Pain Management

We focus on your ability to function despite living with chronic pain. Our goal is to help you manage pain so that the quality of your life improves. You should be able to perform your usual daily living activities, work activities, and leisure activities with pain under control. Pain management is important for ongoing pain control, especially if you suffer with long-term or chronic pain. After getting a pain assessment, Dr. Sawhney can utilize non-narcotic pain treatments, or psychotherapy to help with pain relief.

Ramesh Sawhney MD is anesthesiologist, specialist doctor, and pain management doctor who specializes in anesthesiology, interventional pain medicine, and pain management. Dr. Sawhney has been practicing medicine for 33 years and routinely rates in the top 10 Doctors in the tri-state area. He has co-founded The Recovery Spot and has helped hundreds if not thousands of patients to live a pain free life.

In the past decade, strong evidence has been gathered for the benefits of mind-body therapies, acupuncture, and some nutritional supplements for treating pain. Other alternative therapies such as botox, yoga, massage, chiropractic therapies, therapeutic touch, certain herbal therapies, and dietary approaches have the potential to alleviate pain in some cases.

Alternative medications, holistic and adjunctive therapies, as well as counseling and physical therapy can all help to minimize chronic pain.

According to the results of a systematic review published in the Annals of Emergency Medicine, acute pain management in the emergency department with low-dose ketamine may provide pain relief comparable with morphine at 30 minutes, but may be associated with a higher rate of self-limited neuropsychological adverse events.

A new study shows that Botox injections may significantly reduce chronic neck pain when used in combination with physical therapy.

Botox is a purified form of botulinum toxin type A that has long been used to relax muscles and treat uncontrolled muscle contractions caused by a number of medical conditions. In recent years, however, it has become best known as a cosmetic treatment used to lessen the appearance of facial wrinkles.

Researchers say the results of this small study show that Botox may also be a useful addition to physical therapy to relieve neck pain caused by chronically contracted muscles.

Cannabinoids are one of more than 60 chemicals in the cannabis plant. Abrams says it makes sense that marijuana may help relieve pain because the body has cannabinoid receptors, or places where the chemical attaches to cells.

Here is a sampling of research or reviews on cannabis for pain

  • Israeli researchers found marijuana gave substantial pain relief to more than half of 1,200 cancer patients who used it for 6 months.
  • In a review of 16 published studies including more than 1,700 participants with chronic nerve pain, German researchers found that marijuana-based remedies increased the number of people who reported a 50% or more reduction in pain relief. But they also concluded that the risks may outweigh the benefits. People taking marijuana-based remedies were more likely to have sleepiness, dizziness, and confusion.
  • In a small study of 47 patients with Parkinson’s disease, Israeli researchers found a 27% improvement in pain with marijuana use.
  • Medical marijuana helped to ease pain in 26 patients with fibromyalgia, a condition in which the body has ”tender” points. Half the patients stopped taking any other medicines for fibromyalgia, but 30% did have mild side effects.
  • A study from the European Academy of Neurology found that cannabinoids given at various doses eased pain in migraine patients by 40% or more. It helped cut pain in people with cluster headaches, too, but only if the patient had a history of childhood migraine.
  • Marijuana and cannabinoids may have modest effects on the pain and muscle spasticity that come with multiple sclerosis, according to an Australian review that looked at 32 studies.
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