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Pain Management

We understand that your pain is unique to you, and we will work with you to find the best regimen to bring you relief. Below are some of the Pain Management services and procedures that we offer.

To discuss your pain and find a solution, give us a call at 308-995-4431 to schedule an appointment today!

Botox® for Migraines

In 2010, Botox® was approved for use to treat patients with chronic migraine symptoms. Several patients have been able to find relief for 10-12 weeks at a time with this treatment.

For this treatment, Botox® is injected around pain fibers involved in causing headaches. Botox® then enters the nerve endings around the injection points to block pain transmission chemicals from going to the brain.

Since Botox® is FDA approved for chronic migraine, it is covered by most plans, including Medicare and Medicaid.

To be approved through your insurance provider, they typically require that you have tried and failed to respond to two other preventative treatments. For example, anti-seizure medications, antidepressants, or blood pressure medications are typically used to prevent migraines.

Allergan (Botox®’s parent company) offers a “Botox Savings Card,” which offers patients reduced fees.

Dr. Thelen offers this service at our clinic, and she will walk you through the process and answer any questions you have.

Give us a call at 308-995-4431 to schedule an appointment today!

Botox® Treatment for Limb Spasticity

Spasticity is a condition where the muscles tighten or get stiff, which prevents normal fluid movement. With the muscles remaining in a contracted position and resisting being stretched, movement and gait can be affected. It is caused by damage or disruption to the area of the brain and/or spinal cord that is responsible for controlling muscle movement. For example, a stroke, multiple sclerosis, traumatic brain injury, adult cerebral palsy, and spinal cord injury.

Limb Spasticity is where this condition occurs in the extremities.

When BOTOX® is injected into the muscles that are affected by the spasticity condition, pain can be reduced and the range of motion at a joint can be improved.

If you suffer from a condition causing limb spasticity and struggle to control your pain, give us a call at 308-995-4431 to schedule an appointment. You can also learn more about this treatment here: BOTOX® onaboutlinumtoxinA Patient Brochure

Dr. Thelen offers this service at our clinic, and she will walk you through the process and answer any questions you have.

Give us a call at 308-995-4431 to schedule an appointment today!

Carpal Tunnel Release with Ultrasound Guidance

Carpal Tunnel Syndrome (CTS) is a common condition that affects an estimated 13 million Americans1 that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves in the hand—the median nerve—is compressed as it travels through the wrist. The median nerve controls movement in the thumb and feeling in the thumb and first three fingers. It runs down the arm and forearm, passes through the carpal tunnel at the wrist, and goes into the hand. Left untreated, it can cause long-term debilitation.

  • Carpal tunnel syndrome affects an estimated 13 million Americans
  • More than 2.7 million are clinically indicated for surgery
  • Approximately 580,000 CTR procedures are performed every year
Traditional Carpal Tunnel Release (CTR) Surgery Method:

More severe cases of CTS may be treated surgically through carpal tunnel release (CTR), which involves cutting the transverse carpal ligament to relieve pressure on the median nerve. Traditional CTR techniques can remedy the condition but may result in large and sometimes painful scars, ongoing palmar pain, and a long road to recovery

 

Carpal Tunnel Release (CTR) With Ultrasound Guidance:

CTR with Ultrasound Guidance is an alternative surgical option to the traditional method. This method utilizes the SX-One Microknife® and an ultrasound to guide the device through small incisions to relieve pressure on the median nerve.

This procedure minimizes recovery time, and most patients can return to work and normal activities in 3-6 days.

Check out this page to learn more about Carpal Tunnel Release with Ultrasound Guidance

Dr. Peterson offers this service at Family Medical Specialties. He can answer any of your questions and walk you through this treatment option.

Give us a call at 308-995-4431 to schedule an appointment with him today!

Finger Contracture Release

Finger Contracture Release is a treatment used to correct Dupuytren’s contracture. This is a disease that usually starts with a thickening of the skin in the palm of the hand, which can eventually develop into a thick band that can make the fingers contract (pull) into the palm of the hand. Think of it as a finger (or more) stuck in the “make a fist” position that can’t straighten out.

During the Finger Contracture Release procedure, an incision is made in the hand and the area of thickened tissue is cut. Allowing for improved movement of the tendons and increased finger mobility.

Individuals who are diagnosed with Dupuytren’s contracture. Your provider will work with you to confirm if a Finger Contracture Release treatment is right for you!

Dr. Peterson offers this service at Family Medical Specialties. He can answer any of your questions and walk you through this treatment option.

Give us a call at 308-995-4431 to schedule an appointment with him today!

Joint Injections

Joint injections are just what the name implies: Medicine is injected through a needle into a joint space to relieve pain. Medicines that can be used include steroids to reduce inflammation and lubrication medications to alleviate pain from a decrease in joint cartilage. Joint injections can also be done with ultrasound guidance, which is particularly helpful in cases where the joint space is smaller potentially due to greater loss of cartilage in that joint.

Watch Dr. Haussler’s video below for more information about Joint Injections!

 

Prior to receiving a joint injection, over-the-counter pain medications like Tylenol will be tried to treat pain. If the joint pain persists, your provider may recommend a joint injection.

Joint Injections can be used to treat several conditions that cause pain within the joints, including inflammatory conditions like osteoarthritis and rheumatoid arthritis, wear and tear on cartilage, damage from a past injury, or repetitive movement.

The following providers offer this service at Family Medical Specialties. They can answer any of your questions and walk you through this treatment option. Give us a call at 308-995-4431 to schedule an appointment today!

Medication Managed Migraine Treatment

Individuals who suffer from acute or chronic migraine headaches can respond to various medications differently. From a prescription of routine or as-needed medications to the possible appointment scheduled lidocaine injections. This form of treatment is focused on finding the best medication-based solution to help you find relief.

Individuals who qualify for Medication Managed Migraine Treatments, suffer from acute or chronic migraine headaches and whose symptoms do not subside with the aid of over-the-counter medications.

Dr. Smith offers this service at our clinic, and she will walk you through the process and answer any questions you have.

Give us a call at 308-995-4431 to schedule an appointment today!

Osteopathic Manipulative Treatment (OMT)

Osteopathic Manipulative Treatment (OMT) is a set of hands-on techniques used by osteopathic physicians (DOs) to diagnose, treat, prevent illness or injury.

OMT helps patients find relief from muscle pain, migraines, and carpal tunnel by moving muscles and joints with stretching, gentle pressure, and resistance.

OMT can help patients of all ages and backgrounds to ease pain, promote healing and increase overall mobility.

In addition to muscle pain, OMT can also help with several other health problems, including:

  • Asthma
  • Sinus disorders
  • Carpal Tunnel syndrome
  • Migraines
  • Menstrual Pain
  • Structural and tissue abnormalities
  • Joint restriction and misalignment
  • Muscle and tissue balance

When a doctor uses OMT, they move the patient’s joints and muscles using stretching, resistance, and gentle pressure to help realign the body. When a chiropractor makes an adjustment, the use of force, leverage, direction, and velocity is targeted towards specific joints and anatomical regions.

Both procedures are similar, it comes down to what kind of treatment you are looking for. Osteopathic Physicians utilize their degree and training to provide healthcare for the whole person and the wellbeing of the mind, body, and spirit. A chiropractor uses their training to provide treatment to help align the spine, which can reduce pain or provide relief from ailments.

Dr. Thelen offers this service at our clinic, and she will walk you through the process and answer any questions you have.

Give us a call at 308-995-4431 to schedule an appointment today!

Sports Medicine

Sports medicine focuses on physical fitness and the treatment and prevention of musculoskeletal (bones and muscles) injuries that have or can occur due to sports and exercise activities.

If you or your child participate in sports, exercise, or have an active lifestyle, they will look at your physical fitness and musculoskeletal system (bones and muscles) by how your body works to perform various movements. With this knowledge, they understand what types of movement cause an injury, how to avoid certain activities and movements to prevent injury or worsen a current injury, decrease recovery time, and ultimately work with you to get back on the court, field, or fairway.

Not all injuries happen on the field, several happen on the farm, doing yard work, car accidents, and can even happen while roughhousing with the kids.

So, even if you do not participate in sports or work out, seeing a provider with a sports medicine specialist is beneficial for any type of injury affecting the musculoskeletal system (bones, tendons, ligaments, and muscles.)

The following providers offer this service at Family Medical Specialties. They can answer any of your questions and walk you through this treatment option. Give us a call at 308-995-4431 to schedule an appointment today!

Trigger Point Injections

Trigger points are isolated, major, hyperirritable spots located in tight bands of skeletal muscle. These points cause local pain because the affected muscles can’t relax. They can be caused by acute muscle injury, continual muscle stress, and often occur along with chronic musculoskeletal disorders like fibromyalgia, tension headaches, and myofascial pain syndrome.

Trigger point injections work to soothe muscle pain by inserting a needle directly inside the painful muscle “knots” to inject medication, which makes the trigger point inactive and relieves pain. The medication may be a single solution or a combination of an anesthetic such as lidocaine, bupivacaine, or a corticosteroid.

“Dry Needling” is another form to help with trigger point pain relief that follows the same process, only does not include injection of medicine after needle insertion.

The following providers offer this service at Family Medical Specialties. They can answer any of your questions and walk you through this treatment option. Give us a call at 308-995-4431 to schedule an appointment today!

Testimonials

“Very satisfied with services here. Lab workers are very caring and good, greeter nurse is so personable. Room nurses are very knowledgeable and helpful. Dr. Sandy can’t be beat all around! … Whole staff is rated an A.”

- Patient

“Dr. S Smith is a wonderful Dr. to my son. Always friendly and is always fast. Makes sure I know and understand what is wrong. Couldn’t find a better Dr. Thank you!”

- Parent of Patient

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- Patient

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