We specialize in thorough evaluations and comprehensive consultations for patients with acute/subacute pain conditions affecting the spine and musculoskeletal system. Dr. Agana is Subspecialty Board certified in Pain Medicine through the American Board of Physical Medicine and Rehabilitation in 2003. Our emphasis is on establishing a diagnosis for painful conditions utilizing diagnostics such as EMG and specific injections as well as comprehensive examination and available imaging studies and targeting treatment that includes interventional pain management, directed physical therapy prescriptions and pharmacologic modulation. Interventional methods include steroid injections, joint injections, trigger point injections, regenerative injection therapies if applicable and radiofrequency procedures if applicable. Fluoroscopic guidance and/or ultrasound imaging guidance can be utilized if applicable. Such procedures can be performed in office or at various outpatient surgical centers as required.
Physical therapy is a significant component for management of acute/subacute musculoskeletal pain conditions. Dr. Agana will reinforce the need for strengthening and range of motion and stabilization of the spine as part of a comprehensive treatment program and will request patients to participate in an active therapy program and then transition to self supervised home exercises to continue such principles in addition to daily exercise, maintenance of cardiovascular fitness and weight loss as well as proper eating/nutrition as part of a comprehensive pain management protocol. Referrals for directed specific therapy programs will be recommended that require active patient participation in resolving pain issues.
Pharmacologic modulation of acute/subacute pain conditions will also be emphasized. A thorough review of patient medication history is required and open discussion regarding ongoing medication management will take place focusing on benign analgesics and complementary nonnarcotic alternatives that might be required including antidepressants, anticonvulsant and topical derivatives.
Such services are available for patients with private insurance/ Workmen’s Compensation injuries on a consultation basis from a referring physician or for Auto/Industrial injuries.