Multiple Locations in Jacksonville, St. Augustine, & Fernandina Beach, FL
(904) 743-2222

Acoustical Neuromodulation for Chronic Pain Management

Acoustical Neuromodulation for Chronic Pain Management

Stress always plays a key role in development of Central Sensitization (CS ) since it generates hyperalgesia and chronic pain through central and peripheral mechanisms.

CS causes spinal neuroinflammation, decreases in the mechanical nociceptor threshold, increases in sensory hypersensitivity, and long-lasting anxiety induced hyperalgesia.

Various inputs or sensitized neural circuits in the limbic system especially the amygdala, perpetuate the problematic emotions. Amygdala receives sensory input of all types, this establishes neural memories of fear and pain, that in turn progress to development of chronic pain.

chronic pain management baud

The fortunate part is new treatments are in the horizon, as researches are rapidly driving the development of treatments / therapies focused on brain plasticity, with the most prospective ones based on modulating the activity of the limbic system. Since it is the mal-adoption of the brain plasticity that causes the chronic pain in first place.

The Bio-Acoustical Utilization Device (BAUD) is a sound-based treatment that was initially used for ADHD. It was later discovered to be useful in the treatment of stress and negative emotions. Since BAUD has been successful in reducing the negative emotional perceptions, it could be safe and effective adjunct for the treatment of chronic pain, with its close relationship with the circuits in the amygdala.

BAUD device emits two adjustable frequency tone which creates a binaural beat that can provide acoustical neuromodulation. This stimulation appears to affect amygdala and hippocampus of the limbic system by theta wave stimulation.1 Theta activity has been has proved to be essential to both the consolidation and re-consolidation of all memories that includes pain memories.” This therapy creates both stimulation and a temporary disruption of sensitized circuit. Hence it stimulates the neural “reset” based on the brain’s ability to self-regulate. Research has shown that once a memory circuit is activated, it can be modified.2

The treatment protocol requires the patient to focus their attention to the area or pain throughout the treatment, which increases the neural activity of the pain circuit and helps in the reset process. Research shows that fear memories are re-consolidated during the synchronous theta wave activity, lending support to the theory of disruption. The BAUD unit used is left on for 15 to 20 minutes, while the patient focuses on the painful areas to maintain the activation level necessary for acoustical neutralization.

People with chronic pain and central sensitization need to be treated for both physical and central nervous system dysfunction. These patients are good candidates for BAUD therapy, provided they are not overly sensitive to loud, noxious noises.


1. Garzione, John PT, DPT and L. Richard Bruursema, “New Technique Shows Promise as Adjunct In Chronic Pain Management,” Practical Pain Management; last accessed 8/9/2018

2. Loc. cit.


Garzione, John PT, DPT and L. Richard Bruursema, “New Technique Shows Promise as Adjunct In Chronic Pain Management,” Practical Pain Management; last accessed 8/9/2018

Tennant, Forest, MD, “Microglial Modulators: A New Therapeutic Class,”  Practical Pain Management; last accessed 8/9/2018

Woolf, Clifford J., “Central sensitization: implications for diagnosis and treatment of pain,” U.S. National Library of Medicine National Institutes of Health; last accessed 8/9/2018 

Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.