Rainier Guiang MD

medications for opioid induced constipation

4 Medications for opioid induced constipation – meds requiring a prescription

Try these OTC options first Prescription medications for opioid induced constipation Some medications for opioid induced constipation (OIC)  may require a prescription whereas over the counter medications for constipation regardless of the cause usually do not.  OIC is a common side effect of opioid use, which affects up to 80% of patients in our clinic. …

4 Medications for opioid induced constipation – meds requiring a prescription Read More »

narcotic contract

The Ins and Outs of Narcotic Contracts: What Pain Management Doctors Want You to Know

What is a Narcotic Contract? A narcotic contract is a written agreement between a patient and their pain management doctor that outlines the rules and expectations for using narcotics to manage chronic pain. The contract is designed to protect both the patient and the doctor. The goal of the contract is to ensure that the patient …

The Ins and Outs of Narcotic Contracts: What Pain Management Doctors Want You to Know Read More »

realities of pain management rainier guiang

The Reality of Pain Management

Place text here For the past 20 years, I have been in academic and private practice. I have taught medical students, residents in training, as well as fellows completing their pain management fellowships. My partners and I started a private pain practice in 2007. We have seen it grow into to 6 locations and are …

The Reality of Pain Management Read More »

pain after epidural an injection

Understanding the Pain After an Epidural Injection: Causes and Solutions

Experiencing pain after an epidural injection? This guide explains the possible causes and offers solutions to help alleviate your discomfort. Epidural injections are a common treatment for pain management, but sometimes they can cause discomfort or pain after the procedure. If you’re experiencing pain after an epidural injection, it’s important to understand the possible causes …

Understanding the Pain After an Epidural Injection: Causes and Solutions Read More »

what is an epidural steroid injection

What is an epidural steroid injection?

Our choice for sciatica symptoms and neuropathy pains. 600mg/day.Epidural steroid injection (ESI) is a common procedure used to relieve pain in the spine caused by inflammation and pressure on the nerves. This injection is a minimally invasive procedure that involves injecting a corticosteroid medication into the epidural space, which surrounds the spinal cord and nerve …

What is an epidural steroid injection? Read More »

5 most common pain injections

The 5 most common pain injections

Pain can be debilitating and affects your ability to perform daily tasks, work, and enjoy life. Fortunately, there are various types of pain injections available to alleviate different types of pain. In this article, we will briefly discuss the 5 most common pain injections, their uses, benefits, and risks.  This article is meant to be …

The 5 most common pain injections Read More »