Neck Pain Management Our Philosophy Pain is a complex problem that requires treatment and management by a pain medicine specialist. Millions of people suffer from headaches and nerve pain at great personal cost. If you find that you cannot safely control your pain with over-the-counter medications, or have failed to find relief from other treatments or practitioners, you should consider consulting with our pain management physicians. For most patients, interventional pain management procedures can treat or reduce pain, allowing the patients to regain function, and thereby improving their quality of life. Neck Pain Conditions & Treatment Options CERVICAL SPINE OVERVIEW CAUSE OF NECK PAIN HERNIATED DISCS IN THE CERVICAL SPINE PINCHED NECK NERVES CERVICAL SPINAL STENOSIS CERVICAL MEDIAL BRANCH BLOCK TO TREAT CERVICAL FACET PAIN WHIPLASH: NECK SPRAIN OR STRAIN MEDICAL ACUPUNCTURE IOVERA° COLD TREATMENT The annual incidence of cervical (neck) pain is reported as being as high as 15%. Cervical spine degenerative disorders are more common that those affecting the lumbar (low back) spine and develops at an earlier age. Neck pain is the third most common condition reported across the US and a common reason that people seek medical attention. Most episodes are self-limiting but up to 50% of individuals will continue to experience some type of pain or have recurrences of pain. Pain from the cervical spine can present in several ways. Pain can radiate to the shoulder, arm, or hand. Pain can also be referred, to the back of the head or into the interscapular region. Patients can commonly present with sharp pain between the shoulder blades, and this is believed to be from embryologic development from the lower cervical region. It is important to evaluate patients with neck pain for cord impingement (myelopathy), radiculopathy, and dangerous underlying causes such as cancer, fractures, and osteomyelitis. As such, identifying the underlying pain generator and accompanying symptoms is essential in creating a differential diagnosis of neck pain. Anatomy There are 7 cervical vertebrae and 8 cervical spinal nerves. The C1 vertebrae is also called the Atlas, as the skull sits on top of this level. The C2, or Axis, has a projection towards the skull called the dens or odontoid process, which connects with the C1 vertebrae for stabilization and allows the head to rotate from side to side. The C1-2 joint is called the atlanto-axial joint and is responsible for side to side rotation, or the ‘yes’ movement. Although uncommon, arthritis can develop in this joint and may be difficult to treat. The joints of the cervical spine are on the lateral aspects of the corresponding vertebral bodies, whereas, in the lumbar spine they are posterior to their vertebral bodies and spinal nerves. These joints are responsible for flexion and extension of the cervical spine and can degenerate over time. From the posterior aspect, from C2-5 the spinous process is typically smaller, and can only be felt superficially at the levels of C6-T1, as they are more prominent at those levels. The C1-C7 nerve roots emerge above their respective vertebrae; the C8 nerve root emerges between the C7 and T1 vertebrae. The remaining nerve roots emerge below their respective vertebrae. Common symptoms related to neck pain and disorders include Neck pain that radiates or shoots into the shoulder, arm and upper back Headache Reduced range of neck motion Upper extremity numbness, weakness Slower reflexes in upper and lower extremities (i.e. arms, legs) VIEW IMAGE EDUCATIONAL RESOURCES CERVICAL RADICULOPATHY EDUCATIONAL RESOURCES EDUCATIONAL RESOURCES EDUCATIONAL RESOURCES TYPES OF PAIN Let's live pain free. Is Pain Management Right for You? Depending on many factors, such as the type of pain and your general health, there are numerous options for treating your pain. Some patients are surprised to learn that a treatment that previously failed to provide relief may be effective when combined with a multi-treatment approach. Our specialists treat complex pain issues. There are many different physical and neurological disorders that contribute to pain, and we treat all types of pain including: LEARN MORE ABOUT PAIN MANAGEMENT Practice Policies We are pleased you chose The Spine and Pain Institute of New York for the diagnosis, treatment and management of your pain. To acquaint you with our office policies, we provide the following information. PRIOR TO PROCEDURE FORMS *If your insurance requires a referral for a visit to a specialist, you must obtain this referral from your Primary Care Physician prior to your visit. INITIAL CONSULTATIONS Please bring the following relevant information to your consultation. Photo ID Insurance Information Referral* Diagnostic Studies & Reports (MRI/X-Rays) List of Medications INSURANCE & BILLING We accept most insurance programs and their subsidiaries. If we do not participate in your insurance plan, please contact Billing to find out if other arrangements are possible. Text us via Klara using the messaging option to the bottom right of this page! Just detail your concern or question, and a member of the team will reply via return text message or phone call. Insurance co-payments are due at the time of arrival. We accept cash, checks and credit cards. APPOINTMENTS If you are a new patient, please arrive 15 minutes prior to your appointment to allow time to register. If you are running late or need to reschedule, please contact us as soon as possible to make us aware. Unfortunately, if you are more than 30 minutes late for your appointment time, we will have to reschedule. PROCEDURES If you are scheduled for a procedure or plan on having one in the future, please read the attached important instructions to follow prior to a procedure.You will be called prior to your procedure and notified about the following information as well. MEDICATIONS & REFILL REQUESTS Please discuss your medication needs, including refill requests, with your provider at the time of your appointment. Medications should be taken only as prescribed. Please do not request early refills of your medications. Patients are responsible for lost or stolen medications and prescriptions once they leave the office. AFTER HOURS EMERGENCIES Our regular phone lines are transferred to an answering service after normal business hours. Please proceed to the nearest emergency room for after-hours emergencies. MANHATTAN 860 Fifth Ave New York, NY 10065 212.724.7246 NEW JERSEY 1 Bay Ave. 2nd Fl. Suite 1 Montclair, NJ 07042 718.667.3577 STATEN ISLAND 1360 Hylan Blvd. Staten Island, NY 10305 718.667.3577 STATEN ISLAND 1534 Victory Blvd. Staten Island, NY 10314 718.667.3577 BROOKLYN 1513 Voorhies Ave. Brooklyn, NY 11235 718.427.2110 DOWNTOWN BROOKLYN 188 Montague St. 3rd Fl. Brooklyn, NY 11201 718.667.3577 BRONX 2932 Wilkinson Ave. Bronx, NY 10461 718.667.3577 LONG ISLAND 1 Hollow Ln. #102 New Hyde Park, NY 11042 516.587.5500 Copyright © 2021 Spine & Pain Institute Of New York | Site By Industry Media