Arthritis refers to the inflammation of one or more joints. There are over 100 different forms of arthritis. The most common form is osteoarthritis, a progressive non-inflammatory disorder of the synovial joints. Signs and symptoms range from mild discomfort to disability. Patients may experience asymmetrical joint pain, stiffness, and/or crepitus. The cause is unknown, but […]
Carpal tunnel syndrome (CTS) is a condition in which the median nerve is compressed as it enters the hand through the carpal tunnel. Signs and symptoms include pain, burning/tingling, numbness, weakness, and/or impaired sensation in the part of the hand that receives sensation from the median nerve. Pain may extend to the forearm and shoulder. […]
Bursitis is the inflammation of one or more bursae (small sacs of connective tissue lined with synovial membrane and containing synovial fluid). There are more than 150 bursae in the human body. Bursae are located at bony prominences or joints to relieve pressure and decrease friction. Signs and symptoms include pain, swelling, and/or limited movement. […]
Facet joints are small joints located between and behind adjacent vertebrae. There are two facet joints at each level of the vertebral column, providing stability to the spinal column while allowing movement. Facet joints are encased with facet joint capsules, which contain fluid that protects and lubricates the joints. The posterior paired facet joints act […]
Neuropathy is caused by damage to a peripheral nerve or nerves. Symptoms include numbing, burning/tingling, shooting, stabbing, and/or sharp. These symptoms could be sudden or lingering. Causes include trauma, inflammation, metabolic diseases, alcohol, infection, tumors, toxins, and neurologic diseases. Treatments for neuropathy include stellate ganglion/sympathetic blocks, lumbar sympathetic blocks and spinal cord stimulation.
Radiculopathy refers to a set of conditions involving nerves working improperly. The problem occurs at or near the root of the nerve. Symptoms include pain, weakness, numbness and/or difficulty controlling muscles. Treatments for radiculopathy can include epidural steroid injections, piriformis blocks, transforaminal epidural steroid injections and spinal cord stimulation.
Sciatica is characterized by compression or irritation of the sciatic nerve. Pain follows the course of the sciatic nerve. Common causes of sciatica include the following: •Spinal disc herniation •Degenerative disc disease •Lumbar spinal stenosis •Spondylolisthesis •Piriformis syndrome Treatments for sciatica can include epidural steroid injections, piriformis block, transforaminal steroid injections and spinal cord stimulation.
Degenerative disc disease is a term used to describe when lumbar and cervical discs lose their elasticity, flexibility, and/or shock absorbency. This progressive degeneration is a normal process of aging and is one of the most common causes of back and neck pain. Treatments for degenerative disc disease can include epidural steroid injections, transforaminal epidural […]
Lumbar spinal stenosis is the narrowing of the spinal canal that compresses nerves and the spinal cord by movement of the bone into the space. Signs and symptoms include chronic or recurrent back pain that may radiate to buttock and leg. Causes include traumatic and/or degenerative changes to the spine. Treatments for lumbar spinal stenosis […]
Low back pain can be acute (less than four weeks) or chronic (more than three months). Pain may be associated with muscle spasms. Causes include: • Strain • Osteoarthritis • Degenerative disc disease • Herniated discs • Lack of exercise • Obesity • Structural or postural abnormalities • Stenosis To treat low back pain we […]
A compression fracture is a collapse of a vertebra. Signs and symptoms include pain, weakness and tinging. Causes include trauma or weakening of the vertebra in osteoporosis, cancer and other conditions. Treatment for compression fractures can include Kyphoplasty.
Spinal disc herniation is a medical condition affecting the spine in which a tear in the outer fibrous ring of an intervertebral disc allows the soft central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration although trauma, lifting injuries, and/or straining have also been implicated. If […]
Complex regional pain syndrome (CRPS), formerly reflex sympathetic dystrophy (RSD) or reflex neurovascular dystrophy (RND), is an amplified musculoskeletal pain syndrome (AMPS). CRPS is associated with dysregulation of the central nervous system and autonomic nervous system resulting in multiple functional loss, impairment, and/or disability. CRPS may initially affect an arm or leg and spread throughout […]
Fibromyalgia Syndrome (FMS) is a condition characterized by widespread nonarticular musculoskeletal pain and fatigue with multiple tender points. Patients with FMS experience amplified pain due to the abnormal sensory processing of the central nervous system. FMS is caused by neuroendocrine/neurotransmitter dysregulation. Medication is the recommended treatment for Fibromyalgia.
Migraine headaches are reoccurring headaches characterized by unilateral or bilateral throbbing pain. Typically, the headache affects one half of the head, is pulsating in nature, and lasts from 2 to 72 hours. Associated symptoms may include nausea, vomiting, and/or sensitivity to light, sound, and/or smell. The cause is unknown. Treatments for migraines can include BOTOX® […]
Post traumatic pain is any pain after injury or trauma. The pain can be temporary or permanent.
A strain is an overstretching of a muscle, its fascial sheath, or a tendon. Most commonly, strains occur in larger muscles such as low back, calf and hamstrings. A sprain, also known as a torn ligament, is damage to one or more ligaments in a joint. Sprains can occur in any joint but are most […]
Tendinitis (also known as tendonitis) is the inflammation or irritation of a tendon, a thick cord that attaches bone to muscle. Generally tendinitis is referred to by the body part involved, such as Achilles tendinitis or patellar tendinitis. Signs and symptoms include pain. It often occurs from repetitive, minor impact or from a sudden serious […]
Pain is prevalent and often under-treated in cancer patients. It may arise from a tumor compressing or infiltrating nearby body parts; from treatments and diagnostic procedures; or from skin, nerve and other changes caused by a hormone imbalance or immune response. It is important to distinguish between persistent and breakthrough pain. Most chronic (long-term) pain […]