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OVERVIEW

My pain medicine experience comes from physical medicine and rehabilitation training during residency training at UCLA and pain medicine fellowship training at Integrated Pain Management. The scope of our pain clinic at UCLA consisted of a multi-disciplinary approach which included a team of physiatry, psychiatry, neurology, pain psychology and pharmacy. During the 3 years of residency at UCLA our pain clinic emphasized a team approach to the complex pain patients. All patients were evaluated for pain by way of ability to function with Oswestry Disability Index and ADL assessments. Psychological inventories and profiles were obtained with Beck Depression Inventory, and occasionally by the Minnesota Multiphasic Personality Inventory (MMPI). Full orthopedic and musculoskeletal exams were by body systems pertaining to their chief complaints by physiatrists. Their pain "case" would then be presented to the pain team and a thorough plan would be initiated with goals for treatment whether this was through the use of biofeedback, antidepressants, opiate pain medications, interventional pain procedures, rehabilitative exercises or psychiatric medications or a combination of all of the above. My pain fellowship training at Integrated Pain Management was similar in focus as there was a strong component in multi-disciplinary approach to pain management. Similar Oswestry Disability Index and ADL assessments, psychological inventories and profiles were obtained with Beck Depression Inventory. Rehabilitation referrals were via our in house physical therapy department and psychological counseling was with our pain psychologist. There was also a comprehensive rehabilitative pain program which some patients were enrolled into the East Bay Functional Restoration Program. Neurological assessments were often with neurosurgical referrals and I would perform electro-diagnostic studies such as EMG/NCS for further examination. Treatment Modalities: Pain can effect cognition. Further, cognitive testing is deferred to our pain psychologist for full evaluation of patient specific stressors, psycho-social factors related to their pain, coping mechanisms and strategies and associated psychiatric illnesses or personality traits. Certain behavior modifications such as coping mechanisms and coping strategies are emphasized during the Bay Functional Restoration Program or routine pain psychological counseling. Biofeedback can often be helpful for recurrent muscle spasm associated pain syndromes. Yoga and meditation is often encouraged for stress reduction. Occasional lifestyle and behavioral modifications such as smoking cessation secondary to stress is also recommended. Opiates are often used for nociceptive pain. For chronic pain, a long acting opiate coupled with a short acting breakthrough opiate has proven to be successful. Also, the use of anti-depressants often the SSRI or SNRI classes have also been helpful for the pain syndromes as they are often associated with anxiety and depression. Some patients respond to anti-epileptic medications for neuropathic pain. Others with inflammatory type pain like facet arthropathy or myofascial pain will respond to NSAIDS. Others will respond to topical crmes such as capsacian, ketamine or topical lidocaine or patches. Often some form of each will be used as they provide some synergistic effects. I routinely combine rehabilitative programs with interventional procedures that reduce pain and improve function thus improving the chances of rehabilitation. Common selective nerve root blocks or interlaminar epidurals can be helpful for discogenic or radicular pain syndromes. At times, facet joint blocks are beneficial and open avenues for radiofrequency thermocoagulation of medial branch nerves. Refractory cases may require spinal cord stimulators or neuromodulation such as severe cases of CRPS. Implanted intrathecal pain pumps may also be a resort to refractory cases where oral pain medications are not tolerated. I often combine my pain treatment with a rehabilitative program. More long
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PATIENT'S PERSPECTIVE

Explains conditions and treatments
Takes time to answer my questions
Provides follow-up as needed
Office cleanliness

Based on patient feedback.

RATINGS AND REVIEWS

Dr. Lai's Rating
5.0
Patient Perspective
5.0 Explains conditions and treatments
5.0 Takes time to answer my questions
4.5 Provides follow-up as needed
Office Rating
Showing ratings for:
15701 Rockfield Blvd, Irvine, CA, 92618
n/a Average office wait time
4.0 Office cleanliness
5.0 Courteous staff
5.0 Scheduling flexibility
Pain Care Medical Group
15701 Rockfield Blvd
Irvine, CA, 92618

LOCATIONS

Pain Care Medical Group
15701 Rockfield Blvd
Irvine, CA, 92618
  • Accepting New Patients
  • Medicaid Accepted
Mon8:30 am - 5:00 pm
Tue8:30 am - 5:00 pm
Wed8:30 am - 5:00 pm
Thu8:30 am - 5:00 pm
Fri8:30 am - 5:00 pm
SatClosed
SunClosed
  • Accepting New Patients
  • Medicaid Accepted
PainCare Medical Group
15701 Rockfield Blvd
Irvine, CA, 92618

CERTIFICATIONS & EDUCATION

EDUCATION & TRAINING

Medical School
Western Univ Health Sci College Of Osteopathic Medicine Of The Pacific
Graduated 2001

INSURANCE PLANS ACCEPTED  (94)

Please verify insurance information directly with your doctor's office as it may change frequently.
  • Blue Cross CA PPO Prudent Buyer Large Group
  • Health Net CA PPO
  • Oscar Insurance CA
  • UHC Navigate HMO
  • UHC West SignatureValue Advantage HMO Value Network
  • CIGNA HMO
  • CIGNA LocalPlus
  • Blue Cross CA PPO Prudent Buyer Individual
  • Health Net PureCare HSP Individual and Family Plans
  • Cigna Southern CA Select
  • UHC SignatureValue Flex1
  • First Health PPO
  • Blue Shield CA Trio ACO HMO
  • Aetna HMO Deductible Plan CA only
  • PHCS PPO Kaiser
  • Blue Shield CA Access Plus Savenet
  • Blue Cross CA Pathway X PPO
  • Blue Shield CA Platinum Local Access + HMO 25
  • PHCS PPO
  • Aetna Signature Administrators PPO
  • Blue Shield CA Access Plus HMO
  • Blue Cross CA PPO Prudent Buyer Small Group
  • CIGNA PPO
  • Aetna Choice POS II
  • UHC Choice Plus POS
  • Blue Shield CA Bronze 60 PPO SHOP
  • Health Net PureCare One EPO Individual & Family Plan
  • CIGNA Open Access Plus
  • Health Net CA HMO Whole Care Network
  • Aetna Savings Plus of CA
  • Blue Shield CA Silver 70 PPO
  • Humana Choice POS
  • Blue Cross CA Select PPO
  • BCBS Blue Card PPO
  • Blue Shield CA Local Access Plus HMO
  • BS CA Platinum 90 PPO
  • Multiplan PPO
  • Blue Cross CA Advantage PPO Preferred DirectAccess Plus
  • Aetna Managed Choice POS Open Access
  • Blue Shield CA Bronze Full PPO 4500
  • Blue Shield CA PPO
  • UHC Options PPO
  • Anthem BC Pathway X EPO Network
  • UHC Navigate POS
  • Blue Shield CA 2017 I&F HMO - CoveredCA
  • Health Net CA HMO Employer Group
  • Health Net CA Individual and Family PPO
  • Blue Shield CA Platinum Access+ HMO 25
  • Health Net EPO - PureCare One Small Business
  • Humana National POS
  • Aexcel PPO
  • Blue Shield CA Tandem PPO
  • Classic
  • Health Net CA HMO
  • Health Net CA HMO Excelcare
  • Health Net CA HMO Wholecare
  • MEDICA CHOICE WITH UNITEDHEALTHC
  • UHC NAVIGATE PLUS POS
  • UHC Nexus Open Access
  • UHC SignatureValue Alliance
  • UHC SV Flex Tier 3
  • Aetna AWH Southern CA HMO
  • Aetna Elect Choice EPO Open Access
  • Aetna Innovation Health Aetna Premier Care Network Plus
  • Aetna Open Choice PPO
  • BCBS Pathway HMO
  • BCBSA Blue Card High Performance Network
  • Blue Cross CA Anthem Advantage HMO
  • Blue Cross CA California Care Small Group HMO
  • HealthNet ExcelCare Small / Large Group
  • HealthNet PPO EnhancedCare I&F
  • Humana / ChoiceCare Network PPO
  • Medica Choice With UHC
  • Oscar Circle EPO CA
  • Oscar Northern CA Cigna + Oscar LocalPlus
  • Oscar Northern CA Cigna + Oscar Open Access Plus
  • Oscar Select EPO CA
  • Oscar Southern CA Employee
  • UHC SignatureValue Advantage HMO - CA
  • UHC SignatureValue HMO - CA
  • BCBS Pathway EPO
  • Oscar CA Cigna + Oscar LocalPlus
  • Oscar CA Cigna + Oscar Open Access Plus
  • Aetna HMO
  • Blue Cross CA California Care Large Group HMO
  • Blue Cross CA Vivity
  • CIGNA Southern CA Value
  • Blue Shield CA Platinum 90 PPO
  • Blue Shield of CA 2021 I&F PPO Plan
  • Blue Shield CA Blue High Performance Network EPO
  • Blue Shield of CA Platinum 90 Trio HMO
  • Blue Cross CA Anthem High Performance Network
  • Blue Cross CA Pathway EPO
  • Blue Cross CA Pathway HMO

HOSPITAL AFFILIATIONS

SIMILAR PROVIDERS

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