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Some people say pain makes you stronger, but millions of Americans who suffer from aching, throbbing, debilitating chronic pain can only hope that it stops. Unrelieved pain can keep you up at all night or send you spiraling into depression. It depletes your energy and impairs your ability to concentrate. Chronic pain can interfere with your daily activities, your ability to work, and your overall well-being.
Metro Detroit pain management physicians and therapists offer relief and hope using nonsurgical, drug-free treatments. Chiropractic adjustments can take pressure off of pinched nerves, while Pilates-based physical therapy decreases wear and tear on joints. An interdisciplinary rehabilitation program melds physical and occupational therapies with education on coping skills. Innovative stem cell therapy and platelet-rich plasma treatments can help repair and rejuvenate damaged tissues.
With the opioid epidemic on the rise, talk with your health care providers to explore alternative treatments for a better quality of life. Pain-free days make you stronger.
Q: I’ve been told to “man up” and visit a dentist. The trouble is, my teeth don’t seem to get numb with an injection and I don’t like the sound of the drill. A dental appointment is a real pain. How can I get a great new smile without feeling discomfort in the dental chair?
A: If you could fall asleep wrapped in a warm blanket on a soft, Tempur-Pedic cushion and wake up to a younger, healthier, more attractive smile, would you do it? That’s how easy it can be to transform your smile at the award-winning Cosmetic Dentistry Institute.
For people who are apprehensive about going to the dentist, sedation dentistry is a wonderful solution. “You can be completely relaxed while having a series of complex dental problems taken care of in as little as one visit. Sedation is great for those who have pain in areas of their body that make it difficult to sit in a dental chair,” says Dr. Craig Goldin, who has advanced training and certification in IV sedation.
Drs. Craig and Marcy Goldin and Dr. David Whalen are skilled in advanced numbing techniques and dental pain management. They’re trained to help patients with jaw or TMJ pain, chronic headaches, and tooth pain.
“If you’re uncomfortable having your teeth cleaned, be assured that our hygienists are skilled in the use of laughing gas and local anesthesia for a more relaxing experience,” notes Dr. Marcy Goldin, an adjunct clinical lecturer at the University of Michigan School of Dentistry. “Our beautiful office is nearly 6,000 square feet of the most advanced dental technology, along with soothing, spa-like amenities. Whatever dental needs you have, your visit will be efficient and high-tech, as well as comfortable and painless.”
The Cosmetic Dentistry Institute offers all phases of general, cosmetic, sedation, and implant dentistry, so you can have all of your dental problems conveniently treated in one office.
“If you have mouth pain from hopeless teeth, Teeth Tomorrow Prettau zirconia implant bridges are a life-changing alternative to traditional dentures. We provide an array of the latest dental techniques, including porcelain veneers, one-visit CEREC porcelain crowns, Oral Appliance Therapy to treat sleep apnea for those who can’t tolerate a CPAP, Invisalign invisible braces, Fastbraces, and dental implants,” says Dr. Craig Goldin, who is a Diplomate of the International Congress of Oral Implantologists. Th at distinction means he can both place and restore state-of-the-art implants. “Whether you’re missing one tooth or more, we can replace them with beautiful, natural-looking dental implants that will allow you to smile, chew, and speak more confidently, for a better quality of life.” Dr. Craig Goldin is one of only 65 dentists worldwide to be an Accredited Fellow of the American Academy of Cosmetic Dentistry, one of the highest distinctions in cosmetic dentistry.
“If you have multiple dental health concerns — damaged teeth, alignment issues, or overgrown or swollen gums — we can rebuild a comfortable, functional bite and a healthy, attractive smile with full-mouth reconstruction,” Dr. David Whalen says. “Th rough a combination of restorative procedures, you can have the picture-perfect smile you deserve in only two visits.”
The Cosmetic Dentistry Institute is your source for excellence in dentistry, and unparalleled patient care and comfort.
Q: How do you help patients safely manage pain after surgery?
A: We take a careful and respectful approach to post-surgical comfort care for our patients.
For example, using local anesthetic prior to the procedure and pain pumps for post-procedure comfort allows for a more comfortable “wake-up” from general anesthesia.
These measures give our patients the ability to use the lowest effective dosage of opioids, if they choose to use them, for comfort during post-surgical healing. We take the opioid epidemic seriously and follow state guidelines by reviewing a patient’s medication history before prescribing an opioid. Patients can also manage their pain with nonopioid medications.
We provide post-surgery instructions and we’re available to answer any questions to ensure our patients’ comfort, safety, and well-being during their recovery.
Q: I’m extremely afraid of going to the dentist, but I need dental work — and I hate my CPAP. What are my best options?
A: First of all, with sleep dentistry you can put aside your fear of the dentist. Dr. Dolores Baran offers a range of sedation methods so you can be totally relaxed and have most or all of your dental work completed in one visit.
“In our office we provide IV sedation, where the patient is in a twilight sleep — they don’t feel any pain and they don’t remember the experience,” she says. “Another option is nitrous oxide, or laughing gas, a minimal sedation that makes you feel calm and comfortable while awake. Th ere are also other methods for relaxation that are discussed and tailored to a patient’s specific needs.”
Dr. Baran and her team provide all phases of dentistry and use advanced technologies like the CEREC CAD/ CAM machine, which creates crowns and caps in a single office visit without messy impressions or painful temporaries. Dr. Baran is also the Face of Fastbraces, and is able to straighten teeth in almost half the time required with traditional braces. From fillings and root canals to crowns, gum treatments, and implants, patients can have everything done here while they’re asleep,” she says.
Dr. Baran is helping patients get a good night’s sleep with the Oral Sleep Appliance, which in many cases can replace the use of the CPAP (continuous positive airway pressure) machine. Many people don’t wear their CPAP at night because it’s annoying and uncomfortable to wear, but sleep apnea can be life-threatening. Dr. Baran can perform an evaluation to see if you’re a candidate for the Oral Sleep Appliance, which can also be used to control snoring.
Call for a consultation. Get a good night’s sleep, and wake up with a new smile!
Q: My back always hurts, and pain medication only helps temporarily. Can physical therapy help fix my back?
A: Increasing numbers of patients suffer from chronic pain lasting weeks or months, which can be debilitating. The Pilates Fitness & Physical Therapy Center successfully treats many patients with chronic pain. The difference? A Pilates-based physical therapy program.
Why use Pilates for chronic pain? Pilates helps to strengthen core-stabilizing muscles, and patients benefit from addressing muscle imbalances and postural asymmetries — thus decreasing wear and tear on the joints. Owner and physical therapist Ron Jegadeesh says: “Starting with the first visit, I evaluate postural alignment and teach proper breathing techniques. Then the patient progresses to gentle exercises to encourage pelvic and spine stabilization. Most patients notice a difference after the first few sessions.”
Pilates can be specifically tailored to meet the needs of a patient with movement restrictions and varying pain levels. A Pilates Fitness & Physical Therapy Center trainer will design a program to strengthen the deep core muscles, optimizing pelvic and shoulder stabilization, and will use gentle stretching to lengthen tight muscles. Patients feel taller and stronger, and their pain levels dramatically decrease.
Q: I’ve had chronic pain for some time. Is there a program that can get me back to my normal activities without using pain medication?
A: For people with long-term pain from an accident, injury, or a condition like arthritis, Team Rehabilitation’s Functional Recovery Program offers a tailored, interdisciplinary approach that restores everyday function and offers a better quality of life without a reliance on opioids.
“Every patient is given a customized program of exercises, cardiovascular workouts, and a stretching routine that incorporates balance and strength,” says occupational therapist Mary Pietrzyk, OTRL. “Patients also do weight training for both the upper and lower body. We concentrate on the total person, to improve their strength from head to toe.”
Physical therapist Shekufa Irani, DPT, says many patients who come to this specialized clinic are using canes, crutches, or walkers to help manage their pain. “We work to wean them off of those devices and normalize their gait. Our goal is that they won’t walk with a limp or need any assistive devices when they finish the program.”
Psychologist Olga Slavin-Spenny, Ph.D., presents educational lectures for patients on topics that include stress management, mindfulness, relaxation, and other coping skills. “The lectures and exercises are done in group settings,” she says. “Patients have an opportunity to talk with other people who have chronic pain and who understand what they’re going through. We have a very positive and supportive environment.”
To learn more about the Functional Recovery Program, call 248-849-0050.
Team Rehabilitation Physical Therapy
51 locations in Michigan!
Q: What are the potential long-term consequences of auto accident injuries, and can chiropractic alignment help avoid these problems?
A: When someone is involved in an auto accident, vertebrae shift out of place. This affects the discs, ligaments, and muscles, and can lead to sprain or strain injuries, or pinched nerves. Pain may not show up for years after the accident and can come in the form of muscle spasms, tingling and numbness in the lower and upper extremities, arthritis in the joints, and other chronic pain issues.
After an accident, it’s important to have an alignment of the spine to take pressure off the nerves, in order to help alleviate pain and prevent chronic pain in the future. While medications may temporarily relieve pain, chiropractic adjustments can correct the problem that causes your pain. If you’ve been involved in an auto accident, call us and we’ll be there for you.
2018: Nominated as a Top Chiropractor by Hour Media; 2015- 2016: Voted one of the Top Chiropractors in Michigan by Worldwide Leaders in Healthcare; 2015: Voted one of the Best Chiropractors in America.
Q: Are there ways to overcome the fear of going to the dentist?
A: The fear of pain associated with dental procedures keeps many people from living life to its fullest, yet it doesn’t have to be that way. With conscious sedation, dental work is completed while the patient is sleeping. IV sedation minimizes anxiety, and allows work to be performed without the patient feeling any anxiety or discomfort.
For patients with gum disease or gum recession, conscious sedation and minimally invasive technology have had transformative effects. Using the pinhole technique, treating gum recession is far more comfortable and predictable than in the past. The procedure eliminates the need to cut tissue from the palate or other areas to cover receding gums. Instead, a small pinhole is made in the gum tissue above or below the receded roots of the teeth, and special instruments are used to loosen and bring healthy gum tissue over the receded tooth roots, improving the appearance of the teeth and eliminating sensitivity and discomfort. Material is then placed through the pinhole, to thicken and stabilize the tissue that’s in place. The pinhole technique is designed to be scalpel-free and suture-free.
Dr. Joseph R. Nemeth also performs LANAP, a laser procedure for treating gum disease that eradicates bacteria under the gums and permits new bone growth and gum reattachment. The benefits of healthier gums can reach far beyond oral hygiene — studies link gum disease to many other serious illnesses including heart disease, diabetes, Alzheimer’s disease, and certain cancers, so it’s crucial to attend to your dental health. There’s no need to fear the dentist, because conscious sedation and noninvasive procedures have made pain-free dental visits a reality.
Q: I have joint pain. What nonsurgical, drug-free therapies can help me?
A: Stem cells are specialized cells that seek out inflammation and degeneration in the body and then work to regenerate damaged tissue. Although stem cells rapidly decline with age, advanced treatments using human umbilical cord stem cells have been shown to help repair and regenerate muscle, bone, cartilage, and tendons. FDA-cleared stem cell injections and infusions are used to treat joint damage and pain, injuries, and a wide variety of other health complications.
Platelet-rich plasma (PrP) therapy uses blood taken from your arm, which is then processed to concentrate the growth factor-enriched platelets. This solution is injected into damaged tissues to stimulate a natural healing response and promote tissue rejuvenation. Under ultrasound guidance, PrP therapy is used for a variety of joint conditions to repair cartilage, reduce acute and chronic pain, speed recovery, and improve function.
Q: How do you know if puffy, under-eye bags are caused by fatigue, allergies, or sinus problems?
A: Typically, these conditions are unrelated, says ophthalmic and facial plastic surgeon Dr. Evan Black. “If you’ve had a good night’s sleep and you don’t have allergies or sinus disease, or these conditions have been treated, then the bags you see are what’s called herniated orbital fat, and that’s the most common reason that people have the appearance of bags under their eyes,” he says. “This is based on the fact that the eye sits in a space called the orbit, which has fat compartments that can protrude under the eye.”
To improve the appearance of baggy lower eyelids, the fat can be removed, repositioned, and/or sculpted. Minimally invasive lower eyelid surgery is a no-stitch “bag” removal that dramatically improves the appearance of the area around the eyes.
“It’s a 30- to 40-minute procedure with local anesthesia and sedation for comfort. Since we’re not cutting or removing any skin, surgery risks are significantly reduced,” Dr. Black explains. “We also use a fractional CO2 laser to diminish wrinkles, improve tone, and tighten up the delicate skin in the lower eyelids. This outpatient surgery is a permanent solution that can turn back the clock and help you maintain a natural, youthful look.”
To learn more about lower eyelid surgery, call to schedule a consultation with one of our expert facial plastic surgeons.
Q: How are TMJ disorders treated?
A: Each case is unique and different. People with TMJ (TMD) experience varying degrees of discomfort and pain. These can be caused by trauma, occlusal (bite) disorders, deep pain, parafunction, or emotional stress. The extent of the problem differs in every patient and must be treated on an individual basis.
The TMJ patients we treat are primarily associated with bite disorders and pain. Typically, these patients have sought out other treatment that has failed. The treatment plan for each patient is unique and, to a great degree, dependent on the tolerance for their discrepancies and pain. Treatment ranges from simple appliances to very precise ones for severe cases. In rare cases, more than one appliance is needed. All symptoms must be stabilized for a period of time before any further treatment can be initiated.
As a consumer, it’s important to know the qualifications, skill level, and success rate of the person treating you for TMJ. They should be able to explain what the problems are and how they will be treated. If it doesn’t make sense, or you’re unsure, get a second opinion!