Advanced Treatment for Chronic Pain in Miami, FL

Some of the diverse procedures and techniques we use to restore your quality of life

We employ the entire spectrum of conventional and innovative pain management procedures. Some of our areas of expertise are outlined below.

Percutaneous microdiscectomy

This is a straightforward treatment that involves removing part of a herniated disc that is irritating a nerve, thus triggering chronic pain. It is a minimally invasive outpatient procedure using only a catheter and typically takes less than an hour. As part of a broader pain management regimen, this can provide improved pain control while avoiding the need for major spine surgery.

Interventional orthopedics

This is the use of multiple treatment modalities, including, among other things, injections of medications and/or supplements, shock wave therapy, orthotics, and physical therapy with exercise to address the different sources of musculoskeletal pain throughout the body and to help control conditions such as plantar fasciitis, tendinitis, and carpal tunnel syndrome without the need for surgery.

Spinal cord stimulation and neuromodulation

This is the use of mild electrical stimulation of spinal or peripheral nerves to reduce sensations of pain sent to the brain. This treatment is highly tailored to the individual. It can be an alternative to repeated back surgery and is also used to treat pain from peripheral neuropathy, complex regional pain syndrome, peripheral artery disease, migraines, and other conditions.

Stem cell therapy/Regenerative therapy

These are highly marketed treatments that include things like liposuction with injection of stem cells from adipose tissue, injection of platelet-rich plasma, and injection of the amniotic fluid membrane. Unfortunately, many of these treatments do not live up to their promises and they are often applied using less than ideal protocols. This is especially true given that, since 2009, the Food and Drug Administration has placed significant restrictions on the use of some of these therapies. Dr. Mesa has trained with some of the top researchers in this field and offers only those treatments which are legally available and have the best evidence of effectiveness.

Acupuncture and prolotherapy

For patients who wish to avoid more conventional therapies and medications, we offer acupuncture and prolotherapy using supplements and shock wave therapy. These can be used on their own or they can be combined with other treatments to maximize pain control and function while minimizing medication use, side effects, drug interactions, and potential for dependency.