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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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)

500.00-700.00

400.00-550.00/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)

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 ***

85.00/15min.

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....$1250.00

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

* 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.