1. Introduction of California Headache and Pain Center Chong-hao Zhao, MD, PhD American Board of Psychiatry and Neurology, Neurology Subspecialty Board of Headache Medicine American Board of Pain Medicine American Board of Medical Acupuncture California Permit Fluoroscopy X-Ray Supervisor and Operator Medical Director California Headache and Pain Center, Burbank, CA Advanced Pain Center, Alhambra, CA Lecturer Graduate Orofacial Pain Program at UCLA

2. California Headache and Pain Center (Established in May 2004) 201 S Buena Vista Street, Suite 238, Burbank, California 91505

3. California Headache and Pain Center

4. We Provide One-Stop Services

5. My Strengths in Headache and Pain Practice Eastern and Western Medicine background –Holistic concept Neurology trained –Neuroanatomical Diagnosis Headache Fellowship –Advanced treatment options Pain training experience in Anesthesia, Physical Medicine & Rehabilitation –Musculoskeletal diagnosis and multiple treatment options Interventional pain management technique –Powerful treatment tool in the management of difficult headache and pain

6. Multi-Specialty Team Carson Ling, MD, Interventional Anesthesia PainDung Tran, D.PT, Pain Physical Therapist Bruce Zeng, O.M.D, Acupuncturist & HerbalistBrooke Matthew, LCSW, Pain Psychologist

7. Why Refer Us the Difficult Headache Patients ? What we can offer: –Comprehensive diagnosis: Mixture of migraine, tension-type headache, cervicogenic headache, neuralgia, myofascial pain, spasmodic torticollis, psychogenic headache –Multiple powerful treatment tools that most doctors dont do in their offices: Various nerve blocks IV injection of migraine medicine Out-patient complex IV infusion Botulinum toxin injection Psychotherapy Acupuncture and physical therapy –Treatment goal: to break the headache cycle, 50% reduction in headache frequency and intensity

8. Why Refer Us the Difficult Neck Pain Patients ? What we can offer: –Good understanding of the neck anatomy and neuroanatomical distribution of the pain –Specific treatment options for the correlated diagnosis –Major: Fluoroscopy-guided interventional pain management –Supportive: Acupuncture, physical therapy, medications –Treatment goal: > 50 % pain reduction, before or after the neck surgeries

9. Interventional Pain Management Before Considering Neck Surgery Major causes: cervical radiculopathy, spinal stenosis, bulged disc, facet joint hypertrophy, failed neck surgery syndrome Common treatment options: fluoroscopy-guided cervical epidural steroidal injection, and cervical facet joint (medial branch) nerve block We have helped many patient avoiding the neck surgery and those who have failed the prior surgeries

10. Why Refer Us the Difficult Low Back and Leg Pain Patients ? What we can offer : –Comprehensive diagnosis Muscle spasm Lumbosacral radiculopathy Bulged & degenerative disc Ligamentum flavum hypertrophy Neuroforaminal & central canal stenosis Spondylolisthesis Sacroiliac joint arthritis and inflammatory pain syndrome Failed low back pain syndrome –Individualized treatment plan: fluoroscopy-guided spinal injections, physical therapy, acupuncture –Treatment goal: > 50% pain reduction, before or after low back surgeries

11. Common Pain Procedures for Low Back and Leg Pain L4/5 Interlaminar Epidural Steroidal Injection Bilateral L5 & S1 Transforaminal Epidural Steroidal Injection Right L3,4,5 Facet Joint (medial Branch) Nerve BlockRight Sacroiliac Joint Steroidal Injection

12. We Are Ready to Welcome Your Patients

13. We Are Ready to Help Your Patients We accept most major health insurance: –Medicare –Blue cross –Blue shield –Health net –Aetna –Others HMO/IPA that we intend to contract with: –Motion picture –Facey medical –Regal medical & Lakeside medical –Health care partner –Caremore medical

14. Thank You for Your Referral ! 201 S Buena Vista Street, Suite 238, Burbank, CA 91505 Tel: 818-842-1688 Fax: 818-842-1638 WWW. CHPCI.COM

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