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  • MULTISPECIALTY CARE
  • PAIN Management
  • ADHD
  • IV Ketamine
  • DRUG & ALCOHOL RECOVERY
  • Neurology
  • Weight Loss
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  • Drug Testing
  • Acupuncture
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  • More
    • MULTISPECIALTY CARE
    • PAIN Management
    • ADHD
    • IV Ketamine
    • DRUG & ALCOHOL RECOVERY
    • Neurology
    • Weight Loss
    • MENs HEALTH-TRT
    • Drug Testing
    • Acupuncture
    • Longevity
    • Vaccines
    • COVID
    • Stores
    • Locations
    • Contact
    • Privacy
  • MULTISPECIALTY CARE
  • PAIN Management
  • ADHD
  • IV Ketamine
  • DRUG & ALCOHOL RECOVERY
  • Neurology
  • Weight Loss
  • MENs HEALTH-TRT
  • Drug Testing
  • Acupuncture
  • Longevity
  • Vaccines
  • COVID
  • Stores
  • Locations
  • Contact
  • Privacy
Vital Total Health Medical Group, Inc.

MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA

MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA
Pain

Pain

Pain - its function and types

Pain is registered in the brain.  It is our response both consciously and unconsciously to a noxious experience to our body.  Because it is experienced in the brain and mind, it is hard to measure objectively with diagnostic tests.  People having different threshold of pain.  It can physiologically vary from ethnicity, culture and gender.  But despite this nebulousness, pain is real, and causes significant changes to our bodies and minds, and is a major cause of physical and mental disability.


There are two types of Pain:  Acute and Chronic.  


Acute Pain is your body's message that there has been an injury or illness that requires your attention.  An example is an injury to the back from a lifting event.  Your body  sends a pain message telling you, if not forcing you, to rest and lie down, to allow itself to heal.  And after a period of time and treatment, either the pain dissipates indicating improvement; or it persists, indicating a more serious injury requiring medical evaluation.  Another example, is gradual pain in the belly or head, with no traumatic event.  Concern is raised of an illness with possibilities from inflamation to cancer.  Pain is an important message from your body, and must be attended and medically evaluated.  Ignoring that message can lead to further injury, or delay in diagnosing a serious illness.


Chronic Pain is by definition a pain that lasts longer than three months.   It is important to establish a cause and accurate diagnosis.  Once a diagnosis is determined, treatment is directed to the problem and ideally the pain resolves or lessens.  Unfortunately, there are many conditions and injuries that are not completely resolved, and there is continued pain.  That chronic daily pain results in many physical and mental changes, and the Chronic Pain itself becomes a separate secondary problem and diagnosis that needs its own management for:

  • Pain resulting in disability, limiting daily, recreational and work activities
  • Financial Stress resulting from difficulty or inability in doing previous work
  • Weight gain from loss of physical and recreational activity
  • Hormonal changes resulting in decreased testosterone
  • Social isolation affecting home and family
  • Depression from the above


Consultation

Pain Management begins with accurate diagnosis, to establish the proper treatment program.   We do management and second opinions.  Medicare and most PPO insurances accepted.

Call to schedule a consultation

Pain Scale

Mild Pain: 1 to 2 out of 10

Mild Pain

No Pain:  

  • 0 out of 10

Mild Pain:  

  • 1 out 10 or 2 out of 10.  Pain is a nuissance, and does not limit any activity or require medications.

Slight Pain: 3 out of 10

Slight Pain

Slight Pain:  

  • 3 out of 10:  Able to do things, but with pain

Moderate Pain: 4 or 5 over 10

Moderate Pain

Moderate Pain: 

  • 4 out of 10:  Pain with sitting in a movie
  • 5 out of 10:   Painful to sit or stand one hour 


Moderate Pain: 6 out of 10

Severe Pain: 9 to 10 out of 10

Moderate Pain

Moderate Pain: 

  •  6 out of 10:   Painful to sit or stand half hour 

Moderate-Severe Pain: 7 to 8

Severe Pain: 9 to 10 out of 10

Severe Pain: 9 to 10 out of 10

Moderately Severe Pain

Moderately Severe Pain:

  •  7 out of 10:  Unable to sit or stand for less than half an hour
  • 8 out of 10:  Have to lie down for frequently throughout day

Severe Pain: 9 to 10 out of 10

Severe Pain: 9 to 10 out of 10

Severe Pain: 9 to 10 out of 10

Severe Pain

Severe Pain:  

  • 9 out of 10.  Prevents motion.  
  • 10 out of 10.  Bedridden.

pain control

The Goal of Pain Control

The goal of Pain Control is not to eliminate the pain, but to reduce the pain level on the above Pain Scale, so you can be more functionally active at home, recreation and work.  Pain is an important message that your body tells you that you may be causing damage.

Multi-modal Treatment

We find that the best approach to Chronic Pain is to establish a medical treatment program that includes the following if appropriate:

  • Medications
  • Exercise Program
  • Weight Management
  • Hormone Management
  • Counseling

Opioids

Opoiod Medications can be used for certain Chronic Pain conditions meeting certain requirements.  Please note that this is a highly regulated field in medicine with State and Federal laws dictating the standard of care, and no tolerance can be made for non-compliant patients.  Vital Total Health follows the federal CDC guidelines, and never exceed them except for patients who present to the office on a high dosage and we need to taper medications to an appropriate dose.  We offer transition to safer opioids as an alternative.


Some but not all the requirements for patients presenting for Opioids for Chronic Pain include:

  • Signing of a Pain Contract
  • Presentation of Past Medical Records documenting condition
  • If no recent workup in the last 12 months, then diagnostic evaluation such as lab blood work and imaging studies need to be performed in the first two weeks.
  • Consultation with multiple physicians of different specialties in our group may be required by the State and Federal agencies
  • The understanding that Payment is for the Physician's medical opinion, and does not mean that any medication will be prescribed.

Call to schedule an Appointment

Flareups

When the Pain flares up from over activity or aggravation, we provide additional modalities including:

  • Physical Therapy
  • Acupuncture
  • Chiropractic Manipulation
  • Injection Therapy
  • Ketamine Infusions

Call to schedule an Appointment

Pain Management Team

specialists

Services Provided:

  • Pain Medicine Specialist
  • Physical Medicine & Rehabilitation Specialist
  • Neurology
  • Psychiatry
  • Addiction Medicine
  • Weight Loss Specialist
  • Hormonal Replacement Therapy
  • Acupuncture
  • Physical Therapy
  • Manipulative & Chiropractic Therapy

Northern California Locations

Walnut Creek

Pittsburg - Antioch - BRENTWOOD

San Francisco - Union Square

710 S Broadway

Suite 212

Walnut Creek, CA  94596

(925) 388-9800

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San Francisco - Union Square

Pittsburg - Antioch - BRENTWOOD

San Francisco - Union Square

490 Post Street 

Suite 450

San Francisco, CA  94102

(415) 651-7160

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Pittsburg - Antioch - BRENTWOOD

Pittsburg - Antioch - BRENTWOOD

Pittsburg - Antioch - BRENTWOOD

180 E Leland Road

Suite A

Pittsburg, CA  94565

(925) 665-0999

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HAYWARD

El Sobrante-Richmond - San Pablo

Pittsburg - Antioch - BRENTWOOD

1320 Apple Ave

Suite 203

Hayward, CA  94541

(510) 470-9989

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San Francisco - Castro

El Sobrante-Richmond - San Pablo

El Sobrante-Richmond - San Pablo

4200 18th Street 

Suite 103

San Francisco, CA  94114

(415) 770-0855

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El Sobrante-Richmond - San Pablo

El Sobrante-Richmond - San Pablo

El Sobrante-Richmond - San Pablo

3575 San Pablo Dam Road

Suite 101

El Sobrante, CA  94803

(510) 296-9988

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Oakland At pill hill

Oakland At pill hill

Oakland At pill hill

2929 Summit Street

Suite 103

Oakland, CA  94609

(510) 340-9952

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Pleasanton

Oakland At pill hill

Oakland At pill hill

4439 Stoneridge Drive

Suite 110 A

Pleasanton, CA  94588

(925) 388-9800

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Fairfield

Oakland At pill hill

Sacramento-folsom

1525 Webster Street

Suite D

Fairfield, CA  94533

(707) 999-3398

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Sacramento-folsom

Sacramento-folsom

Sacramento-folsom

420 Folsom Rd

Suite C

Roseville, CA  95678

(916) 287-8411

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Southern California Locations

WEST HOLLYWOOD

los angeles - South Pasadena

los angeles - South Pasadena

1106 North La Cienega Blvd

Suite 207

West Hollywood, CA  90069

(323) 955-3055

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los angeles - South Pasadena

los angeles - South Pasadena

los angeles - South Pasadena

507 Mission Street

South Pasadena, CA  91030 

(213) 886-5733

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los angeles - Beverly Hills

los angeles - Beverly Hills

los angeles - Beverly Hills

291 S La Cienega Blvd

Suite 108 

Beverly Hills, CA  90211 

(424) 457-0088

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san diego

los angeles - Beverly Hills

los angeles - Beverly Hills

6725 Mesa Ridge Rd

Ste 240

San Diego, CA 92121 

(858) 727-9500 

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pain control clinic in Walnut Creek

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Walnut Creek Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.   

VITAL TOTAL HEALTH MEDICAL GROUP, Inc.

710 S Broadway, Suite 212, Walnut Creek, CA 94596

(925) 388-9800

Hours

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09:00 am – 06:00 pm

pain control clinic in San Francisco

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San Francisco Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.    

Vital Total Health Medical Group

4200 18th Street, Suite 103, San Francisco, CA 94114

(415) 770-0855

Hours

Open today

09:00 am – 06:00 pm

pain control clinic in Oakland

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Oakland Office

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Vital Total Health Medical Group

2929 Summit Street, Suite 103, Oakland, CA 94609

(510) 340-9952

Hours

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09:00 am – 06:00 pm

pain control clinic in Pleasanton

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Pleasanton Office

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Vital Total Health Medical Group

4439 Stoneridge Drive, Ste 110A, Pleasanton, California 94588

(925) 388-9800

Hours

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09:00 am – 06:00 pm

pain control clinic in Sacramento-Folsom

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Folsom Office

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Vital Total Health Medical Group

1600 Creekside Drive, Suite 2400, Folsom, CA 95630

(916) 287-8411

Hours

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09:00 am – 06:00 pm

pain control clinic in West Hollywood

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West Hollywood Office

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Vital Total Health Medical Group

1106 North La Cienega Blvd Suite 207 West Hollywood, CA 90069

(323) 955-3055

Hours

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09:00 am – 06:00 pm

pain control clinic in Los Angeles - South Pasadena

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South Pasadena Office

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Vital Total Health Medical Group

507 Mission Street, South Pasadena, California 91030, United States

(213) 886-5733

Hours

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09:00 am – 06:00 pm

pain control clinic in San diego

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san diego Office

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Vital Total Health Medical Group

6725 Mesa Ridge Rd, Suite 240, San Diego, CA 92121

(858) 727-9500

Hours

Open today

09:00 am – 06:00 pm


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