Alfredo Lopez del Castillo, M.D. 718-966-8120
Dr. Castillo, a board certified pain management specialist has decades of experience in the field of pain management. If you are suffering from back pain, neck pain, herniated discs, sciatica, chronic pain in the knee, ankle, shoulder, elbow, etc., you deserve an experienced pain management specialist. If your pain prevents you from enjoying life, it is time to see Dr. Castillo.
Having practiced as a surgeon, family practitioner and anesthesiologist, Dr. Castillo is able to analyze the patient’s pain from many view points. His broad experience has led to innovative methods that are renowned for successful results.
With his extensive medical background and experience he is able to evaluate patient’s pain problem and offer the best treatment specific to the condition. He has practiced prolotherapy since 1991 and has restored the quality of life of hundreds of patients. For patients suffering from severe low back pain with sciatica or neck pain, Dr. Castillo offers epidural injections to alleviate the severe pain.
This acute back pain with sciatica is sudden onset of severe pain in the back that shoots down to one or both legs. This could happen when a person bends to pick up an object or twist his body to turn. It may also occur following a bout of sneezing or coughing. Or it may happen not related to any activity. A person may just woke up with it.
The pain going down the leg is commonly known as sciatica because the path of the pain follows the sciatic nerve as it goes from the lower back to the back of the leg all the way to the foot.
The most common cause of this acute pain is when the wall of a bulging disc or herniated disc breaks and the contents of the disc leaks out into the surrounding area. This leakage is very inflammatory causing severe irritation of the surrounding areas including the nerves that go to the legs.
The bulging disc or herniated disc did not occur at that moment. They were there way before the pain began. However, by themselves, the bulging disc or herniated disc does not cause pain. Scientific studies have shown that many many people have herniated discs or bulging discs but have no pain.
The wall of the disc may break due to trauma such as work or car accident. But more commonly, this wall breaks without trauma. This will explain why some people wake up with this pain after a good night sleep.
Most patients with this acute pain with sciatica are given anti-inflammatory medications such as ibuprofen, muscle relaxants and physical therapy. In most cases, even without doing anything, the pain will subside considerably in 3 to 4 weeks. If the pain does not subside but gets worse, then the next best treatment is epidural injection of cortisone to neutralize the inflammation, shrink the disc, seal the wall and allow your body to continue the healing process.
Epidural injections done by a well-experienced doctor is simple and safe and in most cases would help relieve the acute severe pain. There is no need to prolong the suffering. If the pain does not subside within two to three weeks, it is time to consult with a well experienced pain doctor.
A 70 year old male consulted for “frozen right shoulder”. Patient stated that this has been going on for one year. He can only raise his right arm to 45 degrees. Chiropractic, physical therapy, cortisone injection did not help his condition. He was told by the orthopedic doctor that he needed shoulder replacement.
Patient stated that he had open heart surgery in the past. On examination, there was a 10 inch scar in the middle of the breast bone. He also stated that he usually carry a heavy bag using shoulder strap on his right shoulder.
After explaining to the patient that neurotherapy might help his condition, he agreed to have it done. Neurotherapy is an injection treatment using Lidocaine under the scar. Immediately after treatment patient was able to raise his right arm to 90 degrees. After 5 more treatments, the patient was able to raise his right arm all the way to 180 degrees. He was amazed at the result.
Neurotherapy was introduced in 1928 by two German doctors, Dr. Ferdinand Huneke and Dr. Walter Huneke who were brothers. This treatment has helped cure patients who were hopelessly in pain due to scar tissue.
It’s hard to believe but it works. Before you undergo any surgery, you should consult with a doctor who is well experienced in neurotherapy.
65 year old woman consulted for chronic severe pain in the right chest wall. This had been going on for more than 5 years. Pain is so severe she gave it a score of 8 to 9 out of 10. She had no response to medications and physical therapy.
She gave a history of having coronary bypass operation and gall bladder operation. On examination, there was a 10 inch scar in the middle of the breast bone. There was also a 8 inch scar just below the right rib cage. After explaining to the patient that her scars might be the reason for her chronic pain, she agreed to have a treatment called neurotherapy. This consists of injection of Lidocaine under the scars. Immediately after treatment, patient reported that the pain intensity was reduced by 50%. After the third treatment, the pain went down by 80%.
Neurotherapy or neural therapy which is an injection treatment using Lidocaine was introduced in 1928 by two German doctors, Dr. Ferdinand Huneke and his brother, Dr. Walter Huneke. This treatment, so popular in Europe and South America has helped cure patients with “hopeless” pain.
Synvisc is a liquid that is injected into the knee to help lubricate the joint. If the problem is lack of lubricant inside the joint, then it helps. However, if the pain in the knee is not due to lack of lubricant but due to other reasons, then the synvisc injection will not work.
A very common cause of chronic pain in the knee is a tear in the tendons or ligaments. This is found in about 80% of knee pain. Synvisc injection, arthroscopy and physical therapy will not help chronic knee pain if the real cause for the pain are the torn tendons and ligaments. This is very easy to diagnose. You can do the test yourself. You do not need x-rays, MRI to prove that the cause of your knee pain are the torn tendons and ligaments.
Here’s how to do the test. Sit on a chair and start poking with your thumb or knuckle the inside of your knee from above the knee to below the knee. If it really hurts on your problem knee and the other knee does not hurt, then it is almost conclusive proof that the tendons and ligaments are torn.
A better way would be to have another person do the poking with their thumb or knuckle on the inside of your problem knee. If the poking is painful on the problem knee and not on the other knee, then your knee pain is most likely due to the torn tendons and ligaments.
There is a non-surgical revolutionary injection treatment called prolotherapy that has 80% permanent success in the treatment of torn tendons and ligaments. It is simple, safe and no down time is required. This treatment uses injection of dextrose (sugar ) to stimulate the healing and repair of torn tendons and ligaments. A doctor who is well experienced with prolotherapy has more than 80% chance of helping you get rid of your knee pain permanently
Whiplash injuries commonly occurs following car accidents. It can occur whether you are the driver of the car which got hit on the rear or you are the driver of the car which hit the car in front of you.
If your car is at a stop on a red light and you got hit from behind, your head moves forward and backward many times. This also happens to driver of the car in motion and hit a stopped car. In so doing, the ligaments and tendons of the neck are torn or weakened. When the ligaments are torn or weakened, the different vertebra of the neck becomes unstable. It is the ligaments that connect and stabilizes the different vertebra. The muscles of the neck goes into spasm to stabilize the different vertebra to protect the spine from injury to the spinal cord. This injury is called whiplash.
Most people with whiplash injuries are treated with neck collar, liniments, muscle relaxant, pain medications and sometimes physical therapy. If the muscle spasm does not go away after a month, then it is very suggestive that the ligaments are torn or weakened. No amount of treatment of the neck muscle would help. What is needed is to strengthen or repair the damaged ligaments in the neck.
Ligaments have very poor blood supply, hence healing is poor. Prolotherapy which is a revolutionary non-surgical treatment using dextrose is very effective in strengthening and stimulating the growth and repair of ligaments. Once the ligament is strengthened the spasm goes away.
Prolotherapy was introduced by by Dr. George Hackett, an orthopedic doctor in 1939. It is a very simple, safe treatment and no down time is required. When done by a doctor who is well experienced in prolotherapy, the success rate is more than 80%
Persistent or recurrent muscle spasm in the neck, upper back or lower back are primarily not a muscle problem. In conditions like this, treatment is usually directed at the muscles. Bengay, massage, muscle relaxant drugs or even physical therapy are tried with only temporary relief.
When this recurrent or persistent muscle spasm or tightness lasts more than a month, it is most likely due to weakness or tear of the underlying ligaments and or tendons.
Ligaments are fibers which connect two bones in a joint. The different vertebra in the spine are independent of each other and connected to each other by ligaments. Where the two vertebra attaches to each other is called a joint. The ligament stabilizes the entire spine. When these ligaments are weakened, the overlying muscles go into spasm to stabilize the vertebral joint. Stabilizing the vertebral joint is not the normal function of the muscles. However, they go into spasm to protect the unstable vertebral joint.
Therefore, the muscle will continue to be in spasm as long as the vertebral joint are unstable. The proper treatment is to treat the real cause of the spasm which is the weakened ligament. The weakened ligament can be strengthened by a treatment called Prolotherapy. Once the ligament is strong, the vertebral joint will be stabilized and the muscle spasm disappears.
Prolotherapy is a revolutionary non-surgical treatment using Dextrose to repair and stimulate the growth of weakened ligaments. Ligaments normally have a very poor blood supply and hence, poor healing. Prolotherapy increases the blood supply to the ligaments and enhances healing and growth. Prolotherapy is good for problems in the neck, upper back and lower back.
Prolotherapy was introduced by Dr. George Hackett, an orthopedic doctor in1939. When done experienced physicians, it has a success rate of more than 80%. It is simple, safe and no down time is required.
A 50 year old female consulted for chronic pain in the right shoulder of two months duration. An orthopedic doctor diagnosed her as having “frozen shoulder” and recommended shoulder replacement.
After evaluating her history, she stated that her shoulder was okay until she and her husband had lifted a medium size refrigerator two months before the pain started. Since that time, her right shoulder pain progressively became worse until she could not lift her right arm beyond 45 degree angle from the side of her body.
On examination, there was moderate to severe tenderness (pain on pressure of the finger ) on the front of the right shoulder. This tenderness is highly indicative of torn tendons and or ligaments in the shoulder.
After 5 prolotherapy treatments, the pain was 50% less and she was able to lift her right arm above the shoulder level. Prolotherapy treatment were continued until her pain was completely gone and she was able to regain complete range of motion of the right arm and shoulder.
Prolotherapy is a revolutionary non-surgical injection treatment using dextrose. It was introduced by Dr. George Hackett, an orthopedic doctor in 1939. Studies have shown it to have more than 80% success rate. It is simple, safe and no down time is required during treatment.
A 55 year old female was referred for evaluation of persistent left eye pain of one year duration. She had extensive evaluation by eye specialists, neurologists and radiologists. She also had many tests including MRI, brain scan, EMG, etc. In addition, various medications were given to her which did not help.
After evaluating her history and examination, a moderate to severe tenderness (pain on pressure of the finger ) at the bottom of the back of the head on the left side about the level of the left ear lobe. After three prolotherapy treatment of dextrose on this painful area, the pain completely disappeared.
The fact that her eye pain disappeared after prolotherapy treatments proved that her eye pain was due to the torn tendons at the bottom of head. The tendons are the fibers that connect the neck muscles to the skull. Within these tendons are very fine nerve endings of the nerve that go to the eye. When the tendons are torn or weakend, the nerve endings are stretched causing pain even with normal movement of the neck and head.
Prolotherapy stimulates the repair and growth of tendons. When the tendons regained their normal strength, the nerve endings did not get stretched and the pain disappeared.
Prolotherapy is a revolutionary non-surgical injection treatment using Dextrose to stimulate and repair tendons and ligaments. All joints in the body are connected by ligaments. All muscles in the body are connected by tendons at one end to the bone. This treatment was introduced by Dr. George Hackett, an orthopedic doctor in 1939. When done by a doctor who is well experienced in prolotherapy, it is simple, safe and has been proven to have more than 80% success rate.
Chronic knee pain can be due to many causes. A very common cause but most often misdiagnosed are torn tendons and ligaments. Often times, the MRI reveals torn meniscus. Many patients have undergone physical therapy, cortisone injection and sometimes, surgery without any relief.
The meniscus in the knee is like a washer or a cushion between the thigh bone and the leg bone. The knee joint is stabilized by powerful ligaments and tendons. When the tendons or ligaments are weakened or torn (which may not be seen on MRI) the joint becomes unstable. The pressure exerted by the thigh bone on the leg bone is no longer evenly spread on the surface of the leg bone. This causes a tear in the meniscus where there is more pressure than the rest of the meniscus.
The tear in the meniscus is not the real cause of the knee pain. The real cause is the weakened or torn tendon and ligament which causes instability of the knee joint. This causes abnormal motion between the thigh bone over the leg bone causing a tear in the meniscus.
Prolotherapy is a non-surgical injection treatment using Dextrose which stimulates the repair of the damaged tendons and ligaments. This stabilizes the knee joint and the pain disappears. Prolotherapy was introduced in 1939 by Dr. George Hackett, an orthopedic surgeon. Scientific studies have proven it to be more than 80% effective. It is simple, safe and no down time is required during treatment.
Persistent low back pain can be due to many causes. The most common cause and yet frequently misdiagnosed are the torn or weakened ligaments and tendons in the lower back. The torn or weakened tendons and ligaments are the reason why low back pain keeps coming back even with various treatments.
The sacroiliac ligament is the most powerful ligament in the body and it supports the sacroiliac joint which is the junction of the sacrum and the iliac bone or pelvis. When this ligament is torn or weakened, the joint becomes unstable and the fine nerve endings within the ligament and tendon gets stretched even with normal movement causing pain. The muscles of the lower back goes into spasm in order stabilize the joint. The muscle spasm is not the problem but it is the body’s response to stabilize the sacro-iliac joint.
When epidural steroid injections, lumbar facet injections and sacroiliac injections are done but the pain keeps recurring, then there is a good possibility that the real cause of the back pain are the torn or weakened sacroiliac ligaments. Prolotherapy is the recommended treatment for this problem. This should be tried prior to considering any surgery.
Prolotherapy which is a non-surgical injection therapy using Dextrose, will stimulate the repair of the damaged tendon and ligament. This will in turn stabilize the sacroiliac joint. When the sacroiliac ligament is strong, the muscles of the lower back will now relax since it does not have to stabilize the sacroiliac joint. Therefore, pain disappears.
Prolotherapy has been around since 1939 when it was introduced by Dr. George Hackett who was an orthopedic doctor. It is simple, safe and no down time is necessary while undergoing treatment. If done by doctors who are very experienced in prolotherapy, it has more than 80% success rate. Not only does the low back pain disappears, but it strengthens the lower back too.