Tag Archives: Lexington Brain and Spine Institute

Orthopaedics and Neurosurgery at Lexington Medical Center

In case you missed it, The State newspaper published a 12-page special health section on orthopaedics and neurosurgery at Lexington Medical Center. It showcases our services and features compelling stories of our patients. From sports medicine to pain management and total joint replacement, our hospital provides comprehensive care. Read the flip version of the section below.

The Best Ways to Manage Chronic Pain

Chronic pain can impact your quality of life. Untreated, it can lead to anxiety and depression, social withdrawal, weakening of personal relationships and poor sleep. Over time, it can also worsen conditions such as high blood pressure, diabetes and heart disease.
Kamran Z. Koranloo, MD, specializes in interventional pain management at Lexington Brain & Spine Institute, a Lexington Medical Center physician practice with locations in West Columbia and Northeast Columbia. His practice incorporates a wide variety of clinical techniques to help manage chronic pain.
Nerve Blocks
Using this procedure, doctors can block a specific group of nerves that are causing pain by injecting medicine into the body with pinpoint accuracy. Some nerve blocks contain a local anesthetic. Doctors can also use nerve blocks to diagnose a source of pain with more precision. Both nerve blocks and injections are helpful for back pain, residual pain after surgery, cancer pain, complex regional pain syndrome, and joint pain.
Spinal Cord Stimulation
In this procedure, a physician places specially designed wires attached to a device similar to a pacemaker in the epidural space of the back. Electrical impulses block painful signals from reaching specific areas in the spinal cord and the brain. This modern technological concept was first used by ancient Egyptians who used eel from the Nile River to deliver electric pulses to injuries in an effort to relieve pain.

Surgical Intervention
Often times, chronic pain requires surgical intervention when conservative treatments do not make the pain go away.

Dr. Kamran Koranloo

“I have two goals for all of my patients: to improve their function and quality of life, and to do everything possible to prevent surgery and the need for opioid medication,” said Dr. Koranloo. “However, when all clinical techniques are exhausted, the patient may become a candidate for surgery.”

Lexington Brain and Spine Institute is dedicated to offering an interdisciplinary approach to the treatment and management of chronic painful conditions. Dr. Koranloo works in tandem with physical and rehabilitative medicine, interventional pain management and neurosurgery to provide the most effective and comprehensive treatment plan for each patient.

Welcome W. Randal Westerkam, MD, FAAPMR, RMSK

Lexington Medical Center is pleased to welcome W. Randal Westerkam, MD, FAAPMR, RMSK, to its network of care. Dr. Westerkam joins the board-certified physicians at Lexington Brain and Spine Institute as a physical medicine and rehabilitation physician, or physiatrist.

Dr. Westerkam will treat a wide variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. By thoroughly evaluating patients’ conditions, needs and expectations, Dr. Westerkam is able to create treatment plans that improve their quality of life without surgery.

Dr. Randal Westerkam

Dr. Randal Westerkam

A physiatrist can help people with persistent pain or limited function as a result of an accident, injury or chronic condition; people considering surgery or those recovering from it; anyone with an illness or treatment for an illness that has diminished his or her energy or ability to move easily; patients recovering from the effects of a stroke or other problems related to nerve damage; and people with chronic pain from arthritis, a repetitive stress injury or back problems.

Board certified in physical medicine and rehabilitation with additional certification in sports medicine and American Registry for Diagnostic Medical Sonography certification in musculoskeletal sonography, Dr. Westerkam is an American Academy of Physical Medicine and Rehabilitation Fellow and a National Board of Medical Examiners Diplomate. With nearly 20 years of experience in private practice, he most recently worked in Columbia and served as an assistant professor at the University of South Carolina School of Medicine.

Dr. Westerkam graduated cum laude from Duke University in Durham, North Carolina with a Bachelor of Science in psychology and earned his Doctor of Medicine from the University of North Carolina in Chapel Hill. After his internship at University of North Carolina Hospitals in Chapel Hill, Dr. Westerkam completed a physical medicine and rehabilitation residency at the Medical College of Virginia in Richmond. He also served as chief resident.

Dr. Westerkam is accepting new patients.

Lexington Brain and Spine Institute
146 North Hospital Drive, Suite 120B
West Columbia, SC 29169
(803) 936-7035