Pain Is Not Child's Play



Head, shoulders, knees, and toes. The refrain of that children's song could just as easily refer to many places where adults feel pain. Migraines, rotator cuff injuries, knee tendon ruptures, and plantar fasciitis are only a few of the pains that can be present in our head, shoulders, knees, and toes.

Pain is the No. 1 reason why Americans seek health care, and more Americans suffer from pain than from diabetes, heart disease, and cancer combined, according to the National Institutes of Health (NIH).

In addition, chronic pain, or pain lasting more than 12 weeks, can lead to many other health problems including sleep disorders, limited movement, and depression. Chronic pain can also take longer to eliminate and may require more diagnostic steps and treatment approaches. The longer one waits, the more treatment the problem requires. Pain takes many forms, and it's important to know that there are professionals who specialize in pain management.

And here's the good news: In the Detroit area, there are a host of professionals whose job it is to help eliminate pain. From neurological centers that can diagnose migraines, to laser specialists who can blast away shoulder pain, to physical therapists who can strengthen post-surgical knees, to podiatrists who can diagnose and treat foot disorders, it's likely that if you have pain, they can teach you how to get rid of your body's unwanted guest.

Stress is often cited as a reason for pain. While stress can amplify pain, it's important that your medical professional draws the line between an actual diagnosis and what may be subjective. Although pain is highly subjective, there is no doubt that it deserves proper management.

On the following pages you'll find information about pain management specialists who do what they do because they know that unless pain is eliminated, nothing else in your life is quite in tune.

Oakland MRI

Q: Where can I find out what is causing my pain?

A: The MRI is the foundation on which your doctor bases your diagnosis.  It involves taking a detailed picture of your body in the place where it hurts. Oakland MRI's premier technology ensures that your physician gets the most accurate picture possible, because if one detail is overlooked, even the best treatment will leave you hurting. Pain can cause everything in your life to grind to a stop, and that's why a patient-centered experience is at the core of Oakland MRI's philosophy. Oakland MRI has a C-arm suite where arthograms, discograms, and myelograms are performed, and it's one of only a select few independent diagnostic facilities that has the software to read the diagnosis for breast MRIs.

Interpretations of your scans are prompt and precise, and done by board-certified radiologists. After your scan, your physician has immediate access to the results via our secure website. That means there's zero delay in helping you become pain-free as quickly as possible.

Oakland MRI offers convenient scheduling, including same-day and next-day appointments. Because injuries don't happen on a schedule, Oakland MRI also has late hours.

Physicians can be confident that, when they choose Oakland MRI, they are taking the most important step toward helping their patients live pain-free. Oakland MRI sets the benchmark for accurate imaging, professionalism, and patient comfort. Choose the best.  Choose Oakland MRI.

Oakland MRI

Open MRI/MRA & Digital X-Ray
5119 Rochester Road, Troy
MI 48085
Phone: 248-740-0777
Fax: 248-740-9777

Dr. James Herman

Q: Do all patients with herniated discs require surgery?

A: The answer is no! In fact, most patients with herniated discs will make a complete recovery without surgical intervention. During an initial examination, attention must be focused on whether or not there are any neurological findings that would require a neurosurgical consultation. Once a patient has given their history and undergone an examination, a conservative treatment plan can be chosen to alleviate sciatic (leg) or brachial (arm) involvement, as well as ongoing back or neck pain. Treatment ranges from gentle, specific spinal manipulation along with other physical measures, to decompression on the DRX 9000 — a state-of-the-art piece of equipment specifically designed to treat disc problems. To find out more, contact

Dr. James Herman

James Herman, D.C., D.A.B.C.O.
Chiropractic Orthopedics
6431 Inkster Road, Suite 220
Bloomfield Township, MI 48301
Phone: 248-539-0100
Fax: 248-539-0110

Crittenton Hospital Medical Center

Q: Do you suffer from back or neck pain?

A: If you do, you are not alone — back and neck pain have almost become an epidemic in the U.S. In fact, lost time at work and ongoing frustration related to chronic pain has placed a major cost burden on employers and health care.

Medications delivered to specific areas in the spine, known as epidural injections, often work quite well. Unfortunately, though, not every problem responds to these types of treatments — and that's caused the field of pain medicine to grow in its understanding of different pain generators in the neck and back.

There are multiple groups researching and publishing their results in medical journals and sharing their new information with medical societies, setting high standards for physicians who become pain specialists and have advanced training in the field of pain medicine.
Fortunately for metro Detroiters, there is a full-time pain management clinic on the campus of Crittenton Hospital Medical Center. Drs. Spencer T. Bertram and Glen Gehrke are the University of Michigan fellowship-trained and board-certified specialists who are heading up the pain management program.

The pain physicians coordinate and communicate with primary care doctors, spine surgeons, physical therapy doctors, and neurologists to find treatments that are unmatched anywhere in the region and are tailored to each individual patient.

Crittenton Hospital Medical Center

1101 W. University Drive
Rochester, MI 48307
Phone: 248-652-5000
Fax: 248-601-6133

The DeClaire Knee & Orthopaedic Institute

Q. What is MIS?

A: Minimally invasive surgery, or MIS, utilizes small incisions and methods of surgery that provide less trauma to tissues, resulting in lower complication rates, less scarring, less blood loss, and less pain. In addition, because the procedures are not overly complex, recovery time is reduced. Dr. Jeffrey H. DeClaire specializes in minimally invasive surgery of the knee, in what can best be described as “medicine for movement.” While a patient's treatment is intended to make them strong and more mobile, Dr. DeClaire believes in finding the least invasive approach possible to preserve the normal knee. Dr. DeClaire, who works with surgeons from around the world to create new techniques and procedures, also devotes time to conducting clinical trials on the latest knee components and procedures.

Dr. DeClaire's state-of-the-art facility at the Crittenton Hospital Medical Building includes the Movestrong program, which gives patients an opportunity to achieve fitness and increased function in a supervised environment. Dr. DeClaire strives to diagnose, treat, and care for patients until their knee or joint is in an optimal state of health.

The Declaire Knee & Orthopaedic Institute

Jeffrey H. Declaire, M.D.; Jignesh Patel, D.O.
1135 W. University Dr., Ste 450
Rochester Hills, MI 48307
37771 Schoenherr, Ste 101
Sterling Heights, MI 48312
Phone: 248-650-2400
Movestrong™ 248-601-MOVE (6683)

Q: What makes BlastPain unique and different from other pain management clinics?

A: Two things. First and foremost, BlastPain offers a revolutionary and globally exclusive form of laser therapy that is unique among other forms of invasive and noninvasive pain management. Most pain management clinics use an invasive approach requiring painful injections and/or surgery, and many of them come with a prescription for drugs. Noninvasive approaches such as acupuncture or acupressure do not address healing and, therefore, do not relieve pain at its source. Because our body's cells respond to light, and because healing occurs at the cellular level, it's important to note that the BlastPain laser reaches damaged cells and actually alters them in a way that makes cells more responsive to healing and pain relief.

Second, BlastPain is the only pain management center with a comprehensive approach to identifying the sources of pain. The procedure takes steps not only to remedy the source of a patient's pain, but to help prevent pain from returning. John Wharton, former Detroit Red Wings head trainer, is BlastPain's wellness coordinator. Wharton consults with every new patient and helps identify underlying contributing factors such as muscle imbalance or weakness, and lifestyle or nutritional deficiencies. Throughout the course of the BlastPain laser treatments, Wharton is available to provide soft-tissue therapy, exercise prescriptions, and nutrition analysis.

Wharton joined the BlastPain team after being treated for a torn tendon in his arm. He was so impressed with the results he received, he wanted to be part of BlastPain's revolutionary laser treatment modality while bringing his experience and skills to other patients. The BlastPain laser gets better results than other treatment options — so much better, in fact, that BlastPain offers an initial consultation and the first treatment for free. provides confident treatment without drugs, injections, or surgery.
Pain Management
6585 Rochester Road, Suite 103
Troy, MI 48085
Phone: 248-879-1100
Fax: 248-879-1288

Michigan Spine Institute

Q: What do you do when you've had a spinal fusion and you still have back and leg pain?

A: There are many treatments that can help reduce and eliminate back pain, says neurosurgeon Steven Rapp, M.D., of Michigan Spine Institute and Pain Management.

Patients who undergo spinal fusion find their pain has been alleviated, but a common risk is that the spinal column above and below the fusion can cause back pain later on. Without proper pain management, this can lead to chronic pain that becomes so intense, it has an impact on all areas of a patient's life.

Back pain affects millions of people. People who have had spinal fusion tend to think that there is no other option for their pain; they simply give up and live with it. Unfortunately, even when back pain is only mild, it can stop you from enjoying normal, daily life.
Fortunately, there are many treatments that can help reduce and eliminate back pain. Michigan Spine Institute and Pain Management provides comprehensive, state-of-the-art treatment with clinicians specifically trained and experienced in treating chronic pain.

The goal of pain management is to help decrease your level of pain, restore your maximum level of functioning and independence, and redefine your quality of life.

All too often, people see pain management as a last resort instead of a first stop on the road to wellness. At Michigan Spine Institute and Pain Management, we will work to identify and alleviate pain before it becomes a chronic problem.

Michigan Spine Institute

Steven Rapp, M.D., F.A.C.S.
5220 Highland Rd., Suite 210
Waterford, MI 48327
Phone: 248-383-1030
Fax: 248-383-1031

Pilates Fitness & Physical Therapy Center

Q: Why is Pilates-based physical therapy becoming the choice in rehabilitation?

A: Pilates-based physical therapy is designed to work the entire body and build your core. In Pilates-based physical therapy, each client is given a treatment plan that's been specifically designed for their individual needs — not a one-size-fits-all treatment plan based on a diagnosis. Pilates is gentle yet effective in rehabilitation.

If you have ever undergone a physical therapy regimen, you know that most conditions require 12 or more visits. In fact, therapy can take months. Not so at Pilates Fitness & Physical Therapy Center in Southfield. Here, we can effectively treat most conditions in just six to eight visits, thanks to the unique combination of hands-on physical therapy and Pilates. Pilates-based physical therapy simply works better.

Most clients using Pilates Movement Therapy find relief from pain while recovering from the types of trauma and injury experienced because of accidents, or due to chronic pain. Pilates focuses on working the muscles from the inside out, and layers of muscles in the torso are trained to protect the lower back. This allows the body to perform movements with ease and fluidity. Pilates is often the most permanently effective tool because it addresses and strengthens the entire body and its core musculature while promoting new neuromuscular patterns.

Pilates also decompresses the neck and back while addressing the deterioration of  range of motion in the joints and the lack of muscular flexibility, which can often help alleviate pain. While Pilates addresses specific-site injury during rehabilitation, oxygenation and circulation within the body work together to help the healing process and attain a patient's overall goal of pain relief. Once that is achieved, Pilates can be effective in preventing re-injury and may also be used as a fitness routine to maintain progress.

Pilates Fitness & Physical Therapy Center

Ron Jegadeesh, PT, MBA
Orthopedics, Rehab Pilates
17418 West 10 Mile Road
Southfield, MI 48075
Phone: 248-552-1012
Fax: 248-552-0657

Michigan TMJ Headache Institute

Q: What's the difference in how clinics treat pain?

A: Many facilities treat pain associated with the head and neck, yet it is the Michigan TMJ Headache Institute that finalizes a diagnosis and finds the root of pain associated with headaches, facial pain, tinnitus, and other conditions. Once a cause and diagnosis are established, Michigan TMJ works closely with other specialists to treat the issue, and guarantees the treatment outcomes. Michigan TMJ is not in business to experiment or because it hopes something will work. The staff knows what to expect before beginning any case because they have treated thousands of patients over the last 23 years, and they have seen what works and what does not.

Michigan TMJ/Headache Institute

John Halmaghi, D.D.S., F.A.G.D.
Migraine, Headache, Facial Pain
30003 Southfield Road
Southfield, MI 48076
Phone: 248-646-1642  

Michigan Head & Spine Institute

Q. What nonsurgical options are available to relieve neck and back pain?

A: The physiatrists of Michigan Head & Spine Institute (MHSI) specialize in the nonsurgical evaluation and management of low-back pain and neck pain. They work to improve a patient's functional skills and, thus, their quality of life. Central to this is the elimination and management of pain. Physiatrists also diagnose various neuromuscular disorders with electrodiagnostics, which provide information on how the nervous system functions.

Using conservative, nonsurgical tools and minimally invasive treatments, pain management and exercise-based rehabilitation therapy physiatrists treat various musculoskeletal (muscles and bones) and neurological (nervous system) disorders, including arthritis, back pain, work- and sports-related injuries, fibromyalgia, brain or spinal cord injuries, post-stroke treatments, and brain and spine injuries. They also work with amputees and help them deal with the specific issues they face.

The physiatrists of MHSI include Robert P. Farhat, D.O.; Natalia V. Glisky, M.D.; Henry C. Tong, M.D., M.S.; Sophia Grias-Radwanski, M.D.; and Ingrid Chua-Manalo, M.D.

In addition to relying on their own expertise, which they have gained over many years, the physiatrists of MHSI partner with neurosurgeons to treat neck or back problems that can't be resolved with nonsurgical or minimally invasive options. The physiatrists work collaboratively with the appropriate neurosurgeon to help the patient regain functionality.

MHSI is one of the largest neurosurgery/physiatry medical practices in the country. If you're seeking conservative and minimally invasive techniques to relieve pain, you owe it to yourself to make an appointment with a physiatrist, or physical medicine and rehabilitation (PM&R) specialist. While the American Medical Association has recognized physiatrists since 1946, their role is often misunderstood — except by those who have benefited from their expertise. At MHSI, the physiatrists make every effort to find a solution to your pain that considers your lifestyle, your level of activity, and your desired quality of life.

Michigan Head & Spine Institute

Robert Farhat, D.O.; Natalia Glisky, M.D.; Sophia Grias-Radwanski, M.D.; Henry Tong, M.D., M.S.; Ingrid Chua-Manalo, M.D.
Main Address:
29275 Northwestern Hwy., Ste 100
Southfield, MI 48034
Additional Locations:  
46325 W. 12 Mile Rd., Suite 100
Novi, MI 48377
43475 Dalcoma Dr., Suite 150
Clinton Twp, 48038
3577 West 13 Mile Rd., Suite 206
Royal Oak, MI 48073
6200 Haggerty, Suite 200
Canton, MI 48187
Phone: 877-784-3667
Fax: 248-869-3968
Hospital Affiliation: Beaumont Health System, St. Joseph Mercy - Oakland, Providence Hospital

Sherunda S Josey, D.P.M., M.P.H. - Foot HealthCare Associates

Q: How can I wear my favorite shoes and do my favorite activities without experiencing pain in my feet?

A: Many people deal with chronic foot pain, especially on the balls of their feet. Foot pain can prevent us from wearing our favorite shoes — it can even prevent us from doing the normal activities of daily living. The podiatrists at Foot HealthCare Associates realize that foot pain can be debilitating and life-altering.

To approach foot pain management, our skilled podiatrists perform a thorough history and a detailed physical examination; X-rays are taken as needed. Often, there is atrophy to the fat pad on the ball of the foot, which leads to painful bony prominences. When treatments such as padding, orthotics, and injection therapy are unsuccessful in relieving foot pain, there is still one other conservative in-office procedure that provides immediate relief.

Sole-Fill™ is an in-office procedure that uses bioabsorbable dermal filler to promote the production of the body's own collagen. Sole-Fill™ provides relief for up to six to 12 months.

The podiatric foot and ankle surgeons at Foot HealthCare Associates are the only podiatrists in the greater Detroit area to offer this exciting treatment.

Foot HealthCare Associates

Podiatric Surgery
Neal A. Mozen, DPM, FACFAS, CWS, Thomas Belken, DPM, Sherunda Josey, DPM, MPH, Bryan C. West, DPM, FACFAS, CWS, Laal Zada, DPM
18161 W. 13 Mile Rd. Suite D-2
Southfield, MI 48076
Phone: 248-258-0001
37595 Seven Mile Rd. Suite 370
Livonia, MI 48152
Phone: 734-542-9305
26850 Providence Parkway Suite 502
Novi, MI 48374
Phone: 248-662-4350
Hospital Affiliations: Providence Hospital – Southfield & Novi, Botsford General Hospital - Farmington Hills, MI, Grace\Sinai Hospital - Detroit, MI, St. Joseph Mercy Hospital - Pontiac, MI, St. Mary Hospital, Livonia, MI, Beaumont Hospitals

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