Fellowship Trained & Board Certified in Pain Medicine

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All Posts Tagged: pain management

Mid-level Providers In Pain Management

With recent changes in healthcare, you have may noticed the expanding role of mid-level providers on your Pain Management team.  Nurse Practitioners and Physician Assistants are specialized mid-level providers with multiple years of experience and training combined with an undergraduate and master’s degree.  At Cahaba Pain and Spine Care, we currently employ 3 Nurse Practitioners and 1 Physician Assistant. 

Mid-level providers play an important continuing role in your pain management journey.  Nurse practitioners may be involved in new patient visits, follow up visits, telephone encounters, and other routine visits.  When seeing a mid-level provider, be assured we have reviewed your medical record and discussed your health information with the physician. We will go over your diagnoses and past treatment successes and failures in conjunction with the physician to determine the best course of treatment for your pain.

Pain Management Goals

Our team of providers will be there executing and adapting your treatment plan as needed.  Your treatment plan may include Physical Therapy, Medication therapy, appropriate consultations such as surgical referrals. We also perform procedures such as medial branch radiofrequency ablation, epidural steroid injections, lumbar medial branch blocks, sympathetic blocks, botox treatment, spinal cord stimulation, dorsal root ganglion spinal cord stimulation, and kyphoplasty.  Our goal is to use a multi-modal plan to improve your pain, function, and quality of life.

Compassionate Care

We strive to form relationships with our patients and treat them as we would our own family. We believe in a collaborative, compassionate, and holistic approach to pain management.

At Cahaba Pain and Spine, our team of mid-level providers have treated thousands of patients yearly. We are committed to being there for you as a patient and providing quality care. Pain management is a journey and our team would love to help guide you through it.

– Natalie Chism, CRNP with T. Wade Martin, MD

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Is Smoking Hurting Your Pain Recovery?

There are some lifestyle choices that can increase pain in patients. Smoking, for instance, can intensify pain. Smokers tend to report higher pain scores and more impairments to daily functions than nonsmokers (Mekhail et al., 2018). Smoking can also delay healing, worsen bone health, and weaken discs in the back (Mekhail et al., 2018). Along with these reasons, we also know that smoking causes significant harm to the lungs and increases the risk of various cancers.

We all know smoking is bad for your body and those around you. How can I quit? We can work with you in this journey. The quitting process truly is a journey. It is a marathon and not a sprint. There are several tools to help. Medication, like nicotine patches and Chantix, are very helpful. Also, there are free apps available for download on your phone. We recommend counseling along with medication therapy. An accountability partner for encouragement, is always helpful.

Stopping smoking is a hard decision to make, but a step in the right direction for health and decreasing pain. If you are ready to quit smoking, please let us support you in taking that first step in this marathon.

Emily Walker, CRNP

 

Mekhail, N., Azer, G., Saweris, Y., Mehanny, D. S., Costandi, S., & Mao, G. (2018). The impact

of tobacco cigarettes smoking on spinal cord stimulation effectiveness in chronic spine-

related pain patients. Reg Anesth Pain Med, 43(7), 768-775. doi:

10.1097/AAP.0000000000000870

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Birmingham pain clinic - Cahaba Pain HMP Sign

Opening September 14th!

Construction of our Birmingham pain clinic is coming along well.  We’ll be opening our doors on September 14th ready to offer comprehensive pain management services.  Our friends at Kassouf & Co are now taking applications for those interested in joining our team (see our Careers page).  We look forward to providing excellent patient care to those suffering from chronic pain.  Call us at 205-208-9001 to set up your appointment today!

 

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