Kiumars Arfai MD
Dedicated to a Multidisciplinary Approach to Pain Management
www.PainVisit.com
Office Visit Preparation:
Diplomate of American Board of Anesthesiology and Pain Management
1. New Patient Info Sheet
11550 Indian Hills Rd., Suite 340
Mission Hills, CA 91345
2. New Patient Evaluation
3. Follow Up Visit
4. Clinic Goals
375 Rolling Oaks Dr., Suite 200
Thousand Oaks, CA 91361
Suggested Resources:
American Academy of Pain Medicine
American Pain Society
CV
Tel: (818) 359-8833
Fax: (877) 727-9225
painvisit@yahoo.com
Email:
Stanford University Medical Center
UCLA/Drew Medical Center Anesthesiology and Critical Care
Cedars-Sinai Medical Center Pain Management
Children's Hospital of Los Angeles
National University of Health Scienses
While acute pain is a normal sensation triggered in the nervous system to alert you to possible injury and the need to take care of yourself, chronic pain is different. Chronic pain persists. Pain signals keep firing in the nervous system for weeks, months, even years. There may have been an initial mishap -- sprained back, serious infection, or there may be an ongoing cause of pain -- arthritis, cancer, ear infection, but some people suffer chronic pain in the absence of any past injury or evidence of body damage. Many chronic pain conditions affect older adults. Common chronic pain complaints include headache, low back pain, cancer pain, arthritis pain, neurogenic pain (pain resulting from damage to the peripheral nerves or to the central nervous system itself), psychogenic pain (pain not due to past disease or injury or any visible sign of damage inside or outside the nervous system)
Specialized in:

-Back pain
-Neck pain
-Joint pain
-Myofascial pain
-Fibromyalgia
-CRPS, RSD
-Cancer pain
-Headache
-Abdominal pain
-Pelvic pain
-Thoracic pain
-Post surgical pain
-Failed back surgery pain
-Neuropathic pain
Treatments:
Procedures
P
hysical Therapy and Massage Therapy
M
edication Trials
A
cupuncture
P
ain Psychology
Procedures:
Interventional pain, fluoroscopic-guided procedures

- Transforaminal epidural steroid injections
- Interlaminar epidural steroid injections
- Medial branch blocks
- Zygapophyseal joint blocks
- Pars interarticularis defect blocks
- Caudal epidural steroid injections
- Sacroiliac joint injections
- Hip joint injections
- Shoulder joint injection
- Radiofrequency ablation
- Celiac plexus blocks
- Lumbar sympathetic blocks
- Hypogastric plexus blocks
- Ganglion impar blocks



Chemodenervation


- Botulinum toxin
- Alcohol neurolytic



Spinal cord stimulator management


- Trials and implants


Intrathecal pump management


- Refills
- Interrogation, programming, dose adjustment
- Trials and implants
- Complication management


Joint and soft tissue injections


- Torticollis
- Glenohumeral, subacromial bursa, AC joint
- Biceps tendon, short head
- Elbow, intra-articular
- Lateral epicondyle enthesis
- DeQuervain's tenosynovitis
- Trangular fibrocartilaginous complex
- Digital tenovaginitis stenosans (trigger finger)
- Paraspinals, quadratus lumborum
- Iliolumbar ligament/triangle injections
- Trochanteric bursae
- Piriformis muscle
- Knee, intra-articular, pes anserine bursa
- Ankle mortise
- Trigger points, various
- Peripheral nerve blocks - carpal tunnel injections
- And more.


Musculoskeletal medicine


- Treatment of a variety of musculoskeletal injuries and diseases