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Dr. David Dechellis

Pain Management
Pittsburgh, PA
13 years experience male

Locations

Pittsburgh Pain Physicians

Pittsburgh, PA

Address

119 VIP Dr, Pittsburgh, PA
Directions

My office hours

Thursday: 8:00am - 4:00pm
Show more

Insurances accepted

Highmark Blue Cross Blue Shield

UPMC Health Plan

Health Care Services Corporation (HCSC)

Cigna

BCS Insurance Company

Coventry Health Care

Humana Insurance Company

Liberty National

United HealthCare Insurance Company

Tricare

Medicare

Aetna

About

Bio

Dual Board-Certified in Pain Medicine and Physical Medicine & Rehabilitation. Practice focuses on chronic pain, spine pathology, and musculoskeletal injury. Practicing in the Pittsburgh area for > 4.5 years.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pain Management

Doctor Q&A

90 Answers
18 Agrees
The number of answers this doctor has agreed with.
A 18-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Back pain common: No two "back pains" are the same. Key is to remain as active as possible, avoid activities/factors that worsen pain, and seek formal evaluation by a p... Read More
A member asked:
Dr. David Dechellis
Pain Management 13 years experience
Source of "sciatica": "sciatica" is a vague layman term that refers to severe/sharp pain radiating into back of leg. The pain may be secondar to a number of pathologies/pro... Read More
A member asked:
Dr. David Dechellis
Pain Management 13 years experience
Options: Neuropathic pain refractory from prior lumbar surgery can be treated in a variety of ways. Conservative tx such as medications that "calm" nerves may ... Read More
A 35-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Real question: The real question i hear you asking is can conservative treatments such as ones listed improve pain/symptoms associated with disc herniation? The answ... Read More
A 28-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Opioid: Schedule ii controlled medication. Opioid (semi-synthetic) used for analgesia in patients.
A 30-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Ranges: There is no definitive answer to how long metabolites of any medication stay in the body, only ranges.
A 57-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
?: Diclofenac does not have a clear conversion to Ibuprofen as its selectivity for specific cyclooxygenase (cox) is different than ibuprofen.
A 41-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Could be yes: Although "sciatica" may involve portions of the buttock region, many other types of pain do as well. Get formal evaluation by specialized physician wh... Read More
A 33-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Disc herniations: Once occured, disc herniations do not "heal". They may improve over time or they may herniate to a further extent.How they r managed depends on sympto... Read More
A 47-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Evaluation needed: Shoulder pain can be caused by a variety of problems, so the 1st step is having an exam to find the causes. Common pain generators may be bursitis, te... Read More
A 38-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Receptor action: In "mimick" if you are referring to the pain relieving qualities, ultram is thought to have some effect at the same body receptor ( mu receptor) as op... Read More
A 34-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Eval: Any pain that is persistent or progressively worsening should be reevaluated by a physician. Burning pain may represent a pain etiology other than a s... Read More
A 39-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Can be!: May different causes of back pain can refer pain to the legs. Just a few examples would be lumbar facet pathology, spinal stenosis, herniated disc, or... Read More
A 34-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Why permanent?: Bursitis is often a secondary cause of another underlying issue.Rarely does bursitis occur spontaneously without some other defect contributing to its... Read More
A 30-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Electrodiagnostics: The differential of your pain generator/s is large. Nerve conduction studies, electromyography, and possible advanced imaging such as mris may be warr... Read More
A 41-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Multi component: One key is supply your body with the rebuilding blocks it needs including hydration with water and well structured diet. Proper sleep also helps the b... Read More
A 36-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Ask: Ask your physician if specific braces may help improve ability to tolerate work and activity.
A 35-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Depends on cause: It is important to stress not all "back pain" is the same and wont respond to treatments the same. Up to 85% of us adults will experience "back pain" ... Read More
A 62-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Talk to personal doc: Trigeminal neuralgia flares can be exceedingly painful and often require medication to provide pain relief. The type of pain medication used for flare... Read More
A 61-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Right hand left hand: 1st i'd make sure both your surgeon and pain physician both know what the other doctor is doing. That always leads to best outcome. An epidural can be... Read More
A 25-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Post dural HA?: Ha after a LP can be common, and may be related to a condition know as post dural puncture ha (often worsens with sitting up/standing, and improves so... Read More
A 46-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Common: Chronic pain and depression go hand and hand. Numerous studies have tied depression to higher pain levels in people with chronic pain. It is imperativ... Read More
A member asked:
Dr. David Dechellis
Pain Management 13 years experience
Recommend evaluation: Swelling and pain to a localized region of a joint without known injury or trauma always warrants a formal physician evaluation. Work up may include v... Read More
A 43-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Depends: Depends in the musculoskeletal knowlegde base of your primary care, the conservativeness of the surgeon, and if you have any reservations about conser... Read More
A 38-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Control inflammation: Lbp is an extremely common phenomenon, and disc disease is a common cause. The key is to remain active with exercise that doesn't exacerbate the pain ... Read More
A 36-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Don't: Don't avoid seeing a physician because you think there is little they can offer.
A 36-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Conservative care: Symptoms typically include pain on the outside of the elbow that occur with prolonged hand/wrist activity as well as pulling the wrist back towards yo... Read More
A 51-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Rhizotomy may help: Lumbar zygopophyseal joint arthropathy "may" cause "facet " pain. It can diagnosed with injections, however the best treatment option is typically a m... Read More
A 25-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Physiatrist or Pain: A musculoskeletal physician (physiatrist, pain management, sports docs) are best to address injuries and pain associated with biokinetic deficiets lea... Read More
A 36-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Many: Many patients without back pain will have abnormalities on lumbar MRIs.
A 52-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Eval: Question becomes is pain coming from the knee itself or is it referred pain fro other structure in the body. Formal eval by physician may be beneficia... Read More
A 36-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Patients: Patients with disc hernitations and disc bulges should avoid prolonged sitting and poor posture.
A 24-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Depends on cause: Back pain can be from many different things, and there is no singlemagic bullet exercise to help them all. A therapy program (including home exercises... Read More
A 32-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Call physician: Always call your physician prescribing the medication in question for the most accurate answers.
A 40-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Possible: The nonsteriodal class (including ibuprofen) can cause "rebound headaches" after cessation, if they were being taken on a consistent basis. If headach... Read More
A 46-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
No best answer: The real question is what is the shoulder pain from? Is it inflammation of a bursa in the shoulder, muscle related or even a tendon tear? The possibil... Read More
A 54-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Should be fine BUT: There are no contraindications I am aware of with taking them at same time. However i always recommend discussing medicationanagent with your personal... Read More
A 26-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Call physician: It is never safe for a patient to change their medication regimen without first consulting the prescribing physician. I think all physicians on this f... Read More
A 26-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Can be: Depending on the type of massage soreness can be common. Deep massages are notorious for having this effect, which is often very transient based on pa... Read More
A 63-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Physical exam rec'd : The two points you describe ("burning", and essentially a radiating pattern) would definitely put the concept of a possible nerve irritation in my dif... Read More
A 46-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Too many to name: The differnential diagnosis for right shoulder pain is immense without further information. The best thing to do is get a formal evaluation by a physi... Read More
A member asked:
Dr. David Dechellis
Pain Management 13 years experience
Get evaluation: Radiating pain into leg can be from a variety of sources such as spinal nerve root (radiculopathy), referred pain from joint, or even peripheral nerve... Read More
A 28-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Referred vs seperate: Pain in hip/leg can stem from herniated discs depending on where in the hip/leg the pain is, and what level disc is herniated. However it may be an en... Read More
A 50-year-old male asked:
Dr. David Dechellis
Pain Management 13 years experience
Vague symptoms: Other information such as inciting event/truama, time course, exacerbating/relieving factors, referring areas of pain, and concurrent symptoms( fevers... Read More
A 28-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Eval: Pain in the arms at night with sleep may be caused by various problems such as muscle, tendon, bursa, peripheral nerve or cervical nerve root. A physi... Read More
A 30-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
Indirectly maybe: Directly unlikely. Indirectly, weak "stabilizing" core muscles may lead to the condition. As core stabilizing muscles of the spine/abdomen/pelvis beco... Read More
A 56-year-old female asked:
Dr. David Dechellis
Pain Management 13 years experience
May not be: May take more than one epidural to have pain improvement. Also, type of epidural may affect outcome of the injection. Other options including therapy,... Read More
A 40-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Evaluation rec'd: Back pain causing leg pain and vascular problems causing leg pain can be very similar in presentation. It's never a bad idea to have a specialist phys... Read More
A 33-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
Depends on cause!: All back pain is not the same back pain. Different causes of back pain can be exacerbated by different actions/situations/movements. Low back pain wit... Read More
A 45-year-old member asked:
Dr. David Dechellis
Pain Management 13 years experience
It's not directly: People often confuse palliative care with hospice, which are very different by nature. Palliative care uses a multidisciplinary approach to treat pain... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
355
Thank you notes
HealthTap member
Mar 31, 2015
Dr. DeChellis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 30, 2015
Dr. DeChellis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! What is the best plan and /or medication to take for withdrawal from oxycodone?
HealthTap member
Thanks for your quick reply! So nice to havr some one care so much to help a stranger thank you
HealthTap member
Thanks for your quick reply! I understand u r flying blind without MRI, and XRay. Joey

Education & Training

Medical/Graduate school

Lake Erie College of Osteopathic Medicine at Bradenton, FL
Graduated 2008MD

Residency

UPMC MERCY

Residency

JACKSON MEDICAL CENTER

Residency

UPMC PRESBYTERIAN SHADYSIDE

Awards

Top Pain Management Specialist , First Place, Pennsylvania - Winter
2013
HealthTap Founding Doctor

Affiliations

Heritage valley health system medical center
Ohio valley general hospital

Publications

Dav
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less