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Capitol Pain Institute is proud have been chosen to conduct the first ever iovera° treatment procedures in Austin. The iovera° treatment uses the body’s natural response to cold to immediately reduce pain without leaving anything behind. It precisely targets the source of your pain for immediate and lasting relief without the use of drugs or pharmaceuticals. The iovera° treatment is FDA cleared to block pain.
The pain doctors at CPI are always on the lookout for new development in our constant battle against pain. The iovera° treatment procedure shows great promise in its ability to reduce or eradicate pain without the use of permanent procedures like surgery. It works by applying targeted cold to a peripheral nerve which immediately prevents the nerve from sending pain signals. The effect of the cold on the nerve is temporary and does not cause permanent damage because it leaves the structural components of the nerve intact. The nerve is restored to function after several months.
Here are some comments from patients:
MARY “Wow, I was so depressed when I walked in and now I feel like I’ve won the lottery! I now have no pain at all! I have had to deal with constant pain for years and have to take medications just to help me get through. When I walked in my pain was an 8 on the scale and now it’s a zero, I can put weight on my knee and feel no pain, I’m so excited about this treatment.”
JUNE “I am able to navigate and bear full weight on either knee without pain or without feeling like the knee is going to give away. I am able to climb stairs in a complete motion without using one stair at a time. The big news is that I cooked outdoors on Sunday. (YAAAY!!!!) So far the treatment has had a noticeable positive effect on my quality of life.”
LYDIA “I had knee pain for 7 years, before I fell and broke my knee. I had to wait two years to get surgery and have my knee replaced. I thought it would be better, but the pain was still there. After the iovera° treatment I was able to get back to doing what I love. To walk along the cliffs, watch the sea lions and watch the surfers crashing; little things that I haven’t been able to do because of being in too much pain.”
More success stories like these can be found here.
The iovera° treatment is minimally invasive and can be performed at the Capitol Pain Institute and at any of its satellite pain clinics. You will be awake throughout the treatment and should be able to leave immediately afterwards. The average treatment time for one pain site is approximately 20-30 minutes.
The Focused Cold Therapy from iovera has been used in rigorous pre-commercial testing in the interests of patient safety and well being. Preclinical and clinical data demonstrate the safety and reliability of this mode of action. In the clinical tests below it was shown that iovera treatment has been performed successfully on 133 people. Preclinical and clinical data demonstrate the safety and reliability of this mode of action to deliver results. Clinical Results (Average of results data from MS-3000 cohorts VI and VIII, MS-4000, MS-4400, MS-4500). This alternative, non-surgical pain treatment has received FDA approval.
The pain doctors at CPI have now performed five of these procedures in Austin, and they are the first 5 to have been performed in Austin by anyone! Contact us for more details and to find out if iovera° is right for you.
Once again, Yelp has chosen to filter our good review and not filter our bad reviews. So, as I have done in the past, I am posting the reviews that Yelp has chosen to filter so you can choose for yourself.
Here is a review from Emily C – posted on Yelp 10/10/14:
I found Dr. Schockett via my online IC forum. I have had this debilitating disease along with chronic renal stone disease, & most days getting out of bed is a challenge. If not for my babies & my husband being there to help, really don’t know what.
Anyway, after a URO in a small town made my condition go from mild to severe, he suggested to remove my bladder or pain management, & bladder removal wouldn’t necessarily solve my problem. This URO was the only doc in East Texas who knew anything about interstitial cystitis, and changed my life for the worst and then wouldn’t help me after proclaiming I would require certain meds forever.
Luckily, a wonderful doctor took over and helped me at the time, but now we have moved 4 hours away to Central TX.
I drove to my old doc for a while because my family still lives here, but it was time for me to find a new doc after 12 years. I was frightened and didn’t know the 1st thing to do. So that brought me to the IC (interstitial cystitis) Forum. I saw that Dr Schockett treated many IC patients in my area, & I decided to give it a shot. I also home school my children, and my disease has gone from bad to worse. I work from home, not both store & home, as I once had. Hoping that changes soon.
So, I went to the website and booked my first appointment in 2 days! Since I had to pick up my 12+ years of medical history in person 4 hours away and with 4 kids, a husband, business and with a scary large internal bump on what I thought was my tailbone, I had to do something bc this made my already horrid existence even worse.
I didn’t wait long during my 1st appt (maybe 30 minutes) and I explained all I could remember, about my condition, passed treatments, surgeries, retrieving my medical records, ETC. Dr. Schockett was very kind in what he did for me, and didn’t have to: first, he examined my tailbone area and explained that the bumps were caused by IC, and actually that was my coccyx. I was so afraid that something else (new ailment) was the issue and I was finally done for.
Next, he understood my situation and actually called to confirm my medications and gave me 2 week’s worth, until I could return to see him then.
I love the fact that you may email the doctor with concerns and questions. Because the qty of my prescriptions was written incorrectly (not so great) I had to utilize this direct email service a few day back: I feel certain that it will be corrected, as it seemed an honest mistake.
I had not viewed Capital Pain on Yelp until I decided to review, and I can’t believe the bad reviews, although everyone has his/her own prospectives.
My only regret was not being to talk to him more, but anesthesiologists are busy doctors. My last doctor was not a PM and very Southern and we would talk a lot. With that “time spent” question in mind, I wish that others would understand exactly what type of physician is treating him/her: PM’s are just plain busy & have lives separate to lead.
I understand that some of us unfortunately end up requiring a type of doctor who we could never dream as a child that we would ever need in youth, lor at least not until they the latter years. I always use to think nothing would ever happen to me, until my early 20′s & here come those nasty genetics (I only assume-no one really knows what causes IC).
Quality of life is so important bc the suffering hits physically & psychologically. That’s what PM’s do: they help make your life as comfortable as possible when nothing else works. They are also medically-trained to do this job…so, naturally they aren’t always going to suggest juices and berries to someone whom they recognize is in genuine pain and all else has failed. There is such a stigma against doctors who treat and those with chronic pain, and misconceptions, so I was surprised after reading some of the reviews.
I had tried everything bf resorting to PM and in my case, that’s all that works. Maybe someday there will be a cure, but in the meantime, I’m so glad I found him. He really is a nice man and everyone in the office was so kind. Made me feel like a person-not just another patient.
Some people are using stem cell treatments, but many have misconceptions about what that stem cell treatment involves. Here are the top ten stem cell treatment facts that everyone should know.
1. Stem Cell Treatment Has Been Used for Many Years
Stem cell treatment might seem like a new treatment concept for many diseases and injuries, but patients with Leukemia or Lymphoma have been treated with stem cells from bone marrow for the past 30 years.
2. Stem Cell Treatment Has Been Used to Treat Many Conditions
Chronic pain, cancer, brain and spinal cord injury, blindness, deafness, and diabetes are just a few medical conditions that have been treated with stem cell therapy.
3. Stem Cell Treatment Has Changed
The term stem cell can stir up controversy and high emotions, but when looking at the facts these are often misplaced. While embryonic stem cells were used initially in the past, the common stem cell treatments of today use adult stem cells directly from the affected patient.
4. Stem Cell Treatment Uses Stem Cells from the Patient’s Body
Stem cell treatment involves drawing out stem cells from a bone in the patient’s body like the iliac crest (hip bone). This is combined with an FDA approved platelet rich plasma solution. Then this solution (platelet and stem cells) is injected into the affected pain area (such as the lower back).
5. Stem Cell Treatment Can Be Used In Conjunction with Other Treatments
Stem cell treatment can be used after or during other chronic pain treatment plans, like physiotherapy, acupuncture, and medications. A pain management specialist will help patients decide what stem cell treatment plan is best for them.
6. Stem Cell Treatment Can Be Done in Office
Many patients like stem cell treatments because the treatment can be done within a doctor’s office, and the patient does not need to go to the hospital or any special facility to benefit.
7. Stem Cell Treatment Is Not Painful To Undergo
While a large needle is used for the treatment, the treatment itself is not painful to undergo. The bone (where the stem cells are taken) is numbed beforehand, while the patient can still feel movement in the area, they will not feel pain.
8. Recovery Time is Minimal
Depending on the severity of the chronic pain, the type of treatment, and how well patients follow their doctor’s order to post-treatment and pain management (for example by taking prescribed medications), most patients are able to return to work within a few days of treatment.
9. Full Results of Stem Cell Treatment Can Be Noticed Within Weeks
How long it takes to see results may vary from patient to patient, but most patients will report results, including a decrease in pain, within a few weeks.
10. Stem Cell Treatment Is Continuing to Grow
Doctors and researchers are continuing to perform clinical trials with stem cells for a variety of medical conditions. The future of stem cell treatment and research is wide open.
The best medical scientists and medical practitioners are those that are on the leading edge of research and who are willing to explore new options for their clients. Both western medicine and traditional eastern medicines have become partners in addressing issues such as chronic pain. Chronic pain can be quite debilitating, impacting all aspects of a person’s life. For this reason many patients suffering from chronic pain are more open to the idea of alternative methods and are more willing to explore other options. One of these types of alternative methods or treatments is stem cell based therapy.
Stem cells have the potential to cure many human diseases because they are not yet specialized and can become any type of cell in the human body; they are regenerative and can be used as an endless supply of live cells for self-repair. Stem cells are identical biological-cells that can grow into almost any specialized-tissues.
Bone marrow transplants of stem cells have been used for over 30 years to treat cancer patients with leukemia and/or lymphoma. In 2012, stem cell therapy was also conditionally approved for the management of acute graft-vs-host disease in children who are unresponsive to steroids. In 2013, a clinical trial was underway in Scotland, injecting stem cells into the brains of stroke patients, and studies are underway to address the use of stem cell treatment for brain and spinal cord injuries.
New research has been focusing on various uses of stem cell treatments for neurodegenerative diseases and conditions, such as diabetes, heart disease and other conditions. Trial studies have noted the potential of injecting stem cells into healthy people to help repair cartilage to address physical acute pain, such as that which is caused by knee injuries.
How are stem cells harvested?
One of the greatest controversies around the use of stem cell based treatments is the use of human embryonic stem cells. Opposition to the use of these stem cells is based on moral, religious and often philosophic challenges. It is important to note that not all stem cell research involves the destruction of a human embryo, but involves the use of adult stem cells, amniotic stem cells and induced pluripotent stem cells.
There are three main ways that stem cells are harvested: from bone marrow, circulating (peripheral) blood or umbilical cord blood. Harvested bone marrow from the pelvic bone provides the most concentrated amount of stem cells (10-100 times more concentrated). Harvesting stem cells from peripheral (circulating) blood is done on an outpatient basis – it takes 3-4 hours and can be repeated over a number of days to collect enough stem cells for a transplant – this is the least effective way to gather stem cells. The last way stem cells are collected is from umbilical cord blood: blood is collected from the umbilical cord shortly after a baby is born. The stem cells are frozen and stored by cord blood banks until they are needed.
Capitol Pain Institute
At Capitol Pain Institute, we are progressive in our approach to treatments, and thus we provide an option for stem-cell-based therapies. Our Founder, Dr. Matthew Schocket, ensures his team is always on the leading edge with respect to knowledge about progressive and innovative pain management. If all other methods do not provide the required results, then we will work with you to ensure you understand all alternative options as well. For more information or to arrange a consultation, contact us at (512) 467-7246.
Shingles What are Shingles and what are the symptoms? Shingles are a very painful skin condition caused by the varicella zoster virus (VZV – the same virus that causes chickenpox) that will affect approximately 1 out of 3 people in their lifetime. Shingles usually starts with itching, tingling, and pain on one side of the body. It most often occurs in the trunk, but may affect the leg or even the face. A very typical blistering rash forms on the skin in the same region 1 to 5 days after the initial symptoms (itching, tingling, pain). The shingles rash will then scab over in about a week and clear up in 2-4 weeks. Associated symptoms may include fever, headache, chills, and upset stomach. Prevention There is now a vaccine to protect against shingles. The CDC recommends that all patients over the age of 60 receive the vaccine. Treatment The primary treatment for shingles is an antiviral medication (acyclovir, valacyclovir, or famciclovir) to directly treat the virus. These medications are most effective when taken immediately after the onset of the rash. Use of these medications also may help prevent post-herpetic neuralgia (severe pain even after the shingles rash goes away). Other treatments may include medications for pain, including NSAIDS, acetaminophen, hydrocodone, or other similar pain relievers. Nerve pain medications such as tricyclic antidepressants or anticonvulsants may also help control the pain from shingles. If the pain is extremely severe, a nerve block with injected steroids may be recommended by your Austin pain management doctor to help control your pain. Oral steroids have also been used to reduce inflammation from shingles and may help reduce the risk of post-herpetic neuralgia. Risk of Transmission The varicella virus is highly contagious, so patients with active shingles should avoid pregnant women, children and infants who have not had chickenpox, and people who are immune deficient (like those with cancer, HIV, or who have received an organ transplant). If you have shingles, your Austin Pain Management doctor at Capitol Pain Institute can help! Please call our office at 512-467-7246 to schedule an appointment or contact us now by email to request an appointment.
Capitol Pain Institute is proud to be an official sponsor of this Thursday’s Anti-Defamation League Event at the Four Seasons in Austin, Texas. “We’re very excited about this and we consider it an honor to be a sponsor for this great event,” said Dr. Matthew Schocket, founder of Capitol Pain Institute.
ADL Austin Torch of Liberty Dinner
Join more than 600 community leaders and members at the Four Seasons to honor Susan and Bobby Epstein and Marcia Levy and to celebrate ADL Austin’s many successes in its fight to end discrimination and ensure fair treatment and equality for all.
TORCH OF LIBERTY AWARD DINNER
JENNIFER GREENBLUM & JOHNNA JONES
JEFF NEWBERG, ANDY PASTOR, & KIRK RUDY
SEPTEMBER 18, 2014
FOUR SEASONS | AUSTIN, TEXAS
Learn more and register now at http://bit.ly/Yvygqs
Finding an effective treatment of painful diabetic neuropathy can be extremely frustrating, both for the individual in pain and for their loved ones desperately trying to find a solution.
Diabetic neuropathy is a nerve disorder caused by high blood glucose and other complications associated with having diabetes for a long time. The resulting nerve damage can be felt as numbness or pain in feet, lower legs, hands or arms. If you have painful diabetic neuropathy (PDN), you may experience that pain as tingling, burning, stabbing, deep aching or greater at the touch—especially at night. Sometimes the pain can come on fast and be severe.
According to the National Institute of Diabetes, most people with diabetes develop some form of neuropathy. It is more common if you have had diabetes for more than 25 years and have problems controlling your blood sugar, have high levels of blood fat and blood pressure, or are overweight.
Doctors diagnose diabetic neuropathy based on symptoms and a physical exam. They may check your blood pressure, heart rate, muscle strength, reflexes and sensitivity to position changes, vibration, temperature or light touch. Once diagnosed, treatment can involve:
- Control of blood glucose levels
First, blood glucose levels must be brought within the normal range to help prevent further nerve damage. According to a Diabetes Control and Complications Trial, tight control of glucose levels can reduce the incidence of neuropathy by 60%.
- Prescribed oral medications
Before you reach for the usual painkillers, it might be worth getting a diagnosis from your doctor. Over-the-counter pain medicines are not recommended: they may not work well for treating nerve pain and can have serious side effects.
You do not have to be depressed for an antidepressant to help relieve your nerve pain; antidepressants are the most common form of treatment. According to the National Institute of Diabetes, drug options include tricyclic antidepressants (e.g. Norpramin, Pertofrane), other antidepressants such as duloxetine (Cymbalta), anticonvulsants such as pregabalin (Lyrica), and various opiods and opioid like drugs. Duloxetine and pregabalin are approved by the U.S. Food and Drug Administration specifically for treating PDN.
- Topical medications
Some people experience pain relief with treatments applied to the skin. According to the National Institute of Diabetes, these can include nitrate sprays, capsaicin cream and lidocaine patches (Lidoderm, Lidopain) for the feet, alpha-lipoic acid (an antioxidant) or evening primrose oil.
- Therapies and more
Others find that acupuncture, biofeedback or physical therapy help relieve their pain. Less studied options may include electrical nerve stimulation, magnetic therapy and laser or light therapy. However, new clinical trials of therapies happen all the time. Also, if your feet and legs are very sensitive to the touch, then a device called a bed cradle can help keep sheets and blankets away from the skin.
Treatment of painful diabetic neuropathy is complex and may involve a combination of medications or treatments. Patient suitability, benefits and potentially adverse side effects need to be considered for any treatment, but there is hope.
Get help by contacting us at the Capitol Pain Institute in Texas. Doctors here are pain management specialists, equipped to diagnose your specific condition and to find the most effective pain relief treatment to help relieve your pain. Instead of sitting there in pain, start to reclaim your life by booking an appointment now!
Living with pain has a debilitating impact on people. Whether this pain is associated with a previous injury or a result of a disease, it is important to understand where it comes from, how to address it, and how to explain it to those closest to you. Let us explore the two faces of pain: acute and chronic.
Acute pain is pain that lasts less than 3 to 6 months, or pain directly related to an injury or tissue damage. This type of pain consists of that which is associated with small burns, smashing fingers or limbs, labor pains, etc. Acute pain is most often a symptom of injured or diseased tissue – as it heals, the pain would normally recede. The medical treatment, thereby focuses on healing the underlying causes, such as torn muscles, etc. The longer and more intense the pain becomes, the more likely it will become a less acute pain and a more likely chronic pain, which then requires more analysis and often more proactive and long-term medical assistance.
Chronic pain, in most instances is considered a disease state – it has outlasted the normal time of healing associated with an initial injury and therefore it is often hard to diagnose where it has come from and whether it will have a defined end point. This is pain that lasts longer than 6 months. For all these reasons, the diagnosis behind chronic pain may take more time and is more complex, relying on a multidisciplinary approach.
In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury. Long-term sicknesses that could result in chronic pain include multiple sclerosis, inflammatory disease such as rheumatoid arthritis, fibromyalgia, degenerative diseases like osteoporosis or osteoarthritis, and cancer.
Continuing conditions that may be the reason for chronic pain include peripheral neuropathy such as carpal tunnel syndrome, sinus headaches, migraine, and ear infections. Initial injuries like a sprain, along with back pain, heel pain, sciatica, and Achilles tendonitis may also become chronic. This pain is certainly much less understood than acute pain, partly due to its complexity.
Capital Pain Institute
At Capitol Pain Institute, we work with you to determine what type of pain you are dealing with and how we can help you create a pain management plan. Dr. Matthew Schocket founded the Capitol Pain Institute to provide progressive and innovative pain management in Austin and central Texas.
The patient experience here at the Capitol Pain Institute begins with a face-to-face consultation with one of our pain management physicians. During this initial visit, a unique treatment plan is designed based on the specific individual needs of each patient. Your role in this plan is vital as it has to fit you and your needs. With our multidisciplinary approach, we are able to look at rehabilitation programs, psychological therapy, and physical therapy in order to offer you a comprehensive treatment plan. For more information or to arrange a consultation, contact us at email@example.com.
Since Yelp has decided to filter our reviews, we have decided to post their filtered reviews to our website so that everyone can decide for themselves which reviews are useful (instead of Yelp doing it for you). These reviews are copied and pasted directly from the Yelp “not-recommended” page.
I have been a patient of Dr. Schocket and Capitol Pain Institute for almost three years now. Before that, I suffered with terrible pain, neuropathy and restless leg syndrome my entire life. Exhausting every recommended medicine available and every general practitioner left me hopeless and tired. After being referred to Dr. Schocket, I was immediately taken in, evaluated and treated. He is a caring doctor and very knowledgeable about a wide-range of medications and treatments. It wasn’t long after my initial appointment with Dr. Schocket that I finally found relief with a combination of effective medication. Each time I visit, I’m treated with the utmost concern. I love CPI so much, that I actually commute from Cypress after we moved because I’m unwilling to give up Dr. Schocket’s expertise and his practice. The only negative thing I could say would be the long wait times, but within the last 6 months, CPI has relaunched their scheduling program and I’ve been in and out each time in 30 minutes or less. CPI is nothing close to being a pill-mill or some kind of junkie pharmacy like some of the other reviews claim. They’ve been crystal clear about the law and what’s allowed and expected of us as patients from Day One. There’s nothing lax, or unprofessional about it. I highly recommend CPI and Dr. Schocket to anyone frustrated with chronic pain!
EMG & NCS: What do all these letters mean to the patient?
EMG & NCS. At first glance, the name of this study can easily confuse a patient. However, once it is broken down into its components, the words explain themselves. Electro-myo-graphy and Nerve Conduction Studies are, as the names state, electrical studies of the muscle “myo” and nerves. In a normal muscle, the electrical signal or waveform that is produced has a certain onset or latency, size or amplitude, duration, appearance, and sound. In muscles innervated by damaged nerves, the latency of the nerve may be delayed, amplitude may be abnormally large or small, and the clinician may hear certain sounds produced which indicate acute or chronic damage.
During the day-to-day routine in the clinical setting, we try to determine if a patient would benefit from an EMG/NCS through the process outlined below.
On our first evaluation of a patient, he or she may report numbness or tingling in one, two or all extremities with or without any pain complaints. At this point, the clinician should inquire about the duration of the patient’s symptoms, and exactly what areas are affected by the symptoms. Some of these questions may include:
- What time of day are symptoms present?
- Is the numbness and tingling worse at night or early mornings?
- Is the numbness and tingling related to certain activities?
- Are there any medications which alleviate the symptoms?
After obtaining the appropriate initial history, it is essential to review the patient’s medical history, as certain medical conditions can cause neuropathy affecting the sensory function of the nerves (which allow the patient to feel certain sensations). These medical conditions include diabetes, hypothyroidism, connective tissue disease, and alcohol consumption, among several others.
A thorough history is often followed by a physical examination of the patient, during which the clinician will focus on range of motion, muscle strength, muscle atrophy, and changes in sensation.
Once the determination is made that a patient has a clinical picture consistent with possible nerve damage, the EMG/NCS study is scheduled. The test generally starts with the NCS, or nerve conduction studies portion and involves the patient lying flat on a comfortable table. Then, grounding and recording wires, which are attached to gel-covered stickers, are placed directly on the skin. Therefore, it is essential that the patient does not apply any lotions or oils to the area to be tested. An electrical stimulator is applied to the skin, and then the patient feels a tingling sensation. Subsequently, a waveform is recorded from the particular nerve being tested, for the clinician to view and evaluate.
The second portion of the exam is the EMG, or electromyography, and focuses on testing the electrical activity of the muscle. A small, acupuncture sized needle is inserted into a particular muscle, and the clinician evaluates the size, shape, and sound of the signal. Based on the results of this evaluation, the clinician can diagnose a nerve problem in the arms, legs, or spine.
In summary, EMG & NCS is useful in the diagnosis of several conditions. Some of these include compressed nerves in the arms or legs (eg. Carpal Tunnel Syndrome or Tarsal Tunnel Syndrome), peripheral neuropathy (eg. Diabetic Neuropathy), and pinched nerves in the neck and back (radiculopathy). As with any diagnostic study, the findings of an EMG/NCS should be incorporated into the patient’s entire clinical picture.
Watch the video below to know what to expect during your EMG & NCS test.