What We Treat: Types and Causes of Chronic Pain

Information about some of the pain conditions we can help you manage

We treat many patients with chronic back pain, pelvic pain, neck pain, headaches, and joint pain from a variety of causes. In addition, we treat some very specialized pain problems, a number of which are outlined below.

Whether you’re looking for one of the leading back pain specialists in Miami, Florida, relief from frequent migraines that prevent you from even getting out of bed, pelvic pain treatment in Miami, or a pain management doctor in Miami who can correctly diagnose and successfully treat any other type of pain, an appointment with Dr. Mesa will put you on the path to recovery.

Back pain specialists in Miami Florida

Chronic back pain is the single most common complaint we deal with. It can range from occasionally disruptive discomfort to daily debilitating pain, or fall anywhere in between. There are many causes of back pain, and in most cases, there are multiple factors at play causing and exacerbating the problem. Left unchecked, most back problems will continue to get worse over time. See Dr. Mesa, one of the best-qualified back pain specialists in Miami, Florida, to get a handle on your pain and get back your quality of life.

Complex Regional Pain Syndromes (CRPS I & II)/Reflex Sympathetic Dystrophy and Causalgia

No, it’s not in your head. Sometimes, the cause of this type of pain is clear, but often the cause is more subtle, like patients with chronic pain after surgery or trauma. It’s essential to determine if this type of pain is present as soon as possible, as it can be difficult to control once established. We use the full spectrum of treatments available, including ketamine administration and neurostimulation. Sometimes, the condition can be reversed, but, if this is not possible, our goal is always to control the pain.

Leg pain from peripheral artery disease

This pain can be debilitating. If your surgeon has determined there are no vessels that need bypass or stenting and you are not a surgical candidate, we may be able to help control this pain. We use the treatment standards set forth in the European Union protocols for patients with vascular pain who are no longer surgical candidates, including with the use of stimulators and shock wave therapy. While this helps reduce ischemia and delay amputation, the main goal is to improve pain control and maintain as much mobility as possible.

Pelvic pain treatment in Miami Florida

If you’re dealing with pelvic pain, interstitial cystitis, and/or sexual dysfunction, we offer experienced pelvic pain treatment in Miami. Frequently, patients—both male and female—are embarrassed to discuss this type of pain with their physicians. With many possible explanations for pelvic pain (including rectal pain) and sexual dysfunction, we work closely with your gynecologist and/or urologist to identify any neurological cause and use a variety of treatments discretely with the goals of reducing pain and restoring function.

Spasticity

Whether as a result of stroke, multiple sclerosis, or a congenital condition such as cerebral palsy, spasticity can be debilitating and painful. Many treatment options exist, including use of intrathecal pumps and botulinum toxin (e.g., Botox®), as well as therapy, splinting, manipulation, and surgery. Most patients do best combining more than one approach, but it’s important to address spasticity as soon as it develops. Waiting too long can lead to potentially irreversible changes.

Headaches, migraines, trigeminal neuralgia, facial pain, and TMJ pain

Not all headaches are migraines, and facial pain is not the same as a headache. Our goal is to diagnose the cause of pain and identify triggers that may worsen the underlying condition. For example, some patients have migraines triggered by temporomandibular joint (TMJ) syndrome. We use all available treatment modalities, including, among other things, medications, blocks, botulinum toxin (e.g., Botox®), neurostimulation, acupuncture, and oral appliances to maximize pain control while avoiding medication-overuse headaches. We also have an acute headache program for established patients who have a headache and wish to skip a trip to the emergency room.

Cancer pain

Cancer can impact many aspects of a person’s life. Pain, and the fear of pain, should not be something that adds to the burden of dealing with such a serious condition. As there are many types of cancer, there are many types of cancer pain. Sometimes, it’s not even the cancer itself but rather the treatment that causes pain, such as when patients develop neuropathy or plexopathy from chemotherapy or radiation therapy. We work with your oncologists and surgeons to optimize pain control and minimize the neurological side effects of cancer treatments.