Interventional pain management in Denver, CO

If you are one of the millions of Americans who suffer from intractable chronic pain, our team at Presbyterian/St. Luke’s Medical Center can help. We treat many patients who have not responded to conventional medical treatment or traditional surgery. If you have chronic pain (pain lasting more than three months), you may benefit from the variety of innovative modalities we offer to treat your pain.

Pain management treatment

Neuromodulation

Neuromodulation is a term doctors and specialists use to describe a way to stimulate your nerves to help control pain through spinal cord stimulation or peripheral nerve stimulation.

Pelvic pain care

Pelvic pain occurs mostly in the lower abdomen area, below the belly button. The pain might be steady, or it might come and go. If the pain is severe, it might impact your daily activities. A multidisciplinary team of physicians is dedicated to the evaluation and treatment of severe pelvic pain in men and women. Led by Medical Director, Nel Gerig, M.D., the Center for Pelvic Pain treats the following conditions:

  • Endometriosis
  • Other inflammatory conditions
  • Bladder, bowel and sexual function
  • Neuromyofascial pain (pain related to nerves and muscles)

Thoracic outlet syndrome

The board-certified vascular surgeons in our Center for Thoracic Outlet Syndrome provide hope to patients suffering from thoracic outlet syndrome (TOS) through expert diagnosis and treatment. TOS is pain, numbness, tingling and/or weakness in the arm and hand due to pressure against the nerves or blood vessels that supply blood to the arm. This is due to tight muscles, ligaments, bands, or bony abnormalities in the thoracic outlet area of the body, which lies just behind the collar bone.

TOS is often produced by hyperextension neck injuries, such as whiplash from car accidents or repetitive stress in the workplace. In some people, symptoms develop spontaneously without an obvious cause. Some of the occupations that we see causing TOS include:

  • Working on assembly lines
  • Long stretches spent typing on keyboards or 10-keypads
  • Filing or stocking shelves overhead repeatedly

On rare occasions (affecting one percent of the population), an extra rib in the neck is present. People born with this rib—called a "cervical rib”—are ten times more likely to develop symptoms of thoracic outlet syndrome than those without the extra rib. However, even in both men and women with cervical ribs, it usually requires some type of neck injury to spark symptoms.

Treatment for thoracic outlet syndrome

Most people with thoracic outlet syndrome will improve with stretching and physical therapy. In our experience treating over 5,000 people with TOS, less than 30% had surgery. However, when surgery is required to treat a patient’s TOS, it helps by taking pressure off the nerves to the arm through the removal of the muscles that surround the nerves (scalene muscles), removal of the first rib or by doing both (removing muscles and first rib).