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General Anesthesia Questions
Obstetrical Pain Management FAQs
Acute Post-Operative Pain Management FAQs
Chronic Pain Management FAQs
Peripheral Nerve Blocks FAQs

Anesthesia services : chronic pain management

Anesthesiologists with special fellowship training in chronic pain management are excellent at providing solutions to long term pain issues.

Dr. TonConsultants in Pain Medicine is a group of AAI anesthesiologists led by Dr. Martin Ton who have special fellowship training in chronic pain management. Today, anesthesiologists complete their undergraduate education as well as four years of medical school prior to attending four years of residency training in anesthesiology. Anesthesiologists who go on to specialize in pain management obtain further training during or after residency in a pain management fellowship or pain clinic. By virtue of their knowledge of anesthesia, they are excellent providers of pain management in non-surgical situations. Consultants in Pain Medicine applies cutting edge research to the same techniques used to make surgery painless to relieve chronic pain.

Will the pain management specialist determine the cause of my pain?

The pain specialist can often diagnose the cause of a particular pain problem based on history, physical examination and/or performance of an injection. More often, the patient’s personal doctor will find out what may be wrong through x-rays, nerve conduction tests, MRIs, differential nerve blockade, blood tests, and other investigative or diagnostic techniques. When help is needed, your doctor may refer you to our pain clinic for evaluation and treatment. This is why patients are seen by referral only.

Pain Solutions
How can the pain specialist anesthesiologist treat my pain?

There are several methods to manage pain. The goal is to create a better quality of life. Complete cure of pain is not always possible or realistic, but improvement can often be very satisfying. Equally important is improved level of activity and function. Treatment usually includes one or more of the following:

Nerve Blockade
Stopping pain signals that travel through a nerve or nerves can be an effective way of treating pain. Often special nerves must be blocked by a special technique known as nerve blocks. Various medications used with nerve blocks include local anesthetics, steroids and bretylium. These injections may block pain, reduce swelling, decrease muscle spasm and/or improve motion. Types of blocks include: trigger point injections, sympathetic ganglion blocks, epidural steroid injections and others.

Pain Medications
Non-narcotic pain medications are the basis for treatment in non-acute or non-cancer pain. These medications include:

Electrical Stimulation
Transcutaneous electrical nerve stimulation (TENS) and Galvanic nerve stimulation are ways to treat many pain problems. The TENS unit helps to decrease the pain signals to the brain.

Physical Therapy
Referral to physical therapy for improvement of range of motion, stretching and strengthening exercises, whirlpool, massage and other therapies might be indicated.

Surgery
On rare occasions, surgical treatment may be suggested for long term improvement.

Chronic Pain Management Office:

Pain Medicine
Director – Martin V. Ton, M.D.
Consultants in Pain Medicine

1080 First Colonial Road, Suite 201
Virginia Beach, Virginia 23454
Office: (757) 395-6450
www.beachpain.com

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