News on Pain Management in St. Augustine

Learn more about the latest medical advancements utilized at our spine and pain center in St. Augustine, FL. We’ll share the latest information you’ll want to know about how we treat chronic pain.

Read the latest news on pain management in St. Augustine below. We proudly serve patients in St. Augustine, Jacksonville, and the surrounding areas.

Botox Provides Relief from Migraines

woman with a severe migraine holding her headMigraines can be extremely difficult to manage, with symptoms including pain, light and sound sensitivity, nausea, and sometimes visual problems. If you suffer from migraines on 15 or more days each month, you should look into Botox treatments.


When we think of Botox, we tend to think of smooth foreheads and immovable, expressionless faces, but Botox is not all about wrinkles. In fact, Botox is FDA-approved to treat chronic migraines. Here is what you need to know:

When it is Not Recommended – If you experience fewer than 15 migraines per month, Botox is not recommended for you.

Botulinum Toxin – While it may scare some people to learn that Botox comes from the neurotoxin produced by botulism-causing bacteria, you don’t need to worry. It is purified and is used in very tiny doses.

Treatment for Migraines – To relieve migraines, Botox is injected near pain fibers that are involved in producing migraines. The Botox then enters your nerve endings, where it blocks the release of chemicals that transmit pain signals, thus preventing the activation of pain networks in your brain.

It Takes a While – Botox treatments are intended to stop headaches before they start, but you may need to take a few treatments to start seeing results. Patients who increase the number of their treatments tend to see more benefits.


If frequent migraines are destroying your quality of life, visit our clinic to receive Botox for migraines near Jacksonville, FL. Contact our skilled doctors today at 904.800.7246 to make an appointment.

Medical Marijuana for the Treatment of Chronic Pain

medical marijuana st Augustine flLiving with chronic pain is a daily battle. You’ve likely tried every treatment in the books to alleviate your pain, but sometimes the tried and true therapies don’t work for everyone. At First Coast Pain, we take a multi-faceted approach to pain management. That means that we use the traditional procedures and medications, but we also utilize alternative medicine, like medical marijuana in St. Augustine, FL. If you have struggled with chronic pain and are not seeing results with your current regimen, medicinal cannabis may be right for you.

How Medical Marijuana Works

Marijuana contains naturally occurring chemicals called “cannabinoids” that deliver therapeutic benefits. You’ve probably heard of the most popular cannabinoids, THC and CBD, but there are over 480 types that vary regarding psychoactive properties. THC is very psychologically active and produces a high, while CBD does not. A combination of different cannabinoids is often recommended to treat chronic pain, rather than just THC or CBD.

Cannabis has been used in medicine since ancient times to treat a variety of illness. For chronic pain, studies have found that medical marijuana can treat the pain as well as nausea that is often associated with chronic pain and opioid pain-reliever use.

When you are ready to receive personalized care for your chronic pain, contact the experienced and compassionate doctors at First Coast Pain.

3 Tips for Relieving Arthritis Pain Naturally

baked salmon with salad and asparagusArthritis is a painful degenerative disease that affects the joints. Many people think that medication is the only way to manage arthritis pain, and while it is a great option, there are other things you can do to lessen arthritis pain naturally.

Low-Impact Exercise – Exercise is one of the best ways to maintain the flexibility of your joints but running, and other high-impact exercises can put too much stress on arthritic joints. Consider adding swimming, water aerobics, or other low impact exercises to your routine. Before beginning any new exercise routine, be sure to discuss it with your doctor.

Fatty Acids – Omega-3 and GLA are two fatty acids that can help reduce joint stiffness and pain. You can get healthy fats from fish, nuts, seeds, borage, hemp, and black currants. If you plan on introducing a new supplement into your regimine, be sure to consult your doctor first.

Hydrotherapy – Hot water is a great way to reduce joint pain and inflammation, and keep your joints loose. Consider taking a hot bath a few times a week before bed or first thing in the morning to relax and relieve the pain in your aching joints. If you have access to a tub with massaging jets, this can help even more in lessening your arthritis pain.

Visit a Pain Management Clinic – If you are having difficulty managing your arthritis pain and want to improve your quality of life, consider visiting our pain management clinic for arthritis treatment near Jacksonville, FL. Our experienced doctors provide a personal approach to pain management that includes both traditional and alternative therapies to meet your unique needs.

The Benefits of Hyaluronic Acid for Osteoarthritis Patients

knee painHyaluronic acid is a natural supplement that your body makes to lubricate and cushion your joints, enabling them to move smoothly and efficiently. Patients who suffer from osteoarthritis begin to lose this essential element, which results in joint pain. One treatment that has proven to be beneficial to these patients in hyaluronic acid injections administered directly into the joint. This treatment is sometimes called “viscosupplementation,” which is just a big word meaning that the treatment is supplementing the existing hyaluronic acid in your body.

Reasons to Try Hyaluronic Acid Injections

Your doctor may recommend hyaluronic acid treatments for a variety of different reasons. Patients with knee osteoarthritis are often given these injections with excellent results. Here are some of the ways that Hyaluronic injections can work for you:

  • When Other Treatments Don’t Work – If you have been taking painkillers, or treating your pain with heat or ice, with no satisfactory results, your doctor may recommend injections to manage your pain. Some studies show that treating pain with hyaluronic acid can work better than painkillers for sufferers of osteoarthritis.
  • When You Can’t Take Painkillers – Some patients are unable to take painkillers for a laundry list of reasons, including allergies and interference with other medications. In these instances, injections of hyaluronic acid are recommended.
  • When You Can’t Have a Knee Replacement – When your joint becomes severely damaged due to osteoarthritis, a knee replacement is often the best treatment. Some patients are not quite ready to have this procedure, or can’t have the surgery for any reason. In these severe cases, hyaluronic acid injections can keep the joint functional for a bit longer.

First Coast Pain takes a personalized approach to pain management in St. Augustine. If you are suffering from osteoarthritis and want to know if hyaluronic acid treatment is right for you, call us to make an appointment at 904.800.7246.

Personalized Treatment for Chronic Pain

doctor speaking with patientAn estimated 100 million Americans suffer from chronic pain – that’s one in every ten people. The effects of chronic pain can be enormous for suffers, from depression to disrupted sleep patterns. Chronic pain is also the leading cause of long-term disability in America. The physicians at First Coast Pain, located in St. Augustine, FL, employ both traditional and alternative treatment methods to help chronic pain sufferers in the area find relief.

In this blog, we will discuss a variety of topics related to chronic pain, treatments, and coping. Our goal is to provide you with the information you need to manage your pain in a format that is interesting to you. If you suffer from chronic pain and wish to know more about possible treatments and ways to cope with your condition, you should subscribe. We will be publishing new and interesting content on a regular basis, so you should subscribe. While you’re here, check out our previous posts about migraine management and pulsed radiofrequency stimulation.

At our pain management clinic in St. Augustine, FL, we provide a personalized approach to pain management. Take the first step in getting relief from your chronic pain when you reach out to our clinic at 904.800.7246.

Woman Running by Beach

Meet the Migraine Game-Changers

In this exclusive roundtable, Amgen/Novartis, Allergan, Lilly, and Teva recap the data that is moving their CGRP migraine preventives to the finish line.

Patients endure and manage around migraine disease. As such, people with migraine may feel as though time has been taken from them, or constantly live in anticipation of the next migraine attack. Compounding this effect, many migraine patients may not find the relief they need with existing treatment options, or cannot tolerant them.

Continue Reading Article

Hand Therapy

A New Frontier in Migraine Management

Inside CGRP Inhibitors & Migraine Prevention

With a series of calcitonin gene-related peptide antagonists that promise to prevent migraine now emerging from regulatory review, anticipation is growing across the healthcare and patient community. What can clinicians expect from this new class of monoclonal antibodies?

Calcitonin gene-related peptide (CGRP) is a vasoactive peptide. It is part of the “inflammatory soup” that is involved in dilation of cerebral and dural blood vessels. Widely distributed throughout the body, CGRP levels in serum increase during migraine or cluster headache. Triptans provide some migraine relief by modulating the CGRP.

Continue Reading Article

Foot Therapy

Efficacy of Pulsed Radiofrequency Stimulation in Patients

Pulsed radiofrequency stimulation (PRF) is increasingly being applied to alleviate several types of pain including neuralgia, joint pain, and muscle pain (1-5). This technique works by delivering an electrical field and heat bursts to targeted nerves or tissues via a catheter needle tip without damaging these structures (6-8). Conventional radiofrequency (CRF) thermocoagulation exposes target nerves or tissues to continuous electrical stimulation and ablates the structures by increasing the temperature around the tip of the RF needle (9). In contrast to CRF, PRF applies a brief electrical stimulation, followed by a long resting phase; thus, PRF does not produce sufficient heat to cause structural damage (10). During the PRF procedure, the catheter needle tip is placed near the targeted nerves, and then advanced towards the nerves until patients report a tingling sensation and/or dysesthesia at a voltage less than 0.2 to 0.5 V. The tissue temperature is maintained at or below 42°C on average.

Continue Reading Article