Herard Pierre R

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Physicians & Surgeons, Mental Health Services, Physical Therapists

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(315) 853-5657Visit WebsiteMap & Directions7883 State Route 5Clinton, NY 13323 Write a Review

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AKA: Herard Pierre R Md
Other Link: http://killpain.com
Categories: Physicians & Surgeons, Mental Health Services, Physical Therapists, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Neurology, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Osteopathic Manipulative Treatment, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sports Medicine, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Weight Loss Management, Sports Medicine & Injuries Treatment

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Phone: (315) 853-5657

Address: 7883 State Route 5, Clinton, NY 13323

Website: http://killpain.com

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Herard Pierre R

General Practitioners

Osteoporosis
Arthritis
Joint injections with steroids or hyaluronans is a common treatment option for individuals with joint pain caused by various conditions such as osteoarthritis, rheumatoid arthritis, and gout. The procedure involves injecting a combination of a local anesthetic and either steroids or hyaluronans directly into the affected joint. The local anesthetic provides immediate pain relief, while the steroids or hyaluronans help to decrease inflammation and improve joint function over time.
Medical Weight Loss
In order to manage this condition, it is important to understand the potential complications, as well as the various treatment options available. Additionally, chronic back pain can lead to a decrease in physical activity, which can further exacerbate the pain and lead to complications such as weight gain and muscle weakness. To avoid these complications, it is important for individuals with chronic back pain to work with their healthcare provider to develop a comprehensive treatment plan that may include physical therapy, medication, and lifestyle modifications such as exercise and weight management. It is also important for individuals to be proactive in managing their pain and to communicate openly with their healthcare provider about any concerns or changes in their condition. By taking these steps, individuals with chronic back pain can improve their overall health and quality of life.

Labor and Delivery
This injection is a non-surgical option for patients who suffer from chronic pain in the lower back, legs, or arms. This procedure is commonly used to treat conditions such as herniated discs, spinal stenosis, and sciatica, as well as to manage pain during labor and delivery. While epidural spinal injection has shown to be an effective treatment option for many patients, it is important to note that it is not a permanent solution and may require multiple injections over time to achieve optimal results.

Neurology
“Assessment: use of epidural steroid injections to treat radicular lumbosacral pain: report of the Therapeutics and Technology Assessment Subcommittee of the....” https://n.neurology.org/content/68/10/723.short
Autism
While TMS therapy is primarily used to treat depression, there is ongoing research and exploration into its potential benefits for individuals with autism spectrum disorder (ASD).

Depression
Mental Health
Depression is a debilitating mental health condition that can affect anyone. It can cause feelings of sadness, hopelessness, and loss… Read article
Anxiety

Ultrasound
Creation of PRP is simple and conveniently done during an office visit. The entire process only takes less than one hour to complete. The process is quite simple: a sample of blood is taken, and the platelets are spun into a concentration through centrifugation. The separated platelets are then injected into the damaged or injured part of the body. When PRP is injected into the damaged area, it stimulates the tendon or ligament to activate the healing cascade. Ultrasound or guided x-ray (fluoroscopic) imaging is used to guide the injection. As a result, new collagen begins to form in the injured tissue. As this collagen matures, it can become stronger and tighter, and eventually may allow the tendons or ligaments to withstand the stress of daily and sports related activities. PRP therapy is an office procedure that can take roughly an hour.
MRI
The physician will want to complete a full medical history review and go over all prior imaging scans taken. Next an annulogram/nucleogram will be administered to help to accurately identify the source of your symptoms and condition. This will allow for the physician to determine if your discs are abnormal and are leaking. This is a more accurate diagnostic approach than an MRI imaging test.
X-Rays
Computed Tomography
One such imaging technique that has gained popularity in recent years is MR/CT arthrogram injections. These specialized injections are used to help diagnose and treat joint-related issues. Magnetic Resonance (MR) and Computed Tomography (CT) arthrography is an advanced diagnostic imaging technique used to examine the anatomy of joints, particularly the soft tissue structures, such as ligaments, tendons, and cartilage. MR/CT arthrography is a minimally invasive technique that involves the injection of a contrast agent into the joint space, followed by imaging using MRI or CT scanning. The purpose of MR/CT arthrography is to obtain a more detailed and accurate assessment of joint anatomy, particularly in cases where conventional MRI or CT scanning may not provide sufficient information.

Orthopedics
Dr. Haider is actively involved in multiple FDA approved clinical research studies, where he serves as the Principal Investigator. His research is regularly published in peer reviewed medical journals. He has also authored many book chapters in the fields of Pain Medicine, Neurosurgery. and Regenerative Medicine. Dr. Haider is known globally as one of the forefront leaders in the field of neuromodulation, spinal cord stimulation, and peripheral nerve stimulation. He invented and was the first in the world to utilize the HALO Procedure™ using peripheral cranial nerve stimulation for the treatment of chronic headache. He has also founded the Omni Surgery Center, an outpatient ambulatory surgery center with four class C operating rooms, fully equipped with ultrasound and fluoroscopes, dedicated to Pain Management, Orthopedics, and Neurosurgery. He has also founded Precision Clinical Laboratories, an outpatient clinical lab, which provided diagnostic testing using mass spectrometry (LCMS), immunoassay, and DNA/Genomics.
Sciatica
Epidural spinal injection (ESI) is a common procedure used to treat a variety of spinal conditions, including herniated discs, spinal stenosis, and sciatica. ESI is generally considered safe and effective when performed by a qualified practitioner. However, there are certain precautions that should be taken to minimize the risk of complications. Patients who are taking blood-thinning medications or who have a history of allergic reactions to local anesthetics may not be good candidates for ESI. Additionally, patients should be screened for infections or other conditions that could increase the risk of complications. During the procedure, the patient is positioned on their side with their back curved in a C-shape to open up the spaces between the vertebrae.
Whiplash
Stress and muscle tension can cause neck pain, as well as accidents and injuries, such as whiplash from a car accident. In rare cases infection and cancer can cause neck pain. Spinal disc degeneration, which includes disc herniations, disc bulges, and neck compression are commonly thought to be a cause of neck pain. Cervical disc disease may be the most common cause of neck pain. It’s caused by an abnormality in one or more discs, the cushions that lie between the neck vertebrae. When a disc is damaged, usually due to wear or tear (degeneration) or to disc herniation, it can lead to neck pain from inflammation or muscle spasms. In severe cases, pain and numbness can occur in the arms from nerve irritation or damage from a pinched nerve. Osteoarthritis and worn joints, which can also cause bone spur formations and can affect joint motion and cause neck pain as well. Stenosis, which is the narrowing of the bony canals in the spine, can compress the spinal cord and surrounding nerves causing them to swell and inflame.
Arthroscopy
The procedure for needle joint arthroscopy involves the use of a small diameter fiber-optic arthroscope, which is introduced into the joint space through a small incision made with a needle. The arthroscope provides direct visualization of the joint space, allowing for accurate diagnosis and treatment of joint pathologies. The procedure is performed under local anesthesia, making it less invasive and reducing the risk of complications. In conclusion, needle joint arthroscopy is a valuable technique that has revolutionized the diagnosis and treatment of joint pathologies. It offers a minimally invasive approach to diagnose and treat joint pathologies, making it a safe and effective alternative to traditional open surgical procedures.
Pinched Nerve
The spinal disc is a soft cushion that sits between each vertebra of the spine. This spinal disc becomes more rigid with age. As the spinal disc becomes less elastic, it can rupture. When the disc ruptures, a portion of the spinal disc pushes outside its normal boundary, and this is called a herniated disc. A herniated disc occurs when the fibrous portion of the disc ruptures or tears, and the jelly-like core squeezes out. When the herniated disc compresses a nerve, the result can be a pinched nerve. A pinched nerve may cause pain, numbness, tingling, or weakness in the arms or legs. The substance that makes up the disc’s jelly-like core can also inflame and irritate the nerve, causing additional pain.
Minimally Invasive Surgery
In minimally invasive surgery, injections are used to deliver medications or solutions directly to the surgical site through a small incision or puncture. These injections may be used to provide anesthesia, control bleeding, or enhance visualization of the surgical field.
Joint Replacement
Platelet rich plasma (PRP) are cells derived from the blood and they contain an abundance of growth factors and anti-inflammatory agents (IGF, TGF, VEGF etc). If the body sustains an injury, then platelets are naturally delivered to the injury site. They will release the bioactive factors that stimulate tissue repair. PRP presents patients with a long-lasting, permanent solution that will not wear off over time as with a traditional pain injection. For this reason, the use of PRP could help a patient avoid joint replacement surgery, and potentially back surgery. With any treatment option, the effectiveness of the treatment depends upon the severity of the injury.
Neurosurgery
Minimally Invasive Lumbar Decompression (MILD) is a relatively new procedure that is gaining popularity in the field of spine surgery. MILD is a minimally invasive surgical technique that is designed to treat lumbar spinal stenosis, a condition that is characterized by the narrowing of the spinal canal in the lower back. This condition can cause chronic pain, numbness, and weakness in the legs, as well as difficulty walking and standing. The MILD procedure involves the use of a small incision in the back, through which a specialized device is inserted to remove small portions of bone and tissue that are compressing the nerves in the spinal canal. The procedure is performed under local anesthesia, and patients are able to return home the same day. According to a study published in the Journal of Neurosurgery: Spine, the MILD procedure has been shown to be safe and effective in relieving symptoms of lumbar spinal stenosis. The study found that over 80% of patients experienced significant improvement in their pain and functional ability following the procedure, with minimal complications or adverse effects (Rosen et al. 2007). The MILD procedure represents a significant advancement in the field of spine surgery, offering a less invasive alternative to traditional open surgery for patients with lumbar spinal stenosis.
Arthroscopy
Needle joint arthroscopies are a minimally invasive procedure aimed at diagnosing and treating joint diseases by visualizing the joint space with the help of an arthroscope inserted through a small puncture wound. It is a highly effective technique that offers several advantages over traditional open surgery, including reduced morbidity, faster recovery time, and improved cosmetic outcomes. Needle arthroscopy is primarily used in the diagnosis and treatment of joint disorders such as osteoarthritis, synovitis, and meniscal tears. Needle arthroscopy can provide a visual assessment of the joint surface, which can help identify the extent of the damage and aid in the selection of appropriate treatment options. It also enables the removal of loose bodies, debris, and inflamed synovial tissue, which can help alleviate pain and improve joint function. Additionally, needle arthroscopy can be performed in an outpatient setting under local anesthesia, which reduces the risk of complications associated with general anesthesia. Overall, needle joint arthroscopy is a valuable tool for the diagnosis and treatment of joint disorders, and its use is likely to increase as the technology continues to advance.

Plastic Surgeons

Bariatric Surgery
“Predicting risk for serious complications with bariatric surgery: results from the Michigan Bariatric Surgery Collaborative.” https://journals.lww.com/annalsofsurgery/fulltext/2011/10000/Predicting_Risk_for_Serious_Complications_With.13.aspx

Cyst
Lesions
Orthobiologic Subchondroplasty (OSP) is a minimally invasive surgical technique used to treat chronic bone marrow lesions (BMLs) in the subchondral bone. According to McWilliams et al. (2020), OSP involves the injection of a calcium phosphate bone substitute into the subchondral bone, where it hardens and provides structural support to the bone. OSP is intended to repair the subchondral bone and provide pain relief by stabilizing the joint and preventing further damage to the articular cartilage. The use of OSP has been shown to be effective in the treatment of chronic BMLs in the foot and ankle, resulting in significant improvement in pain and function in patients. OSP can also be used in conjunction with other orthobiologic treatments, such as platelet-rich plasma (PRP) therapy and bone marrow aspirate concentrate (BMAC) therapy, to provide a more comprehensive approach to joint repair. Overall, OSP is a promising technique for the treatment of chronic BMLs and has the potential to improve patient outcomes and quality of life.

Physical Therapists

Sports Medicine
Physical Therapy
Sacroiliac joint (SIJ) dysfunction is a common condition that results in lower back pain and discomfort. Sacroiliac joint fusion (SIJF) is a surgical procedure that aims to alleviate this pain by fusing the sacrum to the ilium, thus immobilizing the The procedure involves the use of bone grafts, screws, and other hardware to stabilize the joint and promote fusion. The function of SIJF is to provide stability and reduce motion at the SIJ, which can help alleviate lower back pain in patients who have not responded to conservative treatment options such as physical therapy and medication.
Slipped Disc
Neck Pain
Back Pain

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