expert type icon EXPERT

Dr. Robert Groysman, M.D.

Pain Medicine | Interventional Pain Medicine

Dr. Robert Groysman practices Pain Medicine in Irving, TX. 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. Groysman 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 medication, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, and providing consultative services.
20 years Experience
Dr. Robert Groysman, M.D.
  • Irving, TX
  • Umdnj-Robt W Johnson Med Sch- New Brunswick Nj
  • Accepting new patients

Is there a difference between local and regional anesthesia?

Local anesthesia refers to using a local anesthetic like lidocaine or bupivacaine to inject around a structure to be cut which makes the area numb. Regional anesthesia involves READ MORE
Local anesthesia refers to using a local anesthetic like lidocaine or bupivacaine to inject around a structure to be cut which makes the area numb. Regional anesthesia involves injecting the same local anesthetic around a nerve or group of nerves to numb a large area that the nerve(s) supplies such as a interscalene brachial plexus block to numb a shoulder.

Will I experience numbness after surgery?

I’m assuming you are referring to general anesthesia where you are unconscious and not regional anesthesia where we numb a body area for surgery. General anesthesia should not READ MORE
I’m assuming you are referring to general anesthesia where you are unconscious and not regional anesthesia where we numb a body area for surgery. General anesthesia should not cause any numbness.

How can I reassure my son about general anesthesia?

You can have him tour the operating room and have an anesthesiologist or nurse anesthetist explain how anesthesia works. Anesthesia is not like regular sleep. We control how deep READ MORE
You can have him tour the operating room and have an anesthesiologist or nurse anesthetist explain how anesthesia works. Anesthesia is not like regular sleep. We control how deep it is and we control when someone “wakes up” after the surgery is over.

What is "twilight" anesthesia used for?

Anesthesia is on a spectrum. On the light side there is what we call MAC. You are relaxed and can respond to questions. Twilight anesthesia is just a bit deeper than this. You READ MORE
Anesthesia is on a spectrum. On the light side there is what we call MAC. You are relaxed and can respond to questions. Twilight anesthesia is just a bit deeper than this. You are more relaxed and feel like you are falling asleep. You may fall asleep and wake up several times but will not likely remember.

Why are older people more sensitive to anesthesia?

With existing memory problems, general anesthesia can temporarily make it worse for up to a year. This is more of a side effect of having anesthetic gas in this population of patients. READ MORE
With existing memory problems, general anesthesia can temporarily make it worse for up to a year. This is more of a side effect of having anesthetic gas in this population of patients. Not everyone will be affected the same.

Does anesthesia have an effect on my kidneys?

General anesthesia by itself should not cause these problems. I would check to see if you had a foley catheter placed after you were anesthetized.

Why is it necessary to see the anesthesiologist before surgery?

Usually we go over medical history to see if anything may be an issue such as diabetes for sugar control, or uncontrolled high blood pressure. We also evaluate any risk factors READ MORE
Usually we go over medical history to see if anything may be an issue such as diabetes for sugar control, or uncontrolled high blood pressure. We also evaluate any risk factors such as heart disease or lung trouble such as COPD. We go over fasting, pain management depending on your surgery.

Sore throat from anesthesia?

Yes it’s common to have a sore throat after intubation (having an an endotracheal tube placed). The tube is placed between your vocal cords. A metal tool is used to place it. READ MORE
Yes it’s common to have a sore throat after intubation (having an an endotracheal tube placed). The tube is placed between your vocal cords. A metal tool is used to place it. Both can cause a temporary sore throat.

What will my anesthesiologist do if I'm nauseous?

Yes, we have several preventative medications for nausea. If there is a history of this, speak with your anesthesiologist.