Pain Management- Medical Marijuana Authorizations
What: Appointment to address chief complaint(s), perform physical exams, assess/diagnose condition(s), and treat or refer patient.
How: Through patient counseling and maintaining doctor-patient relationship
Why: To treat disease, prevent disease, and/or maintain health.
Steps to visit:
1. Consider the chief complaint
2. Obtain thorough relevant history of condition and patient
3. Perform physical exams pertaining to condition(s)
4. Draw blood ($20 extra) for any required lab tests
5. Diagnose/assess condition(s) with present data
6. Treatment: may include PM, herbal supplements, and/or prescription meds
7. Follow up in 1wk to 6mos depending on treatment
Conditions I prefer to treat:
• Rheumatoid and Osteoarthritis
• Carpal Tunnel Syndrome
• Chronic Lower Back Pain
Please note that there are many many more conditions that we can treat.
What: Physical Medicine (PM)
How: with Therapeutic Ultrasound, hydrotherapy, STM, Trigger Point Therapy, pain relieving topical
Purpose: To alleviate muscle and joint pain for as long as possible as well as to promote healing.
Once the point of pain is assessed, here are the following steps:
1. Hot and/or cold application (depending on severity of condition and wether it is chronic or acute) with hydrocollator pack and/or ice pack. 3 to 5min total time. This should cause the muscles to relax, increase blood flow to that area as well as dilate skin pores to take in topicals deeper into the tissue.
2. White Flower application (old Chinese topical). This further increases blood flow and
muscle relaxation. This also activates/stimulates group C nerve fibers which somewhat numbs the area.
3. Soft Tissue Massage with Trigger Point Therapy. Further increases muscle relaxation and
group C nerve stimulation. 5min.
4. Therapeutic Ultrasound: pushes topical deeper into the tissue for even greater effect, increases blood flow, stimulates group C nerve fibers, relaxes muscles. 5min.
5. Biofreeze topical application. Helps maintain effects for a longer period of time. Treatment should still be effective at the minimum of up to 3 to 4 hours, but as long as 4 days.
Note: multiple treatments at 1-2 times per week will allow for longer periods with no pain.
Note: I may add in tractioning/stretches depending on the severity of the patient’s pain, but on a case by case basis.
What: Blood drawn and sent out to test for foods that cause allergic reactions.
Note: allergy symptoms may vary from being undetectable to significantly severe. Results in 1-2wks in office.
Purpose: Decreasing ailing symptoms such as joint pain, migraine headaches, stomach issues, etc. Increase quality of life.
“It is estimated that up to 12 million Americans have food allergies or food sensitivities. A food sensitivity is an inflammatory response of the immune system to a food trigger or allergen. Sometimes the symptoms are pretty immediate and this makes cause and effect readily discernible. However, often there are no immediate symptoms. This type of food sensitivity is commonly known as a delayed food sensitivity. In a majority of cases, delayed food sensitivity reactions are insidious and chronic. It is only after months or years of continuous exposure that the wear and tear on the body from the chronic inflammatory response manifests itself in symptoms."
Marketing description (taken from Meridian Valley Labs website):
Are you tired of having to constantly deal with stomach issues? Are you finding it hard to find the answers to why you’re having all these digestive problems (diarrhea, constipation, nausea, loss of appetite, etc.)? Forget going to another doctor to get tested for the same things and not getting any answers. Find out today why you’re having you’re not at your best.
Method: Stool is collected by patient to be analyzed
Where/How: Collected at home by patient and sent off for analysis
Purpose: To assess the underlying reason for stomach condition(s), increase quality of life.
The following listed items are tested:
• Bacteriology, aerobic
• Campylobacter culture
• Fat Stain
• Giardia Lamblia
• Meat Fibers
• Occult Blood
• Parasitology, Concentrate x1
• Parasitology, Trichrome x1
• Short Chain Fatty Acids
• Yeast Culture
Method: Blood draw for heart conditions, prevention and monitoring.
(3 lavender vials and 1 STP)
Purpose: Prevent heart damage and monitor heart health. Recommended for individuals with a medical and/or family history of heart conditions.
Note: This one is extremely helpful since blood viscosity is not yet well known, although it’s an issue that has a stronger affiliation to heart disease than mere cholesterol and saturated fat levels. It explains why some with high cholesterol can still have a well functioning heart.
Marketing description (Taken from Meridian Valley Labs website):
“Blood viscosity is a measure of the thickness and stickiness of your blood. It measures how easily your blood flows through your vessels. It is an indicator of how much friction is being generated between your blood and the walls of your blood vessels, how hard your heart is working to pump your blood, and how easily oxygen is being delivered to your heart, your brain, your muscles, and every other tissue in your body. Blood viscosity affects the health of every part of your body. Best of all, blood viscosity can easily be improved with diet and other lifestyle-based interventions.”
We can assess your levels in comparison to our overall population and let you know how your age management is doing.
Method: Blood drawn and sent out to test for foods that cause allergic reactions. Note: allergy symptoms may vary from being undetectable to significantly severe.
Purpose: Assessing how well body is responding to increased age. Further treatments may help decrease ailing symptoms such as joint pain, migraine headaches, stomach irritation, etc and may increase quality of life.
The following listed items are tested:
Male/female hormone function:
• Prostate Specific Antigen, free
• Prostate Specific Antigen, total
• Sex Hormone Binding Globulin
• Free Testosterone
• Progesterone (for women)
• C-Reactive Protein
• Triiodothyronine (T3, free)