Comprehensive Orthopedic Management


  • Sports Medicine
  • Arthroscopic Surgery
    • Rotator cuff repairs
    • ACL reconstructions
  • Total Joint Replacement
    • Minimally invasive procedures
    • Patient specific knee replacements
    • Computer assisted joint replacements
    • Anterior approach hip replacements
  • Carpal Tunnel Surgery
  • Fracture management
  • Worker's Compensation Cases

 

Comprehensive Pain Management


  • Interventional Spine
  • Ultrasound guided injections
  • Botox injections for:
    • Chronic Migraines
    • Upper limb Spasticity
    • Spasmatic Torticollis

Back Pain

Back pain is one of the most common medical complaints and also one of the most debilitating chronic conditions. Whether a result of heavy lifting or a bulging disk, back pain can sideline people of all ages and activity levels. Key to pain management is finding the root cause of the pain; however the complexity of the spinal column and the number of nerves, muscles, and bones involved make pinpointing the cause of back pain very tricky. Types of back pain can be categorized by location, with lower back pain, neck pain, and sciatica all involving different elements of the spine. All of these common conditions can be treated with a combination of pain management techniques and surgical intervention.

Acute and Chronic Lower Back Pain

Woman in Garden

Consisting of the five largest vertebrae of the spinal column, the lumbar spine makes up the lower back and is responsible for supporting the most body weight of all vertebrae. Consequently, the lumbar spine is also responsible for the most common type of back pain &ndash acute lower back pain. The muscles surrounding the lumbar spine can be easily strained or pulled by improper lifting techniques, overexertion, or obesity. Because these muscles are involved in most movements and actions, acute lower back pain is a debilitating condition. Pain management techniques include weight loss, back strengthening exercises, anti-inflammatory medication. If you are experiencing any of these symptoms, you may want to consider a consultation with a pain management specialist.

When back pain does not seem to improve on its own or it becomes chronic, imaging techniques can often help to locate the source of the pain. Then along with careful history taking and physical exam certain interventional procedures may be offered to you to help alleviate your pain. See below for a complete list of interventional procedures performed.

Sciatica

"Sciatica" refers to inflammation of the sciatic nerve. The sciatic nerve is formed by the lumbar and sacral nerve roots at the base of the spine in the lower back. Like all nerves, the sciatic nerve functions as a two-way street. It relays messages from the brain to the lower extremities and transmits sensory information from the legs up to the brain. When the sciatic nerve is compressed by a herniated disk or affected by other conditions such as spinal stenosis, spondylolisthesis, or piriforms syndrome, the nerve's interactions with the brain are be impeded. This results in pain and sometimes weakness in the thigh or leg muscles. Treatment for sciatica often involves finding the root cause of the pain and may involve anti-inflammatory drugs and muscles relaxers as methods of pain management. An epidural steroid injection is offered when simple measures do not rid the patient of pain and the cause of pain is from an irritated nerve in the spine.

Neck Pain

Whiplash is often caused by a sudden "whipping" of the neck and is a common cause of neck pain. The most common treatment for whiplash involves immobilization of the neck with a brace in order to allow the injured muscles and ligaments to heal. Anti-inflammatory medications may be prescribed. Likewise, trigger point injections can often offer pain relief. Trigger point injections include injecting a small amount of local anesthetic (or numbing medicine) into the painful muscle. Often this effort aborts the painful spasm in the muscle.

Neck pain can also result from holding the neck at an awkward angle for an extended period of time. When the muscles and ligaments connected to the cervical vertebrae stretch or tear, any movement of the neck can produce sharp pain.

When neck pain becomes chronic and or severe, imaging techniques may be order to help locate the source of pain. After reviewing the patients history, exam findings and imaging results, interventional pain injections can be offered to the patient to help alleviate pain.

Contact Us

Pontchartrain Orthopedics
and Sports Medicine

Metairie: 504-885-6464
Destrehan: 985-764-3001
Boutte: 985-764-3001

Testimonials

Pontchartrain Orthopedics and Sports Medicine
  • The arthritis in my knee had become unbearable. The doctor’s and staff at Pontchartrain Orthopedics and Sports Medicine were caring and helpful from diagnosis through my knee replacement surgery rehab.
    – Lindsay E.

  • I hurt my shoulder in a wrestling match. Dr. Haddad was able to quickly diagnose, treat my injury, and get me back on the mat.
    – Brian P.