Delaware Pain Management Doctors: APICO Pain Management

If you have a medical emergency, please call 911 or go to your nearest emergency room. Please note that the information provided on this website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The information provided on this website is for educational purposes only and is not intended as medical advice. No information contained on this website should be used to diagnose, treat, prevent, or cure any medical condition. Any reliance you place on such information is strictly at your own risk. Furthermore, the information provided on this website may not be accurate, complete, or up-to-date. The medical field is constantly evolving, and while we make every effort to ensure the information provided is accurate and up-to-date, we cannot guarantee its accuracy or completeness. Finally, the use of this website does not create a doctor-patient relationship between you and the website owner or any of the healthcare professionals affiliated with the website.

When you’re in pain, which treatment options to choose becomes a major priority.

That’s why we encourage you to learn as much as you can about your pain condition and treatment options. Be cautious regarding which resources you study. A trusted and valuable resource to learn from is the Cleveland Clinic. If you would like to learn more about pain conditions on the Cleveland Clinic website, click here.

At APICO Pain Management we treat our patients like family.

What to consider when you’re looking for a pain management physician? Here’s some thoughts about Multimodal pain management from Rany Abdallah MD, PhD, MBA.
Scientific research supports the notion that pain condition treatments aren’t just individualized to each patient. They are also “multimodal” (in other words, the combination of multiple pain therapies). That’s because multimodal therapies produce the best outcomes while minimizing the potential for harm. Interestingly as pain management specialists, we find that what works for one patient’s condition certainly might not work for someone else’s. Successful treatment of pain conditions must be customized to suit each patient. That’s why it’s not wise to assume what friends and family recommend for you, because they say, “It worked for me.”

If you want to improve your quality of life, set an appointment to meet with Rany Abdallah MD, PhD, MPH to set goals focused on multimodal treatments. Combined therapies not only reduce pain, but also help us focus on individualized treatment that represents the most significant advances in the field of pain management.

Below is a list of pain conditions that we treat at APICO Pain Management™. If your pain condition is not on this list, please give our office manager a call to see if we’ve added new treatments that will help you. Dr. Abdallah looks forward to meeting you, at any of his three Delaware offices.

IMAGE OF DOCTOR AND FEMALE PATIENT SMILING

Knee pain refers to any discomfort, soreness, or aching in the knee joint or surrounding tissues. It can affect people of all ages and can range from mild to severe. Knee pain can be caused by a variety of factors, including:
1. Injuries: Knee pain can result from injuries such as ligament tears, cartilage injuries, fractures, dislocations, and sprains.
2. Arthritis: Osteoarthritis, rheumatoid arthritis, and other types of arthritis can cause knee pain by damaging the joint tissues.
3. Tendinitis: Inflammation of the tendons that connect the knee bones to the muscles can cause pain and stiffness.
4. Bursitis: Inflammation of the small fluid-filled sacs that cushion the knee joint can cause pain and swelling.
5. Meniscus tears: A tear in the meniscus, which is the cartilage that provides cushioning between the bones in the knee joint, can cause pain and discomfort.
6. Patellar tendinitis: Inflammation of the tendon that connects the kneecap to the shinbone can cause pain and tenderness.
Treatments for knee pain depend on the underlying cause and severity of the pain. Some of the treatment options include:
1. Rest: Taking a break from activities that aggravate the knee pain can help alleviate the pain and promote healing.
2. Ice and heat therapy: Applying ice packs or heat pads to the affected knee can help reduce pain and swelling.
3. Physical therapy: Exercise programs designed to strengthen the muscles around the knee joint can help improve knee stability and reduce pain.
4. Medications: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
5. Injections: Corticosteroid injections can be used to reduce inflammation and pain in the knee joint.
6. Surgery: In severe cases, surgery may be necessary to repair or replace damaged tissues in the knee joint.
It is important to consult a healthcare professional at APICO Pain Management if knee pain persists or is accompanied by other symptoms such as fever, swelling, or redness.
Joint pain refers to any discomfort, aching, stiffness, or soreness in any of the body's joints. Joint pain can affect any joint in the body, including the knees, hips, shoulders, elbows, and ankles. There are several factors that can cause joint pain, including:
1. Injuries: Joint pain can be caused by injuries such as sprains, strains, fractures, and dislocations.
2. Arthritis: Arthritis is a common cause of joint pain, and there are several types of arthritis, including osteoarthritis, rheumatoid arthritis, and gout.
3. Overuse: Repeated use of a joint can cause inflammation, leading to joint pain.
4. Infection: Joint pain can be caused by infections such as Lyme disease, hepatitis C, and influenza.
5. Autoimmune diseases: Conditions such as lupus and psoriatic arthritis can cause joint pain.
6. Cancer: Joint pain can be a symptom of some cancers, such as leukemia and bone cancer.
Treatment for joint pain depends on the underlying cause and severity of the pain. Some of the treatment options include:
1. Rest: Resting the affected joint and avoiding activities that aggravate the pain can help alleviate the pain and promote healing.
2. Physical therapy: Exercise programs designed to strengthen the muscles around the affected joint can help improve joint stability and reduce pain.
3. Medications: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
4. Injections: Corticosteroid injections can be used to reduce inflammation and pain in the affected joint.
5. Surgery: In severe cases, surgery may be necessary to repair or replace damaged tissues in the joint.
6. Alternative therapies: Some people find relief from joint pain with complementary and alternative therapies, such as acupuncture, massage, and herbal remedies.
It is important to consult Dr. Abdallah or a healthcare professional if joint pain persists or is accompanied by other symptoms such as fever, swelling, or redness.
Cervical spinal stenosis is a condition where the spinal canal in the neck becomes narrowed, which can put pressure on the spinal cord and the nerves that branch out from it. This pressure can cause a range of symptoms, including pain, numbness, and weakness in the neck, shoulders, arms, and hands. Cervical spinal stenosis is usually caused by age-related wear and tear on the spine, but it can also be caused by other factors, including:
1. Herniated or bulging discs: When the soft, jelly-like center of a spinal disc pushes out of its tough outer layer, it can press on the spinal cord or nerves.
2. Thickened ligaments: Over time, the ligaments that support the spine can become thicker and stiffer, which can narrow the spinal canal.
3. Bone spurs: These are small bony growths that can form on the spine due to osteoarthritis.
4. Tumors: Spinal tumors can compress the spinal cord or nerves and cause symptoms of spinal stenosis.
The treatments for cervical spinal stenosis depend on the severity of the condition and the symptoms that it is causing. Some of the treatment options include:
1. Medications: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and inflammation.
2. Physical therapy: Exercises to improve strength and flexibility in the neck, shoulders, and arms can help reduce symptoms and improve function.
3. Steroid injections: Injecting a steroid medication into the spinal canal can help reduce inflammation and relieve pain.
4. Surgery: In severe cases of cervical spinal stenosis, surgery may be necessary to relieve pressure on the spinal cord and nerves.
5. Assistive devices: Using a brace or collar to immobilize the neck can help reduce symptoms and support the neck during healing.
It is important to consult an APICO Pain Management specialist if you experience symptoms of cervical spinal stenosis, as it can cause serious complications if left untreated.
Facet arthritis, also known as facet joint osteoarthritis, is a condition where the joints in the spine, called facet joints, become inflamed and damaged. Facet arthritis is a type of degenerative arthritis and is most commonly seen in the lower back and neck. The causes of facet arthritis are not entirely clear, but it is thought to be due to age-related wear and tear on the spine. Other factors that may contribute to facet arthritis include:
1. Trauma: Previous injury or trauma to the spine can increase the risk of developing facet arthritis.
2. Genetics: A family history of arthritis can increase the risk of developing facet arthritis.
3. Repetitive stress: Certain occupations or activities that require repetitive motions or prolonged sitting or standing can increase the risk of developing facet arthritis.
The symptoms of facet arthritis can include back or neck pain, stiffness, and limited range of motion. Treatment for facet arthritis depends on the severity of the condition and the symptoms it is causing. Some of the treatment options include:
1. Medications: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and inflammation.
2. Physical therapy: Exercises to improve strength and flexibility in the spine can help reduce symptoms and improve function.
3. Steroid injections: Injecting a steroid medication into the facet joint can help reduce inflammation and relieve pain.
4. Radiofrequency ablation: Using heat to destroy the nerves that carry pain signals from the facet joint can provide long-term pain relief.
5. Surgery: In severe cases of facet arthritis, surgery may be necessary to remove damaged tissue or fuse the affected vertebrae.
It is important to consult with APICO Pain Management staff if you experience symptoms of facet arthritis, as it can cause serious complications if left untreated.
Cancer pain is a type of pain that can be caused by cancer itself, cancer treatments, or other conditions related to cancer. The pain can vary in intensity, location, and duration and can be acute or chronic. Cancer pain can be caused by a variety of factors, including:
1. Tumor growth: As a tumor grows, it can put pressure on nerves, bones, or organs, causing pain.
2. Cancer treatments: Chemotherapy, radiation therapy, and surgery can cause pain as a side effect.
3. Neuropathy: Nerve damage can occur due to cancer or cancer treatments, which can cause pain, numbness, or tingling.
4. Inflammation: Cancer can cause inflammation in the body, which can lead to pain.
5. Other conditions: Cancer can lead to other conditions that cause pain, such as bone fractures, infections, or lymphedema.
Managing cancer pain is an important part of cancer care, and there are various treatments available to help relieve the pain. Some of the treatments that can be used to manage cancer pain include:
1. Medications: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve mild pain, while opioids may be prescribed for moderate to severe pain.
2. Nerve blocks: Injecting medication into or around a nerve can block pain signals and provide relief.
3. Radiation therapy: Radiation therapy can be used to shrink tumors that are causing pain.
4. Chemotherapy: Some chemotherapy drugs can help reduce pain caused by cancer.
5. Complementary therapies: Relaxation techniques, acupuncture, massage therapy, and other complementary therapies can help reduce stress and anxiety, which can contribute to pain.
It is important to work with a healthcare professional like Rany Abdallah MD, PhD, MBA to manage cancer pain, as uncontrolled pain can have a negative impact on quality of life and overall health
Headache pain is a common condition that is characterized by pain or discomfort in the head or neck area. There are several types of headaches, including tension headaches, migraines, cluster headaches, and sinus headaches. The causes of headaches can vary depending on the type of headache. Some of the common causes of headaches include:
1. Tension: Stress, anxiety, poor posture, and eye strain can cause tension headaches.
2. Migraine: Migraines may be caused by changes in hormone levels, certain foods, bright lights, loud noises, or other triggers.
3. Cluster: Cluster headaches are thought to be caused by a dysfunction in the hypothalamus.
4. Sinus: Sinus headaches are caused by inflammation or infection in the sinuses.
The treatments for headaches also depend on the type and cause of the headache. Some common treatments for headaches include:
1. Medications: Over-the-counter pain relievers such as acetaminophen or NSAIDs can help relieve mild to moderate headache pain. Prescription medications such as triptans or opioids may be used for more severe headaches.
2. Lifestyle changes: Regular exercise, stress management techniques, and healthy sleep habits may help prevent tension headaches and migraines.
3. Complementary therapies: Acupuncture, massage therapy, and other complementary therapies may provide relief for some types of headaches.
4. Medical procedures: Nerve blocks, Botox injections, or other medical procedures may be used to treat chronic headaches.
5. Prevention: Identifying and avoiding triggers, such as certain foods or environmental factors, may help prevent migraines and other types of headaches.
It is important to work with a healthcare professional like Dr. Rany Abdallah to manage headaches, particularly if they are frequent or severe. In some cases, headaches may be a symptom of a more serious condition, and APICO Pain Management's professionals can help identify and treat the underlying cause.
Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. The exact cause of fibromyalgia is not yet fully understood, but it is thought to involve a combination of genetic, environmental, and psychological factors. Some potential causes of fibromyalgia include:
1. Genetics: Fibromyalgia tends to run in families, suggesting that there may be a genetic component to the condition.
2. Infections or illnesses: Some people develop fibromyalgia after experiencing an illness or infection, such as Lyme disease or the flu.
3. Trauma or injury: Physical or emotional trauma or injury may trigger fibromyalgia in some people.
4. Abnormal pain response: People with fibromyalgia may have an abnormal response to pain signals, causing them to experience pain even in response to mild stimuli.
APICO Pain Management's specialists may use a variety of treatments to help manage fibromyalgia symptoms. Some common treatments for fibromyalgia include:
1. Medications: Prescription medications, such as antidepressants, anticonvulsants, or muscle relaxants, may be used to manage fibromyalgia pain.
2. Cognitive-behavioral therapy (CBT): CBT is a type of talk therapy that can help people with fibromyalgia learn coping skills and manage stress and anxiety.
3. Physical therapy: Physical therapy can help improve strength and flexibility, and may also include massage therapy or other hands-on techniques.
4. Exercise: Regular exercise, such as low-impact aerobic activities, can help improve symptoms and overall health.
5. Complementary therapies: Acupuncture, mindfulness meditation, and other complementary therapies may help manage fibromyalgia symptoms in some people.
The treatment plan for fibromyalgia may vary depending on the individual and the severity of symptoms. Dr. Abdallah can work with you to develop a personalized treatment plan that addresses your specific needs and goals.
Neuropathic pain is a type of chronic pain that is caused by damage or dysfunction to the nervous system. Unlike other types of pain, neuropathic pain can be difficult to treat and may not respond well to traditional pain management methods. Some potential causes of neuropathic pain include:
1. Nerve damage or injury: Nerve damage or injury, such as from surgery or trauma, can cause neuropathic pain.
2. Diabetes: Diabetes can cause nerve damage, leading to neuropathic pain.
3. Multiple sclerosis: Multiple sclerosis can damage nerves in the brain and spinal cord, leading to neuropathic pain.
4. Chemotherapy or radiation therapy: Chemotherapy or radiation therapy can cause nerve damage, leading to neuropathic pain.
5. Shingles: Shingles, a viral infection that causes a painful rash, can also cause neuropathic pain.
The treatments for neuropathic pain may include:
1. Medications: Antidepressants, anticonvulsants, and opioids may be used to manage neuropathic pain.
2. Topical treatments: Lidocaine patches or creams may help manage pain in localized areas.
3. Nerve blocks: Nerve blocks involve injecting medication into the affected nerve to block pain signals.
4. Spinal cord stimulation: Spinal cord stimulation involves implanting a device that delivers electrical signals to the spinal cord to help manage pain.
5. Physical therapy: Physical therapy can help improve strength and flexibility, which may help reduce pain and improve overall function.
6. Complementary therapies: Acupuncture, massage therapy, and other complementary therapies may provide relief for some people with neuropathic pain.
It is important to work with a healthcare professional like Dr. Abdallah to manage neuropathic pain, as it can be difficult to treat and may require a personalized approach. He'll work with you to develop a comprehensive treatment plan that addresses your individual needs and goals.
Pelvic and abdominal pain can be caused by a variety of conditions, such as endometriosis, ovarian cysts, irritable bowel syndrome, or bladder infections. APICO Pain Management specialists can work with patients to identify the underlying cause of the pain and develop a personalized treatment plan. Some potential treatments for pelvic and abdominal pain include:
1. Medications: Pain relievers, muscle relaxants, and other medications may be used to manage pain and other symptoms.
2. Physical therapy: Physical therapy can help improve strength and flexibility, which may help reduce pain and improve overall function.
3. Nerve blocks: Nerve blocks involve injecting medication into the affected nerve to block pain signals.
4. Relaxation techniques: Techniques such as deep breathing or meditation may help manage pain and reduce stress.
5. Acupuncture: Acupuncture involves inserting fine needles into specific points on the body to help manage pain.
6. Surgery: In some cases, surgery may be necessary to treat the underlying cause of pelvic or abdominal pain.
The treatment plan for pelvic and abdominal pain will depend on the underlying cause of the pain and the individual needs and goals of the patient. Pain management specialists like Dr. Abdallah can work with you to develop a comprehensive treatment plan that addresses your specific needs and helps you manage your pain and other symptoms. It is important to work closely with a healthcare professional like Dr. Abdallah to manage pelvic and abdominal pain, as it can be a complex condition that requires a personalized approach.
Nerve injury, also known as neuropathy, refers to damage to the nerves in the body. This damage can cause a range of symptoms, including pain, tingling, numbness, and weakness. Nerve injury can be caused by a variety of factors, including:
1. Trauma: Injuries to the nerves, such as from a car accident or fall, can cause nerve damage.
2. Infections: Certain infections, such as shingles or HIV, can cause nerve damage.
3. Diabetes: Diabetes can cause nerve damage, especially in the feet and hands.
4. Toxins: Exposure to certain toxins, such as lead or chemotherapy drugs, can cause nerve damage.
5. Autoimmune disorders: Autoimmune disorders, such as lupus or rheumatoid arthritis, can cause nerve damage.
Pain management specialists can work with their patients to develop a personalized treatment plan for nerve injury. Some potential treatments may include:
1. Medications: Antidepressants, anticonvulsants, and opioids may be used to manage nerve pain.
2. Nerve blocks: Nerve blocks involve injecting medication into the affected nerve to block pain signals.
3. Physical therapy: Physical therapy can help improve strength and flexibility, which may help reduce pain and improve overall function.
4. Spinal cord stimulation: Spinal cord stimulation involves implanting a device that delivers electrical signals to the spinal cord to help manage pain.
5. Complementary therapies: Acupuncture, massage therapy, and other complementary therapies may provide relief for some people with nerve injury.
It is important to work closely with a healthcare professional like Dr. Abdallah to manage nerve injury, as it can be a complex condition that requires a personalized approach. Dr. Abdallah can work with you to develop a comprehensive treatment plan that addresses your individual needs and helps you manage your pain and other symptoms.
If you have a work injury and are experiencing chronic pain, seeing APICO Pain Management's specialists can be beneficial in many ways. Here are some reasons why:
1. Expertise in Pain Management: Dr. Abdallah is trained and experienced in treating chronic pain. He has a deep understanding of the mechanisms of pain and various treatment options available.
2. Tailored Treatment: Dr. Abdallah can provide you with a comprehensive evaluation and create a personalized treatment plan based on your specific needs. He will work with you to find the most effective treatment that minimizes pain and maximizes function.
3. Minimizing Opioid Use: As a pain management specialist, Dr. Abdallah is an expert in minimizing the use of opioid medications while still providing effective pain relief. He can recommend alternative treatments and help you manage your pain without relying on opioids.
4. Coordination with Other Healthcare Providers: Dr. Abdallah will work closely with other healthcare providers involved in your care, such as physical therapists, occupational therapists, and primary care physicians. He can coordinate care to ensure that you receive the most comprehensive treatment possible.
5. Improved Quality of Life: Effective pain management can improve your quality of life by reducing pain, improving function, and allowing you to participate in the activities you enjoy.
A pain management doctor is a medical specialist who has expertise in diagnosing and treating various types of pain, including acute and chronic pain. If you are experiencing post-surgery pain, Dr. Abdallah can help you manage your pain in several ways, including:
1. Medications: Dr. Abdallah may prescribe pain medications that are tailored to your specific needs. He can also adjust your medication regimen to ensure that you are getting the right dosage and type of medication to manage your pain effectively.
2. Nerve blocks: A nerve block is a procedure that involves injecting medication around specific nerves to block the transmission of pain signals. This can provide immediate relief from pain and can be especially helpful for pain that is localized to a specific area.
3. Physical therapy: Dr. Abdallah may also refer you to a physical therapist who can work with you to improve your range of motion, strengthen your muscles, and help you manage your pain through exercise and other techniques.
4. Cognitive-behavioral therapy: He may also refer you to a therapist who can work with you to develop coping strategies for managing your pain. This can include relaxation techniques, mindfulness, and other cognitive-behavioral approaches to pain management.
These are just a few of the many options that Dr. Abdallah will review with you. Overall, Dr. Abdallah doctor can work with you to develop a comprehensive pain management plan that is tailored to your individual needs and goals. By taking a multidisciplinary approach to pain management. He can help you minimize your pain, improve your overall function, and enhance your quality of life.

Please note that the information provided on this website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The information provided on this website is for educational purposes only and is not intended as medical advice. No information contained on this website should be used to diagnose, treat, prevent, or cure any medical condition. Any reliance you place on such information is strictly at your own risk. Furthermore, the information provided on this website may not be accurate, complete, or up-to-date. The medical field is constantly evolving, and while we make every effort to ensure the information provided is accurate and up-to-date, we cannot guarantee its accuracy or completeness. Finally, the use of this website does not create a doctor-patient relationship between you and the website owner or any of the healthcare professionals affiliated with the website.

APICO Pain Management™: Conditions Treated

When you’re in pain, which treatment options to choose becomes a major priority.

Find a clinic near you

Call for an appointment!

Feel free to message us!

Bear, DE Office

Dover, DE Office

Lewes, DE Office