, Kingston, NH

Special Features

September 26, 2013

How to Manage Pain


Even the most invasive surgery may seem minor as it usually is exercised after a patient has experienced failed back surgery. Spinal cord stimulation is exactly as it sounds. Yes, there are technical terms to describe it in detail, but the bottom line is that it improves or revitalizes those elements and functions that once existed in a much younger back.

Although Dr. Hacobian can rely on her own examination skills to provide injections for musculoskeletal pain, ISM is now equipped with both ultrasonic and fluoroscopic guidance systems making the process of locating the source of pain safer and comfortable. Ultrasound waves allow the physician to see the different layers in the body, such as tendons, nerves, ligaments, and joints. This allows for precise diagnosis of inflamed and damaged tissues, and also allows the physician to avoid direct nerve and blood vessel contact while guiding the needle to the target precisely for treatment. Ultrasound provides a “live” view of the needle and of the muscles, blood vessels, tendons, and other moving tissues. Carpal Tunnel Syndrome can now be treated with a needle through the skin using ultrasound.

X-Ray Fluoroscopy also is used for diagnosis and the precision targeting of pain. It provides a high-resolution image of bony structures allowing for placement of a needle into the spine and joints. Use of “contrast” allows the physician to determine whether the medication will reach the desired target, and avoid nearby structures. The images can be snapshots, or can be video “live” images, to view in real-time the bony structures, the needle placement, and the flow patterns of contrast.

“Very simply,” said Dr. Asteghik Hacobian, “Our initial goal is do everything we can to take away pain.”

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