317 St. Francis Dr. Suite 350
Greenville, SC 29601


317 St. Francis Dr.
Suite 350
Greenville, SC 29601
Tel: 1-864-235-1834, Fax: 1-864-235-2486

Call us Today for an Appointment

864-235-1834

Complex Chronic Pain

Resolving Painful Migraine

Resolving painful migraine is a challenge but with consistent, dedicated effort it is achievable.   The first step is to recognize that all migraine is not alike.  In fact most migraines are actually mixed headaches.   Mixed headache means that there are multiple factors involved; the migraine, or headache, is actually not just one headache but the result of several headaches.    Common factors include cervicogenic (derived from the musculoskeletal structures of the neck), vasomotor (derived from either the vascular tree, sympathetic nervous system, or both), temporal mandibular related, tension, sinus, hormonal, and postural mechanical.   There are other factors as well.   By carefully teasing out which of these factors contribute to your migraine or headache a treatment plan that addresses each factor one at a time can then be crafted.  Learn more about diagnosis and treatment options for Migraine in Greenville, Spartanburg, and Anderson at piedmontpmr.com.

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Fibromyalgia is Real

Not the Last Word: Fibromyalgia is Real was the title of a recent article published in Clinical Orthopedics and Related Research (December 2015).   It was music to my ears to see that the orthopedic community is engaged in dialogue that acknowledged “..fibromyalgia has an entry in the 10th edition of the The International Classifications of Disease (ICD-10)” and that “…ICD-10 is the gold standard”.   The article goes on to say “Let us imagine a world where doctors did not have to worry about their clinical productivity..” and that “…in that world, a patient presenting with  widespread pain, sleep disturbances and tender points gets our sympathy and our attention without recrimination”.   While the debate among orthopedists, rheumatologists, and other specialties continues we applaud these comments.  At Piedmont Physical Medicine and Rehabilitation, PA in Greenville, SC we also go a step further; we look for the root cause of disease in people with chronic widespread pain, including fibromyalgia.  We also work toward reversing the signs of symptoms associated with that pain with the goal of adding quality back into life.  Learn more about treat diagnosis and treatment options for fibromyalgia at piedmontpmr.com.

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Pain Control Without Opiates: The Time is Now

For decades now the pharmaceutical industry has told doctor’s and patient’s alike that they have developed new formulations of opiates that are safe and effective however these claims have become tarnished with the test of time.  Physician prescribed opiates has become one of the highest causes of death in the United States and opiate abuse worldwide is rampant.  As a result State Legislatures and Federal Agencies are finally trying to do something about it.   In South Carolina, effective March 15th, 2016, whenever a physician writes a prescription for a Scheduled drug (not just opiates) for a State Employee he must first log onto a special state run monitoring program to assist the State’s Law Enforcement Division with tracking of that patient.   In the State of New York in many instances opiate prescriptions have been curtailed to allow no more than seven days of dispensing.  And the CDC has just released a new guideline that affirms that there is no role for opiate use in patients with long term chronic pain.   At Piedmont Physical Medicine and Rehabilitation, PA in Greenville, SC we have always offered a wide array of non-narcotic treatment options for people in pain.   And the good news is that they work.  Not only do they reduce pain they also address the root cause of the pain rather than just covering up symptoms.   Learn more about these options at piedmontpmr.com.  Pain control without opiates: the time is now.

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