Conditions We Treat
Dr. Jill Flaxman and her team are committed to developing individual, unique and effective plans of care for her patients for whatever pain they may be experiencing, no matter how complex. The goal of this approach is to use multimodal therapies to give patients the opportunity to thrive, not merely survive using first-class clinical therapies and reducing narcotic use. We are committed to helping our patients get their lives back!
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Coccyx tailbone pain, often caused by injury or strain to the coccyx bone at the base of the spine, can result in discomfort and limited mobility, requiring specialized treatment for relief.
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Whiplash is a general term used to describe a range of injuries that occur when there is excessive back and forth motion to the muscles and vertebra of the neck. Under normal circumstances, your neck can withstand a certain degree of force with flexion, extension, and rotation. When there is an excessive force experienced to the muscles, ligaments, and vertebrae of the neck, injuries, such as a strain or sprain, can occur.
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Complex regional pain syndrome (CRPS), also known as Reflex Sympathetic Dystrophy (RSD), is a condition involving chronic, intense pain usually occurring in the arms, hands, legs or feet.
It is thought that CRPS is precipitated by trauma to nerves in the affected area or an immune reaction. In addition to allodynia, hyperalgesia, and central sensitization, CRPS patients may experience changes in skin texture, color and temperature, and reduced range of motion in affected extremities. There are two types of CRPS: CRPS 1 is a chronic nerve disorder that occurs in an extremity after a minor injury, and CRPS 2 is caused by direct injury to a nerve.
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Spondylolisthesis is a condition in which a vertebra of the spine slips out of place and onto a vertebra below. This can result in pressure being placed on the nerves in the spine, causing debilitating pain. It is often seen in the lower back, but can occur anywhere along the spine.
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The peripheral nervous system is the network of nerves outside of the brain and spinal cord that serve most of the body. Damage to this system, or peripheral neuropathy, may result in adverse effects to many other functions of the body, such as digestion, urination, motor control, circulation, and sensory perception. Neuropathy occurs when damage occurs to nerve cells. There are three types of nerve cells that can be affected: sensory nerves, motor nerves, and autonomic nerves. Peripheral neuralgia is commonly perceived as a consistent burning or tingling sensation. It may result in significant reductions in the ability to function or even move normally.
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Ehler-Danlos can lead to extreme pain. Joints can come out of position. Muscles can grow weak. Many suffer from general body pain, fatigue, and headaches.
Most people with EDS bruise easily and heal slowly. Many are subjected to flare-ups caused by excessive movement, exercise, poor sleep, or other stressors.
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TMJ is typically characterized by pain and compromised movement of the jaw joint and the surrounding muscles. The temporomandibular joint or TMJ acts like a sliding hinge, connecting your jawbone to your skull. Dysfunction can lead to Jaw pain, difficulty chewing, and clicking and locking of the jaw joint in addition to other symptoms.
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Post-laminectomy syndrome is defined as lack of pain after spinal surgery. There are approximately 1.2 million spinal surgeries performed in the United States each year. Up to 20% of patients who undergo spinal surgery have persistent pain following their procedures. When the desired effect is not achieved and pain persists despite surgery, it is known as post-laminectomy syndrome.
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Spondylosis is an age-related condition, known as degeneration, of spinal bones. It affects the cartilage lined discs and joints of the spine and can occur at any level of the spine. It is associated with chronic pain. Overtime, the wear and tear on the bones of the spine due to aging lead to bone spurs (osteoarthritis). As the degeneration advances, discs of the spine can become herniated and bulge, resulting in nerve impingement.
As the spondylosis progresses, it could lead to spinal stenosis, in which there is compression on the spinal cord. When symptoms are present, patients may experience tingling, numbness, or weakness in the arms, hands, legs, or feet. In severe cases, there may be a loss of motor function, loss of bladder or bowel function, and lack of coordination and walking.
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Myofascial pain syndrome is chronic pain coming from damaged muscle tissue or fascia. Fascia is connective tissue that surrounds and protects the muscles and facilitates movement of the muscles in the body.
This syndrome typically occurs after a muscle has been contracted repetitively, and can be caused by repetitive motions used in daily activities, sports, work, and hobbies. Muscle strain or injury from repetitive use or trauma can result in chronic pain that can be dull and achy, or it can manifest as visible or palpable muscle nodules called trigger points.
Trigger points differ from patient to patient, and they are typically due to increased tension associated with stress or trauma to that area. Triggerpoints may become so extreme that nodules may form that react to touch or pressure with twitching, or muscle spasm, tenderness, and pain.
This pain can radiate into areas close to the muscle, and occasionally areas not even related to the muscle in which the knots are present.
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Coccydynia, also known as coccyx pain or telephone pain, is relatively rare compared to lumbosacral pain. Coccydynia can be very severe with debilitating pain rendering the patient unable to perform basic daily actions.
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Migraine headaches typically manifest as an extremely painful headache, and throbbing. The symptoms are usually localized to one side of the head and may also be accompanied by nausea, vomiting, and light sensitivity. Many individuals often are impacted by loud noises or strong odors that can worsen a migraine. These headaches may occur several times during one day or on different days throughout the month and they can last for several hours or even days.
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Cancer Related Pain Management; we treat cancer pain, whether a patient is actively undergoing treatment, has recovered from treatment, or prefers palliative care.
Chronic pain related to cancer is one of the most prominent and under treated pain conditions that we commonly see today.
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A type of chronic pain disorder that affects the trigeminal nerve, which provides feeling and nerve signaling to many parts of the brain and face. Symptoms range from mild to severe facial pain, often triggered by chewing, speaking, or brushing the teeth.
Dr. Flaxman’s Patient Care Process