Conservative Treatments

Medication Optimization

There are several different classes of medication that can be used to relieve your pain. Any one of the medications listed below may help, but the correct medicine is chosen based on your medical history and severity of pain

Over-the-Counter Medications

Over-the-counter medications are useful in relieving mild to moderate pain. This class includes Acetaminophen (Tylenol), Ibuprofen (Advil) and Naproxen (Aleve). During your appointment, the correct dosage for the medication of choice will be determined.

Opioids

For severe pain, Opiods/Narcotics may be prescribed. This class is very effective against pain, but can be addictive. Opiods should only be used as a last resort, in post-operative cases, or if the pain in unbearable. Examples of opiods include: Codeine, Propoxyphene (Darvocet), Hydrocodone (Vicodin) and Oxycodone (Percocet, Oxycontin). Tramadol is a medication we prescribe that’s stronger than over-the-counter medication, but not as strong the opiods listed above. It may be a suitable, alternative option if over-the-counter drugs aren’t providing you with enough relief.

Muscle Relaxants

Muscle relaxants are used to relieve pain that manifests in the form of muscle spasms. Examples of commonly prescribed muscle relaxants include cyclobenzaprine (flexeril), carisoprodol (soma), and diazepam (valium).


Physical Therapy

Physical therapy is a treatment method for improving limited body movement and functionality that are a result of disease, injury or aging. Treatment involves restorative exercises that focus on developing muscle strength, flexibility, balance, posture and coordination, and that provide overall pain relief. Physical therapy is designed to promote a patient’s overall health and fitness, prevent reinjury and maximize quality of life. It may be prescribed as an initial form of treatment for certain conditions or injuries, or to restore strength and function after surgery.

Types of Physical Therapy

Physical therapy has many specialty areas dealing with different types of injuries and diseases. The American Board of Physical Therapy Specialties recognizes only these areas:

  • Neurology
  • Orthopaedics
  • Pediatrics
  • Geriatrics
  • Sports
  • Clinical electrophysiology
  • Women’s health
  • Cardiovascular and pulmonary

Physical Therapy Sessions

Each physical therapy session is designed to gradually increase strength and mobility. It is done in increments to avoid excessive pain or a relapse injury. For example, a person with tendonitis of the elbow may start with bodyweight partial extensions, but after 6 weeks will have increased to 20 pound dumbbell full range of motion extensions. After each session, ice and/or electrostimulation are applied to prevent additional inflammation and to cool down the muscles.

At-Home Physical Therapy

In certain cases, Physical Therapy can be performed independently at home, with specific instructions from our doctors. Exercises are written out in detail with specific rep and set ranges, and patients must be responsible not to exceed the recommended daily treatment.

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To learn more about Action Sports Medicine & Pain Management, please contact us online or call one of our three Long Island and Queens offices today to schedule an appointment.
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