Dr. Taftian’s purpose is to improve functional outcomes with individualized treatment plans in both the inpatient and outpatient setting. His philosophy is to return patients to their highest level of performance and focuses his attention and practice on minimally invasive treatment options.
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Dr. Taftian partners with select skilled nursing facilities and offers inpatient consultative services for rehabilitation patients. The focus of this care is to:
- Optimize therapy treatment plans
- Improve functional recovery for injured or disabled patients
- Medical management
- Improve pain management
- Help patients discharge home quicker and safer
Dr. Taftian also offers comprehensive outpatient clinical care after discharge from rehabilitation to ensure continuity of care and continued recovery for his patients.
Dr. Taftian is fellowship trained in Interventional Spine and Musculoskeletal Medicine from The Johns Hopkins University. He tailors an approach that begins with a thorough evaluation and precise treatment plan. His outpatient practice offers a wide variety of comprehensive interventional and pharmacologic treatments for spinal and musculoskeletal pain disorders.
Please note Dr. Taftian is not currently accepting new patients who are seeking chronic opiate based pain medication management.
Dr. Taftian’s practice is pleased to provide a range of interventional treatment options, including but not limited to the following treatments:
Interventional Pain Procedures Under X-Ray or Ultrasound Guidance:
A variety of interventional procedures can be used to treat a range of pain conditions, from chronic low back pain to migraine headaches. Many of these techniques are performed under X-Ray or Ultrasound guidance, which helps the physician deliver the therapy—whether it's a steroid injection, heat-based remedy, or PRP to the exact source of the pain.
Trained Specialist are skilled in determining the most appropriate interventional procedure for each patient, and administering that procedure to achieve the greatest possible pain relief.
Epidural Steroid Injections:
An Epidural Steroid Injection is a minimally invasive procedure performed under live X-Ray guidance that is used to treat pain in the neck, shoulders, arms, upper and lower back, buttocks, and legs that results from irritation of spinal nerve roots.
A variety of conditions such as herniated disc, degenerative disc disease, and arthritis can cause a stenosis (narrowing) of the openings through which nerves exit the spine, which can be irritating to the nerves. By injecting low doses of long-lasting corticosteroids (potent anti-inflammatory pain medications) targeted directly to the source of the pain (instead of much larger oral or intravenous doses) this inflammation can be decreased, providing pain relief.
Medial Branch Blocks / Facet Joint Injections:
Medial Branch Blocks and Facet Joint Injections are minimally invasive procedures performed under live X-Ray guidance that are used to diagnose and treat pain arising from the small joints of the spine (facet joints). Diseases of these joints can produce pain in the neck, upper and lower back, and buttocks.
Just like any other joint in the body (such as the knee or elbow) these joints may be acutely injured or produce chronic pain due to conditions such as arthritis. Medial Branch Blocks and Facet Joint Injections deliver low doses of long-lasting corticosteroids and local anesthetics directly to the source of the pain to alleviate discomfort.
Radiofrequency Nerve Ablations:
Radiofrequency Nerve Ablation is a minimally invasive procedure performed under live X-Ray guidance to treat back and neck pain by using precisely controlled heat to temporarily and selectively disable nerves responsible for pain.
The procedure involves inserting a specialized needle with a heated tip near the problematic nerve, where the heat interrupts the nerve's ability to send pain signals.
Major Joint Injections (Knee, Hip, Shoulder):
Joint injections are minimally invasive procedures performed either under live X-Ray or ultrasound guidance to treat pain resulting from various causes, including osteoarthritis.
Medications such as corticosteroids, local anesthetics, or hyaluronan (i.e. Synvisc, Hyalgan, etc.) are injected directly into the source of the pain to provide relief from mild to moderate osteoarthritis.
Occipital Nerve Blocks:
Occipital Nerve Blocks are safe, office-based procedures are used to treat various types of headaches, including migraines. Local anesthetic with or without a small dose of corticosteroid is used in this injection, which is administered to the back of the head near the greater and lesser occipital nerves. This procedure takes about 30 seconds to complete.
Trigger Point Injections:
A trigger point injection can help soothe muscle pain, especially in your arms, legs, lower back and neck. It also can be used to treat fibromyalgia, tension headaches and myofascial pain.
Trigger points are painful
knots in your muscles. They form when a muscle can’t relax. Sometimes you can feel these knots when you rub your muscle. Injecting small amounts of anesthetic and steroid into the trigger point can help alleviate the pain
Dr. Taftian partners with select Prosthetic and Orthotics clinics to offer an interdisciplinary approach for patients requiring this specialty care. By working directly with prosthetist and orthotist Dr. Taftian is able to optimize treatment plans, improve patient's pain and medical management, decrease patients need to travel to multiple clinics to see various providers, and ensure patient receive the best device in the most efficient setting.
Please contact us for more information about partnering in P&O care- or if you are a patient interested in being evaluated for your prosthetic or orthotic needs.
Fragility fractures have become nearly epidemic in the United States among older adults with over 2 million fractures each year - more than heart attacks, strokes, and breast cancer combined. At least 44 million Americans are affected by osteoporosis or low bone density. Up to one-half of all women and up to one quarter of all men will suffer fragility fractures in their lifetimes.
Approximately 80% of patients do not receive recommended osteoporosis care following a fracture. Men, who account for 30% of fractures and 25% of costs, are particularly undertreated.
Nearly 25% of patients who suffer a hip fracture die within a year. Those who do survive often experience a loss of independence and may require long-term nursing home care.
One of the best indicators for a future fracture is a previous fragility fracture. Fragility fractures are the first sign of poor bone health. Patients with a fragility fracture are at an 86% higher risk of a second fracture.
Contact us to learn more about our comprehensive Fragility Fracture prevention and management program.
Additional conditions Dr. Taftian will provide Physical Medicine and Rehabilitative care for include but not limited to:
- Adhesive Capsulitis
- Cervical Radiculopathy
- Vertebral Compression Fractures
- Epicondylosis With and Without Nerve Entrapment
- Impingement Syndromes of the Shoulder
- Lumbar Disk Disorders
- Lumbar Stenosis
- Patellofemoral Syndrome
- Shoulder Tendom and Muscle Injuries
- Ankle Sprain
- Cervical Stenosis
- Core Strengthening
- Functional Rehabilitation
- Inflammatory Arthritides
- Lumbar Radiculopathy
- Medial and Lateral Collateral Ligament Injuries
- Plantar Fasciitis
- Sports Concussion
- Carpal Tunnel Syndrome
- Cervical Whiplash
- De Quervain Tenosynovitis
- Iliotibial Band Syndrome
- Knee Osteoarthritis
- Lumbar Spondylolisthesis
- Osteoporosis in Rehabilitation
- Proximal and Mid-Harmstring Strain/Tendon Tear
- Agitation/Aggression/Apathy After Brain Injury
- Amyotrophic Lateral Sclerosis (ALS)
- Autonomic Dysreflexia in Spinal Cord Injury
- Cerebrovascular Disorders
- Cervical Spondylotic Myelopathy
- Disorders of Language, Speech and Swallowing
- Mild Traumatic Brain Injury
- Multiple Sclerosis
- Myelomeningocele (Spina Bifida)
- Neurogenic Bladder
- Sexuality/Sexual Dysfunction in Acquired Brain Injury
- Sleep Disorders in Diseases of the Central Nervous System
- Spinal Cord Injury
- Adult Geriatric Muscle Disease
- Central Poststroke Pain
- Complex Regional Pain Syndrome
- Degenerative Joint Disease
- Myofascial Pain
- Opioid weaning for Management for Chronic Pain
- Peripheral Neuropathy Pain
- Phantom Pain
- Poliomyelitis/Post-Polio Syndrome
- Shoulder Pain in the Throwing Athlete
- Side Effects of Cancer Treatment
- Trigeminal Neuralgia
- Ulnar Nerve Mononeuropathy at the Elbow
- Back and Neck Pain
- Exercise in the Elderly
- Fall Prevention in the Elderly
- Functional Outcomes After Cancer Rehabilitation
- Geriatric Frailty
- Hip Fracture
- Lower Limb Prosthetics