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Pain Mapping

Pain mapping is a groundbreaking process using state-of-the-art tools, that allows for the precise pinpointing and isolation of back and neck pain. When a nerve becomes irritated, it can be challenging to find the exact pain source and in many cases MRIs or CT scans are not adequate. At Lumin PainCARE we use real-time, medication-filled X-ray injections to find the specific nerve causing the pain.  This procedure is highly successful and only available in a few places in Dallas/Fort Worth. It must be performed by a trained physician.

In general lower back pain is the number one pain problem seen in pain clinics.  The cause of lower back pain can be difficult to diagnose and the pain source can be problematic to identify with the conventional methods. Spinal pain mapping is a sequence of well-organized nerve blocks.

Pain signals are generated from nerve roots and travel neural pathways through our body. Pain signals are generated when nerve roots are compressed, the pain can be felt in different areas throughout the body.

For example patients with lumbar disc problems, will report pain radiating into one or both legs. This is because the nerve roots that travel to our legs exit our spine in the lumbar chain. Many times chronic back pain patients present with several painful areas resulting from pathology at multiple levels. Additionally, many patients may have facet joint and disc problems as well.

Locating the source of a patient’s pain is a key step in the Lumin PainCARE treatment process. The pain mapping procedure helps our pain management experts to more accurately identify the source of the pain and increasing the chance of pain relief.

To accurately find the cause of your pain, the pain mapping procedure may include creating the pain in a specific location, and then temporarily treating the pain. Based on a variety of factors the pain mapping treatment will be determined by the physician, based on your medical history, MRI and symptoms.

To help identify the source of the pain, the physician may use injected dye and imaging to “see” what is happening when the pain is induced. To confirm that the pain will go away if that target area is treated, the physician may also administer a Selective Nerve Root Block (SNRB).

Neurostimulation may also be applied to selected locations. While under twilight sedation, the patient is comfortable yet aware enough to respond to the physician to precisely diagnose the origin of pain.

The results of the pain mapping diagnostics will help determine the course of treatment.

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