Pain Management

Dr. Artamonov is specialized in the field of Pain Management to help with Headache and Facial Pain, Fibromyalgia and Chronic Fatigue, RSD/CRPS and Neuropathic Pain, Arthritis and Joint Pain and more. MJA Healthcare provides many services such as Spine-Related Treatment Options, Interventional Pain Management and Suboxone Maintenance Therapy.

Pain management can be helpful for any ongoing pain,
especially if suering with long-term or chronic pain.

Headache and Facial Pain

Our headache and facial pain clinic is dedicated to the diagnosis and management of
headache disorders, facial pain syndrome and associated disorders.
Headaches are generally categorized as primary headaches, such as migraines, cluster
headaches and tension headaches; and secondary headaches, in which the headache
is a symptom of another, underlying disorder.
Headaches are caused by particular nerves in muscles and blood vessels sending pain
signals to the brain. Triggers that cause those nerves to activate can vary widely and
are not always perceptible.
For patients who suer from chronic headaches, with severe headaches occurring
several days per week or more, we oer an eective treatment program, including
botulinum toxin (Botox) treatment for acute, chronic and disabling headaches.
We provide consultation for diagnosis and management of migraine and cluster
headaches, facial pain and facial nerve pain, post-traumatic headaches, idiopathic
intracranial hypertension (IIH)–also known as ‘thunderclap headaches,’ spontaneous
CSF hypotension and related conditions.
Facial pain is often very complex, with many interrelated causes as well as countless
treatment options. Our multidisciplinary approach to headache and facial pain care
provides an accurate diagnosis and individualized treatment strategies tailored to your
unique situation, overall health and personal treatment preferences

Fibromyalgia and Chronic Fatigue

Chronic fatigue syndrome (CFS) is the common name for a group of complex and
signicantly debilitating medical conditions, including u-like symptoms, aches, inability
to concentrate, persistent fatigue and other specic symptoms. Characteristics of bromyalgia syndrome (FMS) include widespread chronic muscle and joint pain,
tenderness in localized areas and fatigue, as well as other symptoms.
Fibromyalgia and chronic fatigue syndrome are considered separate, but related
disorders. They share a common symptom: severe fatigue and chronic pain that greatly
interferes with lives. The dierence is that, in bromyalgia, fatigue often takes a
backseat to debilitating muscle pain. In chronic fatigue syndrome, people have an
overwhelming lack of energy, but also can experience some pain.
Chronic fatigue syndrome and bromyalgia are complex physical processes with
physical causes. The unrelenting symptoms of fatigue, pain and mental fogginess can
be overwhelming and frightening. We treat the cause of bromyalgia (FMS) and chronic
fatigue syndrome (CFS) and not just the symptoms. Our team focuses on the key
underlying issues and provides you with an integrated, personalized plan of care aimed
at restoring your vitality, productivity and quality of life.

RSD/CRPS and Neuropathic Pain

Reex Sympathetic Dystrophy (RSD), which is also known as Complex Regional Pain
Syndrome (CRPS) Type I, is a chronic condition characterized by severe “burning pain,”
swelling and changes in the skin. It usually aects an arm or leg and typically develops
after an injury, surgery, stroke or heart attack, although there may be no obvious
previous event. The pain is typically not proportionate to the severity of the injury.
Symptoms include burning pain; joint swelling and stiness; sensitivity to the touch;
swelling in the arm or leg; decreased ability to move the aected body part; rapid or no
growth in nails and hair. Changes in skin temperature may occur and skin color may
become blotchy, pale, purple or red. The texture of skin also can change, becoming
shiny and thin. People with CRPS may have excessively sweaty skin. Treatment of RSD/CRPS is complex and involves an integrated approach for pain relief
and improved function. Good progress can be made to treat CRPS if treatment is begun
early, ideally within three months of the rst symptoms. In some cases, the condition
goes away on its own, which is more common in children. If treatment is delayed,
however, the disorder can quickly spread to the entire limb and changes in bone, nerve
and muscle may become irreversible.

Arthritis and Joint Pain

Arthritis is a form of joint disorder that involves inammation of one or more joints.
Arthritis pain is due to inammation that occurs around the joint, damage to the joint
from disease, daily wear and tear of the joint and muscle strains caused by forceful
movements against sti painful joints and fatigue.
The most common form is osteoarthritis, a progressive degenerative joint disease
characterized by the breakdown of joint cartilage associated with risk factors such as
history of joint injury, extra weight and age. Rheumatoid Arthritis (RA) is a systemic
disease characterized by the inammation of the membranes lining the joint, which
causes pain, stiness, warmth, swelling and sometimes severe joint damage. Septic
arthritis is caused by joint infection. Juvenile Arthritis (JA) describes the many
autoimmune and inammatory conditions that can develop in children ages 16 and
younger.
The treatment options we use to help manage arthritis may include a combination of
the following: joint injections, physical and occupational therapy, medication
management, diet/exercise, acupuncture, chiropractic care, massage therapy, activity
avoidance and ambulatory assistance.

Spine-Related Treatment Options:

Interventional Pain Management

Nerve blocks are used for pain treatment and management. There are several dierenttypes of nerve blocks that fulll dierent purposes.A group of nerves, called a plexus or ganglion, that cause pain to a specic organ orregion can be blocked with the injection of medication into a specic area of the body.The injection of this nerve-numbing substance is called a nerve block.

Suboxone Maintenance Therapy

Addiction to prescription painkillers or heroin is a complicated and challenging condition, but can be treated eectively with suboxone maintenance combined with counseling and support. Overcoming opioid dependence can be overwhelming. Opioid prescription painkillers such as OxyContin®, Vicodin®, Percocet®, Actiq® or addiction to heroin can reset the brain’s chemistry to think the drug is necessary for survival. The goal of suboxone treatment is to help opioid-dependent people stop misusing opioids and regain control over their lives. Opioids attach to receptors in the brain producing feelings of euphoria, reduced respiration and decreased pain, Suboxone (Buprenorphine, Naloxone) attaches and occupies the receptors without all of the opioid eects. The receptor is tricked into thinking it has been satisied with opioids without producing strong feelings of euphoria and without causing signicant respiratory depression. Suboxone blocks the receptors in the brain from joining with full opioids, to make it unlikely to experience any additional eect. Suboxone’s attachment to the receptors lasts up to three days, which is much longer than opioids, and suboxone minimizes withdrawal eects and controls cravings.

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