Imagine a Life without Chronic Pain

Chronic pain is pain that persists for more than three months, and long beyond the time of normal healing. It ranges from mild to severe and can last months, years or a lifetime—and it can interfere with personal, social and work. But, it doesn’t have to.

 

We collaborate with each patient to create an individualized chronic musculoskeletal pain treatment plan to bring lasting relief. We also work closely with your referring physician, including them in the treatment plan and providing information about each session to ensure continuity of care.

 

Chronic Musculoskeletal Pain Consultation

At AMMC, Dr. Delzell blends her background in traditional medicine with her advanced training and experience in integrative pain management. This combination provides for a unique understanding and the ability to offer new insights when diagnosing and treating chronic musculoskeletal pain. We know how important it is for you to get expert, compassionate care that looks at you as a whole person.

 

That’s why we work with you to design a treatment plan based on your individual needs and goals. Each treatment uses diagnostic and therapeutic ultrasound solutions on a scaffolding of an integrative clinical approach to address chronic pain. This typically involves an initial two-hour session that includes one diagnostic ultrasound, development of a treatment plan that may include ultrasound-guided procedures, followed by an in-office or virtual visit in four weeks. Additional follow-up appointments are scheduled as needed as we work through your treatment plan together.

 

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In addition to ultrasound diagnostic and therapeutic solution, our individualized treatment programs focus on:

  • Stress management

  • Sleep

  • Nutrition

  • Physical activity

  • Supplements

 

We will ensure that every patient is treated with empathy, honesty and respect, and promise to demonstrate the utmost care and consideration for the diverse perspectives each of you brings through our doors.

 

Diagnostic Ultrasound

Musculoskeletal ultrasound (MUS) uses high-frequency sound waves to produce images of structures within the body. It is used for evaluating soft tissue abnormalities, including tendon, muscle, nerve and ligament pathology, as well as joint-related pain, and for assessing for fluid collections. MUS can be used to diagnose disease processes of the shoulder, elbow, wrist, hip, knee, ankle hands and feet, as well as of the peripheral nerves and muscles. This modality can be performed on all patients as an initial screening test, standalone diagnostic and/or therapeutic test, or as a complementary modality to MRI/plain films/CT. This is also useful in patients who are unable to have an MRI due to claustrophobia, pain or an implanted device.

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Ultrasound-Guided Treatment

After reviewing referral paperwork and/or as a result of a pain consult, an injection might be the recommended course of action as part of the treatment plan. If that’s the case, Dr. Delzell uses ultrasound imaging to locate the area of concern, place the needle in the exact location while watching the ultrasound screen (avoiding blood vessels and nerves) and finally confirming completion of the procedure in the proper location. The needles used are the smallest possible to achieve the desired effect and all products used are latex-free. Most procedures last approximately 15 minutes or less.

 

Injections are often used to temporarily decrease symptoms so that additional treatments, such as manual therapy or physical therapy, will be more comfortable. The injection provides temporary pain relief for a few months while the additional definitive treatments are being implemented. It is important to follow through with these additional recommended treatments to address the underlying issue and provide long-term success.

 

When treatment plans are followed, Dr. Delzell has a greater than 80% success rate with long-term relief.

 

Dr. Delzell performs a wide variety of ultrasound-guided injections at AMMC, including:

 

  • Joint injections (all joints except spine facet joints)

  • Tendon needle fenestrations to treat tendinosis (chronic tendinitis)

  • Barbatoge for calcific tendinitis

  • Bursal injections

  • Tendon sheath injections

  • Perineural injections for neuritis

  • Nerve hydrodissections for peripheral nerve entrapments

  • Needle fenestrations for chronic ligament injuries

  • Hydrodissection of soft tissue post traumatic or post-surgical scar tissue including adherent scar to tendons and retinaculum of the knee and ankle

  • Myofascial scar hydrodissection

  • Sport hernia nerve entrapment, scar tissue and/or tendon treatments

  • Carpal tunnel injections

  • Ganglion cysts aspiration and injections

  • Baker's cyst aspiration and injections

  • Piriformis injection.

  • Ischiofemoral space injections

  • Morton neuroma steroid injection

  • Needle fenestration for plantar fascia

  • Muscle trigger point injections

  • Hydrodissection of adherent scar to tendons

  • Tarsal tunnel injections

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Second Opinion of Imaging Interpretation

Patients who come to AMMC often have long-term chronic musculoskeletal pain and have tried a range of traditional methods without relief. If another physician has provided you with a musculoskeletal MRI or CT scan and you would like a second opinion for the interpretation, we are pleased to offer that service. The benefits of a second opinion can include peace of mind, confirming the interpretation or clarifying ambiguous findings, which may lead to more definitive treatments.

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AMMC Infrared (IR) Laser Therapy 

 

You likely have many questions about the benefits of infrared (IR) laser therapy. If you are considering this treatment option for pain or mobility issues, Dr. Patricia Delzell will be more than happy to go over all the benefits you can experience from this state-of-the-art therapeutic approach to relieving pain and healing old injuries. Allow us to help you discover if IR laser therapy is the right choice for your chronic pain. 

 

What Can You Expect From IR Laser Therapy? 

 

AMMC uses SUMMAS IR Laser to treat scar tissue, neuropathy, and pain. Dr. Patricia Delzell's approach is novel, to say the least, as she starts with scar and pain mapping using ultrasound, which means she isn't just treating the area from where the pain is radiating but also its underlying pathology. 

 

The treatment needs to be administered multiple times a week for at least 5 weeks. Benefits from the treatment-experienced are cumulative, with most people noticing a difference between the third and fourth treatment sessions. 

 

Dr. Delzell uses the SUMMAS IR Laser to heal mainly soft-tissue scars by stimulating the flow of blood, cell energy production, and oxygen delivery. The approach also helps to re-establish regular sensory transmission via the nerves to decrease the sensation of pain. 

 

How Does Treatment Work?

 

Laser treatment needs to be delivered directly to the skin. That's why it is essential to wear light clothing that allows access to the area. Clothes like sweat pants, shorts, and a sports bra or a similar item are suggested. At AMMC, we provide you with a patient gown before the treatment if needed. 

 

Once the laser is turned on, most of our patients report feeling a very soothing and warm sensation. Since this is a high-powered laser, it warms the skin during treatment. After a while, patients feel a reduction in pain, even during the first visit. However, some patients may also feel an increase in pain immediately after treatment has concluded, though they feel much better the next day. 

 

How Many Therapy Sessions Are Needed?

 

The number of laser therapy sessions needed will mainly depend on the duration and the nature of the condition. So, that's something Dr. Delzell decides after consulting with you after each session. Generally speaking, chronic conditions will start with at least 10 sessions but can take up to 15 treatments, if not more. 

 

It is important to note that some ongoing chronic conditions will require ongoing care in order to sustain pain relief levels and functionality. 


 

Treatment Packages 

 

AMMC Provides multiple treatment packages, depending on what you need. 

 

Package 1- 10 treatment areas for 1000.00 (1100.00 a la carte)

Package 2- 10 sessions (up to three treatment areas/session)-2900.00 (3300.00 a la carte)

Package 3- Peripheral Neuropathy package---COMING SOON

Package 4- Maintenance Package- Once a month for 100.00/treatment area-300.00 (330.00 a la carte)

(Packages 1 and 2 include ultrasound scar mapping at the initial visit)

 

About The SUMMUS Horizon Complete Laser System

AMMC uses a state-of-the-art laser system by SUMMUS. The Horizon Laser System is a first-of-a-kind complete laser system, which allows therapists to provide effective and affordable laser therapy. 

The Horizon Laser has been designed and tested by doctors. It allows doctors to create over 7000 phased protocols, making it easier to reproduce results consistently. 

The laser delivers treatment across 4 wavelengths: 650 nm, which helps to accelerate surface healing, 915 nm which enhances oxygen delivery, 810 nm which increases ATP production, and 980 nm which helps improve blood circulation. 

The Horizon Laser makes it possible to set up a treatment plan, with the protocol varying as the patient gradually progresses through the plan. In the hands of an expert like Dr. Patricia Delzell, it means effective pain reduction and a reduction in scar tissue.

 

The Benefits of Laser Treatment

There are many benefits offered by laser treatment; we'll go over a couple below: 

Accelerated tissue repair and cell growth – The protons from the laser light penetrate through the tissue, which helps to accelerate cellular reproduction and growth. The use of laser light helps to increase the energy available to the cell, which allows the cell to absorb more nutrients faster and then get rid of waste products. The cells in the ligaments, tendons, and muscles heal faster when exposed to the right type and amount of laser light. 

Injuries heal faster – The use of laser light helps to stimulate fibroblast development, which are the building blocks of oxygen, but which is needed for a damaged wound to heal. Collagen replaces the old tissue or repairs tissue injuries. That's how a laser effectively heals wounds, burns, and scars. 

Reduced formation of fibrous tissue – Laser light helps to reduce the formation of scar tissue, usually following cuts, burns, surgery, or scratches. If anything, scar tissue is one of the underlying reasons for chronic pain.

Schedule A Consultation Today 

The first step to getting treated for chronic pain is to schedule a consultation with the experts at AMMC. The initial consultation is important as it enables the team to understand your condition thoroughly and then prescribe a treatment method accordingly. 

Laser treatment can be immensely beneficial for treating many different types of pain. That said, precisely how the treatment should be scheduled and what you can expect will depend on the issue in question. That's why the best place to start is with a consultation! Call AMMC today to schedule your consultation.

Payment Information

 

Why Don't We Take Insurance?

AMMC welcomes patients either through self-referral or a referral from a physician or other medical caregiver. Should your caregiver have questions or would like to make a referral, please contact us at 440-557-5011 or through our Contact page.

 

While we do not accept insurance, we do accept a variety of payment types, including HSA cards, VISA, Mastercard, American Express, check or cash. To help facilitate insurance reimbursement, we can provide you with a superbill to submit to insurance carriers to receive reimbursement for out-of-network office visits or treatment.

Service:

Diagnostic Ultrasound
(fee per ultrasound area)

Ultrasound-guided procedures

(fee per injection)

Consultation for chronic

Musculoskeletal Pain++

Fees:*

350.00-550.00 (includes radiologist interpretation fee)

500.00-750.00

400.00-600.00/hour

Includes the following:

        -Diagnostic ultrasound and interpretation            -Review of imaging and clinical notes prior to the appointment

        -Comprehensive treatment plan. 

Comments: 

Fees vary based on complexity of issue determined from clinical notes and referral 

Fees vary based on complexity and length of the procedure 

Fees vary based on complexity of the presenting issue determined from clinical notes and referral 

 Ultrasound guided needle treatments or injections not included 

*Does not include fee for lab draw (usually covered by insurance)

See the Nutritional Support Package Below for continued support in implementing your nutritional modification plan.

In-Depth Nutritional

Assessment

400.00

Includes the following: 

         - Nutritional intake assessment

         - Current Medication review

         - Current supplement and botanical review

         - Vitamin and mineral level review*

         - Modification recommendations

 

 

Established Patient

Follow-up ***

95.00/15min.

Second Opinion 

Musculoskeletal CT and 

MRI radiologic interpretation

180.00/study

++PAIN CONSULTATION PACKAGE (3 month initial treatment plan; no time limit on visits)…$3,000.00*

     - Initial Consultation (1 telehealth visit; 1 in office visit)

     - Diagnostic Ultrasound

     - In-Depth Nutritional Assessment

     - 2 Follow-up Telehealth Visits

     - One-on-One Phone calls with Dr Delzell as needed

     - Comprehensive Pain Treatment Plan

 

        *Ultrasound guided needle treatments or injections not included (these are an additional cost because not every patient requires these types of treatments)

*NEW* *** FOLLOW-UP BUNDLE PACKAGE....$1450.00*

      -Includes 5 follow up visits telehealth or in office. (Additional diagnostic ultrasounds or injections not included)

*NEW* INFRARED LASER TREATMENT PACKAGES*:

Package 1- 10 treatment areas for 1000.00 (1100.00 a la carte)

Package 2- 10 sessions (up to three treatment areas/session)-2900.00 (3300.00 a la carte)

Package 3- Peripheral Neuropathy package---COMING SOON

Package 4- Maintenance Package- Once a month for 100.00/treatment area-300.00 (330.00 a la carte)

(Packages 1 and 2 include ultrasound scar mapping at the initial visit).

*NEW* NUTRITIONAL SUPPORT PACKAGE...$1390.00*

After your in-depth nutritional assessment it may be beneficial to have regular visits to help implement any nutritional modifications that take time to change in your routine. This package is designed to provide that support  for a year after your initial assessment and includes:

                    ----5-30 minute follow up telehealth visits- 1 per month for 5 months

                    ----2-30 minute follow up telehealth visits- 1 every 3 months for 6 months.

* No Show/ Cancellation Policy:

NO SHOW: Due to the length of the visits and the amount of time that is blocked off on the schedule, if you wish to reschedule after a not showing up for your appointment, you will be required to prepay the equivalent of one hour of your time slot in order to schedule. This fee will be applied to your bill for the appointment once completed.

CANCELLATION: After two cancellations, if you wish to reschedule your appointment, you will be required to prepay a portion of your office visit fee in order to schedule. This fee will be applied to your bill for the appointment once completed.