ADCPain Institute of South Florida
"Improving the quality of your life"
Chronic Pain medicine
ADC Pain Institute of South Florida
900 NW 13th Street
Suite 302
Boca Raton, FL 33486
ph: 561 362 - 2969
fax: 561 362 - 2970
drcarlso
Services
ADC Pain Institure ofSouth Florida provide uniqe integration of the services related to the chronic Intractable pain syndrom - we are treating a Whole patient, a person, not just a pain symptom.
After carefull evalution of the patients: Medical History, Physical Examination, Full Neurological Examination with consideration of patients comorbidity, physical and mental status, we make a diagnosis and treatment plan, with a main goal - improve quality of the patients life.
During the initial visit, which is the longest (about 30 minutes), Doctor will evaluate entire: patients mental and physical health. Patients most recent blood work (copy) is desirable.Patients who do not have such work up can have blood drawn in our office same day. UT= Urine Toxicoogy is going to be perform as well on the firs/ admityting day ( cost included in price of the visit) as well as randomly.
Please, be aware that we shall not accept any excusses e.g.lack of money,or " I just went to the bathroom 2 minutes ago...." etc...Such response to the staff on any day when they decide to test you will be treated as an REFUSAL , and a refusal = means Discharge.
Patients with a history of the prior pain managemant treatment, should provide a Medications History, eg. printout from a pharmacy, especially for most recent 6-12 months and any medical records perteining to patients pain condition, like Copies of: MRI reports, Operative Note's, if any surgeries pt had for the condition, copies of any prior consultations with Orthopedic Surgeon, Neurologist, Neurosurgeon, Rheumatologist ect , if such available.
Patients below age of 25 y/o must provide a referral for pain management treatment, which can be in form of prescription written by any Specialist physician, primary care physician, ER doctor or the copy of a physician's Progress Note. The oldes age of our patients is not written " instone" because all depends not only chronological but biological clock .However usually patients over age of 65 will be more critically evaluated for a need and as well level of tolerance to such strong therapeutic approach as an opioids therapy.
Diagnosis and Treatment is established upon integration of all the findings and medical records.
Treatment plan includes: a pharmacological agents, as well as, a plan (short and long therm goals) for improvement of a patient mental, physical and psychological functioning.
A patients, who never been to a chronic pain clinic before, may be prescribed entry level opioids, however,if they have proof of stronger medicines beeing prescribed by other physician for 2-3 months, we may prescribe stronger medicines accordingly, we may also prescribe a New Diagnostic studies like X-rays or MRI's CT's..etc.
Our Goal Nr 1 is a good pain control, so patient "can go back to his/her life", functioning physically and mentaly better.
Follow up visits are every 4 weeks, which is the maximum time between visits required by the law.Also by law patients need to be monitred once a month while treated with opioids, so, a repetedly prolong intervals between the visits are not encouraged.
ADC Pain Institute of South FloridaWhat conditions we treat?
Most commonly (statistically 85%) patients are suffering of Chronich Intractable pain syndrom due to a Lower back pain, next most common is Tension Headeache.The other 15 % = Neck pain due to radiculopathy, Post trauma or Post complext surgery major joints pain, myofascial pain, Classic Migriane, Chronic cluster headaches, periferal neuropathy, stump pain, fantom pain, causalgias, Reflex sympathetic dystrophy, syndrom of syringomyelia, polymyalgia rheumatica, Fibrositis or diffuse myofascial pain syndrom, Rheumatoid arthritis, Osteoarthritis,Gaut, Lumbar Spondylosis, Spinal Stenosis, Sacralization or lumbarization (transitional Vertebra),Facet Joints Hyperthophy, Ankylosing Spondylitis, plantar fasciatis, hemophiliac arthropaty, burns, pain of psychological origin, like muscle tension,hysterical or hypochondrial. Neuralgias: Trigeminal neuralgias,Postherpetic neuralgias,Tempomandibular TMJ pain and dysfunction syndrom, neurologic origin pain like: HNP or Prolapsed disc, osteophytes, cervical spondylosis, intraspinal tumor, traumatic avulsion of nerv roots,fructure or collapse of vertebrae, traumatic injury of brachial plexus, rotator cuff tear, partial or complete, post repair or before repair, carpal tunnel syndrom, Collagen Disease of the Limbs:Scleroderma, Ergotism, Twefth rib Syndrom, Muscular Tension, Diverticular, and complext=with common compications, Disease of the Colon, Crohn Disease, IBS, Metastastic cancer to bone, multiple types of malignant pain syndroms...SLE , Authoimmune disorders affecting systemic multiple joints, eg Systemic Psoriasis arthralgia type pain, intravertebral tumor,Lymes Ds with arhralgias, Fibromyalgia, PTSD, Anxiety Ds, Panic Attacks,, Neuropathic pain syndroms, like post chemotherapy or post trauma (crush injury or burns). Mental /Psychological patients wellbeing plays immense role in many pain conditions, like: Migrane Headaches, Tension Headeaches, Fibromyalgia, PTSD, Anxiety Ds, Panic Attacks, RSD, Neuropathic pain syndroms, like post chemotherapy or post trauma (crush injury or burns).
Each patient with Migraine Headache, (bilateral, temporal, unilateral, clustrer... will require prior Brain MRI(if not available we may prescribe such MRI) or Prior Neurologist evaluation. Neurologist consultation may not be necessary in each case of a H/A, especially most commonly diagnosed (89% cases of chronic headaches) the tension headache..
As an "complementary", however requaireing extra time,(average Follow up visit with non complicated patient on well established dose of pain medicines and acceptable pain control should not exccede on average ~15 minutes)Dr.Carlson can diagnose and treat a problems like:ADHD, decreased Libido, which could be a common Side effect of long therm opiods use, so called "Low T syndrom";as well as : ED, PMS, 's...and more.Each extra time and /or If, indicated, ADC instruct,even teach- the specific streaches, breathing excersises(demonstration sometimes is necessary)of the particular technic for each individual case.As well as nutritional counselling and weight control - including presciption medications is available in specific cases
ONSITE PHARMACY
- From:A.D.Carlson,M.D.,P.A./ CEO and President
As you all probably know, as of July 1st 2011 doctor offices and clinics can not dispense medications to patients in Florida. So, we do not provide such service.
Excersise and Weight Control
We encourage all patients to practice APPROPRIATE excersises routinly. APROPRIATE means that has to be designed for each individual patient by a professional, who specialize in a: sports medicine, physiatry, physical therapy ...or our doctor who can easily correlate all the aspects of the patients condition: pain syndrom etiology, pathology, level of patients physical fitness, comorbidity ect...
We encourage to continue Physical Therapy if, pt is on such regiment, or was, and knowing what excersises were working for him/her, should continue practice on his /hers own. We shall provide guidence and even supervision , if necessery.
Each patient is treated individually so physical activity shall be individually designed and/or monitored to benefit patients wellbeeing - helping improve theirs physical and mental functioning.
Some patients, like for example patients with chronic lower back pain (most common chronich pain condition). Overweight and obesity are the additional negative factors which will need to be addressed. Any excessive weight shall not only slower the recovery but also puts the patient in much less advantaged position to begin with. Please, if you are the one, do not take it personally, because we will work with you with the same respect, dignity to atchieve your goals.Intensity of the training, however, must be more careflully designed and monitored. Only comorbidity factors: eg diabetes, HTN, asthma, ect... may require adjustment of goals.6
ADC Pain Institute of South Florida
900 NW 13th Street
Suite 302
Boca Raton, FL 33486
ph: 561 362 - 2969
fax: 561 362 - 2970
drcarlso
