DPM is able to provide prescription medications when appropriate. Dr. DiMuro authored the law known as the “Opioid Bill” in the 2017 State Legislature and is intimately familiar with the mandates surrounding this legislation. The types of medications offered and the duration of each prescription is crafted based upon the individual needs of each patient.
DPM will routinely refer to our colleagues in physical rehabilitation as part of a multidisciplinary approach to addressing your pain and functional limitations. Dr. DiMuro supports all types of therapy for his patients including chiropractic care, physical therapy, massage therapy, acupuncture, yoga, pilates and home exercise programs. He will make recommendations for rehabilitation based upon your individual needs.
Often times, routine x-rays are not sufficient to obtain a proper pain diagnosis. With many patients, advanced imaging studies such as flexion and extension x-rays, MRI, CT scanning, or ultrasound imaging may be needed to help us determine the source of your pain. We work with most of the imaging centers in Las Vegas and will find the best imaging center that meets our medical needs and your lifestyle.
In most cases, DPM will be able to determine the primary source of your pain and provide non-surgical options for treatment. However, there may be times when a referral is needed to address issues for which DPM cannot provide the optimal treatment. We routinely refer to neurosurgeons, spine surgeons, general surgeons, orthopedic surgeons, psychiatrists, endocrinologists and rheumatologists to assist in the care of our patients. Prior to any referral, we will explain why such a referral is medically necessary.
In order to assist with either determining the source of your pain or trying to directly treat an anatomical area that has been determined to be painful, Dr. DiMuro can use image-guided injection therapies to deliver medications to the painful area. When we perform our injection procedure, many of our patients choose to use a gentle intravenous sedation to help them relax for the procedure. With the use of this intravenous sedation coupled with a generous amount of local anesthetic (“novocaine”), we are able to perform our pain injection procedures without any anxiety or pain to our patients. At DPM, we have the most technically advanced fluoroscope in Southern Nevada. Dr. DiMuro has been teaching other physicians from all over the country how to perform many of the procedures he performs right here in the office. In most cases, your injection procedure can be done safely in our office setting without the need for an inconvenient visit to a hospital or Ambulatory Surgery Center.