Pain management clinic in Tyler

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Understanding the pain and finding relief

When patients find themselves living with a pain that is constant, unremitting and not caused by a particular activity, then it is time to consult the ETMC pain management clinic. There they will find knowledgeable, board-certified physicians who understand the unique situation of a patient in chronic pain. It is where thousands of East Texans have come to find relief.

We begin by drawing up a plan for conservative pain management. Each case is different, and plans are individualized. Treatments may include medications, trigger point injections near the area of pain, nerve blocks involving the spine, epidurals and physical therapy.

If these treatments don’t offer relief we pursue other options, based on careful evaluation of the diagnosis and the patient’s situation.

  • Radiofrequency ablation is a technique in which needles are inserted near the spine to transmit radio waves to targeted nerves. The radio waves interfere with the ability of the nerves to send pain signals.
  • Transcutaneous electrical nerve stimulation is a technique that uses low-voltage electrical current for pain relief. Electrodes connected to a small power supply are attached to the skin near the site of the pain with the intent of the electricity blocking or scrambling pain signals to the brain.
  • Spinal cord stimulation is a treatment in which a pacemaker-like device is implanted under the patient’s skin and connected to the spinal cord area to deliver soothing electrical stimulation to relieve back and leg pain.
  • Surgery sometimes is a good option. While the physicians at the ETMC pain management clinic do not perform surgeries, we collaborate with a team of orthopedic specialists who are board-certified and fellowship-trained. That relationship means patients receive seamless, total care. Procedures commonly performed include arthroscopic surgery, sports medicine procedures, carpal tunnel syndrome surgery and total joint replacement for the shoulder, elbow, hip and knee.

Physicians at the ETMC pain management clinic

content-neuro-brishEldor Brish, MD
Board-certified and fellowship-trained in interventional and minimally invasive pain management

Dr. Brish said he enjoys the professional challenges of diagnosing and relieving pain.
“The most rewarding aspect of my job is helping someone overcome pain – it has a dramatic positive effect on all aspects of a patient’s life.”

content-neuro-lambScott Lamb, MD
Board-certified in physical medicine and rehabilitation, fellowship-trained in interventional pain management

Dr. Lamb specializes in disorders related to the spine and is optimistic about technological advances.
“We’re using more minimally invasive techniques to address difficult problems that were previously treated with surgical incisions.”