Ana Lipson MD Central Florida Pain Management Winter Haven, Florida 863-293-4800

It is important to understand that there are different types of pain based on where in the body the pain is felt. Pain of all three types can be either acute or chronic. The three pain types can be felt at the same time or at different times. They respond to different medication and nerve blocks. The three types of pain are:

  • Neuropathic
  • Somatic
  • Visceral

Neuropathic pain is pain caused by damage or disease that affect nerves. Some common causes of neuropathic pain include:

  • alcoholism
  • amputation
  • back, leg, and hip problems
  • chemotherapy
  • diabetes
  • facial nerve problems
  • HIV or AIDS
  • shingles
  • surgery on the spine

Treatment options include:

Medication, which can be divided into three groups:

  • anticonvulsants (neurontin, lyrica, tegretol, topamax, lamictal, gabitril)
  • antidepressants (elavil, cymbalta, remeron, sinequan, desyrel)
  • opioids (narcotics) are only used when the anticonvulsants and antidepressants fail

Nerve blocks

  • stellate ganglion blocks
  • lumbar sympathetic block
  • epidurals

Or sometimes a combination of both

In addition patients may reduce their pain levels through exercise, the use of a tens unit, massage, biofeedback, and acupuncture.


Ana Lipson MD Central Florida Pain Management

Dr. Ana Lipson
Lipson Pain Institute
210 1st Street South
Winter Haven, Florida 33880
(863) 293-4800


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