© 2016 Laurel County Physiatry and Pain, LLC.  Proudly created with Wix.com

To Schedule An Appointment

Call 606.260.8345​

Dr. Richardson is board certified by the American Board of Physical Medicine and Rehabilitation, the American Board of Pain Medicine, and the American Board of Electrodiagnostic Medicine.

Specialties 

PHYSIATRY

 

A physiatrist, pronounced (fizz ee at' trist or fizz i’ a trist), is a physician who has received specialized training in physical medicine and rehabilitation (PM&R). PM&R, or physiatry, is the branch of medicine emphasizing the prevention, diagnosis, treatment, and rehabilitation of disorders that produce temporary or permanent functional impairment.

Physiatry is unique among medical fields in that its area of expertise addresses the function of the whole patient, as compared with a focus on an organ system or systems. Suffering an acute injury or living with chronic illness can affect the way people move and communicate, perceive themselves and their role in the home and workplace. Physiatry is about patient-centered care and maximizing independence and mobility with the goal of returning patients to their roles in society.​

Physiatrists maximize what a patient can do and assist the patient in adapting to what he or she cannot. A physiatrist should be consulted when pain, weakness, or disability is preventing a patient from achieving their desired level of independence.  Citing Source: [http://www.aapmr.org/]: [Aug. 19, 2016]

What is Acupuncture?

Acupuncture is a type of treatment that involves pricking the skin or tissues with small, sterile needles. It is used to alleviate pain and to treat various physical, mental, and emotional conditions by balancing the body’s energy or Qi (Chi). Originating in ancient China, acupuncture is now also widely practiced in conventional medicine.

What kind of problems can acupuncture treat?

Acupuncture is an excellent treatment for most painful conditions (all back and neck pains, muscle strain/sprain, headaches, fibromyalgia, post-operative pain, pain related to scars, etc.) and is also used to improve insomnia, manage stress, fatigue, anxiety, PTSD, depression, infertility, and drug withdrawal.

What services are offered at LCP&P?

Auricular (Ear) Acupuncture – small needles, “tabs,” or “buttons” are inserted into specific areas of the ear that correspond to the pain/problem the patient needs addressed. Some of these can stay in the ear and be effective for up to 2 weeks.

Surface Acupuncture for Musculoskeletal Pain – small needles are inserted superficially over the painful area in order to improve blood flow, move energy, and reduce heat/inflammation over the area.

Tendinomuscular Treatments for Acute Pain – acupuncture needles are used in a specific pattern to address an acute problem such as a sprain, strain, burn, or any “hot” problem.

Acupuncture Trigger Point Deactivation – acupuncture needles are used with or without electrical stimulation in order to deactivate trigger points and improve muscle tone/texture. This treatment me be combined with surface treatments or other “energy-moving” treatments.

Gua Sha Scraping and Cupping – cups or a blunt instrument are used to “scrape” superficially over sore muscles and fascia in order to improve blood flow, circulation, and muscle texture. Helpful to reduce pain, reduce spasm, and improve muscle flexibility. These treatments do not involve needles.

Scar Deactivation – a series of treatments to improve scar texture and mobility and reduce pain. Good for both recent and old scars. Treatment can range from simple needling to lidocaine infiltration with or without electrical stimulation.

Energy Balancing Treatments -  acupuncture treatments that balance the body’s energy flow and promote relaxation, pain relief, and a general sense of well-being. Electrical stimulation is sometimes used in order to improve the body’s internal energy movement.

How many treatments will I need?

The number of required treatments depends on many factors, including the type of problem being addressed. The longer a problem has been present, the more sessions it will likely require to reach maximum benefit. Once symptoms are controlled, many patients can change to “as needed” visits on a monthly basis or longer. For treatments such as scar deactivation, 6-8 treatments are usually needed for best results.

Does insurance cover acupuncture?

Check with your insurance plan. Many commercial plans are now coving acupuncture! Most HSA and FSA plans also consider acupuncture a covered service. We are happy to provide a receipt that can be submitted to your HSA/FSA for reimbursement

Will I need a driver like with other injections?

No, you should be able to drive after an acupuncture treatment. You may be asked the stay in the office for up to 20 minutes after the procedure for observation.

Why have you decided to offer these treatments?

 

LCP&P is committed to offering appropriate treatment for pain but is aware that many conventional treatments, including opioid medications and traditional spinal injections, have failed to provide adequate relief to patients. Recent research has also indicated that treatments such as exercise and acupuncture are actually more effective long-term than many surgeries and medications.

INJECTION THERAPY

Injections available at Laurel County Physiatry and Pain include:

  • Trigger Point Injections

  • Lumbar Epidural Steroid Injections

  • Cervical Epidural Steroid Injections

  • Lumbar Medial Branch Blocks

  • Lumbar Rhizotomy

  • Sacroiliiac Joint Injection

  • Ultrasound-guided joint injections
    • Shoulder

    • Knee

    • Hip

    • Greater Trochanteric Bursa

    • Carpal Tunnel (wrist)

EMG (Electromyography) 

Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons).

Motor neurons transmit electrical signals that cause muscles to contract. An EMG translates these signals into graphs, sounds or numerical values that a specialist interprets.

An EMG uses tiny devices called electrodes to transmit or detect electrical signals.

During a needle EMG, a needle electrode inserted directly into a muscle records the electrical activity in that muscle.

A nerve conduction study, another part of an EMG, uses electrodes taped to the skin (surface electrodes) to measure the speed and strength of signals traveling between two or more points.

EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission.  

 

Citing Source: [http://www.mayoclinic.org/tests-procedures/electroconvulsive-therapy/basics/definition/prc-20014183]: [Aug. 19, 2016]

CHIROPRACTIC THERAPY

 

Chiropractic is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. Chiropractic services are used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches. 
 

Citing Source: [http://www.acatoday.org/Patients/Why-Choose-Chiropractic/What-is-Chiropractic]: [Aug. 19, 2016]

PHYSICAL THERAPY

 

Physical therapists are evidence-based health care professionals who offer cost-effective treatment that improves mobility and relieves pain, reduces the need for surgery and prescription drugs, and allows patients to participate in a recovery plan designed for their specific needs.

Physical therapists are experts in improving mobility and motion. Pain-free movement is crucial to your quality of daily life, your ability to earn a living, your ability to pursue your favorite leisure activities, and so much more. 


Citing Source: [http://www.moveforwardpt.com/Benefits/Default.aspx]: [Aug. 19, 2016]

IMAGINING 

 

MRI (Magnetic Resonance Imaging)

Magnetic resonance imaging (MRI) is a noninvasive medical test that physicians use to diagnose and treat medical conditions.

MRI uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures. MRI does not use ionizing radiation (x-rays).

Detailed MR images allow physicians to evaluate various parts of the body and determine the presence of certain diseases. The images can then be examined on a computer monitor, transmitted electronically, printed or copied to a CD.

An MRI examination of the spine shows the anatomy of the vertebrae that make up the spine, ligaments that hold the vertebrae together, as well as the disks, spinal cord and the spaces between the vertebrae through which nerves pass.

Currently, MRI is the most sensitive imaging test of the spine in routine clinical practice.


Citing Source: [http://www.radiologyinfo.org/en/info.cfm?pg=spinemr]: [Aug. 19, 2016]

CT (Computerized Tomography)

Computed tomography, more commonly known as a CT or CAT scan, is a diagnostic medical test that, like traditional x-rays, produces multiple images or pictures of the inside of the body.

The cross-sectional images generated during a CT scan can be reformatted in multiple planes, and can even generate three-dimensional images. These images can be viewed on a computer monitor, printed on film or transferred to a CD or DVD.

CT images of internal organs, bones, soft tissue and blood vessels typically provide greater detail than traditional x-rays, particularly of soft tissues and blood vessels.

Using specialized equipment and expertise to create and interpret CT scans of the body, radiologists can more easily diagnose problems such as cancer, cardiovascular disease, infectious disease, appendicitis, trauma and musculoskeletal disorders. 

Citing Source: [http://www.radiologyinfo.org/en/info.cfm?pg=bodyct]: [Aug. 19, 2016]