- Headaches
- FibromyalgiaMany patients come to us with a diagnosis of fibromyalgia of which prior sexual and other abuse has a high degree of correlation. Merely treating the pain symptoms surely does not get to the heart of the cause yet because of the socio-economic realities of our population we seem to be the only access to healthcare (be it because of limited funds to travel to clinics or other medical reasons) yet we have to address these issues. Furthermore, we have found missed diagnoses such as neuropathy, discogenic disease, polyarthritis and Lupus, sarcoid in many patients who have been “written off” as fibromyalgics. The FDA treatment for fibromyalgia allows for 3 approved drugs none of which are opiates. This is a big challenge for those patients who cannot tolerate Lyrica, Savella, or Cymbalta because of side effects.
- Medical Weight LossA big part of the problem comes from the food industry whose profit motive has had a profoundly negative impact on our health, the state of scientific research, and government policy for many decades now. To make matters worse, the diet industry continues to sell miracle weight loss plans that make mutually exclusive claims and all purport to be based on the best science available. Low Fat, No-Carb, Slow Carb, Paleo, the list goes on and on. But even if you cut through the web of profit-driven propaganda, what we are learning about nutrition is that it is far more complicated than we ever imagined.
- Primary CareJoLynne was born and raised in Sharon, Pennsylvania. She attended Farrell high school and then Sharon General School of Nursing where she earned an RN. After that, JoLynne went to Ball State University where she received a BSN and a degree in Art and Indiana University where she received a Masters in Adult Geriatric Primary Care. She has a passion for helping people, alleviating distress, and proving guidance to individuals and helping them to achieve higher levels of wellness.
- NeurologyIf you are in search of the best chronic pain management clinic in Indiana, Neurology And Pain Management is here for you. Serving patients with objectivity and compassion, Dr. Ungar and his staff treat a number of pain & neurological disorders at two convenient locations along Interstate 65.
- Carpal Tunnel SyndromeTogether with our certified technicians, medical assistants, and registered nurses, our pain management doctors provide a holistic approach to the treatment of neurological and chronic pain disorders while understanding the underlying medical setting and complexity of diseases that add context to these illnesses. We are thus particularly focused on diabetes, hypertension, obesity, addiction disorders (including opiates) and hyperlipidemia as aggravating factors in many neurological and pain disorders. Cognizant of the complexity of symptoms and signs, our team employs state-of-art technologies including CT, CT-Myelography, EMG, EEG and EEG Telemetry to elucidate the causes and aggravating factors in disorders of the nervous system, such as spinal and disc pain, fibromyalgia, migraine disorders, carpal tunnel syndrome, and neuropathy.
- AutismIt’s not often that a true paradigm shift occurs in a well-established field such as Neurology, but two recent research trends seem to be building towards a very exciting one. The first relates to the microbiome, that ecosystem of friendly bacteria that live in our gut and help us to digest food. For a decade or more, this has been an active area of interest with regards to diet and obesity, but lately, there’s been some research on the effects of the microbiome on the brain. The most striking of these studies has to do with Autism. It seems that people with this disorder have a higher proportion of digestive ailments than the rest of us and consistently different microbiomes. In a recent study, when autistic mice were fed B. Fragilis, a species of friendly bacteria commonly found in the gut, their symptoms improved dramatically. In another study, 12 healthy women were given probiotic yogurt twice a day for 4 weeks and then had their brains scanned while they were shown images of different emotional facial expressions. This group was compared against 13 healthy women who did not eat the yogurt. The yogurt-consumers had significantly calmer brain reactions to the facial expressions. All of this new evidence suggests a much more direct connection between the gut and the brain than was previously supposed. The exact mechanism of this connection is still unknown, but a very recent study on Parkinson’s disease implicates the Vagus nerve as one potential conduit.
- Multiple SclerosisWe choose medications based on evidenced based medicine principles. The use of opioids is usually accompanied by muscles relaxants (flexeril, zanaflex, and baclofen) especially for axial spine pain where muscles spasm is a large component of the pain syndrome. For neuropathic pain due to diabetes and other causes we use such agents as Neurontin and Lyrica. For the pain of central causes such as Multiple Sclerosis, RSD or post stroke pain we are challenged by the refractory nature of such pain.
- Epilepsy
- Attention Deficit Hyperactivity Disorder (ADHD)
- Depression
- Anxiety
- Diabetes Care
- UltrasoundNote from Dr. Ungar: I will be traveling for my third trip to Ukraine next week to assist in training colleagues at the front line in emergency medical state of the art ultrasound equipment. I have been asked by the local community in LVIV for urgent supply of blankets and solar-powered lanterns due to the destruction of the power grid and freezing temperatures. If your company has an end of year giving policy please consider donating to the supply and purchase of these items. All donations are tax-deductible. For more information on this humanitarian effort, including details on the specific equipment that we’re raising money for, please visit my personal website...
- MRI2. Perform imaging studies including CT and MRI as well as electrophysiological studies such as EMG, NCV and SSEP to confirm pathology and ongoing nature of cause for pain.
- RadiologyWhere pain figures as a significant part of the disorder we bring expertise, including interventional techniques to assist us in relieving the chronic pain syndromes associated with neurological disease, such as thalamic pain, RSD, C1A-fibre neuropathies and MS pain. We have clean treatment rooms equipped with C-arm radiology at our Merrillville and Lafayette Indiana locations, which allows us to perform epidurals, nerve blocks, and trials for morphine pumps, and Dorsal Column stimulators.
- Wound Care
- Orthopedic SurgeryDr. Gaud was born in India, which is where he began his medical education at Baroda Medical College in the state of Gujarat. He then made his way to the United States where he completed internships at South Chicago Community Hospital and at Cook County Hospital before returning to his native India where he did residency in General and Orthopedic Surgery. He then returned to the United States once again to complete a residency in Radiology at Mount Sinai Hospital at the University of Chicago. Dr. Gaud has been a member of both the AMA and the American College of Radiology for 36 years. He is currently working in a part-time capacity as Radiologist for Neurology and Pain Management.
- BotoxDr. Julian Ungar-Sargon is a neurologist with experience in electrodiagnosis, including E.M.G., E.E.G., and evoked potentials. He is also experienced in pain management, a variety of techniques including epidurals, nerve blocks, and BoTox injections when conventional therapy and medicine has failed to alleviate pain. Dr. Ungar trained in England and did his residency and fellowship at Columbia Presbyterian Medical Center in New York and has held teaching positions in the Medical College of Pennsylvania as well as Harvard Medical School.
- Lesions9. Ungar-Sargon JY, Goldberger ME. Maintenance of specificity by sprouting and regenerating peripheral nerves II. Variability after lesions. Journal of Neurological Sciences vol 46 issue 1 April 1980 1-12
- Physical TherapyWe therefore attempt to use the minimal amount and dosage of opiate drug needed to manage unbearable pain and combine its use with anti-inflammatory drugs, physical therapy and injections.
- Back Pain