EXPERT
Dr. Seth Thomas Billiodeaux
Pain Management Specialist
Dr. Seth Billiodeaux practices Pain Medicine in Lake Charles, LA. Pain medicine is concerned with the prevention of pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain. Pain medicine physicians use a broad-based approach to treat all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Dr. Billiodeaux serves as a consultant to other physicians but is often the principal treating physician, providing care at various levels; such as treating the patient directly, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, providing consultative services and non-opioid pain management services.
He specializes in Botox for spasticity, migraines and supervises for cosmetics as well. He also provides xray and ultrasound guided joint injections and procedures. He provides numerous Independant Medical Evaluations for complex, chronic cases and has extensive experience in motor vehicle related pain treatment.
He specializes in Botox for spasticity, migraines and supervises for cosmetics as well. He also provides xray and ultrasound guided joint injections and procedures. He provides numerous Independant Medical Evaluations for complex, chronic cases and has extensive experience in motor vehicle related pain treatment.
Dr. Seth Thomas Billiodeaux
- Lake Charles, LA
- University of Louisiana
- Accepting new patients
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What helps with knee arthritis pain?
Thank you for your question. There are actually many treatment options for OA knee pain. The treatment approach is conservative to more invasive. Once you have maximized the benefits READ MORE
Thank you for your question. There are actually many treatment options for OA knee pain. The treatment approach is conservative to more invasive. Once you have maximized the benefits weight loss and exercise, physical therapy to strengthen the quad muscles which can stabilize the knee and support bodyweight around the knee better. I like topical anti-inflammatory medication such as Pensaid because of reduced side effects compared to oral anti-inflammatory medications. Injection options include steroid medications. One I like to use with a very long duration and minimal absorption outside the knee is called Zilretta. After steroids I follow with viscosupplementation injections such as Synvisc One. If the OA is severe and injections and therapy provide minimal relief then a surgical consultation (knee replacement) is the next options. Often times while awaiting surgery, a procedure called geniculate nerve ablation can provide benefit for a few months as well.
Anesthesia/fetanyl/xylazine
Thank you for your question. More importantly the use of Fentanyl aside from surgery is your greatest life threatening risk. Until you are able to discontinue please keep Naloxone READ MORE
Thank you for your question. More importantly the use of Fentanyl aside from surgery is your greatest life threatening risk. Until you are able to discontinue please keep Naloxone available and do not use alone. As far as surgery is concerned please disclose this information to your anesthesiologist. The concern with opioid abuse and surgery is related to tolerance. The dose and type of painkillers commonly used during surgery, most commonly fentanyl, will not be as effective for you, because your body is used to them (developed tolerance). This means you will likely experience more pain immediately after surgery. Without effective painkillers during surgery , combined with your bodies tolerance to Xylazine, dangerously high blood pressure and heart rate may occur. Your anesthesiologist will need to be prepared for these challenges and additional medications will likely be necessary for you.
