FAQs


 

  1. I’ve been taking painkillers, can Dr. Vengurlekar still help relieve my pain? 

    Millions of people each year receive treatment and rehabilitation in the U.S. for painkiller abuse or addiction. Many of the chronic pain patients may be severely undertreated as a result of masking the pain rather than treating the UNDERLYING CAUSE OF PAIN.  Not diagnosing the cause of the pain and merely treating the symptom of pain with habit forming drugs causes tolerance and dependency and eventually addiction. Overdose incidents have been increasing in the USA from taking these pain killers. CDC has estimated that painkiller drugs have caused atleast 70,2000 deaths in 2017, that is, 130 patients a day, dying from drug overdose..

    Dr. Vengurlekar’s approach is different as he diagnoses the underlying cause of the pain…whether it’s back pain or neck pain or other pain and then tailors a plan of treatment with minimally invasive procedures to eliminate or significantly alleviate the pain. Dr Vengurlekar has been successful in treating successfully thousands of patients over the last more than 30 years. Dr. Vengurlekar has helped patients avoid medications and get back to an active and productive lifestyle.

  2. Premier Pain Institute offers patients the latest in Minimally Invasive Procedures.

    Minimally invasive procedures allow Dr. Sham Vengurlekar the opportunity to provide patients with pain relief without having to undergo extensive surgery, which allows the patient to avoid the need for ongoing medication management, in most cases.    The goal of providing minimally invasive procedures is the increased comfort for the patient, quicker recovery time, and the patient will spend less time receiving care.  Minimally invasive procedures are available to treat sports injury, joint pain, arthritis, sciatica, back pain, neck pain and a variety of others.

  3. How is pain managed during the procedure?

    Dr. Sham Vengurlekar uses intravenous twilight or moderate sedation for patients to alleviate much of the discomfort during the procedure.  When using sedation, a medical provider will give an IV anesthetic .  The medications will wear-off quickly and the procedure requires very little down-time.

  4. Will I have to see multiple providers to be considered for a minimally invasive procedure to treat my pain?

    At the Premier Pain Institute, Dr. Vengurlekar’s philosophy is to treat every patient according to his or her unique diagnosis. His one-on-one doctor-patient approach ensures that each patient is personally examined and diagnosed. Every patient is carefully examined by Dr. Vengurlekar, and, if required, additional diagnostic testing may be ordered. Each patient receives a customized treatment plan from Dr. Vengurlekar that is specifically designed to target the root cause of pain. Dr. Vengurlekar performs minimally invasive procedures in a state-of-the-art facility with the goal of eliminating pain at the source.

  5. What if I don’t know the source of pain, but the pain is localized to a specific place in the body?

    Dr. Sham Vengurlekar uses his vast knowledge and extensive experience to diagnose the patient’s underlying problem. MRIs, X-rays, and other diagnostic tools to identify the source of pain, may also be needed.  Once identified, Dr. Vengurlekar uses guided imaging to further identify the source of pain and provide care based upon the discussed upon treatment plan.  Specific conditions treated include Compression fractures, Neuropathy, Headaches, Back pain, Neck pain, Spinal pain, Herniated Discs, bulging discs, sciatica, back and neck pain, Carpal tunnel, Tarsal tunnel, Hand pain, Wrist pain, Foot pain, Post-surgical pain, Shingles, accident pain and whiplash injury pain, sports injury pain and many other pain-causing conditions.

  6. Why choose Dr. Sham Vengurlekar and Premier Pain Institute?

    Dr Vengurlekar is board certified Interventional pain specialist for the last more than 20 years. He has been exclusively in the specialty of interventional pain for the last more than 20 years. Dr Vengurlekar is also board certified in other specialties including surgery, anesthesiology and fellowship trained in Cardiovascular surgery. Premier Pain Institute offers the latest in procedures with all our services being provided using cutting-edge technology.  Our procedures usually require only a single day’s absence from daily life. You’ll be back to work or play within 24 hours.  Don’t risk your health and well-being pursuing pain relief.  Schedule your appointment with Dr. Vengurlekar today and find relief from pain!

  7. How long will I need to wait to get an appointment?

    Dr. Vengurlekar prefers that patients get their initial consults with him, as quickly as possible.  Procedure appointments are generally scheduled within one week of the initial consult. At the Premier Pain Institute, you won’t have to wait weeks or months to meet with your doctor.   Patients may be referred out to get an MRI, so patients that can bring a current MRI report to the initial consult will be scheduled for a procedure more quickly.

  8. What is Sports Injury?

    Sports injuries are not only ailments that affect professional athletes. Sports injuries are injuries that occur during sport, athletic activities, or exercising. Millions of Americans participate in organized sports and are impacted by a sports injury.  Each patient requires a specific diagnosis and treatment plan; schedule your evaluation today so we can get you back on the right path!

  9. What is Joint pain?

    Joint pain is an ailment that plagues people from all walks of life. Some sufferers have very intense, constant throbbing pain while others have pain that’s barely noticeable. As with all joint problems, there are many possible causes, such as arthritis, injury, ruptured tendon or ligament. However, Dr. Vengurlekar can help to identify and treat the cause of your joint pain. Regenerative cells ,PRP etc may all be possible options of treatment.

  10. What is Back Pain?

    Back pain is debilitating pain in the upper back, mid-back, or lower back.  Back pain can be caused by a variety of ailments.  Unfortunately, back pain can leave even the toughest people bed-ridden, unable to make a living and provide for their families. Don’t wait to relieve your back pain and book an appointment to see Dr. Sham Vengurlekar today.

  11. Is there a difference between lower back pain, mid-back pain and upper back pain?

    Yes.  Low back pain is the most common complaint in the U.S. due to ongoing nature of lower back pain.  Lower back pain results in a loss in hours and often an-hours, making it an inevitable reason to visit the emergency rooms and the doctor’s offices. It also contributes to the loss of billions of dollars in productivity and being a case of excruciating pain and concern, the health care industry profits from the cost of treatments. There are numerous causes of low back pain…back strain, bulging discs, herniated discs, pinched nerves, disc protrusion, stenosis, vertebral fracture, osteoporosis, kidney stone, aortic aneurysm, cancer, etc. Successful treatment needs an accurate diagnosis to be made before a treatment plan can be formulated. Dr Vengurlekar is very focused on this aspect of the care.

  12. What is neck pain?

    Like other forms of pain, neck pain has a lot of causes. Neck pain can cause symptoms such as a headache, shoulder pain, problems in rotating or bending the head and increasing pain in the head or neck. Such pain can be due to a neck injury, accident, or trauma. Patients who see Dr. Vengurlekar report successful relief from their neck pain and headaches, neck pain, or shoulder pain.

  13. What is regenerative therapy?

    Regenerative Therapy uses Stem-Cells and Plasma-Rich-Platelets (PRP) to assist the body in healing from a sports injury, accident, or other source of pain.  Stem Cell Therapy is the latest treatment for relieving pain at the source.  Dr Vengurlekar offers Stem Cell Therapy, or Amniotic Allograft Injections or umbilical cord blood derived stem cells to decrease healing time and increase the comfort of the patient.

    Get your life back, and start to live again. Life is short, so stop the pain now and live your life to the fullest. Visit Dr. Sham Vengurlekar at Premier Pain Institute to see if you are a candidate for Stem Cell Therapy or other treatment to alleviate your pain.   

  14. I have significant pain in my back and in my left leg that began one week ago. My doctor told me I have a herniated disk. Do I need to go see a spine surgeon?

    If there is paralysis in an extremity or if there is problem with incontinence, then undoubtedly spine surgery is the answer. Except for the above exceptions, spine surgery is not needed as the initial choice of treatment. There are many reported articles in the literature, which show that spine surgeries when performed without the proper indications can actually cause more harm than good, and result in more repeat spine surgeries to be performed. In your situation, it appears that your pain has started recently, and if you have a herniated disk, you may benefit significantly, and almost completely, from the procedures that Dr. Vengurlekar may choose to perform on you after an evaluation. Most spine surgeons recognize the limitations of spine surgery and insist that patients undergo a minimally invasive procedure before they make the decision to go through with a surgery.

  15. I have significant neck pain which goes down all the way into my arm. My MRI has been reported normal. Is it possible that I have a disk that is causing the problem?

    It appears from your symptoms that you indeed have a protruding disk or radiculopathy, meaning irritation of the nerve root. Although MRI imaging is useful, it does not always show the changes from the irritating disk or herniated disk. Every week, I see several patients whose MRIs show a protruded or ruptured disk, but patients have no symptoms. On the other hand, I have patients who have symptoms of nerve pain in their neck or back, whose MRIs are completely normal, but they do have a significant disk problem. Such disks can be identified by performing a very meticulous physical examination and history and sometimes discography studies.

  16. I was told that I have Carpal-Tunnel syndrome. I have pain in my hand and in my fingers, I also have cold hands and they occasionally swell up during the daytime. On my doctor’s advice I went and had Carpal-Tunnel release from an Orthopedic surgeon. Following the surgery, my pain has increased substantially, and I also noticed some color changes. What would be the possible problem for this condition, and would you have any treatment for this?

    From your symptoms and your presentation, it appears you may have a condition called Reflex Sympathetic Dystrophy also now known as complex regional pain syndrome. This is a nerve disorder which can be precipitated by minimal injury or a minor surgery, as in your case, and needs to be diagnosed and treated appropriately. The sooner you get the appropriate interventional procedure for this condition, the better are your chances for a complete cure and complete restoration of function.

  17. What kind of treatment would your perform for me for my RSD (Reflex Sympathetic Dystrophy)?

    RSD is a result of a nerve disorder affecting specialized nerves that supply the sweat glands and blood vessels of the skin. Under certain conditions, these nerves take over abnormal functions and start shooting off abnormal pain impulses, resulting in tissue changes. If these conditions are diagnosed early, the chances of cure and prognosis are excellent. However, if they are misdiagnosed, and are prolonged, then there will be irreversible damage to the tissues and the chances of cure and prognosis are poor. In your case, if you’re proven to have RSD, then certain procedures that target the sympathetic nerve tracts will need to be performed. These maybe specific nerve blockades of the sympathetic tracts or ultimately a radiofrequency ablation which permanently destroys the troublesome nerve. This is usually combined with physical therapy to restore function.

  18. I was told by my family doctor that I have developed Shingles on my chest and I have developed intractable chest pains at this time. Can you help me?

    There are several factors which will determine whether or not help can be provided for your shingles pain. You now have a condition called Post Herpetic Neuralgia. The ideal thing for you when you had your shingles attack was to see a pain management physician and receive certain blocks of the nerves which could have shortened the duration and severity of the attack. Such episodes of shingles, when untreated, may result in Post Herpetic Neuralgia, as in your case. The treatment of Post Herpetic Neuralgia is very complex and involves several therapeutic options. This may include nerve blocks, and some patients may also require spinal electrodes as an ultimate therapy.

  19. I have been diagnosed with arthritis and fibromyalgia and have generalized body pain. Are you able to help me?

    Your problem is a generalized condition and arthritis and fibromyalgia need a complex treatment plan which involves an accurately diagnosing the condition and instituting medical treatment from a Rheumatology specialist. Also bear in mind that patients with arthritis and fibromyalgia may also have spinal pain caused by other conditions. So, if you have spinal pain or specific pain in certain parts of the spine, those may be amenable to interventional therapy. In the past several years, exciting medications are on the market which can control your discomfort from fibromyalgia. These have been successfully treated with SSRIs, SNRIs, DRIs, etc. restoring quality of life to the suffering individuals. I donot do medication management and are best handled by a rheumatologist or an experienced internist.

  20. I have had headaches for the last 10 years. They always occur on only one side of the head, and are usually at the back of the head. I have been told that these are migraine headaches, but I never have any nausea, vomiting, or any visual disturbances. Do you think you can help me?

    Unfortunately, headaches, like other medical disorders, are often misdiagnosed or mislabeled as migraine. Headaches can be caused by several conditions. Just from your history it appears that the possibility of occipital neuralgia should be considered in your diagnosis, and it is very important to establish an accurate diagnosis in headache disorders, just as it is for any medical disorder, because the treatment for all these different headaches are very different. You may benefit from a nerve block called an occipital nerve block or a block of the C2, C3 ganglion, if you are proved to have the condition of occipital neuralgia. Other differential diagnoses may include cervical facetogenic pain, greater auricular nerve entrapment, intracranial aneurysm, histamine headaches, cervical spine arthritis, bulging or protruding disc, etc

  21. How are disc tears treated?  I’m a physician and have significant pain in my left lower back. I was diagnosed to have disc tears at L4-L5 disc and the Spine Surgeon who I was referred to ordered me to have physical therapy which has increased my pain. The spine surgeon told me that I was not a surgical candidate. I have gone through your website and am interested in your new interventions. What would be your advice to me at this time?

    You have classical symptoms of a disc tear and I am assuming that the other possible conditions in differential diagnoses have been ruled out, such as kidney stone, rib fracture, etc. The first thing you need to do is to stop your physical therapy as all that is going to do is not heal the problem and worsen your disc pathology. After a thorough examination on you, were you to come and see me, I would review your MRIs and then consider a diagnostic discography. Depending on the appearance of the discs, you may be a candidate for a minimally invasive procedure offered by Premier Pain Institute. You may review these procedures on the website www.azpainmd.com.

  22. Is discography painful? My friend had one from a radiologist and it was extremely uncomfortable.

    The key element of diagnosing a painful disc causing back pain, on discography, is pain provocation. Rarely, have I had a patient, who has been so uncomfortable. In my practice, judicious conscious sedation is provided, and pain provocation is elicited at low threshold of pressure. This largely contributes to avoiding unnecessary pain for the patient.

  23. My mother was diagnosed with osteoporosis. Recently she has had very severe low back pain which is constant. We are at a loss as to what to do for her.

    With a recent onset of acute pain in a patient who has osteoporosis or any individual who is at high risk of osteoporosis, the first presumptive diagnosis is a compression fracture of the vertebra. These can occur in the thoracic, lumbar and the sacral region and cause acute unremitting pain. Of course, in an older individual, cancer metastases to the spine and aortic aneurysm must also be considered in the differential diagnosis.

    The only effective and a rapid method of treating a compression fracture is vertebroplasty or Kyphoplasty, in which a medical grade of cement is injected into the collapsed vertebra and helps to bolster the fractured vertebra and relieve pain. Medical treatment of underlying osteoporosis must also begin immediately to prevent additional fractures.

  24. Dr Vengurlekar, are you saying that pain killers have no role in pain treatments?

    Painkillers do have a short term role for patients who have an acute pain from surgery, injuries or sports injuries. I never write more than a week’s supply of medications like narco, Percocet or dilaudid for such pain conditions. For pain conditions that are long sustained, there are more appropriate treatment measures such as minimally invasive procedures offered by Premier pain Institute.

    Cancer pain and multiple spine surgeries and other traumatic conditions will justifiably need long term narcotics, along with other modalities of treatment.

    Massages, manipulations can also help for short term relief of acute pain conditions but do not have a role in long term continuation of such treatments.


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