Pain Management

What is Dr Thaker’s Pain Management Philosophy?

Just because the exact cause of pain has not been found by prior doctors the patient has seen, this does not mean that a ‘pain generator’ does not exist. The patient is still in pain despite the lack of an exact diagnosis. It is not the patient’s fault that medicine in the 21st century can not always determine its exact cause. Would someone short of breath be dismissed by physicians simply because they could not determine its cause? Yet this is what happens to patients who experience pain without an exact cause, every day across the country! This pain can and must be treated for the patient regardless. This is the cornerstone of Dr Thaker’s philosophy of pain management in Las Vegas. Contact us here for an appointment.

Diagnostic Strategies

VIDEO: Pain Management in Las Vegas- Dr Thaker describes our philosophy of care for pain treatment

How is Listening the key to medical diagnosis?

It surprises some patients and perhaps many doctors, but listening is the key to diagnosis in pain management. More so than any complex technology or even the physical examination. Your evaluation by Dr Thaker begins with a thorough directed history that you provide yourself. We ask also that you arrive with relevant treatment records in hand and or the contact details to obtain them. In fact, most of the time in medicine, a working diagnosis comes from a careful history. Further exam and sophisticated technology serve only to confirm this diagnosis. Thus simple listening is first and perhaps most valuable to a our pain management treatment plan.

What is Point of Care Ultrasound?

Apart from our physical examination, Dr Thaker offers in the comfort of our office the ‘point of care’ or ‘bedside’ ultrasound. No separate trip is needed to the radiology center lasting many hours. This can be used to examine painful areas of the body, joints, limbs and musculoskeletal system. Handheld ultrasound also offers image guidance for injections or other therapies to joints and soft tissues, increasing precision and safety. We obtain any further imaging from your choice of radiology centers when needed, and also through your insurance plan.

What are Nerve conduction studies?

Dr Thaker also offers specialized diagnostic studies called ‘nerve conduction studies’- electromyograms and nerve conduction velocities. This extends the physical exam of the pain management patient. These studies allow examination of the nerves, their connection to the muscles, and the muscles themselves. A small device produces and records tiny electrical impulses, to measure signals in nerves and muscles. The tiny needles used have no ‘hole’ and often do not produce even a single drop of blood. In fact, some claim these needles and their small electric impulses are an advanced form of ‘accupunture’. Dr Thaker uses these studies to diagnose pain. Their usage is well established to play an important role in diagnosis of pain in limbs, in the back and other areas.

Treatment Strategies

VIDEO: pain management in Las Vegas by Dr Thaker
VIDEO: pain treatment strategies in Las Vegas by Dr Thaker
VIDEO: regenerative medicine in Las Vegas by Dr Thaker
VIDEO: summary of pain management in Las Vegas by Dr Thaker

What does Conservative Care mean?

Conservative care is Dr Thaker’s philosophy to try the safest and most effective treatments first. This allows many patients to delay or avoid all together procedures with more risk as well as cost. As a private practice physician, Dr Thaker has the freedom to use all of the valley’s health care resources for pain management, without regard to the company or ‘brand’ of the resource. Other doctors are often contractually obligated to select their own company’s services and staff first , or even exclusively! This does not benefit the patient when other resources may be better suited for simple reasons such as quality, location or even cost. To this end, Dr Thaker has a variety of diagnostic and therapeutic treatments to offer in our own offices. These services are garnered from his seven years of training in surgery and medicine, as well as pain management training, specialized for office-based patients. When physical therapy, further diagnostic methods, other specialists, or even inpatient care is required, Dr Thaker has the freedom to work with any other offices for the best results for you.

What is Visco-elastic treatment, does it really lubricate joints?

Visco-elastic supplementation treats joint pain that has failed prior therapies and to tremendous effect. This is injection of natural components found in healthy joint fluid, in a prepared product. An example is injection into the knee for arthritis. Many patients think of this as ‘oiling up the knee’. Hyaluronate is often the key substance injected. In healthy joints, hyaluronate provides the lubricating and shock-absorbing quality to joint fluid and is essential for proper functioning of joints. Supplementing hyaluronate through a simple injection can relief joint pain and inflammation. After other treatments have been tried, it is often covered by insurances.

What are some Anesthetic and Anti-inflammatory Treatments for pain?

At times an injection into the spine, joint, or other area of the musculoskeletal system is of great value. Medications may include lidocaine, such as for trigger point injections. Trigger points are painful areas of muscle that can produce pain. They can even be physically felt by a skilled examiner. Also, steroid injections are well known to calm inflamed joints and tissues. They are often used alone or in combination with lidocaine, or other regenerative treatments. In summary, treatment areas may include trigger points of muscles; joint spaces of the spine, upper or lower limbs; the sacroiliac joints of the gluteal ‘butt’ area; facet joints or other spine related injections.

How do we use Regenerative Medicine for Pain Management in Las Vegas?

Regenerative medicine uses the bodies own compounds to heal injured body parts and restore function. At the forefront of regenerative therapy for pain management is Platelet-rich plasma or ‘PRP therapy’. PRP is a 100% natural way to harness your body’s own regenerative powers. PRP takes a small sample of your own blood, and processes this plasma in a special centrifuge to concentrate the growth factors that come from platelets. Then, ‘PRP’ is then injected into the areas of concern, such as a painful joint, stimulating your natural regenerative processes.

Why is an accurate diagnosis so important to Dr Thaker?

Dr Thaker finds that the key for determining how best to use PRP and other treatments, is asking the most specific question possible. An example, we would not ask ‘does PRP work for joint pain’- of course it may work, it depends. Rather, following a thorough evaluation, the question becomes ‘would PRP work for medial compartment degeneration of your knee?’ Therefore by making a specific diagnosis and developing a unique treatment plan, Dr Thaker can produce lasting treatment for pain with regenerative medicine. There are even certain diagnoses that are fully covered by insurances for PRP, as testament to its effectiveness.

Does Dr Thaker Prescribe Pain Medications?

With such a variety of treatments, medications may be minimized or avoided all together for many patients. In addition, Dr Thaker has taken the extra step of obtaining a special permit, called DEA-X certification. This allows safe discontinuance of opioid pain medication, to rehabilitate patients from prior opioids. Finally, for longer term medications, the safety of a carefully structured treatment plan includes frequent face to face visits, reassessment and monitoring, and is fundamental to our approach.

What do we offer for Procedural Pain Management in Las Vegas?

  • peripheral joint injections
  • lumbar spine procedures
  • nerve blocks, botox, and trigger point injections
  • neurodiagnostics- EMG and NCS
  • musculoskeletal ultrasound
  • PRP (platelet rich plasma) and regenerative therapies
  • viscoelastic supplementation
  • advanced wound care and grafting
  • personal injury, attorney lien
  • disability evaluation, independent medical exam, case review
  • migraine and complex pain syndrome care
  • detoxification in specific cases (DEA X permit)

Towards this end, Dr Thaker is board certified by both ABFM (an ABMS board), and Pain Management by the AAOPM (non ABMS). Dr Thaker completed five years of surgical training (2 general, 3 orthopedic) with training in both operative and nonoperative pain treatment. For insurances accepted, see here.

Dr Thaker also enjoys teaching fellow doctors and staff, his techniques in PRP, botox, and other pain treatments as a continuing medical education course director. He has taught several hundred physician students, when time permits him to direct courses throughout the region several times a year. If you are a clinician and would like to arrange a one on one preceptorship with Dr Thaker, please contact us.

No guarantee of results is made or implied. Individual results may vary. Some photos may contain models, not practice patients. All sales final. Other terms may apply, inquire.