Making an Appointment
To make a first time appointment, please call our office or schedule a callback online.. You may need a referral. We will be happy assist you in contacting your primary care physician if needed.
For New Patients
The following items may be required prior to scheduling:
- Referral from your primary doctor
- Patient Demographics
- Insurance Information/Card
- Authorizations, if required by HMO or Worker's Compensation
- Two recent doctor's visit notes
- Imaging reports (MRI/CT/X-Rays/Nerve Studies)
- Pain Medicine History (Previous Doctor's Name and/or Treatments)
About Your Initial Consultation
Your initial consultation with us will likely result in the suggestion that you try a medication, an injection, or other types of therapy in order to relieve your pain. Different things work for different people and different types of pain. Pain usually results from irritation and inflammation of nerves, muscles, bones, or other solid tissue organs. Each of these different types of pain must be treated in a different manner.
Various types of oral medications are used to help relieve the inflammation of the involved tissues and injection therapies are used for certain conditions in order to target the area that the pain originates from. These medications and injections are often pared with treatments such as mood therapy, sleep medicine, physical therapy, and acupuncture in order to maximize your pain relief and functional restoration. All of these integrative therapies combine with more standard treatments in order to maximize your chance to pursue enjoyable activities. More information on all of the types of treatments used for pain will be provided to you during your visit.
"I became disabled in 2003. At that time I felt I would never be able to work again or have a normal life. Dr. Longton has worked with me and changed my opportunity in life!” Donald Pederson, former Oakland Raider.
Please note the following instructions to insure that your injection or surgical procedure proceeds as smoothly as possible.
Before your procedure please note:
- Stop all aspirin, ibuprofen, and other anti-inflammatory medications for 3 days prior.
- Make sure that you inform us of any blood thinner medications that you are taking (coumadin, plavix, etc.). These need to be stopped at least 1 week prior to the injection. If you are on coumadin, you must have your protime (INR) checked either the day before or the day of the procedure. Please bring the results to the surgery center with you or have it faxed to our office.
- Make sure to let us know if you have had reactions to contrast medium in the past (from CAT scans or other injections).
- Do not eat any solid food for 6 hours before your procedure. You may have clear fluids such as gatorade, tea, or black coffee up until 2 hours before your procedure. Do not take your diabetes medication if you do not eat a meal.
- Bring a driver with you or plan on having someone pick you up, because you will not be able to drive after your injection.
After your procedure please note:
- It is very common to have increased pain for the first few days after an injection. This should resolve and your pain relief should increase over the next week or so. Please keep a record of the amount of pain relief or lack thereof that you experience.
- Use ice applications and your normal pain medications to treat any pain that you may have after your procedure. Ibuprofen or acetaminophen can be very helpful for pain relief as well.
- Do not drive for 12 hours and take it easy on the day of your procedure. Make sure you do not increase your activity level so much that you suffer the next day.
- Unusual symptoms that may be a sign of a serious complication include new severe pain that radiates away form the site of the injection, numbness that does not go away, and high fevers or chills. Please proceed to the emergency room for evaluation if you experience these symptoms.
- If you believe you have an emergency situation, proceed to the nearest emergency department or call 911. You may call our office and ask for the on call physician to be contacted in the case of a true emergency. Note however that no prescriptions will be provided after hours.
- Living with Chronic Pain: The Complete Health Guide to the Causes and Treatment of Chronic Pain
- Mayo Clinic on Chronic Pain: Lead a More Active and Productive Life
- Full Catastrophe Living, Jon Kabat-Zinn
- Calming Your Anxious Mind, Jeffrey Brantley
- No More Sleepless Nights
- Chronic Pain and the Family: A New Guide