Services | Dominguez, Miguel A, MD Tustin, CA 92780

General Practitioners

Gynecologists

Neurologists

Radiologist

Ultrasound
Our interventional Pain Management procedures are performed at our same location under American Pain Institute Surgical Center using fluroscopy guidance imaging with a C-arms X-Ray and Ultrasound enabling precise placement of medications. Having a Certified Ambulatory Surgery Center on site is a major advantage to our patients. There is no need to schedule another trip to an outside surgery center, or having to go to a hospital. American Pain Institute facility allows us to provide same day outpatient procedures. Under certain circumstances (no sedation required), the patient may return to daily normal activities. If you live with chronic pain or you have a friends or family member that do, call us today to schedule a consultation with Dr. Dominguez.
X-Rays

Surgeons

Physical Therapists

Physical Therapy
Trigger point injections with PRP (Platelete Rich Plasma), local anesthetic with or without steroid may be recommended for the treatment of chronic low back or neck pain with myofascial pain syndrome when all of the following criteria are met: (1) Documentation of circumscribed trigger points with evidence upon palpation of a twitch response as well as referred pain; (2) Symptoms have persisted for more than three months; (3) Medical management therapies such as ongoing stretching exercises, physical therapy, NSAIDs and muscle relaxants have failed to control pain; (4) Radiculopathy is not present (by exam, imaging, or neuro-testing); (5) Not more than 4 injections per session; (6) No repeat injections unless a greater than 50% pain relief is obtained for six weeks after an injection and there is documented evidence of functional improvement; (7) Frequency should not be at an interval less than two months; (8) Trigger point injections with any substance (e.G., saline or glucose) other than local anesthetic with or without steroid are not recommended.
Shoulder Pain
Neck Pain
Back Pain