Pain conditions commonly treated with NIPP™


Back Pain

Back pain is pain felt anywhere along the upper/midback (thoracic) and/or lower (lumbar) back. It can occur because of fractured vertebrae, pinched nerves (radiculopathy), muscle spasm, degenerated discs, or arthritis. It can be described as a dull and aching pain or a sharp and shooting pain. Treatment can involve physical therapy, medications, braces, injections, and even surgery.

Cervical Pain

Cervical pain is pain felt in the area of the neck. It can also be due to pinched nerves, muscle spasm, arthritis, or degenerative disc disease. Often when nerves are involved this pain can radiate into the arms and be associated with numbness, tingling, or weakness in the upper extremities. Treatment can also involve physical therapy, medications, injections, and even surgery.

Sciatica

Sciatica is a type of back pain that occurs when the roots of the sciatic nerve that originate in the lumbar (lower) back are pinched. This can often produce a sharp and shooting pain that starts in the lower back and radiates down the legs. It can also be associated with numbness, tingling, and weakness of the legs. The nerves can be pinched by either herniated or bulging discs in the lumbar spine or by the bones of the vertebrae themselves. Someone with degenerative disc disease may be at increased risk for spinal stenosis, a condition that occurs when the canal in which the spinal cord sits is narrowed.

Migraines

Migraines are characterized by recurrent headaches that occur and varying frequencies. The headaches are usually associated with moderate to severe pain. Associated symptoms can include nausea, vomiting, sensitivity to light and sound. They can affect one or both sides of the head. Some types of migraines are preceded by auras which are transient visual or other sensory disturbances that signal the onset of the headache. The pain can be debilitating and is sometimes described as a pounding, pulsating, or aching pain. Treatment can include medications, nerve blocks, or stimulation therapy.

Complex Regional Pain Syndrome

This syndrome has two subtypes. The first subtype is also known as reflex sympathetic dystrophy. It occurs after an inciting event such as an injury to an extremity. The second subtype involves injury to a specific nerve. Both are characterized by severe pain, swelling, sweating, and changes in blood flow to the area. Over time, muscles, joints, and nails can be affected. The pain is often described as severe, burning and shooting in nature. Sometimes even no painful stimuli such as lightly touching the skin can be extremely painful. Treatment involves sympathetic nerve blocks, physical therapy, medications, and sometimes spinal cord stimulation.

Arthritic and Joint pain

This type of pain occurs at various joints in our body and is characterized by inflammation. The most common form, osteoarthritis, occurs because of degeneration of the protective cartilage that can occur in our joints over time. Cartilage normally acts as a shock absorber to prevent bone on bone grinding. Commonly affected joints include weight bearing joints such as the hips, knees, and the smaller joints in our spine. There are other causes of joint pain as well such as infection, trauma, and autoimmune disorders.

Diabetic Neuropathy

This is a condition associated with longstanding diabetes. It is characterized by a feeling of numbness and tingling, and usually a burning pain in the extremities. It is caused by damage (due to chronic elevated blood sugar levels) to the vessels that supply the peripheral nerves in the hands and feet. Longer nerve fibers are usually affected first and patients will feel the sensations in a glove or stocking distribution. Treatment can include neuropathic medications, strict control of your blood sugar, and even spinal cord stimulation in severe cases.

Fibromyalgia

This is a condition characterized by widespread pain throughout the body that is often muscular in nature. It can also be associated by chronic fatigue, insomnia, psychiatric and even gastrointestinal disturbances. Patients often describe heightened pain even to tactile pressure. Treatment usually involves medications, muscular trigger point injections, massage therapy, physical therapy, and even aquatic therapy.

Post-herpetic Neuralgia

This is a severe pain caused by nerve damage from the varicella zoster virus. It is precipitated by an outbreak of shingles which involves the development of a one-sided body rash that follows a specific nerve distribution. The rash usually resolves and heals completely, but in some cases severe pain can develop even after the rash has healed. It is usually described as a severe burning pain. Treatment usually involves medications, topical creams, nerve blocks, and transcutaneous stimulation.

Trigeminal Neuralgia

This is characterized by severe transient facial pain that comes and goes without inciting event that usually follows a particular cranial nerve (trigeminal) distribution. It is usually described as a burning, crushing or pinching pain. The pain can be debilitating. Treatment can involve medications, surgery, or nerve blocks.

Phantom Limb pain

This type of pain affects patients who have experienced an amputation of one of their limbs. It is a pain that is sensed from the limb that has been amputated even though it is no longer present. It is thought to occur because of abnormal signals from nerves that once served the amputated limb. It usually improves over time, but can be severe when it is present. The pain can be described as aching, burning, tingling, or throbbing. Treatment can involve medications, acupuncture, and spinal cord stimulation.

Peripheral Vascular disease

This is a condition characterized by the accumulation of plaque (atherosclerosis) in large peripheral arteries leading to obstruction of blood flow. This can sometimes be associated with severe pain especially with activity. This is because the demands of blood flow and oxygen delivery are unbalanced with blood supply because of obstruction. The pain is usually improved by rest and avoidance of strenuous activity.

Coccydynia

This is also known as “tailbone pain”. It is usually caused by inflammation of the tailbone from trauma, but sometimes can arise insidiously from everyday activities like biking or sitting improperly. It can be described as aching and throbbing. Treatments usually include anti-inflammatory medications, local anesthetic infiltration, and injections like ganglion impar blocks. In rare cases, surgery is also a potential treatment.

Occipital Neuralgia

This is a pain condition characterized by moderate to severe headaches and cervical (neck) pain. It is usually precipitated by injury to the greater and lesser occipital nerves. It is often described as a sharp, electric type of pain. Treatment usually involves nerve blocks, medications, peripheral stimulation, and/or ablative procedures.


NIPP™ vs. CONVENTIONAL treatment plans


Name: Uses: Disadvantages:
  Most forms of common pain from moderate to severe, acute and chronic pain as well as post operative pain Rare incidences of very mild infections at the application site as well as, very rare incidences of device failure
Ibuprofen
(Motrin, Tylenol, Nuprin, Advil)
Mild to moderate pain, inflammation, fever, toothache, muscle pain, menstrual pain Nausea, Gastrointestinal Ulcer, Rashes, Liver problems, Hypertension
Naproxen
(Aleve, Anaprox, Naprelan, Naprosyn)
Mild to moderate pain, inflammation, fever, musculo-skeletal and muscle pain Lower blood pressure, Rash, Ringing in the ears, Gastrointestinal problems, Dizziness, Shortness of breath
Celebrex Short term pain Interferes with other medications, Stomach bleeding, Heart attack, Stroke
Ultram Moderate pain Interferes with other medications, Gastrointestinal (nausea, constipation, vomiting), Headaches, Drowsiness
Demerol, Lorcet, Vicodin, Percocet, Oxycontin, Fentanyl Very effective for:

  • Short and long term pain
  • Post operative pain
  • Pain from chronic illnesses
  • Pain from terminal illnesses
Interferes with other medicationsSide effects can include:

  • slowed reflexes
  • raspy speech
  • sedation
  • sluggish movements
  • slowed breathing
  • cold skin
  • nausea
  • constipation
  • sedation
  • weakened immunities

Long term use:

Dependence and Addiction

Acupuncture Moderate to severe pain, Acute and chronic pain, Post operative pain Minimally invasive:

  • Rare incidences of mild infections at the application site.
  • Non-sterile environments can cause severe complications.
  • Requires multiple sessions and visits to practitioner and relief can be short term.

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