First Choice Neurology

Pain Management Center in Miami

Pain Management CenterOur Pain Management Center provides safe, unparalleled care to patients suffering from chronic pain. More than 100 million people live with chronic pain. Pain is not like other medical conditions. It will influence major organs affecting your overall health. It may be caused by inflammation or dysfunctional nerves. Chronic pain persists over a longer period of time.

There are many types of pain. The most common types of pain include back and neck pain, leg pain, degenerative conditions of the spine, nerves, joints, and muscles, arthritis, headaches, migraines, trigeminal neuralgia, facial pain, muscle pain, reflex sympathetic dystrophy, spasticity, trauma, and injuries.

Through a balanced approach and integrating different modalities of pain-reducing therapies, our Pain Management Center provides a full range of solutions for patients with different conditions, from diagnosis to treatment and rehabilitation. We offer individualized pain management procedures and treatments to meet our patient’s needs.

In addition to the entire spectrum of conventional pain management procedures, we also provide:

  • Percutaneous Microdiscectomy
  • Interventional Orthopedics
  • Spinal Cord Stimulation and Neuromodulation
  • Stem Cell Therapy

When you are dealing with chronic pain, you deserve the best treatment. Dr. Antonio Mesa and his staff provide the full spectrum of interventional pain management procedures and treatments for adults and children. Contact us today at (305) 670-7650.

Lower Back and Leg Pain

Back Pain Doctor MiamiFor patients who have pain or numbness in the lower back or legs when standing straight or walking. Leaning forward, such as when using a shopping cart or walker, helps reduce the pain. Sitting or lying down alleviates the pain but, shortly after getting up again, the pain returns.

This is usually related to a condition known as lumbar spinal stenosis and the symptoms are called neurogenic claudication. In this condition, the spinal canal in the lower back narrows and compresses the spinal nerves. Typically, the only treatment options offered to patients are spine surgery (which can be risky and there's no guarantee of a good outcome) or just living with it.

Fortunately, we are able to offer two different procedures which have been shown to successfully alleviate the symptoms of spinal stenosis without requiring surgery. They do not require hospitalization and are similar to the blocks you may already be familiar with. These procedures allow patients to regain the ability to walk without requiring surgery. They are covered by Medicare and most commercial insurance plans.


Para los pacientes que tienen dolor o entumecimiento en la base de la espalda (la cintura) o las piernas al estar de pie o caminar. Inclinarse hacia adelante, como cuando se usa un carrito de compras o un andador, ayuda a reducir el dolor. Sentarse o acostarse alivia el dolor, pero poco después de levantarse nuevamente, el dolor regresa.

Esto generalmente está relacionado con una condición médica conocida como estenosis espinal lumbar y los síntomas se llaman claudicación neurogénica. En esta condición, el canal espinal en la parte baja de la espalda se estrecha y comprime los nervios espinales. Por lo general, las únicas opciones de tratamiento ofrecidas a los pacientes son la cirugía de columna (que puede ser riesgosa y no hay garantía de un buen resultado) o simplemente vivir con el dolor.

Afortunadamente, podemos ofrecer dos procedimientos diferentes que han demostrado aliviar con éxito los síntomas de la estenosis espinal sin requerir cirugía. No requieren hospitalización y son similares a los bloqueos que posiblemente ya usted conoce. Estos procedimientos permiten a los pacientes recuperar la capacidad de caminar sin necesidad de cirugía. Están cubiertos por Medicare y la mayoría de los planes de seguro comercial.


Back pain is a symptom of one or more underlying problem such as:

  • Arthritis of the joints of the spine – also known as lumbar spondylosis
  • Degeneration of the discs between the vertebral bones of the spine – this is associated with both discogenic pain (from the discs themselves) and vertebrogenic pain (from irritation of the nerves inside the vertebral bones). These typically cause low back pain which is worse when sitting down, lying down, or lifting things although it can sometimes also cause pain while standing.
  • Disc herniation compressing a nerve – causing the classic sciatica symptoms
  • Neurogenic claudication – pain when walking or standing that is relieved by sitting or lying down.
  • Soft tissue pain – degeneration of the ligaments and tendons that insert into the spine, weak back muscles, and muscle spasms are all among the most common causes of back pain, particularly in younger, more athletic patients. Another name for this is musculoskeletal pain.

Aside from pain related to problems in the back itself, patients can also get back pain from serious conditions such as cancer, aortic aneurysm, Parkinson’s disease, peripheral artery disease, and many others. This is why we recommend looking into the cause of your back pain rather than simply accepting a diagnosis of “back pain” and leaving it at that.


NeurostimulatorFor patients with leg pain from peripheral neuropathy or small vessel peripheral vascular disease that cannot be corrected surgically, this can help control pain and improve the ability to walk. It is also useful for patients with diabetic gastroparesis who have difficulty with abdominal pain, nausea, and vomiting. For diabetic gastroparesis, it can be done without having to do the very invasive and uncomfortable implantation of a gastric stimulator.

We stimulate the nervous system to block the pain signal going to the brain. This is done via a small catheter that is inserted along the nerves being stimulated. First, we do a trial to make sure the neurostimulation does what we would like it to do. If it does alleviate the symptoms and you are happy with the stimulation, we can proceed to a permanent solution.



Para pacientes con dolor en las piernas debido a neuropatía periférica o enfermedad vascular periférica de los vasos pequeños que no puede ser corregida quirúrgicamente, esto puede ayudar a controlar el dolor y mejorar la capacidad de caminar. También es útil para pacientes con gastroparesia diabética que tienen dificultades con el dolor abdominal, náuseas y vómitos. En el caso de la gastroparesia diabética, se puede realizar sin necesidad de llevar a cabo la implantación muy invasiva e incómoda de un estimulador gástrico.

Estimulamos el sistema nervioso para bloquear la señal de dolor que se dirige al cerebro. Esto se hace a través de un pequeño catéter que se inserta a lo largo de los nervios que se están estimulando. Primero, realizamos una prueba para asegurarnos de que la neuroestimulación hace lo que deseamos que haga. Si alivia los síntomas y estás satisfecho/a con la estimulación, podemos proceder a una solución permanente.

If you are experiencing chronic pain, contact our Pain Specialist, Dr. Antonio Mesa today at (305) 670-7650.

Our Pain Management Center is located at 3911 SW 67th Avenue, Miami, FL 33155.

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