Our Mission

Coast Pain provides quality care to patients with acute or chronic pain conditions as a result of surgical procedure, injury, disease or disorder by offering pain management services including state-of-the-art diagnostic imaging and testing, comprehensive evaluation, friendly consultation, effective treatment and follow-up care. Our talented pain management doctors are among the best regionally and nationally in rapidly evolving pain management services and treatments. The breadth of the services at our pain management center is further enhanced by affiliations with other top specialists in the field of pain management, diagnostic laboratories, as well as complete hospital facilities and services.

Our Dedication to Patients in Pain

More than a quarter of Americans suffer daily from acute or chronic pain conditions. For us, it is imperative that we not only implement proven minimally and least invasive techniques, but also translate approved research findings into appropriate and effective prevention, management, and treatment strategies for our patients. With so many people affected by debilitating pain conditions, our pain management specialists take pride in maintaining an active clinical service to help as many patients as possible return to work, perform daily tasks, and enjoy recreational activities once again.

At our pain management center, we help you understand the condition you are experiencing and work with you to determine the best course of action for treatment. While some patients may benefit from over-the-counter medications, others may find success from neurostimulators that deliver electrical pulses to targeted areas of the brain. Whether treatment includes massage therapy or radiofrequency denervation, our pain management practice will provide you with viable options and help you make the best decision for the quality of life you deserve.

Interventional Procedures

General Description

Diagnosing why you have pain is the first step in treating your pain. Procedures, such as EMGs, nerve conduction studies, and using ultrasound to exam the body, are very important in helping make the diagnosis. Injections, called interventional pain management procedures, are a very important part of diagnosing and treating pain.

Full List of Procedures

MILD Procedure
EMG
Ultrasound Guided Injection
Disc Neucleoplasty
Kyphoplasty and Vertebroplasty
Botox and Myobloc
Ketamine Infusion
Cryotherapy
Discogram
Epidural Steroid Injections
Facets Injections / RFTC
Implantable Devices
Implantable Pumps
Spinal Cord Stimulator
Intradiscal Procedures
Percutaneous Neuromodulation
Pulsed Radiofrequency Ablation
Qutenza
Racz Procedures / Adhesiolysis
SI Injections
Sphenopalatine Ganglion Injections
Sympathetic Nerve Injections
Trigger Point Injections
Epiduroscopy
Occipital and Supraorbital Nerve Stimulation
Cooled Radiofrequency Ablation for Knee and Hip Pain

Having a Procedure

How to Prepare

Most of the procedures recommended by the Helm Center are outpatient procedures.

Eating and Drinking. We request that you not eat or drink anything for 10 hours before a procedure.

Medication, including pain medication and blood thinners. If you take blood thinners, we ask that you stop them before the procedure. Coumadin, Advil, Plavix, and Aspirin should be stopped five (5) days before the procedure. We may obtain a clotting study (a PT and INR) to ensure that your blood levels are low enough.

Always check with the physician prescribing your blood thinner that it is safe for you to be off it for that length of time. Sometimes, the risk of being off the medication is too great to warrant doing the procedure. In rare cases, we can start heparin to replace the other blood thinner.

You may take your other medications, including pain medications, with a sip of water, according to your regular schedule.

Clothing. Wear comfortable clothing. If you are having a low back procedure, an elastic waistband is often convenient.

Getting to and from the procedure. Do you need a driver? If you are receiving sedation, you must have someone drive for you. If you do not receive sedation, then you may drive yourself.

We cannot send you home in a taxicab unless you are accompanied by a responsible adult.

What to Expect

After entering the outpatient facility, you will be checked in. Then you will be taken to the preoperative area. Depending on the type of procedure, such as a procedure on your neck, you may change into a hospital gown. If you are having sedation, an IV will be started.

At the time of the procedure, the nurse will walk you into the procedure room, unless you are having a procedure in the operating room, in which case you would be wheeled in on a gurney. Once in the room, you would get onto your back or stomach as appropriate, and then have a blood pressure cuff, an EKG and an oxygen monitor placed. If you are having sedation, you would receive it at this point.

We would clean your back off and then numb up the area where we are going to do the procedure. We will perform the procedure and you would go back to the recovery room.

Team

Clifford A. Bernstein, M.D.

Clifford A. Bernstein, M.D.

Board certified by the American Board of Anesthesiology, American Board of Pain Medicine and American Society of Addiction Medicine, Dr. Bernstein possesses an in-depth knowledge and thorough understanding of pain management and opiate dependence.  Dr. Bernstein is nationally recognized for his pioneering work in the field of addiction medicine and Neurostimulation.  Dr. Bernstein has been involved in several research projects in these areas.  He was an Assistant Clinical Professor of Anesthesia at the University of California, Irvine.  He earned his Doctorate of Medicine from Rutgers University School of Medicine. His post doctorate training was at Thomas Jefferson University Hospital in Philadelphia.  Dr. Bernstein has held membership with the International Spinal Injection Society, American Association of Interventional Pain Practioners, American Society of Anesthesiologists, and the International Association for the Study of Pain, among many other professional societies.  He served on the Board of Directors at Tustin Hospital and Medical Center and is the Quality Director at Newport Coast Surgical Center.

Anatol Podolsky, M.D.

Anatol Podolsky, M.D.

Anatol Podolsky, M.D. is a Mayo Clinic Trained Orthopaedic Surgeon and has been in private practice in Orange County since 1991. The specialties of his practice are Total Joint Replacement, both primary and revisions and Spine Surgery. He trained at Mayo Clinic and has 20 years of clinical experience and continued education. He invented and patented a new MIS (minimally invasive) Total Hip system that is going through FDA approval process and is expected to be cleared in 2013. He recently was selected as Cal Pers Blue Distinction Preferred Center surgeon for joint replacement surgery.

As a spine surgeon in Orange County for 20 years, Dr. Podolsky focuses his practice on the less invasive spine surgery areas. He recognizes that most patients can be treated strictly from one surgical approach instead of staging patient’s procedures with multiple incision cites and surgeries to treat one area. He limits his patients to as little anterior lumbar surgery as possible and uses TLlF (1 incision posterior only approach with interbody fusion where necessary) instead to reduce operative time, pain and hospital stay. Less invasive anterior neck decompression and fusion is also available. New low profile spine instrnmentation and intra-operative spinal cord monitoring are helping to avoid previously more frequent complications.

Dr. Podolsky is a graduate ofUCI Medical School. He completed his Orthopaedic training in 1991. In 1992 he also received a Masters Degree in Orthotopic Biomechanics at Mayo. During his training he won the Dr. Kelly Award for Excellence in 01thopaedic Research and earned a travelling Fellowship in Oxford Nuffield Orthopaedic Center in England. He was teaching as pa1t-time faculty at UCI Orthopaedic Program from 1991 through 2001. He was accepted to the American Association of Hip and Knee Surgeons and is an active member participating in all their meetings and educational activities.

Dr. Podolsky was born in St. Petersburg, Russia. He was an athlete and was on the USSR National Team in Figure Skating. When he immigrated Lo the Unites States he was working as a coach until he was accepted at UCI Medical School. Among his students were Tai Babolonia and Randy Gardner, Tiffany Chin, Scott Hamilton, and Sasha Cohen. Many figure skaters seek his treatment for their sports injuries because of his background in skating. He was a volunteer Doctor on the USFSA Sports Medicine Committee.

Lawrence G. Lyons, Ph.D.

Lawrence G. Lyons, Ph.D.

Dr. Lawrence Lyons has been a licensed clinical psychologist for the past twenty-five years. He was licensed at the age of 27 making him one of the youngest individuals to hold such a license in the State of California.  He completed his B.A. degree at St. John’s University in New York in two and a half years and relocated to San Diego to pursue a surfing career in 1979.  The surfing dreams ended when he was accepted to Alliant University as one of their youngest graduate students at age 20.  He completed this rigorous Doctoral Program in Clinical Psychology and earned his Doctorate degree in clinical psychology at the age of 25.  Following his graduation, Dr. Lyons was accepted into the U.S. Navy and commissioned as a full lieutenant in the Medical Service Corp (MSC) in 1983. He completed his post- doctoral internship at Bethesda Naval Hospital.  While training at Bethesda, Dr. Lyons had the opportunity of working closely with a wide range of physicians and surgeons.   In one of his clinical rotations, Dr. Lyons conducted numerous pre-surgical psychological evaluations and conducted a high volume of neuropsychological assessments with closed head injury servicemen. Over the next two years, Dr. Lyons was stationed at the Naval Recruiting Station in San Diego, California where he evaluated enlisted personnel for specialized service positions.  He was honorably discharged in

1986 and pursued a private practice dedicated to forensics and medical-legal evaluations.  Over the next twelve years, Dr. Lyons provided psychological treatment services to injured workers and chronic pain patients.

In 2003, Dr. Lyons was selected to be one of two psychologists to work with the Las Vegas Metro Police and S.W.A.T. team where he consulted with hostage negotiators during high intensity and public crisis situations.   While serving in this capacity, Dr. Lyons’ psychological practice maintained its emphasis on psychological evaluations, as he was doing pre-employment testing for police officer and fire department candidates.  During this same time period, Dr. Lyons served as a consultant to both the Venetian Hotel where he provided psychological services to their security apparatus and at the MGM Grand where he served as a psychological consultant to their Human Resources Department.
Since 2008, Dr. Lyons has specialized in the evaluation and treatment of chronic pain patients. He conducts pre-surgical psychological clearances for patients considering advanced pain interventional procedures such as spinal cord stimulator implantation. He provides comprehensive neuro-cognitive evaluations on injured workers to determine appropriate disability impairment ratings. Dr. Lyons utilizes various treatment modalities including cognitive-behavioral therapy, biofeedback, bioenergetics, and family counseling in assisting patients to achieve improved functionality. He also works with traumatized patients using EMDR, Neuro-linguistic programming (NLP), and other cutting edge modalities.
In addition to his psychology practice, Dr. Lyons has another strong avocational interest in the practice of the Martial Arts where he earned his Black Belt in Brazilian Jiu- Jitsu (BJJ) in 2005 after ten years of study. He is now a 3rd degree black belt in BJJ and one of the highest ranking Americans in this art. Dr. Lyons has had the opportunity of grappling and training with several professional fighters active in the Ultimate Fighting Championships (UFC). He believes this training has helped to develop a deep sense of mental strength and emotional resiliency—qualities he strives to develop in his patients.

Andrew Schreiber, M.D.

Andrew Schreiber, M.D.

Neurologist

Contact Us

Call us to setup your appointment. (714) 495-4050

1950 E 17th St Suite 200, Santa Ana CA 92705

 

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