Pain is an important message, it tells us to rest and ice and take time to allow for healing. But if the injury does not heal completely, then the pain continues, becoming itself a medical problem. By definition, when that pain lasts longer than 3 months, then we are dealing with Chronic Pain that impacts our mood, function, health and quality of life. How we address it are in multiple ways.
Our approach begins with defining the causes of the Chronic Pain. It may have begun with an injury or illness to a joint, muscle or nerve. There may have been subsequent surgeries. Eventually, there can be further instability and weakness, over the course of time.
The Goals of our Plan is to decrease the pain, swelling, spasms, weakness and instability, then to eventually lead to improved motion and function.
We will design a medication program aimed controlling pain, spasms, nerve function, and brain-coping skills. We follow the CDC Guidelines, as well as provide transitioning to safer medications.
Osteopathic Manipulative Treatment (OMT) involves palpation and manipulation of bones, muscles , joints and fasciae. It is said to be a softer form of manipulation, compared to Chiropractic. Osteopathic manipulation provides pain management in all ages, but it is extremely beneficial for older individuals to improve balance and strength, and reduce risk of falls. Osteopathy is covered by Medicare.
Vital Pain Management provides injection Therapy:
Acupuncture, and its newer offering Electro-acupuncture, can provide relief of pain, as well as aid in flare-ups. Traditional Chinese Medicine explains acupuncture as inserting thin needles in key points that balance the flow of energy or life force. Western practitioners view the acupuncture as stimulating nerves and muscles and boosting your body's natural painkillers. Beginning in 2020, Medicare provides coverage for Acupuncture in Pain Management clinics like ours.
Low-intensity Shockwave Therapy is an example of some of the newer Physical Therapy modalities to treat joint, fascia, muscular, and ligamentous injuries. More than just pain management, shockwave therapy is believed to cause physiologic and vascular changes that provides an environment for healing.
As a foundation, a program of Conditioning and Strengthening Exercises to manage Chronic Pain and improve function. The program is aimed at strengthening your core muscles and muscles around any injured joint. A combination of isometric and isotonic exercises, machine-assisted, provide for joint protection.
A complete hormonal evaluation is done, including Testosterone, Growth Hormone, and Thyroid. Testosterone is just one of the many Hormonal Replacement Therapy, aimed at reducing fatigue, depression, weakness, and obesity.
Chronic Pain impacts our mood and sleep, and is often associated with depression and anxiety. Counseling, Medications, and Ketamine have been found to useful in dealing with Chronic Pain.
Chronic Pain leads to inactivity and overeating, and not surprisingly, being Overweight if not Obese or Morbidly Obese. Our Medically Managed Weight Loss Program will help you lose weight, and keep it off, and at the same time improve your metabolic health.
490 Post Street
Suite 450 B
San Francisco, CA 94102
(415) 429-6006
Fax (925) 388-9800
710 S Broadway
Suite 212
Walnut Creek, CA 94596
(925) 464-1151
Fax (925) 388-9800
180 East Leland Road
Suite B
Pittsburg, CA 94565
(925) 755-4808
Fax (925) 388-9800
2929 Summit Street
Suite 103 B
Oakland, CA 94609
(510) 920-8555
Fax (925) 388-9800
4439 Stoneridge Drive
Suite 130 B
Pleasanton, CA 94588
(925) 464-1151
Fax (925) 388-9800
421030 Redwood Road
(next to Open MRI)
Castro Valley, CA 94546
(510) 600-3707
Fax (925) 388-9800
1525 Webster Street
Suite D 2
Fairfield, CA 94533
(707) 914-3353
Fax (925) 388-9800
420 Folsom Road
Suite C 2
Roseville, CA 95678
(916) 510-7889
Fax (925) 388-9800
507 Mission Street
Suite B
South Pasadena, CA 91030
(213) 886-5988
Fax (925) 388-9800
1106 North La Cienega Blvd
Suite 207 B
West Hollywood, CA 90069
(323) 955-2399
Fax (925) 388-9800
9655 Granite Ridge Drive
Suite 200 B
San Diego, CA 92123
(858) 769-0777
Fax (925) 388-9800
We are centrally located in the Bay Area in Walnut Creek, Oakland, San Francisco, Pleasanton, as well as the Los Angeles Area. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
Open today | 09:00 am – 06:00 pm |
We are centrally located in the Bay Area in San Francisco, Walnut Creek, Oakland, Pleasanton, as well as the Los Angeles Area. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
Open today | 09:00 am – 06:00 pm |
We are centrally located in the Bay Area in Pittsburg, Walnut Creek, San Francisco, Oakland, Pleasanton, as well as the Los Angeles area. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
Open today | 09:00 am – 06:00 pm |
We are centrally located in the Bay Area in Castro Valley, Oakland, San Francisco, Walnut Creek, Pleasanton, as well as the Los Angeles area. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
21030 Redwood Road, Castro Valley, California 94546, United States
Open today | 09:00 am – 05:00 pm |
We are centrally located in the Los Angeles Area of South Pasadena and West Hollywood, and the San Francisco Bay Area in Walnut Creek, San Francisco, Castro Valley, Pittsburg, and Oakland. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
1106 North La Cienega Boulevard, Suite 207 B, West Hollywood, California 90069, United States
Open today | 09:00 am – 06:00 pm |
We are centrally located in the Los Angeles Area of South Pasadena and West Hollywood, and the San Francisco Bay Area in Walnut Creek, San Francisco, Castro Valley, Pittsburg, and Oakland. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
Open today | 09:00 am – 06:00 pm |
We are centrally located in San Diego, and theLos Angeles Area of South Pasadena and West Hollywood, plusthe San Francisco Bay Area in Walnut Creek, San Francisco, Castro Valley, Pittsburg, and Oakland. We accept Medicare, Medi-Cal, most Insurances, Work Comp, and Personal Injuries.
9655 Granite Ridge Drive, Suite 200 B, San Diego, California 92123
Open today | 09:00 am – 06:00 pm |