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Diabetic Neuropathy – Pain Management

Diabetic Neuropathy is a condition that harms the nerves. The damage to the nerves is painful. The nerve damage is most often in the legs and feet. Neuropathy is a common and serious complication of type 1 and types 2 diabetics.

Patients suffering from diabetics should consult a doctor if they notice tingling pain, weakness, or numbness in the hands or feet. Different types of diabetic neuropathy affect different areas of the body.

Symptoms of Diabetic Neuropathy

Pain or numbness in the hands or feet

Sensitivity to touch or loss of sense of touch

Burning sensation in feet (especially at night)

Muscle weakness or wasting

Difficulty with coordination when walking

Indigestion nausea, or vomiting

Constipation or diarrhea

Dizziness when standing up

Excessive or decreased sweating

Bladder problems (incomplete bladder emptying)

Erectile dysfunction

Vaginal dryness

Increased heart rate

Different Types of Diabetic Neuropathy

Peripheral Neuropathy

This is the most common form of neuropathy. It affects the feet and legs. In some cases, it affects the arms and hands too. The symptoms are mild to severe.

Sharp pain

Cramping or numbness

Tingling or burning sensations

Muscle weakness

Extreme sensitivity to touch

Loss of balance or coordination

The symptoms are often experienced at night. Patients suffering from peripheral neuropathy don’t feel an injury or soreness on their feet.

Autonomic Neuropathy

This type of neuropathy affects the digestive system (stomach). Apart from the digestive system it also affects the blood vessels, sex organs, and urinary system.

Digestive System Symptoms

Bloating

Constipation

Diarrhea

Feeling full after small meals

Heartburn

Nausea

Vomiting

Blood Vessels Symptoms

Dizziness

Faster heartbeat

Low blood pressure

Proximal Neuropathy

Proximal neuropathy (diabetic amyotrophy) is a rare form of neuropathy. It is most common in men over 50 years of age. It affects the buttocks, thighs, and hips. Patients may experience sudden and severe pain.

Diabetic amyotrophy usually affects one side of the body. Muscle weakness in the legs makes it difficult to stand without assistance.

Mononeuropathy

Mononeuropathy (focal neuropathy) involves damage to a specific nerve (leg, middle of the body or face). The symptoms include pain in the:

Pelvis or lower back

Foot or shin

Abdomen or chest

Front of thigh

Diabetic Neuropathy – Treatment

Diabetic neuropathy has no treatment. Its progression can definitely be slowed down. The best way to treat neuropathy is to keep the blood sugar levels within a healthy range. This helps in relieving some of the symptoms.

Pain Management

Medications are often used to treat the pain caused by diabetic neuropathy. The other alternatives that are used to manage pain include 360 Pain Treatment and acupuncture.

The alternative pain management therapies provide relief from pain when they are used with medication.

Manage Complications

Therapies, medications, and lifestyle changes are suggested by doctors to manage the many complications of neuropathy. It is advisable to monitor the blood sugar level to deal with the many symptoms of diabetic neuropathy.

Dr. Raju Mantena works with each individual patient to customize the 360 Pain Treatment as per their specific requirement. The personal attention and quality care help patients achieve a pain-free life.

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Ganglion Cysts – Diagnosis and Pain Management

Ganglion Cysts (Bible cysts) are non-cancerous lumps in the hand. They usually appear along joints or tendons. The cysts occur on the hand or wrist but can also appear on the foot or ankle.

The cyst appears like a sac of liquid. A colorless, clear, thick and sticky liquid is found inside the sac. Depending on the size of the cyst they may feel spongy or firm.

Dr. Raju Mantena identifies the cause of the pain. This helps in determining the best treatment. The best treatment helps alleviate the pain and enable patients to regain their life. 360 Pain Treatment is a holistic approach to treating pain.

Symptoms

Ganglion cysts often cause some degree of pain. If the cyst presses on a nerve, it can cause considerable pain, muscle weakness, numbness, and tingling. The pain is usually chronic. It is often made worse by joint motion.

If the cyst is connected to a tendon, a sense of weakness is felt in the affected finger.

The cysts are oval or round. They usually appear as a mass that changes size.

The swelling appears over time. It gets bigger or smaller in size. The swelling may even go away and reappear later.

The cysts develop along the joints or tendons of the hands and wrist. Feet and ankle are also common locations. The cysts can appear near other joints too.  

Treatment

Non-Surgical Treatment

Observation

Ganglion cysts are not cancerous. They most often disappear with time. If you don’t have any symptoms, the doctor may recommend waiting and watching. This is done to ensure that no unusual changes occur.

Immobilization

An activity that increases pressure on the nerve causes pain. The activity causes the cyst to increase in size. A splint or wrist brace relieves symptoms. It also causes the ganglion cysts to decrease in size.

When the pain decreases, the doctor prescribes exercises. The exercises improve the range of motion and strengthen the wrist.

Aspiration

If the ganglion cyst limits activities or causes considerable pain, fluid is drained from the cyst. The procedure is known as aspiration. The cyst is punctured with a needle after numbing the area around it. The fluid is then withdrawn.

The connection to the tendon sheath or the joint should be removed to prevent from cyst from occurring again. Aspiration procedure doesn’t remove the root of the cyst. In most cases, the cyst returns after the procedure.

Surgery

Surgery is recommended if the ganglion cyst returns after aspiration. The surgical procedure that is used to remove the cyst is known as excision. Excision is an outpatient procedure. Patients are able to go home after a period of observation.

360 Pain Treatment is a multidisciplinary approach to treating pain. The treatment helps achieve sustainable long-term relief without surgery. The treatment improves quality of life and enables patients to return to an active lifestyle.

Dr. Raju Mantena is an expert in pain management. A personalized treatment plan is developed to address the unique needs of each patient. The different treatment options enable patients to get back to their productive lifestyle.

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Torn Meniscus – Knee Pain Management

The meniscus tear is a debilitating and painful condition. Meniscus tears are the most commonly occurring cartilage injuries of the knee. The meniscus is the cartilage that cushions the thighbone (femur) and the shinbone (tibia).

Two menisci are found in each knee joint. The meniscus protects the knee bones from wear and tear. A torn meniscus will cause swelling, stiffness, and considerable pain. Most people suffering from this condition have trouble extending the knee fully.

Dr. Raju Mantena provides comprehensive diagnosis and uses 360 Pain Treatment to resolve the torn meniscus pain completely. The holistic treatment plan is customized as per the specific requirements of the patient.

Symptoms

The symptoms of a meniscus tear include:

Swelling and pain in the knee.

Locking or catching of the knee.

Difficulty straightening and bending the knee.

A popping sensation in the knee during injury.

Pain when rotating or twisting the knee.

Limited motion of the knee joint.

Causes

The meniscus is often torn during activities that put immense pressure on the knee. Heavy lifting, deep squatting or a sudden turn or pivot can cause injury to the cartilage.

Sports activities (basketball, tennis, football) increase the risk of meniscus tears. Meniscus tears are also becoming common among children. This is due to the active participation of children in sports activities.

Preventing Meniscus Tear

The meniscus tear is often difficult to prevent as they usually occur due to an accident. You will be able to lower the risk of knee injury by including:

Warm up routine before strenuous sports activities.

Keep the thigh and knee muscles strong with regular stretches and exercises.

Ensure shoes fit correctly. The shoes should also provide adequate support to the foot.

Treatment

The treatment of the meniscus tear will depend on the location and size of the tear. The other factors that influence treatment include activity level, age, and other injuries.

Non-Surgical Treatment

If the tear is on the outer edge of the meniscus or small it will not require surgery. Small tears often heal on their own.

Avoid activities that aggravate the pain and swelling. Crutches can be used to avoid putting weight on the affected leg.

Apply ice packs to the affected area several times a day. Avoid applying ice directly on the skin. This will help reduce inflammation and pain.

Wearing an elastic compression bandage will prevent blood loss and swelling.

Elevate the leg higher than the heart to reduce swelling.

Anti-inflammatory medications will provide relief from pain. The medications should be used only under the supervision of the pain management doctor.

Stretching exercises will strengthen the muscles and reduce strain on the knee.

Surgery

If the meniscus tear is large, surgery is recommended to repair it. Arthroscopic surgery is the most common knee surgical procedure. The surgeon stitches the torn pieces together. The recovery time will depend on the type of tear that is fixed.

Dr. Raju Mantena uses the best diagnostic approaches and innovative treatment procedures to relieve pain in the quickest and most effective manner possible. 360 Pain Treatment will help improve the quality of life of patients.

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Myofascial Pain – Diagnosis and Treatment

Myofascial pain syndrome is a chronic pain condition. It affects the musculoskeletal system. Pressure on sensitive points in the muscles causes pain and inflammation.

Pain in the trigger points of the muscle causes pain in unrelated parts of the body. This is known as referred pain. When a muscle is contracted repeatedly, the myofascial pain syndrome occurs. The discomfort associated with this pain often worsens with time.

Fascia is the soft tissue that covers and connects all muscles. Myofascial pain is a chronic pain caused by inflammation in the connective tissues. Dr. Raju Mantena is a pain management specialist with years of experience in treating myofascial pain.

360 Pain Treatment will provide you the relief you seek from chronic pain. The holistic treatment plan reduces the pain and enables patients to get back to their normal routine within no time.

Symptoms

The symptoms of myofascial pain include:

Aching deep pain in localized areas of the muscles.

Pain that worsens or persists. The pain worsens when the affected muscle is strained or stressed.

The painful and tender knot in the muscle. When pressed it produces referred or localized pain.

Stiff, inflexible and weak muscles.

Reduced range of motion due to pain in the muscles.

Difficulty sleeping due to persistent pain.

Causes and Risk Factors

Muscle trauma or injury, muscle overuse or psychological stress is often the cause of myofascial pain. The combination of contributing factors that trigger myofascial pain include:

Obesity

Poor posture

Lack of sleep

Injury to the musculoskeletal system

Intense cooling of muscles

Lack of movement or exercise

Diagnosis

A physical exam is performed by the pain management specialist to determine the myofascial trigger points. The different types of trigger points that the doctor may find include active trigger points, latent trigger points, and secondary trigger point.

Treatment

Treatment for myofascial pain syndrome includes medications, therapy, and trigger point injections.

Medications

Medications for myofascial pain include pain relievers, antidepressants, and sedatives. The medications are helpful in relieving pain.

Therapy

Based on the symptoms, the physical therapist will devise a customized treatment plan to relieve pain.

Massage – Muscle massage releases tension and relieves pain. The different types of massages that help relax the trigger points include active and passive rhythmic release, trigger point pressure release, and acupressure.

Stretching Exercises – Gentle stretching exercises will help ease the pressure on the affected muscle. This helps in relaxing the different trigger points.

Posture Training – Improving posture will help relieve myofascial pain (especially in the neck). Correct posture will strengthen the muscles around the trigger points. 

Heat and Ice Packs – Applying heat and ice packs will help relieve muscle tension and pain.

Trigger Point Injections

Steroid or numbing agent is injected into the trigger points. The technique known as dry needling involves inserting a needle in and around the trigger points.

Dr. Raju Mantena uses the latest advances in pain management. The innovative pain management therapies such as 360 Pain Treatment is customized to meet the specific needs of each patient. The treatment ensures that patients experience maximum comfort. This enables them to recover faster with fewer complications.

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Hip Flexor Strain Pain Management

Hip flexor strain occurs when the hip flexor muscles are injured, torn, strained or pulled. Different activities can cause the strain. Damage to the hip area varies from minor to major injuries. The most severe injuries are third-degree sprains. In this condition, the bone breaks along with severe muscle sprain.

The hip flexor muscles include the psoas major and iliacus muscles (iliopsoas) and rectus femoris (part of your quadriceps). The muscles and tendons that connect them to the bones are easily strained if they are overused.

Dr. Raju Mantena specializes in hip flexor strain pain management. The highly personalized and comprehensive hip pain care enables patients to get back to an active lifestyle within no time.

360 Pain Treatment helps solve the root cause of the problem. This accelerates the healing process. The treatment plan is customized to meet the specific needs of the patient.

Symptoms

The symptoms of hip flexor strain include:

Sharp and sudden pain in the pelvis or hip. The sharp pain starts after trauma to the hip area.

Clenching or cramping sensation in the muscles of the upper leg area.

Upper leg feels sore or tender.

Bruising or swelling along the thigh or hip area.

Tugging sensation in the groin.

Pain and discomfort in the upper leg area.

Loss of strength in the front of the groin.

Muscle spasms in the thigh or hips.

Inability to jump, kick or sprint.

Stiffness or tightness after being stationary.

Discomfort when moving.

Reduced mobility.

Causes

Hip flexor strain occurs when the hip flexor muscles and tendons are overused. The tendons and muscles become sore, inflamed and painful.

Athletes and individuals who use the hip flexor muscles in activities such as running, training, and dancing are susceptible to injury or strain. The tear in the hip flexor muscles ranges from mild to severe.

Grade I Tear – Minor tear. Only a few fibers are damaged.

Grade II Tear – A large number of muscle fibers are damaged.

Grade III Tear – The muscle is completely torn or ruptured.

Treatment

The treatment will vary depending on the severity of the injury.

Physical Therapy

Exercises keep the hip flexor muscles supple and flexible. This helps prevent injury. Hip exercises strengthen the hip flexor muscles. The exercises will reduce tension and prevent further injury.

Gentle cycling and swimming are beneficial as they improve strength and prevent hip flexor injuries. Stretches reduce tightness. This improves flexibility and strengthens the muscles.

Get Rest and Avoid Strenuous Activities

Avoid activities that cause further strain to the hip flexor muscles. Resting the muscles will help speed up the healing process. A compression wrap around the affected area will help avoid strain to the muscles.

Apply an ice pack or heat pack to the affected area. This will help relieve pain and inflammation. Over the counter pain relievers provide short-term relief.

Surgery

If the injury is severe, surgery is recommended by the doctor. The surgery will help repair the muscle.

Dr. Raju Mantena has a different approach to pain management. This ensures that the patient gets the right care to relieve acute and chronic pain. 360 Pain Treatment helps relieve pain, promotes healing and prevents reoccurrence.

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Facet Joint Syndrome Back Pain Management

Facet Joint Syndrome (facet joint pain) is caused by facet joint injury. The facet joints are synovial joints between the vertebrae of the spine. There are two facet joints (right and left) in each of the spinal motion segment.

Facet joints limit and guide the movement of each spinal motion segment. Each section of the spine has facet joints. Facet joint syndrome is the most common cause of back pain, neck pain, and thoracic spine pain.

Facet joint syndrome mimics other causes of back pain (spinal infection, herniated disc or torn muscle). It is important to get a proper diagnosis from a back-pain specialist. Dr. Raju Mantena specializes in the diagnosis and treatment of facet joint syndrome.

360 Pain Treatment is the best way to treat the pain and manage the symptoms of chronic back pain. The holistic treatment will help beat back the pain.

Causes of Facet Joint Pain

The cartilage in the joints wears down with age. An injury, poor posture, repetitive movements, obesity, and other spinal problems change the way facet joints align.

The joint motion stiffens (hypomobility) or becomes excessive (hypermobility) in individuals suffering from facet joint syndrome.

Causes of Facet Joint Hypomobility

Facet joint arthritis

Locked facet joint

Protective muscle spasm

Degenerative facet joint osteophytes

Joint capsule thickening, scarring, or shortening

Causes of Facet Joint Hypermobility

Dislocation

Fracture

Overstretched ligaments

Disease that harms the joints (Rheumatoid arthritis)

Symptoms

The symptoms of facet joint syndrome include:

Back facet injury causes low back pain. The pain often radiates into the buttocks and thigh.

If the facet joint locks, you will find it difficult to move in any direction.

Muscle spasms

Treatment

Most often facet joint pain will cause the patients to seize up. They will start developing muscle spasms. Manual manipulation using different non-invasive pain relief techniques will help put the side muscles back in a correct position. The muscles relax with this treatment. This alleviates pain.

It is important to remember that each case of facet joint pain is different. The treatment will vary depending on the severity of the pain.

Physical Therapy

The physical therapist detects where the facet joint is locked. A painless joint release technique is used to unlock the locked facet. Exercises will help strengthen the muscles. This helps regain full motion and prevents recurrence.

Massage Therapy

A good massage relaxes muscle spasm. This allows the facet joint spasm to release.

Facet Joint Injections

The injections provide short-term relief from pain and inflammation. The injections are less effective in the long-term.

Acupuncture

Localized acupuncture provides facet pain relief. It is advisable to consult a doctor before you opt for this treatment.

Dr. Raju Mantena provides individualized patient care for acute or chronic back pain. He specializes in diagnosing and treating pain. The least invasive treatment procedures enable patients to improve their quality of life.

360 Pain Treatment is an advanced pain treatment that helps patients with various types and stages of acute, complex and chronic pain. The treatment minimizes symptoms associated with facet joint syndrome. This helps avoid unnecessary surgery.

Visit our website today to relief your Facet Joint Syndrome pain.

http://www.360paintreatment.com/

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Back Pain Treatment for Sciatica

The pain of sciatica is irritating, thumping and continuous of which the severity can be felt by the patient only. While the conventional medical system generally suggests for the surgery, most of the people are looking for an alternative way which is nonsurgical to get relief. In this scenario doctor who is specialized in Lower back pain is treating sciatical with success. Before know how this improved treatment process can make a difference, let's divulge into the health condition itself.

What is Sciatica?

In Sciatica, the sciatic nerves have been affected for which you can feel the pain from the lower back extending to the back of the leg. The pain generally originates in the lower part of the back or the buttock area which travels to the legs. The intensity and the frequency of the pain can be severe or minimum, and frequent or constant. Some patients report that the feeling of the pain

How to diagnosis sciatica?

Unfortunately, the symptoms of the sciatica are quite similar to any other lower back pain. That's why it is very hard to diagnosis the actual reason from the signs. A proper diagnosis includes different sectors like the medical history of the patient along with the physical and neurological findings. To find out the root cause, you may have to undergo X-Ray, CT Scan, Electromyography. From these examination reports, the pain specialist will identify the lower back pain cause.

How does an anesthesiologist help to get relief in sciatica?

The main purpose of pain treatment is to prepare the body for self-healing.  According to this therapy, the restriction of movements and pain are caused by the constraint spinal movement. The anesthesiologist treats the lower back in a drug-free and non-invasive way. Meet the Dr Raju Mantena pain specialist

There are many ways to reduce the pain like ultrasound, TENS, ice therapy as described following.

Ice therapy: It helps to reduce inflammation.

Ultrasound: It helps to increase blood circulation, build soft tissues and reduce muscle pain, cramping, stiffness, and spasm.

TENS: With the help of Transcutaneous Electrical Nerve Stimulation or TEN, the muscle stimulates to reduce the muscle spasms.

Adjustment: The main treatment process includes spinal manipulation to free the restricted spinal movement.

For more details visit www.360paintreatment.com

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Get rid of your lower back issue with expert doctor help

There may be not any course of therapy which is measured as the top treatment for the problem of lower back pain. A large number of lower back pain reasons along with the different sternness for each reason require that treatment procedures are specifically customized to the condition of each person. Thus, it is usually tough to say only relax, surgical treatment or medication as lower back pain therapy could be measured as the ideal choice for healing lower back pain problem for every individual case that is examined.

Obviously, from the perspective of convenience and preference, lower back pain expert wish that rest, non-invasive remedies and therapy will likely be enough for treating most of the lower back issues. It is simply because suggesting rest, pain medication and therapy suggests that the situation has not progressed beyond the level where it already needs surgical treatment. For lower back pain doctor near Texas and patients alike, it is wonderful news. On the whole, no one would wish to risk surgery given all the possible complications that can arise from the process.

On the other hand, even there are times when surgery turns into the best-suited cure for the issue of lower back pain and not any other technique will be enough. Usually, it can be just because a herniated disc is damaged ample that it is enduringly pressing on the roots nerve surrounding its placement resulting in continuous and extreme pain. When it happens, medication or rest cannot be enough to treat the situation. Also, epidural injections just give short and temporary relief when a herniated disc has progressed to a considerably advanced level. Under these conditions, surgery may turn into the only choice for a satisfactory and permanent solution.

One can find different types of back surgery given by perfect lower back pain doctor near me that may be utilized for healing the problem of lower back pain. The projecting spinal disc is shaved to ensure a couple of bone impinging on the nerves is reduced. In more modern cases, removal of the disc is required. When it happens, time of healing will take approx 3-4 months, however in the case that successfully done it can give long lasting getting rid of the annoying pain caused by the herniated disc.

Generally, in the middle of evaluating that is the top cure for lower back pain issue is the dispute between requirement, risk, and benefit. It is exactly what lower back doctor utilize to choose which type of therapy process to designate a particular patient. Is this process required? Are there a few other processes that have smaller risks all of which will still expectantly provide similar benefit? Can you want to risk a severe back operation in case a 2 or 3-week bed rest with adequate medication would complete the job? Continuously doctors consider these tips to provide their patients with the safest and best choice for curing the problem of lower back pain.

Thus, the next time you experience the problem of from severe back pain, do not immediately begin attempting various self- help options for healing lower back pain. Alternatively, see a specialist to obtain a much more entire picture of your circumstances. Go through the steps of diagnostic. Assess your choices.

Read more: 360 Pain Treatment

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Health care is on a one of a kind direction from different organizations these days. It's somewhat hard to acknowledge why?

In business, mass market items and services have dependably contended on cost or saw the quality. Think Walmart or Mercedes-Benz, even the Model T Ford. Be that as it may, the genuine cash and the genuine energy in business is moving far from cost and quantifiable cutout quality to the intangibles of power, impact, and trust. This, as it were, is a move back so as to preindustrial values.

In essential consideration, unbeknownst to numerous intellectuals and directors and unimaginable for a large portion of the wellbeing tech industry, cost and quality are not by any stretch of the imagination even practical contemplations. Indeed, they are generally obscure and mysterious.

The genuine cost in essential consideration isn't only the expense of each specialist visit. It is the expense of the aggregate number of visits expected to take care of an issue, and furthermore the expense of the different tests, systems, and medications every essential consideration specialist orders when taking care of that issue or dealing with a specific condition. This can change immensely.

In responsible consideration associations, real expenses are contrasted with assumed or anticipated costs, which depend on the various leveled condition categories (HCCs), which aren't notable or ordinarily utilized by essential consideration specialists. To some extent, you can diversion this gauge cost figuring by acing HCCs (Medicare Advantage designs' money related prosperity relies on taking advantage of this; this is the reason they offer specialists $150 to approve a rundown of every patient's known or suspected costly analyses).

Quality in medicinal services is to a great extent subjective depending on each person's preferences. I've said it previously, and I'll say it again here: A patient populace's inoculation rates or ibuprofen utilize or non-utilize (contingent upon movements in learning) are not far-reaching proportions of value. The precision of determination, in the event, that anything, is. In any case, who is estimating that? You may state "the individuals who can't rehearse medication measure it." That's the reason most quality estimates nowadays are of things you needn't bother with a medicinal degree or permit to achieve.

Essential consideration, according to our patients, is rather about the relationship, specialist, trust, and (wheeze) accommodation. This is the thing that individuals in most different organizations discuss constantly. It is the thing that even tech and drug savants, EMR organizations and numerous other brokers need for themselves. They would prefer not to be assessed based on cost or quality models set by others. However, they need mass market medication for the majority, not relationship-based consideration.

What occurs on the off chance that they lose it by and large?

There are present day, huge organizations who tune in to their clients, even research and foresee their clients' needs. There are organizations that engage their workers to take care of client issues, give discounts and do additional items. There are organizations who treat representatives like proprietors or even offer them genuine possession.

Health care could do some a greater amount of that.

Be that as it may, there is more, in case we overlook: Doctors aren't simply workers.

Who has the permit to rehearse drug? Who puts the needle or surgical tool? Who chooses the drug? Who says "I'm sad, we did all that we could" or "Congrats, it's a wonderful child young lady"?

Sales representatives, YouTube stars and business pioneers give a great deal of thought to their client connections, their own position and the fundamentals of building and looking after trust.

Dr. Raju Mantena is an anaesthesiologist and pain specialist