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- Coastal Pain & Spinal Diagnostics | Pain Management Specialists
San Diego’s #1 Pain Management Specialists We are committed to each of our patients – and the medical community – to be the best center for pain management. To play, press and hold the enter key. To stop, release the enter key. At Coastal Pain & Spinal Diagnostics, our mission is to enhance the quality of life of our patients. We are passionate about treating those who suffer from pain, and we empathize with chronic pain’s burden on you and those closest to you. When our patients first come to us, they are unable to enjoy daily activities with their families and loved ones. Whether they are trying to enjoy a nice evening stroll or a round of golf, their pain often takes the joy out of their lives. We tailor each patient’s care uniquely to their needs to help them manage their pain, so they can get back to living normal lives. We provide clinically proven solutions to fill your life with Less Pain, and More You. Telemedicine Since the pandemic we have been able to connect with our patients for their visits via telehealth using Doxy.me. Patients do not need to login to the website, or download any software or apps. Join your visit from any smartphone or tablet or computer with camera access. Click Here for the Virtual waiting room
- Notice of Privacy Practices | Costal Pain And Spin
Notice of Privacy Practices - Aviso de Practicas de Privacidad Please read this agreement carefully before reading the education resources on this website. This includes but not limited to Chronic Pain Education and Prevention Program, MyPainTools and the Opioid Safety Program. Here on these resources will be referred to as: the “Website”. By accessing or using the Website, you agree that you are at least 18 years old and competent to enter into this Agreement and to be bound by the Terms and Conditions below. If you do not wish to be bound by these terms and conditions, you should not access or use the Website. English Spanish NOTICE OF PRIVACY PRACTICES Download File Here THIS NOTICE DESCRIBES HOW COASTAL PAIN & SPINAL DIAGNOSITCS MEDICAL GROUP MAY USE AND DISCLOSE YOUR HEALTHCARE INFORMATION AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Coastal Pain & Spinal Diagnostics Medical Group (CPSD) is required by law to maintain the privacy of your protected health information. This information consists of all records related to your health, including demographic information, either created by CPSD or received by CPSD from other healthcare providers. CPSD does not share your personal information with unauthorized third parties. This privacy policy outlines how we collect, use, and protect the information you provide to us. We collect only the information necessary to provide and improve our services. This may include name, email address, phone number etc. We do not sell, rent, or share this information with any unauthorized third parties. We are required to provide you with notice of our legal duties and privacy practices with respect to your protected health information. These legal duties and privacy practices are described in this Notice. CPSD will abide by the terms of this Notice, or the Notice currently in effect at the time of the use or disclosure of your protected health information. CPSD reserves the right to change the terms of this Notice and to make any new provisions effective for all protected health information that we maintain. Patients will be provided a copy of any revised Notices upon request. An individual may obtain a copy of the current Notice from our office at any time or by visiting our website, www.coastalpaingroup.com Uses and Disclosures of Your Protected Health Information Not Requiring Your Consent CPSD may use and disclose your protected health information, without your written consent or authorization, for certain treatment, payment and healthcare operations. There are certain restrictions on uses and disclosures of treatment records, which include registration and all other records concerning individuals who are receiving, or who at any time have received services for mental illness, developmental disabilities, alcoholism, or drug dependence. There are also restrictions on disclosing HIV test results. Treatment may include: Providing, coordinating, or managing healthcare and related services by one or more healthcare providers; Consultations between healthcare providers concerning a patient; Referrals to other providers for treatment; Referrals to nursing homes, foster care homes, or home health agencies. For example, CPSD may determine that you require the services of a specialist. In referring you to another doctor, CPSD may share or transfer your healthcare information to that doctor. Payment activities may include: Activities undertaken by CPSD to obtain reimbursement for services provided to you; Determining your eligibility for benefits or health insurance coverage; Managing claims and contacting your insurance company regarding payment; Collections activities to obtain payment for services provided to you; Reviewing healthcare services and discussing with your insurance company the medical necessity of certain services or procedures, coverage under your health plan, appropriateness of care, or justification of charges; Obtaining pre-certification and pre-authorization of services to be provided to you. For example, CPSD will submit claims to your insurance company on your behalf. This claim identifies you, your diagnosis, and the services provided to you. Healthcare operations may include: Contacting healthcare providers and patients with information about treatment alternatives; Conducting quality assessment and improvement activities; Conducting outcomes evaluation and development of clinical guidelines; Protocol development, case management, or care coordination; Conducting or arranging for medical review, legal services, and auditing functions. CPSD will not make any other uses or disclosures of your protected health information without your written authorization. You may revoke such authorization at any time, except to the extent that CPSD have taken action in reliance thereon. Any revocation must be in writing. Your Rights Regarding Your Protected Health Information For example, CPSD may use your diagnosis, treatment, and outcomes information to measure the quality of the services that we provide, or asses the effectiveness of your treatment when compared to patients in similar situations. CPSD may contact you, by telephone, text, patient portal, email or mail, to provide appointment reminders. You must notify us if you do not wish to receive appointment reminders. Text messages will never include your personal or medical information, and we will never ask you for personal or medical information via text message. CPSD is committed to safeguarding the privacy of our patients and we will not share your information with any third party other than those listed in this notice without your consent. We may not disclose your protected health information to family members or friends who may be involved with your treatment or care without your written permission. Health information may be released without written permission to a parent, guardian, or legal custodian of a child; the guardian of an incompetent adult; the healthcare agent designated in an incapacitated patient’s health care power of attorney; or the personal representative or spouse of a deceased patient. There are additional situations when CPSD is permitted, or required to use or disclose your protected health information without your consent or authorization. Examples include the following: As permitted or required by law. In certain circumstances, we may be required to report individual health to legal authorities, such as law enforcement officials, court officials, or government agencies. For example, we may have to report abuse, neglect, domestic violence or certain physical injuries. We are required to report gunshot wounds or any other wound to law enforcement officials if there is reasonable cause to believe that the wound occurred as a result of a crime. Mental health records may be disclosed to law enforcement authorities for the purpose of reporting an apparent crime on our premises. For public health activities. We may release healthcare records, with the exception of treatment records, to certain government agencies or public health authority authorized by law, upon receipt of written request from that agency. We are required to report positive HIV test results to the state epidemiologist. We may also disclose HIV test results to other providers or persons when there has been or will be risk of exposure. We may report to the state epidemiologist the name of any person known to have been significantly exposed to a patient who tests positive for HIV. We are required by law to report suspected child abuse and neglect and suspected abuse of an unborn child, but cannot disclose HIV test results in connection with the reporting or prosecution of alleged abuse or neglect. We may release healthcare records, including treatment records and HIV test results, for the purpose of reporting elder abuse or neglect, provided the subject of the abuse or neglect agrees, or if necessary to prevent from serious harm. Records may be released for the reporting of domestic violence if necessary to protect the patient or community from imminent and substantial danger. For health oversight activities. We may disclose healthcare records, including treatment records, in response to a written request by any federal or state governmental agency to perform legally authorized functions, such as management audits, financial audits, program monitoring and evaluation, and facility or individual licensure or certification. HIV test results may not be released to federal or state governmental agencies, without written permission, except to the state epidemiologist for surveillance, investigation, or to control communicable diseases. Judicial and Administrative Proceedings . Patient healthcare records, including treatment records and HIV test results, may be disclosed pursuant to a lawful court order. A subpoena signed by a judge is sufficient to permit disclosure of all healthcare records except for HIV test results. For activities related to death. We may disclose patient healthcare records, except for treatment records, to a coroner or medical examiner for the purpose of completing a medical certificate or investigating a death. HIV test results may be disclosed under certain circumstances. For research. Under certain circumstances, and only after a special approval process, we may use and disclose your health information to help conduct research. To avoid a serious threat to health or safety. We may report a patient’s name and other relevant data to the Department of Transportation if it is believed the patient’s vision or physical or mental condition affects the patient’s ability to exercise reasonable or ordinary control over a motor vehicle. Healthcare information, including treatment records and HIV test results, may be disclosed where disclosure is necessary to protect the patient or community from imminent and substantial danger. For workers’ compensation . We may disclose your health information to the extent such records are reasonably related to any injury for which workers compensation is claimed. CPSD will not make any other uses or disclosures of your protected health information without your written authorization. You may revoke such authorization at any time, except to the extent that CPSD have taken action in reliance thereon. Any revocation must be in writing. Your Rights Regarding Your Protected Health Information You are permitted to request that restrictions be placed on certain uses or disclosures of your protected health information by Coastal Pain & Spinal Diagnostics Medical Group to carry out treatment, payment, or healthcare operations. You must request such a restriction in writing. We are not required to agree to your request, but if we do agree, we must adhere to the restriction, except when your protected health information is needed in an emergency treatment situation. In this event, information may be disclosed only to healthcare providers treating you. Also, a restriction would not apply when we are required by law to disclose certain healthcare information. You have the right to review and/or obtain a copy of your healthcare records, with the exception of psychotherapy notes, or information compiled for use (or in anticipation for use) in a civil, criminal, or administrative action or proceeding. Coastal Pain & Spinal Diagnostics Medical Group may deny access under other circumstances, in which case you have the right to have such a denial reviewed. We may charge a reasonable fee for copying your records. You may request that Coastal Pain & Spinal Diagnostics Medical Group send protected health information, including billing information, to you by alternate means or to alternative locations. You may also request Coastal Pain & Spinal Diagnostics Medical Group not send information to a particular address or location or contact you at a specific location, perhaps your place of employment. This request must be submitted in writing. We will accommodate reasonable requests by you. You have the right to request that Coastal Pain & Spinal Diagnostics Medical Group amend portions of your healthcare records, as long as such information is maintained by us. You must submit this request in writing, and under certain circumstances the request may be denied. You may request to receive an accounting of the disclosures of your protected health information made by Coastal Pain & Spinal Diagnostics Medical Group for the six years prior to the date of the request, beginning with disclosures made after April 14, 2003. We are not required, however, to record disclosures we make pursuant to a signed consent or authorization. You may request and receive a paper copy of this Notice, if you had previously received or agreed to receive the Notice electronically. Any person or patient may file a complaint with Coastal Pain & Spinal Diagnostics Medical Group and/or the Secretary of Health and Human Services if they believe their privacy rights have been violated. To file a complaint with Coastal Pain & Spinal Diagnostics Medical Group, please contact the Privacy Officer at the following: Privacy Officer Coastal Pain & Spinal Diagnostics Medical Group 6221 Metropolitan St., Suite 201 Carlsbad, CA 92009 (760) 753-7127 It is the policy of Coastal Pain & Spinal Diagnostics Medical Group that no retaliatory action will be made against any individual who submits or conveys a complaint of suspected or actual non-compliance or violation of the privacy standards. This Notice of Privacy Practices is effective April 14, 2003 – Updated December 3, 2024 DOC 7 Coastal Pain & Spinal Diagnostics Medical Group Notice of Privacy Practices Updated December 3, 2024 Aviso de Practicas de Privacidad
- Locations & Contact | Costal Pain And Spin
LOCATIONS & CONTACT Notice: Refill requests cannot be honored after business hours or during holidays. Please be sure to make prior arrangements with your provider for all your medication needs. UDS will not be collected in any of our locations/suites during lunchtime, patients must plan accordingly. Carlsbad Office Mission Valley Office Rancho Bernardo Office Surgery Center Gallery 2024 Holidy Hours OFFICE ADDRESS 6221 Metropolitan Street, Suite 201 Carlsbad, CA 92009 We are located in Suite 100 & upstairs in Suite 201 TELEPHONE Phone: (760) 753-7127 Fax: (760) 334-0399 OPENING HOURS Suite 100 Mon-Fri 8am-5pm Closed for lunch 12-1pm last UDS at 3:45pm Suite 201 Mon-Thu 7am-6pm Fri 7am-4pm Closed for lunch 12-1pm Last UDS Mon-Thu 5:30pm, Fri 3:30pm Closed for all major holidays and weekends. OFFICE ADDRESS OPENING HOURS 2020 Camino Del Rio North Suite 805 San Diego, CA 92108 Enter the main entrance on the North Side of the building. We are located on the 8th floor. TELEPHONE Mon-Thursday 7am-4pm; Friday hours vary please call to inquire Closed for lunch 12-1pm Last UDS 3:45pm, must call on Friday as hours may vary Closed Saturdays, Sundays, and every major holiday. Phone: (760) 753-7127 Fax: (760) 334-0399 Notice: Our office will be closed on the following dates in the 2024 calendar year. Observing New Year's Day Monday, January 1st Presidents Day Monday, February 19th Memorial Day Monday, May 27th Independence Day Thursday, July 4th Labor Day Monday, September 2nd Thanksgiving Thursday & Friday November 28th-29th Christmas Tuesday & Wednesday December 24th-25th New Year's Day 2025 Wednesday, January 1st OFFICE ADDRESS OPENING HOURS 11770 Bernardo Plaza Ct. #201 San Diego, CA 92128 Mon -Tuesday 8am-4:30 Wednesday 8am-2pm TELEPHONE Phone: (760) 753-7127 Fax: (760) 334-0399 OFFICE ADDRESS OPENING HOURS Coastal Surgery Center 6221 Metropolitan St. #102 Carlsbad, CA 92009 We are located downstairs in Suite 102 Hours vary please call to inquire TELEPHONE Main Phone: (760) 607-1720 Scheduling Phone: (760) 607-0271
Programs (63)
- Pain Mechanism
“Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” Our nervous system is the most complex organs in our body. Because of this pain is very complex. Throughout our bodies are pain receptors, called nociceptors. These receptors are stimulated due to release of various chemicals by damaged tissue such as histamine, substance P, serotonin, bradykinin and prostaglandins. When stimulated, the nociceptors transmit the pain signal along sensory nerves to the spinal cord. In the spinal cord the impulses are processed by the dorsal horn and sent to the brain. Sometimes signals sent to the spinal cord communicate directly with motor nerves, to cause for example ones arm to quickly withdraw after touching a hot plate. This is called an automatic reflex and does not involve the brain or conscious thought. Most of the times pain signals are sent upwards in the spinal cord from the dorsal horn via ascending nociceptive tracts, such as the Spinothalamic tract. These tracts terminate in the medulla, midbrain and thalamus. Further processing in the thalamus leads to signals being sent to areas in the brain that control things such as heart rate, blood pressure and emotions. Thalamic neurons also project to regions of the cortex including the somatosensory cortex, were fine discrimination of pain occurs. We experience pain everyday when we get a paper cut, stub our toes or hit our funny bone. You may not want to believe it but pain is a protective mechanism. It tells us to pull away from a potentially damaging situation, like a hot pan. It warns us to take it easy and thus protects a damaged body part while it heals. Most of the time pain goes away once we remove the stimulus. Unfortunately sometimes pain persists despite removal of the stimulus. Other times pain starts in the absence of any detectable injury or stimulus. When pain last for prolonged periods of time and is uncontrolled it can start having a more devastating effect on ones quality of life that is far more destructive than the discomfort of the pain itself. But what is the difference in acute and chronic pain? Often acute pain has a sudden onset and is usually sharp in nature but can have other forms. It can be mild or severe in intensity and last a few seconds to months. Most of the time acute pain last less than 3 months and usually goes away once the underlying cause is treated or heals. When acute pain last longer than 3 months it is often considered chronic pain at this point. Chronic pain often persists besides the fact that there is no longer an identifiable stimulus. Pain signals in the nervous system remain active, and these effects can lead to both physical and emotional manifestations. Physically one can feel nausea, fatigue, muscle aches, decreased energy, and insomnia, among other things. Emotionally people can experience wide mood swings, depression, anger, anxiety, and a sense of being overwhelmed. These physical and emotion changes soon start affecting one’s ability to work, enjoy life, and perform activities of daily living. Patients soon become deconditioned and unable to functional.
- Improving Function
Your doctor may often ask about changes in your function along with changes in your pain scores throughout your treatment. Often patients may report no improvement in pain scores, but when questioned further they will show a significant improvement in function, due to the treatments they received. As a patient it is important to evaluate yourself for improvement in function and not just improvement in pain. Increase in function can be a goal to focus on when deciding on treatment options to improve your overall quality of life. Having goals relating to increase in function can create more structure to ones management, as well as justification for use of medications and treatments. Goals that you set should be simple and reasonable, such as being able to complete a favorite hike, or being able to take one’s grandchildren fishing, etc.
Blog Posts (4)
- What To Do When You’re In a Car Accident
You have probably hear the common saying, “You’re more likely to get in a car accident…” and the unfortunate thing is, car accidents are more common than any other risk you put yourself in every day. While most car accidents are minor, most people do not know the right steps to take if it happens. We compiled the step-by-step list for you so that you can be prepared if this unfortunate disaster happens to you or your loved ones. 1. STOP YOUR CAR If you can, pull over to the side of the road, do not leave your car or the scene of the accident in which you or your car are involved. If you leave, or fail to stop, you could be held liable for leaving the scene of a crime. No matter how slight the collision, or if it was not your fault. Also, if safely possibly, you will want to do whatever is necessary to warn oncoming traffic, in order to prevent further accidents. 2. ASSIST THE INJURED (FIRST AID ONLY) CALL 911 if anyone has been injured, and if you are able, provide first aid but only if you are qualified. Otherwise, leave it to the paramedics as you could do more harm than good. 3. CALL THE POLICE The police are trained to handle car accidents and report the facts. You will want to find out how you can obtain a police report from the investigating officer as it might help you in the long run once a liability claim is made. 4. IDENTIFY THE DRIVER This is one of the most important steps: Obtain the other driver’s name, address and registration number of the vehicle that he or she is driving. Also ask to see his or her driver’s license. If possible, obtain the name of the insurance companies and the policy numbers covering the other car(s) in the accident. They legally must provide this information or they could face a penalty. 5. WITNESS/ES If there are any witnesses, you will want to obtain their information as well. This could help your case down the road. 6. TAKE NOTES AND PICTURES You will likely forget details as time goes on. You will want to take notes, either in your phone note pad, or record yourself on your phone. Take pictures of the street, your car, and the other care if possible. 7. REPORTING TO THE DMV This step some times isn’t known by most people, but anything greater than $500 in damage must be reported to the DMV within 10 days! 8. SEEK TREATMENT You should definitely seek treatment right away! The pain could sneak up on you later as your body goes into a natural state of “numbing” immediately after trauma. Get medical attention as soon as you can, as well as your passengers. 9. CONSULT WITH AN ATTORNEY Call an attorney before giving any statements. Most insurance companies assume that individuals will not seek legal help and will offer a low-ball compensation for your losses. We have some amazing referrals in San Diego, Orange, Riverside, and Los Angeles counties if you would like one. Call our Personal Injury Coordinator at 760-681-4330 to discuss your case. In California, the statute of limitations for car accidents is two years. It is the same as that for other personal injury cases. … The two-year time period starts on the date of the accident, unless the accident resulted in the death of the victim. If the car accident did cause the death of the victim, then the statute of limitations starts on the date of the victim’s death.
- Low Back Pain After a Motor Vehicle Accident
As common as motor vehicle accidents are, the body was not designed to deal with force that occurs during a motor vehicle accident (MVA). Sadly, MVA’s are the leading cause of death in the 18-29 year old age range. Fortunately, they are not always deadly, but can leave lasting damage on the body that must be handled under the care of a medical professional. One of the most common injuries we see as a result of these accidents is back and neck pain, and are most of the time, acute circumstances. We begin by analyzing images on an MRI and the mechanisms of which the force originated from such as the twisting, bending and trauma of the incident. There are two categories of pain: radiating and non-radiating. Radiating would mean that the pain spreads throughout the buttocks or legs, whereas non-radiating means the pain remains in the area. The reason for separation is because they are treated differently. Non-radiating pain tends to lend itself to a less invasive treatment plan such as the services we provide at Coastal Pain, whereas radiating pain could lead to a surgeon’s treatment plan. We can refer our patients to a local and well-respected surgeon in the area if the need arises. The sorts of treatments that we do are more for non-radiating such a nerve and disc injections; for radiating we will do joint injections. If the pain remains after the injections have been performed, an evaluation of the patient and recommend more conservative therapies such as chiropractic or physical therapies. Our goal is to get our patients moving as soon as they are able. If things still do not improve after these measures have been taken, then a MRI may be in ordered to reevaluate the pain and do another series of injections. Finally a surgeon can get involved, if necessary. New emerging technologies for treating low back pain and regenerative medicine, include platelet rich plasma injections (PRP), which is a scientifically proven treatment that we do offer our patients in our clinics. Stem cell injections are typically done for big back surgeries and only a few commercial products offer this. We are hoping to have this available for our patients with radicular and acute low back pain and disc problems in about 1-2 years. To learn more about the treatments that we offer for our patients and discuss the right one for you, please visit us at one of our two clinic locations in Carlsbad and Mission Valley/San Diego.
- Treating the Pain During a Pandemic
The recent COVID-19 pandemic has caused many people to experience an increase in anxiety, confusion, and fear of the unknown. Many patients do not feel comfortable coming into the clinic to be seen, which is very understandable as a lot of our patients, in particular, are considered high-risk for contracting the virus. As an essential business in healthcare, we have made special accommodations to our patients and staff to make sure that we are creating a safe environment for everyone that enters our building including a screening tent, sending urine tests to patients’ homes, providing telehealth appointments for follow ups and prescription refills, social distancing of staff and patients, and extra sanitary measures and time in between patients for cleaning. Screening tent for all patients outside of our building is open 7am-4pm, Monday-Friday. Extra sanitary and cleaning measures are being performed in between patients.