Treatments

“All I was able to do was sit in a recliner; I was just existing. He saved my life.”

Margie, Patient of Dr. Jonathan Daitch

“Dr. Daitch knew exactly where to inject the medicine. That had not happened before. I’m back at the gym. I’m lifting weights and getting stronger. He did that for my back and for my neck and for my hip.”

Susan, Patient of Dr. Jonathan Daitch


An Advanced Approach To Relieving Pain Non-Surgically

Dr. Daitch and Dr. Samcam offer the most advanced techniques and technology in modern, minimally invasive pain relief. To address and resolve pain at its source, Advanced Pain Management & Spine Specialists (APMSS) features the latest in non-surgical spine treatment, including…

Back Pain

  • Facet Joint Injection – Steroid and local anesthetic are injected under fluoroscopic guidance toward the degenerated joint to diagnose and relieve pain caused by degeneration and arthritic inflammation.
  • Radiofrequency Ablation – For long term alleviation of low back or neck pain from facet joint arthritis. This procedure works by heating the nerve to “short-circuit” the pain signal. Relief can last for a year or longer.
  • Sacroiliac Injection – Inflammation of the joints on both sides of the spine where it joins the pelvis can cause low back pain. Steroid and local anesthetic are injected under fluoroscopic guidance* to diagnose and alleviate the pain.

Sciatica

  • Epidural Steroid Injections – Local anesthetic and steroid are injected under fluoroscopic guidance to treat persistent sciatica and nerve root pain.
  • Selective Nerve Root Injections – Local anesthetic and steroid are injected under fluoroscopic guidance along the exiting spinal nerve root to treat sciatic pain emanating from the nerve root.
  • Percutaneous Disc Decompression – By removing a small amounted of disc material, pressure on the nerve root is alleviated through this minimally invasive procedure. This is beneficial for patients who have not experienced adequate relief from epidural or nerve root injections but do not need open spinal surgery.

Lumbar Spinal Stenosis

  • Epidural Steroid Injections – Local anesthetic and steroid are injected under fluoroscopic guidance to treat persistent sciatica and lower back pain with ambulation.
  • Superion – This minimally invasive procedure uses an indirect decompression device. Insertion of a “spacer” stops the spinal canal from narrowing further. (APMSS is THE ONLY office in southwest Florida to feature this highly advanced procedure.)
  • Minimally Invasive Lumbar Decompression (MILD) – This procedure removes excess ligament that is causing narrowing in the spinal canal. By creating more room, Drs. Daitch and Samcam can relieve pressure and reduce sciatica pain.
    (Tap here to more about MILD)

Neck Pain

  • Cervical Facet Joint Injection – Steroid and local anesthetic are injected under fluoroscopic guidance* to treat neck pain emanating from these joints.
  • Cervical Radiofrequency – To alleviate neck pain, this procedure works by heating the nerve to “short-circuit” the pain signal. Relief can last for a year or longer.
  • Cervical Epidural Steroid Injection – Local anesthetic and steroid are injected under fluoroscopic guidance to treat persistent neck and radiating arm pain caused by pressure on nerve roots.

Spinal Fractures

  • Kyphoplasty – A spinal fracture can cause extreme pain. Using fluoroscopic guidance*, Dr. Daitch can inject a medical grade epoxy cement that hardens into the fracture for rapid pain relief.
  • Sacroplasty – Similarly, cement can be injected into a fractured sacrum to minimize this pain.

“He’s been able to take care of my problems without narcotics, and I really like that.”

Bruce, Patient of Dr. Jonathan Daitch

POST-SURGICAL PAIN

  • Selective Nerve Root Injection – Local anesthetic and steroid are injected under fluoroscopic guidance along the exiting spinal nerve root to treat sciatica.
  • Spinal Cord Stimulation – Scar tissue that forms after back surgery can cause leg and back pain. To reduce the pain, a spinal cord stimulator can be implanted.

CANCER PAIN & OTHER UNRESPONSIVE PAIN

  • Spinal Infusion Pump – Cancer pain that is unresponsive to other medications and treatments can be more comfortable and have better pain control with this implant that dispenses morphine or Prialt directly into the spinal canal.
  • Spinal Cord Stimulation – Scar tissue that forms after back surgery can cause leg and back pain. To reduce the pain, a spinal cord stimulator can be implanted.

SHINGLES

  • Selective Nerve Root or Epidural Injections – Local anesthetic and steroid are injected under fluoroscopic guidance along the exiting spinal nerve root to treat sciatica.
  • Peripheral Nerve Block – When inflammation causes nerve pain, the pain signal can be alleviated by injecting steroids under fluoroscopic guidance.

HEADACHES

  • Peripheral Nerve Block – When inflammation causes nerve pain, the pain signal can be alleviated by injecting steroids under fluoroscopic guidance.
  • Cervical Facet Injection – Steroid and local anesthetic are injected under fluoroscopic guidance* to treat lower back pain or neck pain emanating from these joints.
  • Cervical Radiofrequency – To alleviate some back or neck pain, this procedure works by heating the nerve to “short-circuit” the pain signal. Relief can last for a year or more.
  • Sphenopalatine Ganglion Block – This simple nasal squirt can block nerves causing headaches and facial pain.
  • Botox Injections – The injections of Botox relax muscles associated with severe pain. It can relieve headaches due to chronic daily migraines

NERVE PAIN, PERIPHERAL NEUROPATHY, NEURALGIAS

  • Bioness Stimrouter Nerve Implant – Implantable device to relieve chronic pain from conditions relating to upper or lower limbs, some neuralgias and other peripheral injuries or diseases.
  • Peripheral Nerve Block – When inflammation causes nerve pain, the pain signal can be alleviated by injecting steroids under fluoroscopic guidance.
  • Spinal Cord Stimulation – This is used to treat persistent pain emanating from injured nerves or peripheral neuropathy. To reduce the pain, a spinal cord stimulator can be implanted to alter the pain signal.
  • Stellate Ganglion Blocks – This is done under ultrasound guidance and can treat pain with a sympathetic nerve component

Hear What Patients Say

 

 

*Fluoroscopic Guidance: Unlike an x-ray, a fluoroscope shows detailed internal structures in ‘real time’ so the physician can see the precise site of inflammation or damage. This is beneficial for diagnosis, treatment, and image-guided procedures.


“Every pain has an origination source. And, the anatomy of every person is unique so there is no cookie cutter approach to treatment. We know how to hone in on most pain triggers so it can be addressed at that point. Rather than masking pain with pills, we can significantly ease or eliminate it for months or even years.”

Jonathan S. Daitch, MD

8255 College Parkway, Suite 200, Fort Myers, FL 33919

Located in South Fort Myers on College Parkway between Winkler Road and Whiskey Creek Parkway