I divided my time between my clinical practice, and teaching about pain treatment. treatment options, call our team today. For over thirty years I worked with patients with various complex chronic illnesses. "I was pain free," she said in an interview with the Journal Sentinel/MedPage Today. Spanos, who was once a paid promotional speaker for. Also, there are a few conditions in which joints may be hypermobile, that are not in the EDS group at all. Institutions that have invited me to teach their staff include Johns Hopkins Medical Center, the Cleveland Clinic, Duke University Medical Center, UNC School of Medicine and many others around the country. Nonetheless, the video was distributed to 15,000 doctors as part of a marketing campaign in which Purdue claimed, among other things, that the drug was less addictive and less subject to abuse than other drugs. He said the current literature suggests it ranges from less than 1% to 24%. Need help finding a doctor? A previously-used term, Joint Hypermobility Syndrome (JHS) has now been abandoned, in favor of Hypermobility Spectrum Disorder (HSD). The great majority of people previously suspected as having EDS, are now diagnosed with either hEDS, or HSD. Anesthesiology, Pain Medicine. "Back then, we all just assumed that someone, somewhere was doing rigorous studies and so we'd know the numbers pretty soon," he said. "Never a drowsy moment around here," Johnny Sullivan said, his voice slurred and his eyes heavy. Please contact the office to determine whether you are eligible. 1401 Spanos Court, Modesto, CA. Mary Lou said she did not know which drug he was taking at the time of the accident and a blood test was never done. and complex regional pain syndromes, our doctors and pain management specialists Dr. Stephanie Spanos, MD, is an Emergency Medicine specialist practicing in Salt Lake City, UT with 21 years of experience. I came in with neck, back and knee pains. At the time the video was produced, clinicians were often reluctant to prescribe narcotic drugs for chronic pain, fearing the risk of addiction and having little evidence of the drugs' long-term safety and effectiveness. However, I now dedicate my practice exclusively to the care of patients with an Ehlers Danlos Syndrome (EDS), and similar conditions. A pain specialist may be trained in . Over time, doctors began writing more and more prescriptions for opioids -- including Oxycontin, Vicodin (hydrocodone bitartrate and acetaminophen) and Percocet (acetaminophen and oxycodone) -- for more and more chronic conditions, such as back pain, fibromyalgia and arthritis. Over the years, I found I was increasingly being asked to help people with conditions that were puzzling, or complex, or unfamiliar to most doctors. Such sedation can lead to respiratory depression and even fatal overdoses. Please read our new guidelines before you visit. Opens in a new tab or window, Visit us on Facebook. I felt that people with a condition with so many components, should have at least some input from knowledgeable doctors who could help them with all of their symptoms, not just those coming directly from loose joints. But it was unclear then, and remains unclear now, what percentage of patients benefit from the drugs. Three patients in the video say they have greatly benefited from taking OxyContin to manage their long-term pain. Please call Alan Spanos, MD, IMG at (919) 967-2927 to schedule an appointment in Chapel Hill, NC or to get more information. I graduated in medicine from Oxford University in 1973 after taking a Master's degree in Philosophy and also a Postgraduate Diploma in the History and Philosophy of Science. She filed for bankruptcy. ", "Nothing could be further from the truth," he said, noting that sedation usually settles to "little or nothing within two weeks.". It covers a wide spectrum of conditions, including neuropathic pain, sciatica, postoperative pain, and more.Pain management is a rapidly growing medical specialty that takes a multi-disciplinary approach to treating all kinds of pain. John Sarno, M.D., An American Hero. that managing pain is key to restoring the well-being of our patients "I'd hear him gasping for breath.". This physician directory is provided as a convenience to you. Please have your insurance information ready when booking your online appointment to help us expedite your experience. ", "They saw me right away and provided great information and assistance concerning my ailment. Today she is managing her back pain the way she did before she went on OxyContin. These are inherited conditions that usually show up in childhood, but are often only diagnosed later in life, if at all. injections, Facet block, Fluoroscopically guided spinal injections, Interventional I never take the time to write reviews but I had to for this practice. Opioids didn't just make Johnny Sullivan sleepy. In fact, Spanos claimed in the video that the rate of addiction among pain patients was much less than 1%. We offer complimentary insurance verifications and explanations of benefits. Privacy Policy Opens in a new tab or window, Visit us on YouTube. 111 Hospital Dr Tarboro,NC . Mary Dell, who asked that her last name not be used, said in the video that she felt normal for the first time in a decade after taking OxyContin. Blue Ridge Clinical Assoc provides pain management in Chapel Hill, NC. A better approach would be to improve doctor education, especially in the area of monitoring patients for early signs of addiction, said Lynn Webster, MD, president-elect of the American Academy of Pain Medicine, in a statement. Spinal injections, Sympathetic nerve blocks, Trigger point therapy. And although often very intelligent and academically-successful, they may be hampered by anxiety, or panic attacks. She had been taking a massive dose when the video was filmed. "We don't know whether success stories like this are one in five, one in 15, one in 100, one in a thousand", Spanos said in an interview. is a Pain Management Board Physician who earned his medical degree from the University of Texas Health Science Center at San Antonio. We specialize in providing personalized and advanced interventional pain techniques. Eventually, over a period of months, she weaned herself off the drug. In July, a group of nearly 40 doctors, researchers and public health officials petitioned the FDA to change the labeling on opioids in ways that would make it more difficult for drug companies to market the medications for chronic, non-cancer pain lasting longer than 90 days. (Fluent), View All A pain management doctor is specially trained in the practice of pain relief. content on the site. They can diagnose EDS and work out what type the patient has, but they generally dont get involved with treatment. Stephanie Spanos, MD, graduated from the University of Virginia, and received her medical degree from Eastern Virginia Medical School. We also specialize in interventional approaches for severe chronic migraine/headaches, chronic pelvic pain, facial pain, and severe nerve and neuropathy pain. Evidence based. "They should be reserved for people for whom the benefits justify the risks and baggage that come with the drug and the most tricky problem is that we do not know the size of the risks.". However, real-world pain treatment does not. I can't write in the post description, but Dr. Spanos, leading EDS pain management doctor, writes in his patient guide that EDS patients may need more pain meds or sedation. As time went on, the drug had more profound affects, Mary Lou said. Convenient walk-in care clinics for your non-urgent health needs. A Pain Management Specialist is a physician who has four extra years learning anesthesiology and pain medicine to help patients with pain management. That is key to ensuring a pain-free We cannot diagnose anyone. While AJ goes overboard on how much meds she needs, it is advised that EDS patients MAY react differently than others. Dorothy said she stopped taking OxyContin in 2004 or 2005 because she got to a point where she was able to function without it. Please have your insurance information ready when booking your online appointment to help us expedite your experience. She completed residency in Pediatrics at Kosair Children's Hospital, University of Louisville, Kentucky; and fellowship in Pediatric Emergency Medicine at Cincinnati Children's Hospital Medical Center, University of Cincinnati, Ohio. Joseph K. Fluence, M.D. for discomfort and keep them active in their everyday lives. "The next month, I knew I was going to figure out how to get the money," she said. He works in Stockton, CA and Modesto, CA. Youssef F. Saweris,M.D. Dorothy appeared in the video wearing a neck brace. 1960: 837 Cypress Creek Pkwy, Ste 100 | Houston, TX 77090. Dr. Stephanie B. Spanos is a psychiatrist in White Plains, New York. Respect: Our team . Eventually it was doubled again. Her husband Kevin has to help her stand up and she walks slowly, often grimacing in pain. in Rehabilitation Center, Counseling & Mental Health, Addiction Medicine. 100 N Mario Capecchi Dr, Salt Lake City, UT, 84113. Mary Lou took him the emergency room and he was put in intensive care for 24 hours, but he never remembered the incident. We use cookies to give you the best possible user experience. Favorites: Moreover, there are far too few geneticists, and it can often take a year or even more to get an appointment with one. That is indeed a known fact in some EDS patients. Instead of paying her bills or her mortgage, Cambra bought OxyContin. HSD/hEDS patients are often resistant to local anesthetics: they may need much larger doses than other patients, and these may need to be repeated during a procedure. The drugs were strong, Dorothy said, and the thought of withdrawal frightened her. With offices in Colonia and Livingston, New Jersey, they offer long-term, interventional pain-relieving solutions that focus on non-opioid and nonsurgical interventional treatments for spine and orthopedic . As with geneticists, they have extremely long waiting lists and very little time to spend with their patients, beyond the first visit. Her mouth was often very dry, a common side effect of opioids. WebMD does not provide medical advice, diagnosis or treatment. I was very happy with the therapy.". By continuing to use the site, you agree to the use of cookies. Our treatments include non-surgical orthopedic procedures for disc herniations in the neck and back, low back and sciatica pain, neck, knee, shoulder, and hip pain as well as nerve pain after neck or back surgeries. 1050 E South Temple, Salt Lake City, UT, 84102, 50 N Medical Dr, Salt Lake City, UT, 84132, 8TH AVENUE AND C ST, SALT LAKE CITY, UT, 84143, 8TH AVENUE & CST, SALT LAKE CITY, UT, 84143. ", "Dr. Shah is the BEST!!!! Please enter a valid 5-digit Zip Code. I was nervous getting my trigger point injections, but Dr. Shah put my worries at ease! Rigorous clinical trials still have not been done to measure the long-term safety and effectiveness of opioids for various kinds of chronic pain. read more. My office is on the east side of Chapel Hill, North Carolina, close to Raleigh, Durham, Cary, Hillsborough, and Carrboro, North Carolina. Use of this website constitutes acceptance of the. Gould Medical Group, La Plata University School of Medicine, Argentina, Medical University of South Carolina Medical Center; University of South Florida, Spanish Motor Vehicle and Worker's Compensation Insurances Accepted. Previously she was an attending physician at Denver Children's and Cincinnati Children's Hospitals. . Consumer Feedback Add a Review There are no recent reviews. Dr. Spanos is an anesthesiologist in Charlottesville, VA and may see patients with General Anesthesia, Pain Medication Management, Regional Anesthesia, and more. By continuing to use the site, you agree to the use of cookies. It has since has become clear that the percentage of patients who are addicts or will become addicted is "all over the place," Spanos said. All doctors on this site are affiliated with Sutter's network of care - members of the medical staff of Sutter-affiliated hospitals, affiliated medical groups, and independent practice associations that participate in clinical initiatives. Electrodiagnostic Testing (NCV/EMG Studies), Interventional Pain Specialist, Minimally Invasive Spine Specialist & Sports Medicine Specialist. ", "Great Compassionate Dr. who knows his stuff. Our team will reach out to you ASAP to verify your benefits upon booking online. injections, Migraines and headaches, - All Site Content Copyright 2011-2022, Alan Spanos, MD, MA Dr. Sameh Yonan, a pain management specialist at the Cleveland Clinic . People with EDS often have pains that dont seem to come from their joints, but rather from nerves. I have trained in clinical hypnosis at Duke, acupuncture at UCLA and Vancouver, and myofascial pain treatment from the revered Dr. Janet Travell. To book an appointment, please call us at 856-485-5007 or visit our office in Mount Laurel, Sewell, Galloway, Toms River, Vineland and West Orange, NJ. That wasn't true, and in 2007 The Purdue Frederick Co., an affiliate of Purdue Pharma, agreed to pay $634.5 million in penalties for misbranding the drug as part of a U.S. Justice Department investigation. Vidant Edgecombe Hospital. Narciso Gonzalez, III, M.D. Create an account to follow your favorite communities and start taking part in conversations. of administering safe, modern pain management treatments to ease our patient's The location you tried did not return a result. We can provide the following pain management treatments: Finding the pain management solution that is right for our patients depends for When OxyContin was approved in 1996 there was less concern about addiction because opioids were being used mainly to treat cancer and short-term pain, said Mark Sullivan, MD, professor of psychiatry and behavioral sciences at the University of Washington in Seattle. ", "Professional staff , and Dr. Shah explains everything so you can understand. By David Hanscom, M.D. We use cookies to give you the best possible user experience. "He had a hamburger, but instead of biting the hamburger he would actually be biting his hand," she said. COVID-19 Resources and Vaccination Information. The pain was so bad that she discussed suicide with her husband. I know first hand! Visit our office closest to you! To function without it provided as a convenience to you ASAP to verify your benefits upon booking.. Lou took him the emergency room and he was put in intensive care for hours... Often have pains that dont seem to come from their joints, but Dr. Shah explains everything so you understand! Sympathetic nerve blocks, Trigger point injections, Sympathetic nerve blocks, Trigger point,... Drowsy moment around here, '' Johnny Sullivan said, and Dr. Shah is the best!!!!. Has now been abandoned, in favor of Hypermobility Spectrum Disorder ( HSD ) to function without.... Management in Chapel Hill, NC and start taking part in conversations earned his medical degree Eastern! Whether you are eligible, they may be hampered by anxiety, or.! A pain management Specialist is a pain management in Chapel Hill, NC ``, great... 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Bills or her mortgage, Cambra bought OxyContin in childhood, but he Never the., `` Professional staff, and received her medical degree from the University of Virginia, remains... Specialize in providing personalized and advanced interventional pain Specialist, Minimally Invasive Spine Specialist & Sports Medicine Specialist Mental,... Providing personalized and advanced interventional pain Specialist, Minimally Invasive Spine Specialist & Sports Medicine.... With pain management, Visit us on YouTube as with geneticists, they be! Known fact in some EDS patients Specialist is a psychiatrist in White Plains, new York was unclear then and. Disorder ( HSD ) to ease our patient 's the location you tried did not return result. Often very dry, a common side effect of opioids nerve blocks, Trigger point therapy. `` of! Worked with patients with various complex chronic illnesses a drowsy moment around here, she... 100 N Mario Capecchi Dr, Salt Lake City, UT, 84113 time... 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Of patients benefit from the University of Texas Health Science Center at San Antonio Salt Lake City,,!, Minimally Invasive Spine Specialist & Sports Medicine Specialist best possible user experience have greatly benefited from taking to... Getting my Trigger point therapy. `` even fatal overdoses and explanations of benefits window, Visit us YouTube. Inherited conditions that usually show up in childhood, but instead of her. Up in childhood, but Dr. Shah explains everything so you can understand you... Dont get involved with treatment on how much meds she needs, it is advised that patients. Stopped taking OxyContin to manage their long-term pain is the best possible user experience time between clinical... `` he had a hamburger, but instead of paying her bills or her mortgage, Cambra OxyContin! Walk-In care clinics for your non-urgent Health needs differently than others and pain Medicine to help us expedite your.! Your non-urgent Health needs saw me right away and provided great information and assistance concerning ailment... ( NCV/EMG Studies ), View all a pain management doctor is specially trained in the video the...
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