Milwaukee Pain Treatment Center
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Learning more about the treatment of:

Nerve Pain | Neck Pain | Headache Treatment | Back & Lumbar Pain

Taking aim at Nerve Pain
While the exact number is unknown, many Americans - perhaps over 3 million - experience neuropathic pain, which results from a nervous system malfunction set off by nerve damage from diseases such as diabetes, trauma or toxic doses of drugs.

For years, neuropathic pain has baffled scientists. Traditional pain treatments, including powerful medications such as morhpine, rarely help. Descriptions of neuropathic pain by patients typically include words such as "burning", "shooting", "stabbing", or "electric-like" and not "aching" or "crushing". The distribution of pain will be along the course of a particular peripheral nerve or a group of nerves of similar length.

Starting in 1988, researchers began to identify animals models that mimic the clinical signs of the ailment. For example, one rat model with nerve injuries has a super-sensitive reaction to a hair tapped on its hindpaw. The rat will quickly jerk away. Some people with neuropathic pain experience a similar reaction. For them, the tickle of a hair can translate into a long-lasting, burning pain.

Dr. Stein offers a variety of treatments that can help reduce neuropathic or verve pain. He uses advanced medial management, sympathetic blocks, spinal cord stimulation and intrathecal pumps.

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Neck Pain
For many people, neck pain is a temporary condition that disappears with time. Others need medical diagnosis and proper treatment to relieve their symptoms.

Neck pain my result from soft tissue abnormalities in the muscles, ligaments and nerves as well as in bones and joints of the spine. The most common causes of neck pain are injury or prolonged wear and tear. In rare cases, infection or tumors may cause neck pain.

Degenerative diseases that cause neck pain include osteoarthritis and rheumatoid arthritis. osteoarthritis usually occurs in older people as a result of wear of the joints between the bones in the neck. Rheumatoid arthritis can cause destruction of the joints of the neck. Both of these major types of arthritis can cause stiffness and pain.

Cervical disc degeneration also can cause neck pain. The disc acts as a shock absorber between the bones in the neck. In cervical disc degeneration (typically over age 40), the normal gelatin-like center of the disc degenerates and the space between the vertebrae narrows.

Auto accidents, contact sports and falls may cause neck injury. A "rear end" automobile collision may cause hypertension, or backward motion of the neck beyond normal limits, or hyper flexion, forward motion of the neck beyond normal limits. Call Dr. David I. Stein immediately if your neck pain is:

  • Severe
  • Continuous & persistent
  • Accompanied by pain radiating down the arms
  • Accompanied by headaches, numbness, tingling or weakness

Dr. Stein offers a variety of effective treatments, including cervical facet injections, radiofrequency, epidural steroid injections and cervical nucleoplasty that can help reduce your pain or eliminate it entirely. Dr. Stein is one of the few physicians in Wisconsin currently offering cervical nucleoplasty.

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Headache treatment
Most Americans suffer from headaches at least once a year (90% of men and 95% of women). There are four types of headache: vascular, muscle contraction (tension), traction and inflammatory. The most common vascular headache is the migraine.

Migraine headaches often come with severe pain on one or both sites of the head, upset stomach and even disturbed vision. Migraine headaches may last a day or more and can strike as often as several times a week or as rarely as once every few years. Women are more likely than men to get migraines.

After migraine, the most common type of vascular headache is the toxic headache produced by fever. Other kinds of vascular headaches include "cluster" headaches, which cause repeated episodes of intense pain, and headaches resulting from high blood pressure.

Muscle contraction headaches appear to involve the tightening or tensing of facial and neck muscles. Traction and inflammatory headaches are symptoms of other disorders, ranging from stroke to sinus infection. Like other types of pain, headaches can serve as warning signals of more serious disorders. This is particularly true for headaches caused by inflammation, including those related to meningitis as well as those resulting from diseases of the sinuses, spine, neck, ears and teeth.

When headaches occur three or more times a month, preventive treatment is usually recommended. Drug therapy, biofeedback training, stress reduction and elimination of certain foods from the diet are the most common methods of preventing and controlling migraine and other vascular headaches. Regular exercise can also reduce the frequency and severity of migraines. Drug therapy for migraine is often combined with biofeedback and relaxation training.

Not all headaches require medical care. Some headaches are signals of more serious disorders and call for prompt medical attention. These include sudden, severe headache or sudden headache from a stiff neck, headache associated with fever, convulsions, confusion or loss of consciousness, headaches following a blow to the head or associated with pain in the eye or ear, persistent headaches in someone who was previously headache free and recurring headaches in children.

Dr. David I. Stein has treated thousands of headache sufferers with a variety of treatments and very good results.

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Back & lumbar pain
Four out of five (80%) of American adults experience back pain sometime during their lives. That's millions of Americans who suffer from chronic back pain and the lost mobility it causes.

Back pain is one of the most common (and most costly) ailments in our society. The cost of treating back problems, time lost from work, insurance, therapy and surgery runs into the billions of dollars.

Back pain can be a nuisance. Or it can be quite disabling.

Dr. David I. Stein can help tremendously. He is dual-board-certified anesthesiologist and pain medicine specialist dedicated to relieving pain and getting you back to your life again. And his rehabilitation team includes a highly trained physical therapist. Among the many treatments we use are:

  • Medical management
  • Physical therapy
  • Physical therapy modalities
  • Epidural steroid infections
  • Epidural lysis of adhesions
  • Selective nerve root injections
  • Discography - cervical, thoracic, lumbar
  • Facet & medial branch blocks
  • Sympathetic & peripheral nerve blocks
  • Joint injections - hip, knee, shoulder
  • Cervical & lumbar radiofrequency lesioning
  • Cervical & lumbar nucleoplasty
  • Lumbar mechanical decompression - Nucleotome
  • Lumbar Dekomressor & laser disc decompression
  • Spinal cord stimulation
  • Intrathecal pumps
  • Sacro-iliac Joint Injections
  • Opoids

Dr. Stein helps patients overcome their back trouble and avoid future back problems through a variety of advanced therapies. Most patients are able to avoid invasive surgery and large doses of medication. He uses the most advanced nonsurgical and minimally invasive surgical treatments for chronic and acute pain. He also has vast expertise and experience in rehabilitation for all kinds of back and lumbar injuries, and his techniques often result in less time off from work.

He always puts patients first. If you have not responded well to other treatments and therapies, you may experience significant pain relief through his comprehensive therapies and personal care.

Call and take advantage of the most advanced, most complete and compassionate spine and back care in the country.

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The information contained in this website is for educational purposes only. A history and physical examination in person by Dr. Stein IS REQUIRED before any diagnoses or treatment recommendations are given.