Introduction of California Headache and Pain Center

Chong-hao Zhao, MD, PhDAmerican Board of Psychiatry and Neurology, Neurology

Subspecialty Board of Headache MedicineAmerican Board of Pain Medicine

American Board of Medical AcupunctureCalifornia Permit Fluoroscopy X-Ray Supervisor and Operator

Medical Director

California Headache and Pain Center, Burbank, CAAdvanced Pain Center, Alhambra, CA

Lecturer Graduate Orofacial Pain Program at UCLA

California Headache and Pain Center(Established in May 2004)

201 S Buena Vista Street, Suite 238, Burbank, California 91505

California Headache and Pain Center

We Provide One-Stop Services

My Strengths in Headache and Pain Practice

• Eastern and Western Medicine background– Holistic concept

• Neurology trained– Neuroanatomical Diagnosis

• Headache Fellowship– Advanced treatment options

• Pain training experience in Anesthesia, Physical Medicine & Rehabilitation– Musculoskeletal diagnosis and

multiple treatment options

• Interventional pain management technique– Powerful treatment tool in the

management of difficult headache and pain

Multi-Specialty Team

Carson Ling, MD, Interventional Anesthesia Pain Dung Tran, D.PT, Pain Physical Therapist

Bruce Zeng, O.M.D, Acupuncturist & Herbalist Brooke Matthew, LCSW, Pain Psychologist

Why Refer Us the Difficult Headache Patients ?

• What we can offer:

– Comprehensive diagnosis:• Mixture of migraine, tension-type

headache, cervicogenic headache, neuralgia, myofascial pain, spasmodic torticollis, psychogenic headache

– Multiple powerful treatment tools that most doctors don’t do in their offices:• Various nerve blocks• IV injection of migraine medicine• Out-patient complex IV infusion• Botulinum toxin injection• Psychotherapy• Acupuncture and physical therapy

– Treatment goal: to break the headache cycle, 50% reduction in headache frequency and intensity

Why Refer Us the Difficult Neck Pain Patients ?

• What we can offer:

– Good understanding of the neck anatomy and neuroanatomical distribution of the pain

– Specific treatment options for the correlated diagnosis

– Major: Fluoroscopy-guided interventional pain management

– Supportive: Acupuncture, physical therapy, medications

– Treatment goal: > 50 % pain reduction, before or after the neck surgeries

Interventional Pain Management Before Considering Neck Surgery

• Major causes: cervical radiculopathy, spinal stenosis, bulged disc, facet joint hypertrophy, failed neck surgery syndrome

• Common treatment options: fluoroscopy-guided cervical epidural steroidal injection, and cervical facet joint (medial branch) nerve block

• We have helped many patient avoiding the neck surgery and those who have failed the prior surgeries

Why Refer Us the Difficult Low Back and Leg Pain Patients ?

• What we can offer:

– Comprehensive diagnosis

• Muscle spasm• Lumbosacral radiculopathy• Bulged & degenerative disc• Ligamentum flavum

hypertrophy• Neuroforaminal & central

canal stenosis• Spondylolisthesis• Sacroiliac joint arthritis and

inflammatory pain syndrome• Failed low back pain

syndrome

– Individualized treatment plan: fluoroscopy-guided spinal injections, physical therapy, acupuncture

– Treatment goal: > 50% pain reduction, before or after low back surgeries

Common Pain Procedures for Low Back and Leg Pain

L4/5 Interlaminar Epidural Steroidal Injection Bilateral L5 & S1 Transforaminal Epidural Steroidal Injection

Right L3,4,5 Facet Joint (medial Branch) Nerve Block Right Sacroiliac Joint Steroidal Injection

We Are Ready to Welcome Your Patients

We Are Ready to Help Your Patients

• We accept most major health insurance:– Medicare – Blue cross– Blue shield– Health net– Aetna– Others

• HMO/IPA that we intend to contract with:– Motion picture– Facey medical– Regal medical &

Lakeside medical

– Health care partner

– Caremore medical

Thank You for Your Referral !

201 S Buena Vista Street, Suite 238, Burbank, CA 91505Tel: 818-842-1688Fax: 818-842-1638

WWW. CHPCI.COM

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