included therapy, anti-inflammatory agents, cortisone injections, viscosupplementation injections and consideration of a knee replacement.
- FibromyalgiaAnxiety, Arthritis, Back Pain, Cerebral Palsy, Degenerative Disc Disorder, Diabetic Neuropathy, Fibromyalgia, Hepatitis C, Herniated Disc, Irritable Bowel Syndrome (chronic), Lupus, Lyme Disease, Migraine, Muscle Spasms, Muscular Dystrophy, Myasthenia Gravis, Myositis, Neuropathy, Osteoarthritis, Osteoporosis, Peripheral Vascular Disease, Polymyalgia Rheumatica, Post-Polio Syndrome, Reflex Sympathetic Dystrophy, Rheumatoid Arthritis, RLS (Restless Leg Syndrome), Seizures, Severe and chronic pain, Sickle Cell Anemia, Scoliosis, Spasticity, Spinal Stenosis. Ulcerative Colitis
- Constipation
- Irritable Bowel Syndrome
- Glaucoma
- Internal MedicineA native of New York, Dr. Seth Wachsman is a Phi Beta Kappa graduate of the University of Florida in 1987. He completed his medical studies at the University of South Florida College of Medicine in 1991. After an internal medicine internship at Good Samaritan Hospital in Phoenix, Arizona, he completed his residency in anesthesiology at the University of Texas at Houston in 1995.
- Kidney StonesGroin pain can include discomfort that extends to the lower belly or hips. By the time a patient has made an appointment to see a pain physician, more significant causes such as kidney stones, hernias, or gastrointestinal issues have already been ruled out.
- Multiple Sclerosis
- Epilepsy
- Depression
- Anxiety
- UltrasoundUsed to improve mobilization, strengthening and range of motion, mobilization, stabilization and strengthening. Ultrasound, electrical stimulation, ice, heat, bracing and exercise are utilized by trained physical therapists.
- MRIA careful history and physical along with x-rays, CAT scans, and MRI assist in making the diagnosis. Spinal stenosis can occur everywhere in the spine and impact different areas i.e. significant stenosis in the cervical spine (neck) and impact the ability to walk which is essentially a lumbar (low back) function.
- X-Rays
- SciaticaInjections of local anesthetic and steroid to target an inflamed spinal nerve or disc under fluoroscopic (x-ray) guidance. Often used for sciatica, pinched nerves, radiculopathy, degenerative disc disease, bulging or herniated discs. Can also be referred to as a nerve block or selective root block. May aid in diagnostic workup or therapeutic treatment. Can be accomplished in the cervical (neck), thoracic (mid back) and the low back (lumbar) segments. May be accomplished with sedation when requested.
- WhiplashCommon causes of neck pain include: spinal stenosis, herniated, disc, degenerative disc, muscle spasms, facet joint disease, whiplash type pain, occipital neuralgia, atlantoaxial joint disease, cervicogenic headaches, and prior neck surgery (also known as post laminectomy syndrome.)
- Wound CareDr. Goldberg has been published in journals such as Wound Care Q&A and lectures frequently across the country. His professional memberships include World Institute of Pain, International Spine Intervention Society, American Society of Interventional Pain Physicians, American Society of Regional Anesthesia, Florida Academy of Pain Medicine and Johns Hopkins University National Admissions Committee.
- Pinched NerveCommon causes of back pain include: lumbar disc bulge, lumbar disc herniation, degenerative disc disease, joint inflammation (both facet and sacroiliac), sciatica (pinched nerve), fractures of vertebrae, lumbar spinal stenosis, and prior back surgery (also known as post laminectomy syndrome.
- Hip ReplacementConditions: For those patients already diagnosed with arthritis of the hip, multiple treatments options have already been considered. These treatments may have included therapy, anti-inflammatory agents, cortisone injections, viscosupplementation injections and consideration of a hip replacement.
- Knee ReplacementA specialized technique that helps with chronic knee pain, and arthritis where the patient does not wish to proceed with a total knee replacement. It addresses considerable hip pain, where the patient failed a hip replacement or wishes to avoid surgery.
- BotoxUsed for muscle tightness and muscle injury in conjunction with a stretching program. Involves the injection of local anesthetic (and/or steroid/Botox) when appropriate.
- LesionsUsed after a diagnosis of joint pain generators are made for more long-lasting results. Small lesions using radio waves are applied by small needles to destroy pain fibers in the joints of the spine (facets), knees and hips. Fluoroscopic (x-ray) guidance is used with sedation when requested.
- Physical TherapyBack pain effects more than 85% of all Americans during their lifetime. It can have many causes such disc, joint, ligament/bone or muscular pathology. Acute pain (less than six weeks onset) is usually self-limited. Immediate medical attention should be sought when weakness, loss sensation, or bladder/bowel changes accompany the pain. Tumors and malignant causes of pain are rare, occurring in less than 1% of those people suffering from back pain. However, this should be further looked at if neurologic changes occur and the pain doesn’t resolve with treatments. While acute pain is usually recognized as only lasting approximately 6 weeks, chronic pain is generally termed after 12 weeks. Bed rest is not advised, nor is the use of a lumbar support belt for more than two weeks. Most sources of pain respond to conservative treatments, which may include physical therapy, anti-inflammatory medications, topical pain relievers and cortisone injections. Unfortunately, there is a subset of people whose pain is so severe that activities or work are extremely limited during the first six weeks. Or, the pain extends beyond six weeks and approaches the chronic stages of a condition. For these groups of patients, many will respond to interventional pain procedures.
- Slipped Disc
- Shoulder Pain
- Neck Pain
- Back Pain
- TMJ DysfunctionOngoing pain in the face can be due to numerous conditions. Some of these causes include trigeminal neuralgia, supraorbital neuralgia, infraorbital neuralgia, and temporomandibular joint dysfunction (TMJ). For most people suffering from chronic facial pain, multiple medical specialists have already been consulted.