woman receiving BOTOX injection in forehead

FAQ About BOTOX for Migraines

Migraines transcend the pain of a mere headache; they are intensive and debilitating bouts of agony. If you suffer from migraines, whether frequent or infrequent, it’s important to know that you can find fast, effective, and long-lasting relief. At First Coast Pain, we provide reliable migraine treatment in Jacksonville, FL. Our staff has assembled some answers to a few common questions to help you make an informed decision.

Q: What is BOTOX?

A: BOTOX is a substance that is most commonly used in cosmetic procedures to reduce frown lines, crow’s feet, and similar wrinkles. It works in this case by relaxing the muscles that are used to form these wrinkles. It is used as a preventative treatment with multiple injections over time to help sufferers avoid migraines.


Q: How does it work?

A: The main ingredient in BOTOX is Onabotulinum toxin A, and it has been proven effective for relieving migraines. It is delivered by injection and is believed to work by blocking the chemicals which transmit pain signals to the brain.


Q: How often should I get an injection?

A: Many sufferers need an injection around every three months to keep their headaches under control.


Q: Where are the injections administered?

A: The injections are usually delivered into the muscles in the forehead, scalp, neck, and shoulders.


Q: Does BOTOX cure migraines?

A: BOTOX is not a cure, but it does offer migraine prevention by deactivating pain receptors and blocking pain signals. Nerves will develop new pain receptors that then need to be blocked with a further injection.


Learn more about BOTOX for migraine relief by contacting the team at First Coast Pain at 904.800.7246.

senior woman pointing

What You Should Know about Degenerative Arthritis

Degenerative arthritis, which is also known as osteoarthritis, degenerative joint disease, or wear-and-tear arthritis, can strike anyone at any age, and as the name suggests, it’s a progressive condition. Weight-bearing joints are usually the main target of this type of arthritis, along with those in the hands, shoulders, neck, and feet, but it can affect any joint.

It’s generally identified through recognizable symptoms as well as the use of diagnostic imaging tests. Osteoarthritis is most common in those over 65, and the risk of suffering from this condition increases in men over 50 and women over 40.

Being diagnosed with this condition does not mean you are sentenced to a life of pain and suffering, as there is arthritis treatment in Jacksonville, FL, available through health-care professionals like those at First Coast Pain.

Treatments run the gamut from using ice and heat for the relief of minor symptoms all the way up to reparative surgery. Let’s look at a few interventions that prove effective for providing relief and improving the quality of life for patients.

Steroid injections often provide immediate relief. These treatments feature a combination of steroid and anesthetic injected into the epidural space in the joint.

Regenerative therapies using stem cells reduce or eliminate the inflammation linked with arthritis by repairing abnormal tissue. In this treatment, stem cells are injected into the body to encourage joint repair.

Radiofrequency ablations use RF waves to burn away nerve fibers that send pain messages. It provides effective relief for various types of pain.

An effective arthritis treatment makes it easier to cope with pain and limited mobility. Choose First Coast Pain for relief. We serve patients in St. Augustine, Jacksonville, and the surrounding area.

smiling patient with doctor

What You Should Know About Nerve Blocks

Your nerves are designed to send signals to your brain to let you know when your body is in trouble. These signals usually register as pain. When you have a chronic neck or back injury, these signals turn from a beneficial warning into a nagging, continuous pain. One back pain treatment in Jacksonville, FL, that can offer you temporary relief is nerve blocks.

Nerve blocks are designed to do just what their name implies–numb the nerve temporarily so that you can have some relief from your daily pain. But their benefits don’t stop there; nerve blocks are actually used in a variety of different ways to help your doctor learn more about your pain to create a more permanent treatment solution.

Some of the different types of nerve blocks that are used include:

  • Therapeutic Nerve Blocks – Local Anesthetic Designed to Control Acute Pain
  • Diagnostic Nerve Blocks – Helps to Determine the Sources of Pain
  • Prognostic Nerve Blocks – Gives the Doctor a Chance to Predict the Outcomes of Given Treatments
  • Preemptive Nerve Blocks – Designed to Prevent Subsequent Pain from a Procedure

While nerve blocks themselves are not designed to stop pain forever, they are an important back pain treatment tool that can put you on the right course towards a happier, more comfortable life.

If you are interested in learning how nerve blocks can help you reduce your back pain, make an appointment at First Coast Pain.

back pain treatment jacksonville fl

What You Should Know About Kyphoplasty for Pain Management

There are many different causes of back pain, and there are many different methods to treat it. Kyphoplasty is a back pain treatment in Jacksonville, FL, that is designed to help you restore the height and shape of your spine after an accident or due to a deformity. This treatment is one that has been shown to provide patients with:

  • Significant & Sustained Reduction in Back Pain
  • Sustained Vertebral Body Height Restoration
  • Significant & Sustained Mobility Improvement
  • Significant & Sustained Quality of Life Improvement
  • Significant Reduction in Down Time Due to Back Pain
  • Significant & Sustained Improvement in Daily Activity Performance
  • Significant & Sustained Reduction in Pain Interference

But what exactly is Kyphoplasty? This is a procedure that involves placing a surgical balloon into a tube to inflate the collapsed area in your spine when you are dealing with a compression fracture. The area is then filled with bone cement that keeps the vertebra in place. While this is a low-risk procedure, all surgeries come with a certain amount of risk. Make sure you take the time to speak to your doctor to fully understand the benefits and risks of this pain-relieving procedure.

If you are dealing with back pain, make an appointment at Florida Coast Pain today to explore your options.

medical illustration of shoulder pain

When to See Your Doctor for Shoulder Pain

It’s likely you don’t notice how much you use your shoulders during your day until one of them starts to hurt. Then, every movement reminds you of the pain. Don’t wait too long to see the doctor for pain relief, but more importantly, to find out exactly what is wrong. Knowing the cause of the pain is a diagnosis that provides a solution to the entire problem — pain included.

Of course, if you have any indication that your shoulder could be broken or sprained, then it’s wise to see a doctor as soon as possible for pain management in Jacksonville, FL. This is the best way to get to the truth of the matter and get started on recovery.

The shoulder is a complicated joint, certainly the most flexible in your body. This allows it to have a wide range of motion for your daily activities. This makes it even more important to find out what’s causing the pain quickly, or you could run the risk of continuous pain.

There are three bones, as well as numerous tendons, ligaments, and muscles that work together so you can handle everything from brushing your hair to throwing a baseball to reaching for a can in an overhead cupboard. When pain persists beyond a day or two, you can’t move your arm, or there’s swelling or bruising, see your doctor for an accurate diagnosis and pain management in Jacksonville, FL.

Are you suffering from chronic shoulder pain? Make an appointment at First Coast Pain today at 904.800.7246.

woman speaking to doctor

What Is the Difference between Visceral & Somatic Pain?

When you’re in pain, the type of pain you’re experiencing comes second to the hurt you’re feeling. However, when looking for pain relief, knowing the type of pain you’re having helps your doctor determine what the problem is, as well as offer treatment for pain management in St. Augustine. Essentially, there are two types of pain:

Visceral Pain — This type of pain may be dull and vague as it originates with injuries, problems, or damage to internal tissues and organs. You may experience this as an internal ache, squeeze, or pressure. The causes of visceral pain may include everything from kidney injuries to menstrual pain to prostrate damage and stomach cancer. Doctors may recommend over-the-counter medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or even opioids to deal with the pain.

Somatic Pain — Often, this type of pain is described as sharp and localized when felt on the skin, bones, joints, or muscle. You’ve experienced these superficially when you have had a cut on the skin or a headache, or deeply when you’ve broken a bone or suffer from arthritis. Your doctor looks at the cause of the pain and works on addressing the basic cause. Over-the-counter medication can help. When the pain is severe, prescription drugs may be recommended, but caution is always recommended as treatment for this type of pain will usually include opioids.

When you are dealing with chronic pain, you need physicians who will take a personalized, multi-faceted approach to your care. Make an appointment at First Coast Pain today by calling 904.800.7246.

doctor making notes on patient chart

What You Should Know about Rheumatoid Arthritis

Rheumatoid arthritis is a chronic condition that can cause irreversible joint damage to your body if it is allowed to progress. So what exactly is RA? You might be shocked to learn that it actually occurs when your immune system mistakenly attacks perfectly healthy joints. Unfortunately, this mistake can lead to anything from pain and swelling to stiffness and even the loss of physical function in the affected areas.

While the exact cause of rheumatoid arthritis isn’t known, there are a combination of factors that can lead to it, including environmental influences, your immune system, and even your genetic predisposition. While RA might be a chronic illness, it doesn’t mean there is nothing you can do about minimizing its effect on your daily life. An arthritis treatment near Jacksonville, FL, can actually make living with RA much more manageable.

Take Control of Your Care

When it comes to diagnosing rheumatoid arthritis, things can be kind of confusing. The early signs and symptoms tend to mimic those of many other types of diseases. Furthermore, there isn’t a simple test, blood or physical, which can immediately identify RA. Once you have been diagnosed, however, proper treatment can start to help you take back control of your life. While there are still many questions related to RA out there, you don’t have to be left in the dark.

pain management jacksonville fl

Coping with Chronic Pain

Chronic pain can really take a toll on your overall happiness and health. That doesn’t mean, however, that you can’t find ways to relieve it through effective pain management near Jacksonville, FL. There are several different ways that help you cope with this chronic pain until you can visit our team of physicians.

One of the best and easiest ways to take control of your chronic pain is to learn proper deep breathing and meditation techniques. This helps you relax your body so that you can relieve built up tension and tightness from your muscles. Reducing stress is one of the main ways you can fight back against pain. That means not only does meditation help, but so does exercise, improving your sleep schedule, and even joining a support group to talk with other people living with chronic pain.

Making smart life choices, including cutting back on alcohol, stopping smoking, and eating a healthy diet, can also play a big role in reducing the amount of pain you experience on a daily basis. Additionally, it is always a good idea to talk to your doctor about the different recommendations he or she can make that are specific to the conditions you are experiencing.

doctor treating young child

What You Need to Know about Juvenile Arthritis

When you think of arthritis, you probably imagine a senior citizen struggling to open a jar, because that is what they portray in medication commercials. Unfortunately, arthritis can occur in patients of any age – including children. Juvenile arthritis affects approximately 300,000 American children under the age of 16. The disease has different symptoms in children and generally has a much better prognosis. Here are some things you should know about juvenile arthritis:

There are Different Subsets of Juvenile Arthritis

While more subsets of juvenile arthritis are being researched, we started with three different types: polyarticular, pauciarticular, and systemic juvenile arthritis. Each of these subsets affects different joints and presents with different symptoms.

Polyarticular Juvenile Arthritis

The polyarticular subset of juvenile arthritis affects many different joints – usually the small joints of the hand in addition to other joints. This type is similar to rheumatoid arthritis in adults and is twice more likely to develop in girls than boys. Symptoms include low-grade fever, weight loss, and anemia.

Pauciarticular Juvenile Arthritis

This is the most common type of juvenile arthritis, typically affecting the knees, elbows, wrists, and ankles. This form of juvenile arthritis affects four joints or fewer and is often asymmetric in symptoms. For example, the left elbow may be affected and not the right. This type of arthritis is more common in girls.

Systemic Juvenile Arthritis

This type of juvenile arthritis is much different from other forms of the disease because it starts with generalized symptoms that affect the internal organs and other body parts. Early onset usually consists of fevers that come and go and a rash on the chest and thighs. Other symptoms include enlarged lymph nodes and spleen, inflammation of the heart and surrounding tissue, high white blood cell count, anemia, fatigue, and weight loss. This form of juvenile arthritis is rare, and in 75% of cases subsides without long-term damage.


When your child needs arthritis treatment near Jacksonville, FL, turn to the compassionate doctors at First Coast Pain. You can make an appointment today at 904.800.7246 or book online.

medical marijuana plant

Commonly Asked Questions about Medical Marijuana

At First Coast Pain, we provide both traditional and alternative treatments for pain, including medical marijuana. Here are some frequently asked questions about this treatment:

Is Medical Marijuana Legal in Florida?

Medical marijuana was legalized in Florida in November 2016. Voters approved the passage of an amendment to the state constitution, which allows Florida residents to obtain and use marijuana for medicinal purposes legally.

Do I have to be a Resident of Florida to Receive Medical Marijuana?

As long as you live in Florida for a minimum of 31 consecutive days each year, you can qualify for the program. People who meet this requirement are dubbed “seasonal residents” and are allowed to apply for a medical marijuana ID card.

How Do I Get My Medical Marijuana ID Card in Florida?

To get a medical marijuana ID card in Florida, you must be a Florida resident (or a seasonal resident). You must also meet the requirements of the Compassionate Use Registry. An in-person medical exam from a physician who is qualified to recommend medical cannabis is required to determine this.  If you meet those requirements, you can submit an application to the Office of Compassionate Use, which will then issue your card.

What Conditions Are Covered Under the Florida Medical Cannabis Program?

Medical marijuana is restricted to those with a debilitating illness. The list currently includes:

  • Cancer
  • Epilepsy
  • Glaucoma
  • Positive Status for HIV
  • AIDS
  • PTS
  • ALS
  • Crohn’s Disease
  • Parkinson’s Disease
  • Multiple Sclerosis
  • A Terminal Condition
  • Chronic Pain (Only if you have another qualifying condition)
  • Medical conditions of the same kind or class as or comparable to those above

Where is the Closest Medical Marijuana Treatment Clinic in St. Augustine, FL?

Our physicians at First Coast Pain are qualified to recommend medical marijuana in St. Augustine, FL, to patients who have a qualifying chronic pain condition. Make an appointment with our compassionate doctors today by calling 904.800.7246 or book online.