Genicular Neurotomy | Knee Osteoarthritis | Pain Recovery Center of Tyler

Genicular Neurotomy and
Knee Osteoarthritis Overview

The knee is the largest and strongest joint in the body but it is still prone to osteoarthritis. In fact, approximately 50 percent of individuals will experience knee osteoarthritis during their life. This disorder can cause knee pain, swelling and stiffness. The pain physicians at Pain Recovery Center of Tyler are proud to now offer our Tyler, Texas patients an innovative procedure, Genicular Neurotomy.

What You Need to Know About Knee Osteoarthritis

Knee osteoarthritis is the most common form of arthritis in the knee. This condition is a degenerative, “wear and tear” type of arthritis that typically occurs in adults 50 years of age and older. Younger individuals can experience knee osteoarthritis but it is not as common.

With knee osteoarthritis, the cartilage in the knee joint wears away over time. As this happens, the cartilage becomes frayed and rough, and the protective space between the bone decreases. With the protective space limited, bone rubs on bone, and can lead to painful bone spurs.

Knee osteoarthritis can make it hard to do many everyday activities such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. Individuals can now experience alleviated pain with the Genicular Neurotomy procedure.

What You Need to Know About Genicular Neurotomy

When chronic knee osteoarthritis cannot be managed with conventional pain management treatments such as rest, ice and medication, a Genicular Neurotomy may be the solution for Tyler, Texas patients.

Genicular Neurotomy is an innovative, minimally invasive knee pain treatment designed to help alleviate pain associated with osteoarthritis knee pain and chronic knee pain without the use of surgery. Genicular Neurotomy involves no steroid or medicated injection. The procedure uses Radiofrequency Ablation (RFA) to stun the painful nerves and prevent pain signals from reaching the brain.

The procedure is performed in two stages:

  1. Diagnostic genicular nerve block- a small amount of local anesthetic is placed on the genicular nerves. If the knee pain is diminished, patients will move on to stage 2.
  2. Genicular nerve ablation- a RF ablation of the genicular nerves is performed.

After the procedure, patients can expect to have restored function and alleviated knee pain within a short amount of time.

If you suffer from knee osteoarthritis and want more information on Genicular Neurotomy, please contact the pain physicians at Pain Recovery Center of Tyler in Tyler, Texas.


Chronic Pain | Pain Recovery Center of Tyler | Pain Physicians |

Chronic Pain Overview

Pain is a feeling set off in the nervous system. Many people experience acute pain in their everyday lives because of an injury or nonthreatening health condition. Unfortunately, some people experience chronic pain that persists for an extended period of time. The pain physicians at Pain Recovery Center of Tyler in Tyler, Texas specialize in chronic pain and are here to help with modern and conservative pain management treatments.

What is Chronic Pain?

Chronic pain is characterized by pain that persists over 12 weeks. The pain signals keep firing in the nervous system for weeks, months or even years. This debilitating type of pain can be caused by an injury, infection or an underlying medical condition such as arthritis or cancer.

Common chronic pain complaints that lead people to pain physicians include headaches, neck pain, back pain, low back pain, cancer pain and arthritis pain. A person may even have two or more coexisting chronic pain conditions such as fibromyalgia or chronic fatigue syndrome.

An Overview of Managing Chronic Pain

In many cases, chronic pain cannot be cured. Pain management treatments are utilized to help alleviate the level of pain so an individual can enjoy everyday life.

Injections such as trigger point injections or epidural steroid injections may be used in some cases. Spinal decompression may be used for people with neck pain or back pain. Physical therapy and relaxation techniques may also be used. Chronic pain is treated by pain physicians in a number of ways since no two cases are the same.

The goal of pain management is to improve function so the person can work, attend school and participate in day-to-day activities. Many people with chronic pain can be helped by pain physicians if they understand all the causes of pain and know the varied steps to help alleviate the pain.

If you live in the Tyler, Texas area and experience chronic pain, please contact Pain Recovery Center of Tyler. Our pain physicians are here to help alleviate the pain with a variety of pain management treatments.

Neck Pain | Pain Recovery Center of Tyler | Pain Physicians

Neck Pain Overview

Many people will experience neck pain during their life. Most neck pain is acute, results from sudden trauma like whiplash or a muscle strain or sprain, and heals in a relatively short amount of time. If you suffer from neck pain, the pain physicians at Pain Recovery Center of Tyler in Tyler, Texas can help with a variety of pain management treatment options.

An Overview of Neck Pain

The neck, cervical spine, is composed of vertebrae that begin in the upper torso and end at the base of the skull. The vertebrae along with the ligaments, which are comparable to thick rubber bands, and the muscles provide stability to the spine. The muscles also allow for support and motion. The neck has a significant amount of motion and supports the weight of the head. The neck is less protected than other areas of the spine so it can be vulnerable to injury and disorders that produce pain and restrict movement.

An Overview of Common Neck Pain Causes

In the majority of cases, neck pain is not a serious condition and can be relieved at home within a few days. In some cases, the pain may be prolonged and a pain physician may be needed to help alleviate the pain with a pain management treatment.

Neck pain can be caused by certain items that heal over time such as:

  • Muscle tension and strain such as sitting or sleeping in an awkward position
  • Minor injuries such as a short fall
  • Major injuries such as whiplash

Neck pain can also be caused by health conditions and diseases such as:

  • Osteoporosis
  • Fibromyalgia
  • Arthritis
  • Cervical herniated disc
  • Cervical spinal stenosis

If severe neck pain occurs following an injury such as a motor vehicle accident or fall, medical care from a pain physician should be sought immediately.

If you suffer from neck pain and want to learn more about pain management treatments, please contact the pain physicians at Pain Recovery Center of Tyler located in Tyler, Texas.

Back Pain | Pain Recovery Center of Tyler | Pain Physicians

An Overview of Back Pain

Did you know back pain is one of the most common reasons individuals miss work? Did you know it is a leading cause of disability in the United States? If you suffer from back pain, the pain physicians at Pain Recovery Center of Tyler in Tyler, Texas can help with a variety of pain management treatment options.

What You Need to Know About the Causes of Back Pain

Back pain is found more commonly in adults aged 35-55 years, even though it can affect individuals at any age. It can affect Tyler, Texas patients suddenly or over an extended amount of time. Acute back pain is characterized by pain that lasts for five weeks or less. Individuals may wake up with pain one day or twist in a way that brings it on. Chronic back pain is characterized by pain that lasts 12 weeks or longer and is not alleviated by common self-care items such as rest, heat/ice and nonprescription medications.

Back pain often develops because of these health conditions:

  • Muscle strain or muscle sprain
  • Muscle tension
  • Lifting, bending or twisting incorrectly
  • Arthritis
  • Bulging or ruptured discs
  • Sciatica
  • Osteoporosis
  • Whiplash
  • Scoliosis

Signs and symptoms of back pain include:

  • Pain
  • Pain radiating down a leg
  • Muscle ache
  • Limited range or motion or flexibility

What You Need to Know About Pain Management Back Pain Treatments

If your back pain doesn’t improve with rest, heat/ice and other at-home treatments, it is time to visit the Pain Recovery Center of Tyler to discuss your pain management treatment options. Our Tyler, Texas patients can expect the most modern and conservative approach to pain by our pain physicians. Our pain management treatment options include:

  • Spinal decompression using the DRX9000™ machine
  • Injections such as trigger point injections and epidural steroid injections
  • Diagnostics such as digital X-rays and digital fluoroscopy
  • Physical therapy techniques

If you suffer from back pain and want to learn more about pain management treatments, please contact the pain physicians at Pain Recovery Center of Tyler located in Tyler, Texas.

Low Back Pain | Pain Recovery Center of Tyler | Pain Physicians

Low Back Pain Overview

Is sitting bad for your back? Many people spend countless hours each day sitting at a desk or other work station. The outcome can be low back pain. The pain physicians at Pain Recovery Center of Tyler in Tyler, Texas specialize in low back pain and the treatments associated with this condition.

What You Need to Know About Low Back Pain

A major manufacturer of workstations reports that 86% of work computer users have to sit all day, and when they do rise from sitting, more than half (56%) use food as the excuse to get up and move. In addition to sitting at work, for meals and commuting to/from work, 36% sit another one to two hours watching TV, 10% sit one to two hours for gaming, 25% sit one to two hours for reading/lounging and 29% use their home computer for one to two hours. In summary, the average American sits for thirteen hours a day and sleeps for eight hours. That is a total of 21 hours a day off their feet. With approximately only three hours of activity, low back pain can become a common occurrence for many Tyler, Texas individuals.

The manufacturer’s survey also notes 93% of work computer users don’t know what “Sitting Disease” is but 74% believe that sitting too much can lead to an early death. “Sitting Disease” represents the ill-effects of an overly sedentary lifestyle and includes conditions like obesity and diabetes which are rapidly becoming more prevalent, especially in the young population.

Recently, the American Medical Association (AMA) adopted a policy encouraging employers, employees and others to sit less during the day citing the many risks associated with sitting including diabetes, cancer, obesity and cardiovascular disease. Standing and walking as much as possible is a better alternative to sitting as they burn more calories, tone muscles, improve posture, increase blood flow, reduce blood sugar and improve metabolism.

So, what about the connection between low back pain and sitting in Tyler, Texas patients? Sitting is proven to be hard on the spine. The pressure inside of discs, those “shock absorbers” that lie between each vertebra in the spine, is higher when we sit compared with simply standing or lying down. To help relieve the pressure on discs and help alleviate low back pain, pain physicians recommend:

  • Getting up periodically and standing
  • Sitting back in a chair and avoiding slouched positions
  • Placing a lumbar roll behind the low back and chair/car seat
  • Changing body position frequently when sitting

Because certain low back conditions favor one position over another, these common recommendations may need modification from a pain physician. For example, most herniated disc patients prefer low back extension while bending over. In those with lumbar sprain/strains, bending forwards usually feels good and extension hurts. Modifying spinal position to the one that is most comfortable is perhaps the best advice.

If you suffer from low back pain and want to learn more about pain management treatments, please contact the Pain Recovery Center of Tyler located in Tyler, Texas.

Pain Management Articles

Pain can change your whole life. Thanks to Dr. Kenneth Fults and Dr. Janine Islam, pain physicians, with Pain Recovery Center of Tyler, it doesn’t have to be that way for Tyler, Texas patients.

Dr. Kenneth Fults is a Diplomate, American Academy of Pain Management. As a pain physician, he has been working with patients from all walks of life for over 25 years. His multidisciplinary approach means your needs always come first – whether you need a second opinion, an evaluation, a consultation or advanced pain management treatments.

Dr. Janine Islam is not only leading the way for our Tyler, Texas patients in wellcare, but she is also a pain physician trained in pain management treatments related to joint and muscle pain.

Pain Recovery Center of Tyler’s commitment to our Tyler, Texas patients has led us to develop a facility that consists of state-of-the-art technology designed to treat the health conditions below:

  • Herniated Discs
  • Bulging Discs
  • Degenerative Disc Disease
  • Sciatica
  • Posterior Facet Syndrome
  • Whiplash
  • Arm and Leg Pain
  • Chronic Back Pain
  • Chronic Neck Pain
  • Joint and Muscle Pain
  • Bursitis and Tendonitis

Pain Recovery Center of Tyler is also here to help Tyler, Texas patients with pain management treatments such as:

  • Spinal Decompression
  • Injections
  • Diagnostics
  • Physical Therapy
  • Injury Care

To learn more about Pain Recovery Center of Tyler and our pain management physicians in Tyler, Texas, please visit our website.