Health and Pain Management of Florida

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Health & Pain Management of Florida specializes in treating patients that are suffering from chronic pain or a medication dependency problem. We understand how either of these conditions can effect your job, your relationships, and your daily life. We are here to help you reach your goal of managing your pain derived from chronic pain or addiction. Our qualified physician and staff understand the need for an individualized treatment plan and the proper use of medications to manage your conditions. We believe that no one should have to live in pain or be limited from living their lives to the fullest potential.

Health and Pain Management of Florida has been serving the Gulf Coast area, including Gulf Breeze, Prensacola, Navarre, and Destin, since 2007 and are proud members of the Destin Area Chamber of Commerce and the Gulf Breeze Area Chamber of Commerce

dr. sanford epstein of health pain management florida

Dr. Sanford Epstein is a 1973 graduate of the Des Moines University, College of Osteopathic Medicine and Surgery. Upon graduation Dr. Epstein received special recognition for his expertise in the fields of anesthesiology and surgery, and osteopathic principles and practice.

Following graduation Dr. Epstein completed a rotating internship at the Springfield Hospital in Springfield, Pennsylvania. He then furthered his medical education with post graduate work in anesthesiology at The Portland Medical Center, located in Portland, Maine and Caffaro Hospital in Youngstown, Ohio. He additionally achieved the status of Diplomate of the National Board of Examiners upon the successful completion of an objective test of his clinical skills combined with his overall knowledge of medicine.

Dr. Epstein's medical career has spanned a multitude of practice environments. These include solo family practice, group family medicine practice, occupational medicine, disability and pension determination for the Veterans Administration and as the Chief Health Officer for the Florida Department of Corrections. Additionally Dr. Epstein served the Des Moines University as the Assocaite Dean for Clinical Affairs, the Director of Rural Clinics and as an Associate professor of Family Medicine. Dr. Epstein currently maintains licenses to practice medicine in the states of: Iowa, Tennessee, Kentucky, Georgia, Virgina, Ohio and Florida. He additionally has been licensed in New York and Illinois and Maine.

Dr. Epstein has had numerous articles published in leading national medical journals. These articles covered subjects such as hypertension, hyperlipidemia or high cholesterol and/or triglycerides levels and birth control contraceptive administration. He also served as a clinical director teaching third and fourth year medical students in a clinical setting.

Dr. Epstein has completed numerous post graduate courses on the subject of pain management, pain transmission, pain medication and the legalities of the administration of pain medication. He was recently a participant in the 3rd annual Pain Symposium at the Northwestern University in Chicago, Illinois, in 2007. Recently Dr, Epstein has joined a small group of dedicated physicians who are certified in the administration of Suboxone, a medication used for opioid dependent individuals to assist them in detoxification of dependence on opioid medication. The medical management of various pain states, from unsuccessful surgery outcomes to fibromyalgia, is the main focus of Dr. Epstein's clinical practice, along with the treatment of addictive states due to opioid medication with the use of Suboxone.

Dr. Epstein combines the latest medical mamagement of painful conditions, with the necessary diagnostic testing, to diagnois and treat people who suffer with pain that makes the fullest enjoyment of their work environment, their family joys and responsibilities and the enjoyment of life less than optimal. His attention to detail and his unique partnership with his patients in treating their pain makes him a physician who can and will make a difference in your life.

You can read the latest opinions, reviews and news from Dr. Sanford Epstein on the new Health and Pain Management Blog: The Doctor's Note

travis talley health pain management florida

The other driving force behind Health and Pain Management of Florida is Mr. Travis Talley. He brings with him a background in health care management that spans 4 years. He has both managed health care facilities in Las Vegas, NV and Pensacola, FL. He earned his Bachelor of Science in Business Administration at Appalachian State University with concentrations in Insurance and Banking. Mr. Talley was recently a participant at the Northwestern University, Chicago, Illinois, 3rd annual conference on pain management titled, Examining Critical Issues in Opioid Management. He plays an essential role in operating Health and Pain Management of Florida and he can always be reached directly at the office.

You can read the latest opinions, news and reviews from Mr. Travis Talley on the new Health and Pain Management Blog: The Doctor's Note

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The International Association for the Study of Pain (IASP) defines pain as: an unpleasant sensory and/or emotional experience associated with actual or potential tissue damage or described in term of such damage. Pain is actually a message sent along the nerves to let the brain know that something is damaging the body. The brain responds by sending a message to the muscles or organ to take action. In the medical world, all pain is divided into two categories: acute pain and chronic pain. Acute pain is temporary, and goes away quickly. It's useful, since it usually warns you of sources of harm and tells your body to protect itself while it's healing. Chronic pain is pain that is unpleasant and lasts for prolonged periods of time. Generally if you've been experiencing pain in the same place for 3 months or more, that pain is likely to be classified as chronic. Since it lasts so long, it does not serve as a useful warning.

Head and Neck Pain

The most common origins of head and neck pain are neurogenic (nerve root compression, peripheral neuropathy, herpetic neuralgia), soft tissue pain (cervical strain, myofascial pain), musculoskeletal pain (degenerative joint disease, fracture, neoplasm, degenerative disk disease), or sympathetic pain. Depending on pain origin, there are different treatment options.

Low Back Pain

Low back pain originates from any of four major structures: bone (degenerative joint disease, spinal stenos, facet arthropathy, metastatic malignancy), lumbar disk (herniated nucleus pulposus, degenerated ruptured disk), musculoskeletal system (muscles and ligaments strain, muscular spasm), and nerves (neuropatic pain). One of the most difficult types of pain to treat is post-surgical arachnoiditis (failed back surgery syndrome). Up to 85% of patients with low back pain cannot be given a definitive diagnosis because of the poor association among symptoms, pathologic findings and imaging results.

Upper Back and Thoracic Pain

Although upper back pain and thoracic pain are not very common spinal disorders, they tend to result in significant discomfort and pain. Thoracic pain may be caused by internal organ pathology (lung cancer, esophageal disorders, heart disorders), referral pain (cardiac angina, cholecistitis), muscular irritation (myofascial pain), joint dysfunction of thoracic cage and upper back, pain from herniated or degenerated disk, nerve pain (intercostal neuralgia, herpes zoster), pain from osteoporotic vertebra body collapse.

Abdominal Pain

Abdominal pain is usually caused by disease of internal organs of the abdominal cavity and is treated by a gastroenterologist or surgeon. Interventional pain management is offered to patients who suffer from advanced cancer of internal organs (especially pancreatic cancer) or other chronic conditions (chronic pancreatitis, abdominal angina). Most of the time, treatment is very successful.

Chronic Pelvic Pain

Chronic pelvic pain may occur in the presence of known or suspected organic pathology, or without any evidence of an underlying physical cause. Pelvic pain is more common in women, with most common reasons being endometriosis, endometritis, pelvic inflammatory disease, pelvic adhesions, neoplasm, and myofascial pain of the pelvic floor muscles. Pelvic pain may persist even after total hysterectomy.

Central Pain

Central pain is produced by lesions of the central nervous system: spinal cord, brain and brainstem. An example of central pain are: multiple sclerosis, neoplasm, patients with stroke.

Peripheral Nervous System Pain

Peripheral nervous system pain ( peripheral neuropathy) results from peripheral nerve lesions. This peripheral nerve lesions may be caused by Herpes Zoster (postherpetic neuropathy), diabetes (diabetic neuropathy), entrapment neuropathy ( pain after inguinal hernia repair), chronic alcoholism (alcoholic neuropathy).

Reflex Sympathetic Dystrophy

Reflex Sympathetic Dystrophy (RSD), or Complex Regional Pain Syndrome (CRPS I), applies to a variety of seemingly unrelated disorders having similar clinical feature and manifesting the sane fundamental disturbed physiology. Causalgia or Complex Regional Pain Syndrome (CRPS II) is a historical term describing a RSD that follows partial or complete injury to peripheral nerve trunk. Pain is characterized by constant, spontaneous, severe burning pain. If persistent, it results in trophic changes.

Phantom Limb Pain

Phantom Limb Pain describes painful sensations that are perceived to originate in the amputated portion of extremity. In addition, patient may have localized pain following amputation, which originates from the stump itself.