Ashtanga Yoga

INTERVENTIONAL SPINE AND MUSCULOSKELETAL MEDICINE

The specialty of Physical Medicine and Rehabilitation is very uniquely equipped to handle the diagnosis and management of the wide range of problems that can arise from the musculoskeletal system. This includes injuries and diseases affecting the muscles, tendons, ligaments, bones and joints of the limbs and spine. Interventional spine and musculoskeletal medicine utilizes minimally invasive procedures with image guidance to pinpoint the location of the pain and treat it right it at its source. In many cases, this allows the patient to go a more conservative route and avoid surgery.


We take a holistic approach to patient care and only offer procedures if we feel it would benefit the patient. Each patient undergoes a thorough evaluation, and a personalized treatment plan is discussed. The ultimate goal is to improve the patient’s overall well-being by reducing their pain.

Meet the Spine and Musculoskeletal Specialist at Coastal Orthopedics:

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Jeff Touma, D.O.

Interventional Spine Specialist Interventional Pain Management, Diagnostic Musculoskeletal Ultrasound, Regenerative Medicine

We focus on function from the patient’s point of view. Knowing our patients is critical in establishing what the goals of treatment will be, whether it’s walking without pain, playing with grandchildren, or playing sports again. We work with a wide range of patients, from athletes to older adults, all with the common goal of improving function through a decrease in pain.

 

We work closely with other specialties as well. For example, alleviating a patient’s back pain with an injection may allow for participation in physical therapy, which will continue to further strengthen the back and spine, or meeting with a psychologist to address how a patient’s chronic pain has had a significant emotional impact can help heal via the mind-body connection. Given the potentially harmful side effects of opioid medications, we choose not to use them in this setting, and instead focus on injections, paired with non opioid medications and physical therapy, among other things, to improve pain and get our patients back to maximizing their day to day function.

We Specialize in Treating:

 

  • Spine pain including low back, thoracic, and neck

  • Back Pain

  • Hip Pain

  • Facet Joint Syndrome

  • Herniated Disc

  • Lumbar Degenerative Disease

  • Lumbar Spinal Stenosis

  • Sacroiliac Joint Pain

  • Sciatica

  • Spondylolisthesis

  • Arthritic Conditions

  • Joint Pain including hip, knee, and shoulder

  • Musculoskeletal Injuries and Conditions

  • Sports Injury Rehabilitation

 

Procedures:  Our minimally invasive procedures utilize either fluoroscopic (live xray), or ultrasound guidance so we can place our needle precisely where we want it. 

  • Fluoroscopic procedures: These procedures are done in a same day surgical center and light sedation can be used as indicated. Patients are able to go home after the procedure is complete

    • Injections: These injections utilize a local anesthetic (numbing medication) and anti-inflammatory corticosteroid, that are administered into specific places in the spine, such as the epidural space or the facet joints. Sometimes the injections are diagnostic, meaning that if pain relief occurs immediately after the injection, it can be inferred that the injection site is the source of the pain. Other times, injections are used for treatment of pain. When the longer-lasting corticosteroid medicine is precisely delivered to the right location, the patient can experience months of pain relief. Pairing this with physical therapy, proper body mechanics and stretching can improve results even more

    • Radiofrequency neurotomy: We use a special needle under image guidance to target a specific location. Radiofrequency and heat are delivered to the nerves in that area, essentially disabling them from transmitting pain signals for an extended period of time.

  • Ultrasound procedures: These procedures can be done in the office and patients can go home immediately after the procedure

    • Steroid Injections: These injections utilize a local anesthetic (numbing medication) and anti-inflammatory corticosteroid, that are administered into specific places, including joints, bursa, and surrounding tendons and nerves. Sometimes the injections are diagnostic, meaning that if pain relief occurs immediately after the injection, it can be inferred that the injection site is the source of the pain. Other times, injections are used for treatment of pain. When the longer-lasting corticosteroid medicine is precisely delivered to the right location, the patient can experience months of pain relief. Pairing this with physical therapy, proper body mechanics and stretching can improve results even more

    • PRP: Activated platelets are injected directly into the injured or diseased body tissue. This releases growth factors that stimulate and increase the number or reparative cells your body produces. After the injection, a proper rehab plan is required as the bodies healing process in that area is reset. 

At Coastal Orthopedics, you can schedule an orthopedic appointment by phone at 978-927-3040,
submit our online form, or walk in to one of our three locations in Danvers, Gloucester or Beverly, MA.