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If there is an urgent need for medical help, please call your local Emergency Room as needed.
Massage therapy treatment may be completed by a masseuse or physical therapist. It is one of the oldest and more effective treatments used to help relieve pain, reduce swelling, reduce muscle spasms by relaxing muscles, and to speed healing. Frequently it is used as an addition to other modalities included in a treatment program developed for specific diagnoses.
TENS (Transcutaneous electrical nerve stimulation) is an electrical nerve stimulation treatment that utilizes a small device which can often times be taken home and used during normal activity. This device delivers mild electric impulses to the nerve to relieve pain.
Injection treatments may include therapies such as epidural injections and nerve block injections, which may provide relief and reduce inflammation. This type of treatment involves the injection of medication to specific tender points located various muscles that may be the source of significant musculoskeletal pain. Usually it involves minimal discomfort while providing significant pain relief.
Injection treatments include:
Epidural Injections - Placement of anti-inflammatory medication into the epidural space of the spine to reduce disc and nerve inflammation producing relief.
Nerve Block Injections - Procedure using local anesthetic and anti-inflammatory medication injections given near a specific nerve or group of nerves to relieve pain. A variety of nerve blocks can be performed including
Greater Trochanter, Therapeutic, Caudal, Lumbar Sympathetic, Transforaminal, Celiac Plexus, Stellate Ganglion, Paravertebral Facet. Sacroiliac, Intercostal
* These treatments are not typically done in the office but are usually done under fluoroscopy (x-ray). Our patients have the distinct advantage of being referred to physicians that are known to have the greatest experience and the best techniques that will ensure the best results and greatest pain relief. However, Dr. Williams will gladly refer his patients to the place of their choice.
Diagnostic services include medical evaluation and physical examination, electrodiagnostics (EMG/NCS), appropriate referrals for diagnostic imaging, X-rays, MRI scans, CT scans, and bone scans.
Accupressure treatment is essentially the same treatment related to acupuncture. However, it is a non-invasive procedure without the use of needles and is accomplished by applying small amounts of pressure at specific points on the skin.
Originating in China more than 4,000 years ago and now used worldwide, acupuncture is an ancient method of treating medical problems by restoring balance. Based on the belief that pain states arise when the body's "chi" (or inner energy) is out of sync, acupuncture involves inserting extremely thin, flexible needles of varying sizes into certain points of the body to restore the balance of chi and treat pain states.
Acupuncture is one of the safest treatments in all of medicine. Most people find it to be painless and often don't even notice the needle insertion. Other patients report a deep "grabbing" sensation after the needle is inserted, which is called "de qi" or "grabbing of the chi." Some patients may benefit from treatment immediately. Usually, full therapeutic effects may be felt after five - six treatment sessions.
Acupuncture is given on an outpatient basis. It involves the insertion of very small needles into the skin at specific points on the body to relieve pain. This treatment is usually completed with very minimal discomfort.
The patient’s diagnoses and physical condition determines the need for physical therapy. The patient’s condition may often improve with the addition of appropriate therapy modalities which will decrease pain and increase physical function including strength and motion. Frequently, physical therapy is used to improve/optimize the patient’s ability to return to normal daily activity. Physical therapy is frequently used in combination with other forms of treatment such as medications and injection therapy.
Medications may be prescribed to treat specific problems. Medications may include opioid/narcotic, NSAIDs, muscle relaxers, and other medications needed to treat specific diagnoses.
Our Mission Statement
Our mission at Louisville Physical Medicine is to deliver patient-centered care with compassion and excellence.