Dr. Brian K Rich, MD
Interventional Pain Management. Board Certified ABFM, Board Eligible ABIPP, Fellowship Trained in Sports Medicine.
Professional Medical Care in Full Measure
Dr. Brian Rich, MD, at aCELLerated Interventional Orthopedics, specializes in comprehensive spine and pain management for adults in Decatur, Texas, and Lawton, Oklahoma. Leveraging over 14 years as an endurance athlete, he offers advanced treatments like sacroiliac joint fusion and radiofrequency ablation to alleviate various musculoskeletal pains.
As a seasoned expert, Dr. Rich integrates his sports medicine experience to enhance patient care and functionality, supported by his active roles in major interventional pain and neuromodulation societies. He is committed to helping each patient achieve their best health and welcomes all seeking pain relief to his practice.
From Pain Management to Enhanced Mobility
Peripheral nerve stimulation (PNS) offers a minimally invasive solution for chronic pain by implanting a tiny device close to the nerves causing pain. This device produces electrical impulses that help block pain signals, potentially removing the pain entirely. Ideal for treating neuropathic pain, certain chronic headaches, and pain resulting from nerve damage, PNS is a viable alternative when traditional treatments are ineffective. With an external remote, patients can adjust the intensity of the stimulation to suit their specific pain management needs. This adaptable and reversible approach greatly enhances the quality of life for individuals suffering from chronic pain, providing a precise and effective treatment option.
Radiofrequency ablation (RFA) is a minimally invasive method that alleviates chronic pain by disrupting nerve signal pathways. By applying radiofrequency energy, the procedure selectively heats and diminishes nerve tissue, effectively reducing pain signals. Performed under local anesthesia and guided by precise imaging technologies such as fluoroscopy or ultrasound, RFA is ideal for treating persistent pain in areas like the back, neck, and joints, as well as conditions like arthritis and spinal stenosis. This technique can provide pain relief lasting from six months to several years, allowing patients to resume their daily activities promptly. Recognized for its efficacy, RFA significantly enhances the quality of life by minimizing pain.
Sacroiliac joint fusion is a surgical technique used to stabilize the spine-pelvis connection and alleviate chronic pain caused by various dysfunctions such as arthritis, injury, or general wear. In this procedure, the iliac bone is fused to the sacrum to decrease joint movement and lessen pain. Bone grafts and implants are employed to ensure long-term stabilization. Recommended as a minimally invasive option when less invasive treatments like physical therapy, injections, and medications are inadequate, the surgery involves small incisions and utilizes fluoroscopic guidance to accurately place implants, thus facilitating effective pain relief and recovery for individuals suffering from SI joint pain.
Interspinous fusion is a minimally invasive procedure used by surgeons to alleviate pain and provide spinal stabilization by fusing the spine’s protruding bones. It is particularly effective for conditions like lumbar spinal stenosis, spondylolisthesis, and persistent lower back pain, especially when other treatments have not succeeded. During the procedure, a spacer device is placed between the vertebrae to ease nerve pressure and reduce pain, while also limiting movement to improve stability. This type of fusion generally allows for a quicker and less painful recovery compared to conventional surgeries, and helps maintain more normal spinal function. Nevertheless, it is important for patients to consult with their doctor about the potential risks and benefits to decide if it is the right option for their specific situation.
Dr. Brian K Rich conducts vertebroplasty, a minimally invasive procedure that typically takes about an hour and involves the use of medical-grade cement to mend vertebral compression fractures. This technique helps restore the vertebra’s shape and reduces pain, making it an excellent option for individuals suffering from osteoporosis or fractures caused by injuries. The recovery process is quick, often providing immediate pain relief and requiring little downtime.
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Explore Our Treatments
Back Pain
Back pain, often caused by activities or conditions like herniated discs, requires consultation with Dr. Brian K Rich if it persists for over a week or is accompanied by other symptoms. Dr. Rich uses minimally invasive techniques such as epidural steroid injections and spinal cord stimulation to effectively treat back pain. Prevention can be achieved through a healthy lifestyle that includes a balanced diet, regular exercise, and proper posture.
Neck Pain
Neck pain, influenced by factors such as posture or chronic conditions, necessitates consulting Dr. Brian K Rich if symptoms intensify, where he identifies causes using exams and imaging. Dr. Rich tailors treatments to the pain’s origin and severity, using methods ranging from physical therapy to advanced techniques like radiofrequency ablation, with surgery as a minimal intervention option. For effective management and recovery from neck pain, consider a comprehensive consultation at aCELLerated Interventional Orthopedics.
Knee Pain
Knee pain, often caused by conditions like arthritis or injuries from activities, can significantly affect mobility and quality of life and should be addressed by Dr. Brian K Rich if it persists or worsens. Dr. Rich conducts comprehensive diagnostics, including medical history, physical exams, and imaging such as X-rays or MRIs, to accurately identify the problem. At aCELLerated Interventional Orthopedics, he provides minimally invasive treatments ranging from physical therapy to surgery, focusing on advanced, targeted approaches for optimal recovery.
Hip Pain
Back pain, often caused by activities or conditions like herniated discs, requires consultation with Dr. Brian K Rich if it persists for over a week or is accompanied by other symptoms. Dr. Rich uses minimally invasive techniques such as epidural steroid injections and spinal cord stimulation to effectively treat back pain. Prevention can be achieved through a healthy lifestyle that includes a balanced diet, regular exercise, and proper posture.
Shoulder Pain
Shoulder pain, common in individuals over 65 and caused by conditions like tendonitis or arthritis, is thoroughly diagnosed by Dr. Brian K Rich through medical history, physical exams, and possibly imaging. For treatment, he prefers minimally invasive options such as joint injections and physical therapy, but may recommend surgery for severe cases to improve mobility. Dr. Rich also promotes preventive practices including regular exercises and icing to effectively manage and prevent shoulder pain
Back Pain
Back pain, often caused by activities or conditions like herniated discs, requires consultation with Dr. Brian K Rich if it persists for over a week or is accompanied by other symptoms. Dr. Rich uses minimally invasive techniques such as epidural steroid injections and spinal cord stimulation to effectively treat back pain. Prevention can be achieved through a healthy lifestyle that includes a balanced diet, regular exercise, and proper posture.
Neck Pain
Neck pain, influenced by factors such as posture or chronic conditions, necessitates consulting Dr. Brian K Rich if symptoms intensify, where he identifies causes using exams and imaging. Dr. Rich tailors treatments to the pain’s origin and severity, using methods ranging from physical therapy to advanced techniques like radiofrequency ablation, with surgery as a minimal intervention option. For effective management and recovery from neck pain, consider a comprehensive consultation at aCELLerated Interventional Orthopedics.
Knee Pain
Knee pain, often caused by conditions like arthritis or injuries from activities, can significantly affect mobility and quality of life and should be addressed by Dr. Brian K Rich if it persists or worsens. Dr. Rich conducts comprehensive diagnostics, including medical history, physical exams, and imaging such as X-rays or MRIs, to accurately identify the problem. At aCELLerated Interventional Orthopedics, he provides minimally invasive treatments ranging from physical therapy to surgery, focusing on advanced, targeted approaches for optimal recovery.
Hip Pain
Back pain, often caused by activities or conditions like herniated discs, requires consultation with Dr. Brian K Rich if it persists for over a week or is accompanied by other symptoms. Dr. Rich uses minimally invasive techniques such as epidural steroid injections and spinal cord stimulation to effectively treat back pain. Prevention can be achieved through a healthy lifestyle that includes a balanced diet, regular exercise, and proper posture.
Shoulder Pain
Shoulder pain, common in individuals over 65 and caused by conditions like tendonitis or arthritis, is thoroughly diagnosed by Dr. Brian K Rich through medical history, physical exams, and possibly imaging. For treatment, he prefers minimally invasive options such as joint injections and physical therapy, but may recommend surgery for severe cases to improve mobility. Dr. Rich also promotes preventive practices including regular exercises and icing to effectively manage and prevent shoulder pain