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Just because the exact cause of pain has not been determined by prior doctors the patient has seen, this does not mean that a ‘pain generator’ does not exist. The patient is still in pain despite the lack of an exact diagnosis. It is not the patient’s fault medicine in the 21st century can not always determine its exact cause. Would someone short of breath be dismissed by physicians simply because they could not determine its cause? Yet this is what happens to patients who experience pain without an exact cause, every day across the country. This pain can and must be treated for the patient regardless. This is the cornerstone of Dr Thaker’s pain management philosophy. Call 702 545 0660 now or Contact us here for an appointment.
It may surprise some patients and perhaps many doctors, but listening is the key to diagnosis in pain management, more so than any complex technology or even the physical examination. Your evaluation by Dr Thaker begins with a thorough history that you provide, as well we ask that you arrive with relevant treatment records in hand and or the contact details to obtain them. In fact, most of the time in medical practice a diagnosis comes from a careful history, and further exam and sophisticated technology serves to confirm this diagnosis. Thus simple listening is first and perhaps most valuable to a pain management treatment plan.
Apart from careful and focused physical examination, Dr Thaker offers in the comfort of our very same offices the ‘point of care’ or ‘bedside’ ultrasound, without a separate trip to the radiology center lasting many hours. This can be used to examine painful areas of the body, joints, limbs and the musculoskeletal system. As well handheld ultrasound serves as image guidance for injections or other therapies to joints and soft tissues, which can aid precision and safety. Further imaging can be obtained from your choice of radiology centers where needed, and also through your insurance plan.
Dr Thaker also offers specialized diagnostic studies called ‘nerve conduction studies’- electromyograms and nerve conduction velocities. This extends the physical exam of the pain management patient, to allow examination of the nerves of the body, their connection to the muscles at the neuromuscular junction, as well as the muscles themselves. A small device produces small electrical impulses, to measure electrical nerve signals from nerves and muscles. The tiny needles used have no bore or ‘hole’ and often do not produce even a single drop of blood. In fact, some practitioners claim these needles combined with the small electric impulses to be an advanced form of ‘accupunture’. Dr Thaker uses these studies whereas for diagnostic purposes, where their usage is well established to play an important role in diagnosis of pain in limbs and other areas.
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