Richard Siegfried M.D. - Comprehensive Pain Management

TREATMENTS

At our practice, we utilize the most advanced medical treatments, including the careful prescription and monitoring of medications. We employ effective interventional technology, ranging from spinal cord stimulation to implantable drug infusion pumps, as well as nerve blocks precisely performed with x-ray and CT guidance.

Whether your pain is chronic or acute, Dr. Siegfried draws upon his extensive multi-disciplinary experience to help you discover relief.

We understand. We can help.

PATIENT EDUCATION

Treatment is always more successful when the patient is educated on their condition. This section is dedicated to the education of our patients and will continue to grow.

Below you will find some of the educational tools we provide. Selections will pop up in a dedicated window and begin. The following also require the Macromedia Flash Player plugin.

Interactive Movie - Spine Conditions

TRADITIONAL &
INTERVENTIONAL METHODS

We can employ the latest, most technically sophisticated technology to treat painful conditions. Dr. Siegfried stays abreast of all of the current medical literature and is constantly training in all of the latest techniques. As a former faculty member of one of the most prestigious medical schools in the country, he has access to all of the leading researchers in the field of pain management.

The facilities we use have highest quality, “state of the art” equipment needed to perform procedures in the most precise, most effective and safest manner. This includes that highest quality radiographic imaging devices available. The images generated by these devices are only as good as the person interpreting these images. Many practitioners who use these devices are poorly trained and inexperienced at interpreting the resulting images. Dr Siegfried is expertly trained and has vast experience in this field. In fact, as Director of the pain management postgraduate training program at the College of Physicians and Surgeons at Columbia University, he taught these techniques to doctors in training.

Medical management

Antidepressants
Anticonvulsants
Antiarrythmics
NMDA antagonists
Calcium channel blockers
Topical medications

Radiographically guided
(x-ray and CT scan) spinal injections

Epidural block
-Translaminar (conventional)
-Transforaminal
Selective nerve root block
Facet block
-Intra-articular
-Medial branch
Sacroiliac joint block
Discography

Other radiographically
(x-ray and CT scan) guided injections

Celiac plexus block
Hypogastric plexus block
Stellate ganglion block
Lumbar sympathetic block
Ganglion impar block
Peripheral nerve blocks
Neuraxial blocks (including neurolysis)

Other injections

Trigger point injection
Subcutaneous infiltration

Intravenous infusions

Sodium channel blockers
Alpha blockers
Intravenous regional sympathetic block

Neuromodulation

Spinal cord stimulation
Transcutaneous electrical nerve stimulation

Implantable technologies

Spinal cord stimulation
Spinal drug delivery system

Manufacturer’s Links (Patient Information)

http://www.medtronic.com/patients/pain.html,
http://www.ans-medical.com/patients/index.html

Minimally Invasive Treatment of Disc Disease

Spinal endoscopy (epiduroscopy)
Intradiscal electrothermal annuloplasty (IDEA/IDET)
Percutaneous nucleoplasty

Manufacturer’s Links (Patient Information)

http://www.nucleoplasty.com/dpat/dpat.aspx
http://www.stryker.com/instruments/products/dekompressor/patients.htm
http://www.oratec.com/US/Home.asp

Minimally Invasive Treatment of Spinal Compression Fractures

Vertebroplasty

COMPLEMENTARY &
ALTERNATIVE METHODS

Acupuncture

Approaches
-Classical chinese
-French energetics
-Electroacupuncture
-Auricular

Musculoskeletal Treatments

-Surface Energetics
-Trigger point deactivation
-Tendinomuscular treatment
-Percutaneous electrical nerve stimulation
-Osteopuncture