As a private practice physician, Dr Thaker has the freedom to use all of the valley’s health care resources to help patients with pain management, without regard to the company or ‘brand’ of the resource. Other doctors are often contractually obligated to select their own company’s services and staff first , or even exclusively. This does not benefit the patient when other resources may be better suited for the patient for simple reasons such as quality, location or even cost itself. To this end, Dr Thaker has a variety of diagnostic and therapeutic treatments to offer in our offices, garnered from his seven years of training in surgery and medicine, as well as pain management training, specialized for outpatient or office-based patients. When physical therapy, further diagnostic methods, other specialists, or even inpatient care is required, Dr Thaker has the freedom to work with you and your insurance with any other offices as best to produce results for you.
Visco-elastic supplementation can be used for joint pain that has failed prior therapies, and to tremendous effect. This is injection of a prepared product into the knee joint, which many patients think of as ‘oiling up the knee’, with natural components found in healthy joint fluid. Hyaluronate is the key substance injected and found in joint fluid, that provides the lubricating and shock-absorbing quality to the fluid, and it is essential for the proper functioning of joints. After other treatments have been tried, it is generally covered by insurances over a period of several effective treatments.
At times injection of substance into the spine, joint, or other area of the musculoskeletal system is of great value. These medications include lidocaine, such as for trigger point injections. Trigger points are painful areas of muscle and related tissue, that can produce pain and even can be physically felt by a skilled examiner. Of course steroid injections are well known to calm inflammed joints and tissues and are often effective alone or in combination with lidocaine, and in conjunction with the methods from regenerative medicine. Treatment areas may include trigger points of muscles, joint spaces including the knee, hip, foot and ankle, shoulder, elbow, wrist, hand; the sacroiliac joints at the gluteal area, facet joints or other spine related injections.
At the forefront of regenerative therapy for pain management is Platelet-rich plasma or ‘PRP therapy’, a 100% natural way to harness your body’s own regenerative powers. PRP takes a small sample of the patient’s own blood, and processes this sample in a special centrifuge to concentrate the growth factors that are derived from the platelets. This ‘PRP’ is then injected into the areas of concern, such as a painful joint, stimulating your natural regenerative processes.Dr Thaker has found that the key for determining how best to use PRP, is asking the most specific question possible. Thus, not ‘does PRP work for joint pain?’ The answer is it may work, it depends. Rather, following a thorough evaluation by Dr Thaker, the question becomes ‘would PRP work for medial compartment degenerative joint disease of this specific patient’s knee?’ By making a specific diagnosis and developing a unique treatment plan using regenerative therapies, Dr Thaker can thus best produce lasting results and relieve pain. There are even a few highly specific diagnoses that are covered fully by insurances for PRP, as a testament to its effectiveness in these areas, that Dr Thaker can determine by evaluation.
With the variety of treatments above, medication usage may be minimized or avoided all together for many patients. Dr Thaker has even taken the extra step of obtaining a special permit, called DEA-X certification. This allows safe discontinuance of opiod usage, in select cases where the patient presents to us in need of rehabilitation from long term prior usage. Where longer term medications are required, the safety of a carefully structured treatment plan, with frequent face to face visits for reassessment and monitoring, is fundamental to our approach. For procedural pain management, we offer:
Towards this end, Dr Thaker is board certified by both ABFM (an ABMS board), and Pain Management by the AAOPM (non ABMS), as well completed five years of surgical training (2 general, 3 orthopedic) with training in both operative and nonoperative pain treatment. For insurances accepted, see here.Dr Thaker also enjoys teaching fellow doctors and nurses, techniques in PRP, botox, and other pain treatments as a continuing medical education course director. He has taught several hundred students, when time permits him to direct courses throughout the region several times a year. If you are a clinician and would like to arrange a one on one preceptorship with Dr Thaker, call 702 545 0660 or please contact us.