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Intercostal nerve block; what you need to know?

Ash Walsh concluded  at 3am this morning that pain from four fractured ribs was too much to race in this weekend’s Supercheap Auto Bathurst 1000

The 29-year-old had idea he’d fend off from the sports car crash with only bruising, but a CT scan yesterday unveiled four fractured ribs. “After a few laps in my friend’s car I thought  I’d be alright and I just woke up this morning a lot terrible,” Walsh explained.

“I hardly slept and at 3 am, I concluded, I can’t do this. It’s more terrible than ever, I was on pain killers and it wasn’t easing. I have been taking plenty of rest from the last weeks, but getting up and doing routinely activities or driving and then rest making it extremely uncomfortable” thanks to Dr. Zaki Anwer, MD, at The Pain Management Institute who introduced intercostal nerve block and helped me get back to competition.

Some of the most recurring complaints from patients visiting emergency rooms all over the United States with chest and abdominal pain

An intercostal nerve block is an injection of medication that assists in relieving chest pain caused by rib fracture resulting from sudden injuries, tragic accidents and shingles. The intercostal nerves are found under each rib, when any of the nerves or tissues encircling get damaged or inflamed, it causes severe pain.

A steroid medication and local anesthetic injected under the rib can help you ease inflammation and eliminate pain explains Dr. Zaki Anwer, MD

Intercostal nerve blocks can also be practiced to help diagnose the source of pain”. Dr. Zaki Anwer, MD

How is an intercostal nerve block done?

Dr. Zaki Anwer, MD, explains the intercostal nerve block procedure At Pain Management Institute.

My patient’s comfort is my primary concern, I will give an Intravenous medication to relax, then you’ll lie on your side, the one not causing pain. I will use an antiseptic solution to clean an area of the skin where the injection will be given.

I will then insert a thin needle under your rib to inject anesthesia. An X-ray guidance will be used to insert a second needle and inject steroid pain medication. Typically the procedure takes less than half an hour and you can go home the same day

Talking about the post procedure outcomes and pain reduction after the injection Dr. Zaki Anwer, MD, elucidates, some patients experience pain relief immediately after the injections, but the pain may return a few hours later as the anesthesia fades.

Lasting relief typically begins in two to three days, once the steroid taking action. The pain relief may be different for every patient, for some patients it may last months, if the treatment works for you I recommend, you can have intercostal nerve block injections from certain intervals to stay pain free

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Facet-Blocks-injection

Facet joint injections spread hopes for back pain sufferers

Severe lumbar back pain is one of the most widespread ailments reported by adolescents in the U.S. According to a study by the Centers for Disease Control and Prevention, more than 25% of the complainants reported experiencing back pain in the preceding span of three months

Several patients facing chronic back pain, opt surgery for relief. Unluckily, surgical options are not usually worthwhile at eliminating back pain. As a matter of most medical professionals use the term “failed back surgery syndrome” to distinguish the patients who still suffer from severe pain after back surgery

A survey done in Chicago by The Pain Management Institute yields 1,450 patients who had to quit work because of severe lower back pain. The survey also indicated a 41 percent increase in the consumptions  of painkillers among the surgery group. The dilemma arises, when the  intensity of pain after surgery, run over the patient’s expectations and interferes the patients lifestyle and ability to work

Due to the complicated structure of the spine and its encircling nerves, muscles and blood vessels, there are several reasons that surgery could fail to provide relief from chronic back pain. They involve issues such as scar tissue development, surgical hardware failure and incorrect surgical site.

Rather than striving to treat chronic back pain through surgery, a fruitful method can be to handle chronic back pain similar to illness, like diabetes or high blood pressure, where treatment is more focused on managing pain hallmarks so the patients can lead productive livesDr. Zaki Anwer, MD.

Facet block injections are one of the worthwhile alternatives to help patients suffering from chronic back pain either after or instead of surgery. A facet joint block is the spinal injection of medication that numbs the medial nerve, carried out

  • A short-acting numbing drug
  • A long-acting Corticosteroid, which is a powerful anti-inflammatory drug

If your facet joint block injection has worked, your pain is relieved, however, if a single injection doesn’t succeed another can be recommended

At the Pain Management Institute we will devise a series of carefully spaced out facet joint blocks as a part of your spinal care path. Dr Zaki Anwer, MD.

The Potential results of a facet joint block include:

  • No pain relief.
  • Pain goes away and returns after a few hours.

Pain goes away, returns later the same day, and gradually improves during the next few days.

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Why a stiff neck could leave you no good

Up till now in a wink, everyday life became almost futile to manage for the 59 year old Lawyer from Illinoise, in United States of America

Her neck became so stiff and agonizing that she could not turn her head, which afflicted her ability to even drive safely.

“ I had to park at distant from other cars as I had so much difficulty getting in and out of the car.”, said Janice, 59 years old

She strived getting in and out of her bed and says she came to dismay going to sleep at night because of the agonizing she had to suffer

The acceleration and severity of her neck pain eventually compelled Janice to take an early withdrawal from her job.

“The final straw was when I wasn’t even able to bend to put my shoe lace and my husband had to do it for me. I decided to go to see the doctor as something wasn’t in my favor”

When she sought help, Janice was diagnosed with severe neck muscle sprains, a neck stiffening condition that causes pain and tenderness in the tendons and ligaments around the neck and shoulder. Also, there are several other causes that lead to soaring neck conditions including,

  • Cervical spinal stenosis
  • Degenerative disc disease
  • Herniated disc
  • Whiplash
  • Degenerative disc disease

Janice says: “ I was lucky that I had a physician Dr. Zaki Anwer, MD,  who understands how debilitating a neck pain could be, and Is well versed in treating neck pain,  but I have heard many stories of people who have been misdiagnosed or when they finally being diagnosed the condition worsens

“I had a bit of a catastrophe as I became hopeless to get better.” Janice then came to know the Pain Management Institute, with its potential support, advice and cooperation Janice was able to manage her everyday life better than ever

Many patients suffering from severe neck pain, initiate taking steroids too quickly without proper consultation and their body requirements and end up with the hallmarks reversed, Says Dr. Zaki Anwer, MD. In the present days newer and highly potential neck pain treatments have been introduced with lesser side effects which may include, Activity modification, Ice and/or heat therapy, Over-the-counter pain medication, Physical therapy, Manual manipulation, Massage therapy, Acupuncture, Prescription medications

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Adults in the western society mostly suffer these hallmarks, checkout to know if you are also a part

Everyone among us at some point experience muscle pain and related sufferings. The pain is sometimes so debilitating and influence the support structure that helps you to carry out your routinely activities.. Musculoskeletal pain exhibits a severe kind of human energy deterioration, where the need for energy exceeds our body’s ability to keep up. Says Dr Zaki Anwer, MD,

It influences the bones, muscles, ligaments, tendons and nerves. Sometimes the pain appears to be acute or in other cases it is chronic. Musculoskeletal pain can be restricted to one area or can be widespread.

Commonly musculoskeletal pain arises from the lower back, other common types of musculoskeletal pain involve tendonitis, Myalgia and stress fracture.

Common hallmarks of musculoskeletal pain

The hallmarks of musculoskeletal pain differ according the certain condition, whether the pain is caused by an injury or overuse. If it is chronic or acute, also the pain may vary from person to person.

The common hallmarks involve;

  • Localized or widespread pain that can worsen with movement
  • Aching or stiffness of the entire body
  • The feeling that your muscles have been pulled or overworked
  • Fatigue
  • Sleep disturbances
  • Twitching muscles
  • The sensation of “burning” in your muscles

Anyone among us can encounter musculoskeletal pain. The national institute of health explains, the musculoskeletal pain may be the result of an injury to the bones, joints, muscles, tendons, ligaments or nerves.

The injury is usually caused by jerking movements, sudden accidents, falls, fractures, sprains, dislocations and direct blow to the muscles.

As reported by the U.S. Center for Disease Control and Prevention about 33% of adults from the overall adult population in the U.S encounter musculoskeletal pain from overuse of the muscles. The most commonly occurring pain from overuse is the lower back pain and caused by work related stress and poor posture or prolonged immobilization in the western society.

Musculoskeletal pain treatment

Most of the medical professionals agree for the musculoskeletal pain treatment can be done by changing your lifestyle habits and taking a combined course of treatment. You can minimize your pain by following some common treatment programs such as;

  • RICE a well known acronym for musculoskeletal pain treatment, especially subsequent to an athletic injury, R stands for Rest, I for ice, C for compression and E for elevation
  • NSAIDs
  • Topical analgesics
  • Physical therapy
  • Strengthening exercise

Acupuncture and acupressure

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sciatica

Can I ease sciatica pain without surgery

As much as 4 out of every 10 individuals experience sciatica pain or irritation in the sciatic nerve at some point. The nerve roots from the alternative side of the lower spine and passes to each of the legs. Anything that causes pressure on the nerves or irritates the nerve cause pain that spreads down the back of the buttock and thigh. The intensity of the pain may vary, sciatica pain may be felt as a mild ache, throbbing, inflammatory and  extreme tenderness. Sciatica pain is also debilitating and cause tingling

Symptoms of sciatica pain

Some common symptoms that lead to sciatica pain include;

  • Lower back pain
  • Pain in your butt or leg that worsens when you sit
  • Hip pain
  • Burning or tingling down your leg
  • Weakness, numbness, or difficulty moving your leg or foot
  • A constant pain on one side of your butt
  • A shooting pain down your leg that makes it difficult to stand up

 Sciatica pain treatment

The sciatica pain can become worse sitting or standing in a same position, and other movements. Sciatica pain treatment can be done using hot and cold packs, use of anti-inflammatory drugs and pain killers, regular physical therapy and steroidal injection

Physical therapy

Sciatica pain treatment from physical therapy involves, Light exercises that aim at your back enhancing your posture and capacity to respond to sudden stress. Avoid strenuous activities during this phase of recovery.

A Physical workout and yoga to reduce the tightened hip muscles and hamstring also serves as a potential sciatica pain treatment

Massage, and acupuncture treatments

  • Massage therapy also helps increasing mobility by reducing pain
  • Some physicians also recommend acupuncture as a sciatica pain treatment

Ice and heat as sciatica pain treatment

When sciatica pain is initiated, treating with cold pack can offer a potential  relief. By applying a bag of frozen peas or a cold pack wrapped in the towel on the affected area several times a day for 20 minutes provide relief. If still you feel sciatica pain treating with heat may give you a potential reduction

When to Call the Doctor

Seek immediate medical attention if you have any of the following symptoms:

  • Weakness in your lower extremities
  • Numbness in your leg
  • Loss of bladder or bowel control

Severe pain in your lower back or leg

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Herniated-disc

Know the causes of your spinal pain

What is a Herniated Disc?

The disc in your back is a tough, elastic structure like that of a rubber and performs as a cushion between the vertebrae , that makes up the spinal cord. The disc reacts as a natural shock absorber between the vertebrae. The disc can become injured due to daily wear and tear, a crack or rupture. The injured disc can cause stress on the spinal nerves. Spinal disc herniation in the neck causes nagging neck pain and often known as the cervical disc herniation. Spinal  disc herniation in the lower back is known as lumbar disc herniation. These two areas are highly sensitive for spinal disc herniation. Our board certified physicians at Pain Management Institute are highly trained in offering the best spinal disc herniation treatments

What causes a Herniated Disc?

Spinal disc herniation is common among individuals and can happen with sudden, hard accidents, direct exposure of the spine to injury, sports injury and older age. As we age our disc loose water and become easily breakable, resulting the bones vulnerable to tearing, cracks and injury

What are the symptoms of spinal disc herniation?

The symptoms of spinal disc herniation vary depending on the point of the spine where the disc is affected. Some common symptoms of cervical disc herniation include;

  • Neck pain
  • Pain, weakness or numbing of the shoulders or arms
  • Sensation in the arm

Common symptoms of lumbar disc herniation include;

  • Lower back pain
  • Debilitating pain and numbness of the buttocks or leg, including sciatica
  • Sensation of the leg
  • Difficulty and pain with walking and standing for longer periods of time

Herniated Disc Treatment at Pain Management Institute

Before treatment of spinal disc herniation at Pain Management Institute, your physician will inquire about your medical history, and may take a physical examination, along with an MRI. If you are found with having a spinal disc herniation, our expert physicians highly trained in non surgical treatment will help reduce your pain and improve mobility. Physicians at the Pain Management Institute will tailor a specialized treatment plan to fulfill your individual needs. Spinal disc herniation treatments at PMI includes, physical therapy, epidural steroid injection, nerve root blocks, Stem cell therapy and Platelet Rich Plasma therapy

What you need to do next?

The first step in figuring out what the best spinal disc herniation treatment plan for you is to make an appointment to see one of our spinal disc herniation doctors in PMI. Pain Specialists and Interventional Spine Specialist are a good option for herniated disc diagnosis and to learn your non-surgical herniated disc treatment options.

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What causes me shoulder pain? How do I fix my shoulder pain?

As we get older, keeping ourselves active and regular workout becomes more important than before. We usually realize that joint pain or injury restricts our ability to work out. Shoulder pain is a common ailment that can influence the individuals in all their lifestyle and is very common in senior citizens due to the aging process. The shoulder is a complicated, and highly flexible joint that is exposed to sprains, strains, tendon tears and inflammation. Some common causes of shoulder pain involve;

Arthritis;

Though there are several types of arthritis, however, it traditionally involves wear and tear damage and inflammation of the joint resulting in swelling, pain and stiffness

Rotator cuff tears;

The rotator cuff is a strong cord of muscles and tendons responsible for providing strength and firmness to the shoulder joint. Repetitive motion and wear and tear or intense sports activities may cause the  rotator cuff to tear

Bursitis

The shoulder joint is provided with an easing small pocket around the rotator cuff which is often called the bursa, aggressive movements can cause the bursa to get inflamed

Fracture or dislocation

A sudden fall or an injury can break one of the bones surrounding the shoulder or may force to dislocate from its normal position. The broken or dislocated bone of the shoulder brings about severe pain and loss of mobility in the shoulder joint

Cervical disc herniation

Shoulder pain can also arise due to damaged disc or pinched nerve. Degenerative disc may also contribute to severe shoulder pain

Diagnosis

The physician will ask about your medical history and may conduct physical examination and other diagnostic test such as MRI and X-ray

Shoulder pain treatment

Traditional shoulder pain treatments involve changing your lifestyle and habitual activities, taking sufficient rest and treating with ice and heat, physical therapy to improve the range of motion and strength  90% of the shoulder pain is relieved with these simple remedies, however, in a few cases steroid injections or surgery may become necessary

Most of the patients neglect the initiating shoulder symptoms with minor effect, however, if your symptoms are chronic, consult your physician immediately to get a timely diagnosis and shoulder pain treatment. In case of an acute injury and sharp pain, immediately seek medical attention

Only 30 percent of the Americans over age 65 workout on routinely basis. Just a 30 minutes a day of physical activity will help improve your overall shoulder pain condition and the quality of life. Letting shoulder pain hold you back from enjoying life is your choice

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Are you tired of chronic pelvic pain? Unaware of the causes? Here is what you need to know

Chronic pelvic pain is the an ailment that influences almost one in seven women in the united states. It is explained as pain located below the belly button and lasting longer than six months. Though your physician might make the diagnosis of chronic pelvic pain, however, more knowledge is required to diagnose the exact cause of your pelvic pain. Diagnosing the real cause may not be simple and requires multiple visits to your physician. Pelvic pain in women can be an indication that there might be some ailments in one of the reproductive organs in women in the pelvic area such as Uterus, ovaries, Fallopian tubes, vagina. Though pelvic pain defines the pain in the area of women’s internal reproductive organs, pelvic pain may arise either during intimacy or may arise from other severe infections

How would I know if it is pelvic pain?

Chronic Pelvic pain in women may show a wide variety of symptoms, some of which include

  • Menstrual cramps
  • Menstrual pain
  • Painful or difficult urination
  • Constipation or diarrhea
  • Bloating or gas
  • Blood seen with a bowel movement
  • Pain during intercourse
  • Fever or chills
  • Pain in the hip area
  • Pain in the groin area

What causes pelvic pain in women?

  • Pregnancy
  • Ectopic pregnancy
  • Miscarriage
  • Pelvic inflammatory disease
  • Ovulation
  • Menstrual cramps
  • Ovarian cysts or other ovarian disorders
  • Fibroids
  • Endometriosis
  • Cancer

Do men also suffer pelvic pain?

Some common causes of pelvic pain that rests among both men and women

  • Appendix
  • Urinary tract infections
  • Sexually transferred disease
  • Intestine ailments
  • Pinched nerves
  • Hernia
  • Spasm of pelvic muscles
  • Broken pelvic bones
  • Stress

What are the treatments for pelvic pain?

The treatment for pelvic pain may vary with the cause and severity, and the frequency of the pain occurring. Sometimes medicines, including antibiotics are sufficient for treating chronic pelvic pain. However, if the pain is caused by the ailment of any pelvic organs the treatment might involve surgery or other procedures. In some cases, physical therapy is helpful in the case of stress. Leading a life with pelvic pain can be stressing and causes anxiety, we suggest there are benefits if you work with a trained counselor, psychologists and psychiatrists

 How is pelvic pain diagnosed?

When diagnosing the cause of pelvic pain, the doctor will review the symptoms and medical history of the patient. A physical exam and/or other tests might also help in diagnosing the cause of pelvic pain. The specific testing performed will depend on the discussions with your doctor as well as your examination. Some diagnostic tools might include:

  • Blood and urine tests
  • Pregnancy tests in females of reproductive age
  • Vaginal or penile cultures to check for sexually transmitted diseases such as gonorrhea and chlamydia
  • Abdominal and pelvic X-rays
  • Diagnostic laparoscopy (procedure allowing a direct look at the structures in the pelvis and abdomen)
  • Hysteroscopy (procedure to examine the uterus)
  • Stool guaiac test (checking of a stool sample for presence of microscopic blood)
  • Lower endoscopy such as colonoscopy or sigmoidoscopy (insertion of a lighted tube to examine the inside of the rectum and part or all of the colon)
  • Ultrasound (test that uses sound waves to provide images of internal organs)
  • CT scan of the abdomen and pelvis (scan that uses X-rays and computers to produce cross-sectional images of the body)
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Botox injections and the Hollywood’s most stunning faces

Botox is used cosmetically to remove the signs of aging by non-permanently numbing muscles. The Botox is also used to treat certain medical conditions. It is obtained from Neurotoxin called botulinum toxin produced by a bacteria. These bacteria are found naturally in soil, lakes and forests

How does Botox work?

Botulinum toxin is one the venomous substance discovered by scientist today. In higher accumulation Botox can result in severe, life threatening illness. In spite of this Botox age reversal treatment has shown promising results and has become a valuable therapy option. The Botox age reversal treatment is done by injecting a very minimal amount in your  problem areas, it works by restraining the signals from the nerve cells from getting in touch with the muscles hence numbing them. The Botox relaxes the abnormal muscle shrinking and facilitates flexibility

Medical and cosmetic uses of Botox

Botox  age reversal treatment is usually used for cosmetic purpose to enhance the impression of fine lines, wrinkles, and other cosmetic uses of Botox involve;

  • Frown lines between the eyebrows
  • Crow’s feet
  • Wrinkles caused by sun damage

If we talk about the efficacy of Botox age reversal treatments, there is no question of doubt that Botox is equally efficient in addressing certain medical problems, including the eye squinting, migraines, excessive sweating and leaky bladders

Yet it is a bit difficult to believe that Botox has been serving as best age reversal therapeutic option for a decade, while overuse of anything can be too much. Many of the celebrities in Hollywood have practiced in the Botox treatment that made their faces appear smooth, young and stunning.

Celebrities who have taken Botox as an additional essence of their beauty

Tom cruise turns 50 this July 3rd, but the actor could be called the same age as his younger wife Katie Holmes. How is it possible? An expert cosmetic surgeon and a course of Botox age reversal treatments keeps him as young as his youthful wife. If looking 30 at the age of 50 is not a Mission Impossible for Tom Cruise then why for you? Dr Ayesha says

 When Botox age reversal treatment was first becoming popular in Hollywood, the feedback from many starlets went into denial, despite of all Nicole Kidman just underwent.

Dr Ayesha says that she has a beautiful, well defined Botox brow, though it took time for the actress to admit

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Know the red flags to your neck pain

A sudden outbreak of neck pain is common. In nine out of ten of us experience chronic neck pain at some point in our lives. In most cases it is irrespective of any serious ailment and neck problem and usually the precise cause of the pain is not clear. Mostly chronic neck pain symptoms arise from poor posture and minor sprains. Some cases show full recovery, the general guidance to overcome chronic neck pain is to keep the neck active. Pain killers are helpful only easing pain, however, the chronic neck pain may need further treatment

Recent Studies at The Pain Management Institute have examined neck pain overall have found higher rates in women than men at an older age.

Causes and red flags to neck pain

 Non specific neck pain

This is the most observed type of chronic neck pain often called simple and instantaneous neck pain. Usually the accurate cause or source of the is unknown. It may involve slight trains and sprains to the muscles and or ligaments in the neck. Poor posture may also add cheese to pain in some cases. For instance; neck pain is usually common among people who spend more of their time working at a desk in the position bent forward.

 A whiplash

 A whiplash occurs if you face an accident by means of a vehicle such as a crash. Sudden jerks to the will lead to severe neck pain

 Cervical Radiculopathy

If the nerve root is pinched or damaged as it passes out from your vertebral column in your neck and the cervical region. The condition is known as the cervical radiculopathy. The condition, not only give rise to severe neck pain, but also you may feel numbness, pins and needles sensation and weakness in certain parts of the arm

Some red flags to cervical radiculopathy

 

Cervical radiculopathy can become more serious, some rare cases that may lead to cervical radiculopathy causing non tolerable neck pain includes; rheumatoid arthritis, bone disorder, infections, cancer and other acute injuries

 Symptoms

The pain is usually initiated from your neck and spreads to the shoulder or the root of your skull. You may feel hindrance while moving your neck, the pain becomes worse with movement. The neck pain may spread to your arm and hands. This is because of the pinched nerve that goes to your arm from the spinal cord in your neck. You must consult your physician if any of the symptoms occur, as the physician will examine any pressure on your nerves.

 

Final thoughts

Research by Dr. Zaki concludes that chronic neck pain is more associated with occupational, physical activities such as hand operated handling of heavy objects, poor postures and excessive use of workstations, Dr Zaki suggests that psychological factors such as mood swings, anxiety and depression contributes to neck pain.

 

 

In case you or any of your loved one is suffering from chronic neck pain and looking for a safe and cost-effective treatment, get a professional advice from Dr. Zaki Anwar by placing an appointment at 815-464-7212. He is a world renowned Pain Medicine Physician who has been practicing regenerative injection therapies for the past several years with remarkable results.

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