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Orthopedic injury is a severe trauma to part of the musculoskeletal system, and often results due to sudden accident requiring immediate medical attention. While not all orthopedic injury is life-threatening, it is life altering. Therefore, you should choose doctor wisely.

Symptoms of orthopedic injury

Trauma to the bones and soft tissues that fall under orthopedic injury may be come by several possible symptoms, depending on which part of the body is affected. The most common symptoms of a broken body part or limb may include:

  • Swelling
  • Tenderness
  • Bleeding, but only occurs if the break in the bone damages the skin
  • Major bruising
  • Inability or difficulty to move the affected part without pain
  • Bone sticking out at an abnormal angle
  • Bone sticking out of the skin
  • Numbness
  • A needles sensation if nerves has injured
  • Helplessness to lifting or rotating the injured part
  • Inability to put any weight if leg is injured
  • Severe pain when breathing in (if ribs are broken)
  • Shallow breathing
  • A grinding, snapping or cracking noise is heard at the time of the fall or accident

Treatments for orthopedic injuries

Orthopedic injury uses both surgical and non-surgical techniques to treat the affected bones and soft tissues depending on the severity of the condition. Minor dislocations and fractures of specific bones such as the clavicle, scapula and humerus can be treated with non-surgical measures through an external fixation method. This means that some orthopedic devices such as braces, casts, and splints are placed outside the body to keep the injured part stable or fixed during the recovery period.

On the other hand surgical means for orthopedic injury, include:

  • Minimally invasive surgery
  • Conventional surgery
  • Internal fixation method, which refers normally to surgically installing orthopedic devices on the bone itself

The following procedures are secured for more severe orthopedic injuries and might be done either conventionally or through minimally invasive techniques.

  • Bone grafting and bone/joint transplantation
  • Bone-forming
  • Limb lengthening
  • Lower limb reconstruction, such as hip and knee joint replacements
  • Upper extremity reconstruction
  • Soft tissue repair

How long does orthopedic injury take to heal?

Orthopedic injury is usually followed by a long recovery period, depending on the severity. The shortest recovery period is three weeks for minor injuries. Wrist, arm injuries, fractured collarbone take 6 to 8 weeks to heal. There are also some cases in which the bone fails to heal, results in permanent injury. Among all types of orthopedic injuries, broken hip has the longest recovery period. For many individuals it gets difficult to regain their original condition after suffering a fracture in the hip bone.

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Personal injury is a legal term for an injury to the body, emotions or mind as opposed to an injury to property. The term is most commonly used to refer a type of tort lawsuit in which the person bringing the suit, or “plaintiff,” has suffered harm to his or her body or mind. Personal injury lawsuits are filed against the person or entity that generates the harm through negligence, gross negligence, intentional misconduct, reckless conduct, and in some cases on the basis of strict liability. Some of the most common kinds of personal injury cases are;

  • Car Accident Cases

Car accidents prompt the most personal injury cases in the United States. Usually accident happens, because someone isn’t following the rules of the road, or isn’t driving as carefully as they should be. A careless driver can be held financially and responsible for injuries originate from a car accident.

  • Slip and Fall Cases

Slip and fall claims are one more common type of personal injury case. Property owners have a legal duty to keep their premises reasonably safe and free of any hazards, so that people who are on the property will not become injured. You must keep in mind that not all injuries that occur on the property will lead to liability.

  • Medical Malpractice

A medical malpractice claim can arise when health care professional provides treatment that falls below the appropriate medical standard of care, and as a result a patient injured. (However getting a bad result in the treatment setting doesn’t mean malpractice).

  • Defamation

Defamation in the form of libel refers to an injury to a person’s reputation as a result of some untrue statements. The exact nature of what a defamation plaintiff must prove will vary depending on who the plaintiff is, and the forum where the statement was made.

  • Assault, Battery and Other Intentional Torts

Unlike all other types of personal injury claims, intentional torts are not based on accidents caused by carelessness or negligence, but rather when one person harms another purposely. For example, when one person physically attacks another, they may face criminal charges. Additionally, the victim has a right to file a personal injury lawsuit in civil court and demand compensation for injuries resulting from the attack.

If you have been injured because of any of these cases then personal injury lawsuit provide a safety net to help compensate individuals for medical expenses, lost wages, and for their injuries. Injured person is entitled to receive statutory benefits irrespective of whether they are at fault for the accident.

Pain management institute helps people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Shoulder pain is considered as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, shoulder instability, adhesive capsulitis, and shoulder arthritis.

However, there are many chronic shoulder pain treatment ways which can help you.


Pain control is imperative to allow for the progression of chronic shoulder pain treatment. The use of nonsteroidal anti-inflammatory drugs (NSAIDs), short-term opiate medication or acetaminophen may help achieve this goal. There is no conclusive support for the use of NSAIDs over simple analgesia as chronic shoulder pain treatment. Therefore, the risks and benefits of each class should be considered before the use.

Activity modification

Activity modification is a simple chronic shoulder pain treatment with specific recommendations based upon the underlying diagnosis. Avoidance or reduction of overhead activity is the mainstay of treatment for rotator cuff pathology, glenohumeral osteoarthritis, and adhesive capsulitis. To avoid heavy loading of the shoulder can also help with the pain associated with glenohumeral osteoarthritis. Certain overhead activities can precipitate instability symptoms. Kayaking, bench pressing, and overhand throwing are particularly risky in patients with an unstable shoulder. Cross-body shoulder adduction, such as the motion performed in the golf swing or while weight lifting, should be limited or restricted in patients with acromioclavicular osteoarthritis because it can recreate acromioclavicular joint pain.

Physical therapy

Physical therapy encompasses a large range of chronic shoulder pain treatment. There are therapeutic modalities designed to alleviate pain directly (heat and ice, iontophoresis, hyperthermia, ultrasound), and strengthening and stretching exercises intended to relieve pain by improving overall shoulder function. The type and focus of physical therapy depends on the underlying cause. Little evidence exists for the use of therapeutic modalities alone. A recent review showed that strengthening and stretching provide improved short-term recovery and long-term function in patients with rotator cuff disease. The success of physical therapy is optimal when the underlying diagnosis is known and the patient actively participates in the rehabilitation process on a daily basis.


If patients have a poor response to initial chronic shoulder pain treatment for their shoulder disorders then corticosteroid injections combined with a local anesthetic can be administered. The injection needs to be directed toward the affected area, such as the sub acromial space, acromioclavicular joint, or glenohumeral joint.

Pain management institute has been helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166


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Sciatica is a common pain condition which is marked by pain, tingling and numbness which often begins in the buttock and extends down the leg, all the way to your foot. Sciatica is the result of irritation or inflammation of the sciatic nerve.

The sciatic nerve is a nerve which starts in the low back at the site of spinal cord, extends through the piriformis muscle in the buttock and further branches down the back of the leg and into our foot.

Sciatica pain can be acute or chronic. An acute episode of sciatica may last between one and two weeks and usually resolves itself in a few weeks. Acute sciatica may eventually turn into chronic sciatica which is a life-long condition and it doesn’t currently respond well to treatments.

Reasons of chronic sciatica pain

Some usual chronic sciatica pain causes are;

  • Degeneration

Degeneration of tissues present in the lumbar spine is one of the chronic sciatica pain causes. It can irritate or contract the sciatic nerve. Degeneration of the facet joints can also cause the synovial tissue in the joint’s capsule to inflame and increase in bulk. Degeneration of vertebral bone may cause abnormal bone growths. These abnormally bulky tissues in the lumbar spine may cause compression of one or more nerve roots of the sciatic nerve. Degenerated intervertebral discs may secrete inflammatory proteins, causing inflammation of the sciatic nerve.

  • Spondylolisthesis

Spondylolisthesis is also considered as chronic sciatica pain causes, it occurs when a small stress fracture causes one vertebral body to slip forward on another. Sciatica might result from nerve compression following the disc space collapse, fracture, and forward slipping of the vertebral body. Spondylolisthesis causes bilateral sciatica and is more common in younger adults.

  • Lumbar herniated disc

Research suggests that up to 90% of chronic sciatica pain causes is lumbar herniated disc. The herniated disc typically compresses one or more spinal nerve roots that form the sciatic nerve.

A lumbar herniated disc can cause sciatica in two ways:

Direct compression: Direct compression of the sciatic nerve can occur when a lumbar disc bulges or when the soft inner material of the disc leaks out or herniates through the fibrous outer core and presses against the nerve.

Chemical inflammation: An acidic chemical irritant from the disc material known as hyaluronan leak out and cause inflammation and irritation in the area around the sciatic nerve.

  • Lumbar spinal stenosis

Spinal stenosis is the narrowing of the spinal canal and it is chronic sciatica pain causes which is relatively common in adults older than age 60. Research suggests that lateral recess stenosis commonly causing sciatica in the elderly population.

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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The cancer pain is usually constant. Most patients with advanced cancer and up to 60% of patients with any stage of the cancer experience significant pain. A person with well-managed pain has better quality of life. They are likely to sleep well and have more energy during the day. Being as active as possible also minimizes the risk of ailments like pneumonia, blood clots and bedsores, which are associated with immobility. The foundation of cancer pain management is regular medication, including opioid and paracetamol drugs, chosen to suit each person and to minimize side effects.

Pain management choices for cancer pain

The type of pain experienced influences the choice of cancer pain management. Some of the factors that influence the choices include:

  • The location of the pain
  • The severity of the pain
  • The type of pain such as tingling, sharp, or aching
  • Whether the pain comes and goes or is persistent
  • Which activities or events make the pain worse
  • What events or activities make the pain better
  • Current medications
  • How much current medications are able to ease the pain
  • The impact the pain has on lifestyle, such as poor quality of sleep or loss of appetite

Relaxation techniques in cancer pain management

Physical exercises and mental relaxation are part of cancer pain management because it reduces anxiety and also helps a person to better cope with pain. Your doctor may recommend reputable therapists or contact the professional association for your chosen therapy.

Helpful therapies are;

Hypnotherapy is the use of imagery to induce a dreamy relaxed state of mind. Hypnotherapy is also useful to ease some of the side effects of cancer treatment, such as nausea.

Meditation is deliberate clearing of the mind to bring about feelings of calm and heightened awareness. Meditation offers many long-term health benefits, such as reduced stress and blood pressure when practice regularly.

Massage is also a part of cancer pain management. It works by soothing soft tissue and in turn encourages relaxation.

Tai chi is a Chinese form of non-combative martial arts which consists of gentle movements to clear the mind and relax the body.

Breathing and relaxation; correct breathing, using the diaphragm and abdomen, can soothe the nervous system and manage stress.

Yoga is an ancient Indian system of postures synchronized with the breath.

Other pain management for cancer

Other techniques that may be beneficial to ease pain include:

Acupuncture is the ancient form of Chinese medicine and it involves inserting and stimulating fine needles into specific points of the skin. Acupuncture is an effective treatment in some pain syndromes, but there is little research looking at cancer pain.

Transcutaneous electrical nerve stimulation (TENS) therapy is another cancer pain management technique in which a minute electrical current is passed through the skin via electrode s, prompting a pain-relieving response from the body.

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When the term spinal surgery comes into our mind, we naturally thought about large incisions, long recovery periods, and painful rehab. Fortunately, surgical advances like the microdiscectomy spine surgery procedure have improved the process.

Microdiscectomy spine surgery is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of your herniated disc to relieve pressure on the spinal nerve column. It is also sometimes called microdecompression or microdiskectomy.

Who benefits from microdiscectomy surgery?

If you’re wondering that if you’re a candidate of microdiscectomy spine surgery or not then here are you answer. You are a candidate if you have any or more of the following symptoms;

  • Significant pain, numbness or weakness in your leg or foot
  • Leg pain (sciatica) worse than back pain
  • Symptoms that have not improved with exercise, physical therapy or any medication
  • Diagnostic tests (MRI, CT, myelogram) shows a herniated disc
  • Weakness in leg, loss of feeling in the genital area, and loss of bladder or bowel control (Cauda equina syndrome)

How surgery is performed?

As microdiscectomy spine surgery is performed through back so the patient lies face down on the operating table. Steps are as follow;

  • A 1 to 1½-inch incision is made in the midline of the low back.
  • The back muscles are lifted off the bony arch of the spine and moved to the side.
  • The surgeon is now able to enter the spine by removing a membrane over the nerve roots.
  • In some cases, a small portion of the inside facet joint is removed to facilitate access to the nerve root and to relieve any pressure or pinching on the nerve.
  • The surgeon may make a small opening in the bony lamina if needed to access the operative site.
  • The nerve root is then gently moved to the side.
  • The surgeon uses small instruments to go under the nerve root and remove the piece of disc material that have exude out of the disc.
  • The muscles are then moved back into place.
  • The surgical incision is closed and stereo-strips are placed over the incision to help hold the skin in place to heal.


Complications of microdiscectomy spine surgery

As with any other surgery, there are some risks and complications with microdiscectomy spine surgery which are;

  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
  • Nerve root damage
  • Bowel/bladder incontinence

Success rate of microdiscectomy spine surgery

The success rate for microdiscectomy spine surgery is generally high, with one extensive medical study showing good or excellent results overall for 84% of people who have the procedure done.

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Kyphoplasty treatment is minimally invasive procedure used to treat vertebral compression fractures of the spine. These wedge-shaped and painful fractures can be caused by osteoporosis and an injury. If they left untreated, they can lead to a humped spine or kyphosis. Kyphoplasty treatment helps correct the bone deformity and relieves the pain associated with spinal compression fractures

Candidates for kyphoplasty

You are a candidate of kyphoplasty treatment if you have painful vertebral compression fractures from any of the listed conditions;

  • Metastatic tumor (a cancer which spread from another area)
  • Osteoporosis (a lowering of calcium in bones)
  • Vertebral hemangioma (benign vascular tumor)
  • Multiple myeloma (bone marrow’s cancer)

One thing you should keep in mind is that kyphoplasty treatment will not improve old and chronic fractures, nor will they reduce back pain associated with stooping forward and poor posture. Kyphoplasty is significantly effective when it is chosen as soon as the first week after a fracture.

How kyphoplasty is actually performed?

You need to lie down on your stomach before kyphoplasty treatment has been started. The area in which the needle will be inserted is cleaned and sterilized and local anesthetic may be injected in the same place. Surgeon will then perform the following steps;

  • The surgeon inserts a hollow needle called as trocar into your skin. With the help of fluoroscopy (a type of X-ray) they guide the needle through your muscles and into the correct position in your bone.
  • Next they will insert an inflatable balloon into the trocar. The balloon is inflated to create the space needed for the bone cement.
  • Once the space has opened up, the mixture is injected to fill it up. Imaging tests will help the surgeon to confirm that the mixture is distributed properly.
  • After the cement is in place, the needle is removed.
  • The area is bandaged. Stitches won’t be necessary.
  • Your IV and monitoring equipment are then removed.

Time of procedure is depending on how many vertebrae is going to be treated. Kyphoplasty treatment usually takes less than an hour for treating one vertebra.

Restrictions you should follow after procedure

  • No exhausting activity for the next 2 weeks including yard work and housework
  • Avoid lifting or twisting and bending your back for the next 2 weeks
  • For 2 weeks after surgery do not lift anything heavier than 5 pounds
  • Do not drink alcohol for 2 weeks after surgery or while you are taking narcotic medication
  • Do not drive for 2-3 days. Once the haziness from anesthesia wears off you can resume driving

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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BOTOX® is the name of a toxin which is produced by the bacterium Clostridium botulinum. When used in large amounts, botox toxin can cause a form of muscle paralysis known as botulism, which is often usually associated with food poisoning. Even though one of the most serious complications of botulism is paralysis, scientists have still discovered a way to use it to the human advantage. Botox treatments which use small, diluted amounts of botox can be directly injected into specific muscles, causing controlled relaxation of the muscles.

Applications of botox treatments

Botulinum treatments are predominantly used to reduce the appearance of facial wrinkles and fine lines.

Beyond aesthetic applications of botox treatments, Botox is used to treat a variety of medical conditions, including migraines, excess sweating, eye squints and leaky bladders.

Botulinum toxin is presently used to treat over 20 different medical conditions, with more applications under investigation.

Botox treatments are currently approved for the following therapeutic applications:

  • Blepharospasm (spasm of the eyelids)
  • Idiopathic rotational cervical dystonia (severe shoulder and neck muscle spasms).
  • Chronic migraine
  • Severe primary axillary hyperhidrosis (excessive sweating).
  • Strabismus (crossed eyes)
  • Post-stroke upper limb spasticity Trusted Source.
  • Detrusor (bladder wall muscle) over activity – causing urinary incontinence Trusted Source.
  • Overactive bladder
  • Hemi facial spasm
  • Glabellar lines which are frown lines between your eyebrows
  • Canthal lines (crow’s feet)

What happens during the procedure?

For the procedure of botox treatments, the patient is placed in a somewhat raised position and the areas to be injected are cleansed with a nonalcoholic cleanser. The Botox is then injected into the desired or affected areas. It is common for pressure to be applied if an injected area seems to be bleeding after the botox injection. While ice is sometimes applied beforehand for comfort reasons, direct pressure is much more effective or beneficial than ice in order to control the bleeding and bruising.


Complications of the treatment

Botox treatments can cause some unwanted effects which include;

  • Mild nausea
  • Temporary unwanted weakness/paralysis of nearby muscles
  • Temporary upper lid or brow ptosis (drooping)
  • Weakness of the lateral rectus or lower eyelid (a muscle controlling eye movement)
  • Dysphagia – trouble swallowing
  • Neck weakness
  • Mild pain, local edema (fluid buildup) and/or erythema (reddening of the skin) at the injection site
  • Numbness
  • Headache
  • Malaise – feeling generally unwell
  • Flu-like illness
  • Brachial plexopathy – a condition affecting the nerves either side of the neck and chest
  • Gallbladder dysfunction
  • Diplopia (double vision)
  • Bleeding
  • Blurred vision
  • Decreased eyesight
  • Swelling
  • Fatigue
  • Hives
  • Dry mouth

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Spinal cord stimulation is a therapy which used to masks pain signals before they reach the brain by delivering low-level electrical signals to the spinal cord or to specific nerves to block pain signals to reaches to the brain.

Who is a candidate?

Patients selected for spinal cord stimulation usually have had chronic debilitating pain for more than 3 months in the lower back, leg or arm. They also commonly have had one or more spinal surgeries. You’re a candidate for spinal cord stimulation if you have;

  • Failed conservative therapies
  • You would not benefit from any additional surgery.
  • The pain is caused by a correctable problem and should be fixed.
  • You do not want further surgery because of the long recovery or risks associated with it. Spinal cord stimulation (SCS) sometimes can also be chosen over a large, complex spine surgery.
  • You are not suffering from untreated depression or drug addiction; these should be treated prior to having a SCS.
  • You have no such medical conditions that would keep you from undergoing implantation.
  • You have had a successful trial of SCS.

What happens during the SCS procedure?

During the procedure of spinal cord stimulation, a device that delivers the electrical signals is implanted in the body through a needle placed in the back near the spinal cord.  Then a small incision is made to place the pulse generator in the upper buttock. The patient may turn the current on and off or adjust the intensity of the signals.

Benefits of spinal cord stimulation technique

Potential benefits which spinal cord stimulation is offering are;

  • It improves the ability to participate in activities of daily living
  • Effective or beneficial for extremities, back, and/or leg pain relief
  • Gives power to manage your own treatment procedures


Risks of SCS

There is no surgery without risks. Specific complications associated with SCS are;

  • Battery failure and/or battery leakage
  • Cerebrospinal fluid leak
  • Persistent pain at the stimulator site or at the electrode
  • Allergic response to implant materials
  • Generator migration and/or local skin erosion
  • A pocket of clear fluid or seroma at the implant site. Usually seromas disappear by themselves but may require a drain
  • Lead migration, which often result in changes in stimulation and reduction in pain relief
  • Weakness, clumsiness, paralysis, numbness, or pain below the level of implantation

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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Patients who suffer from chronic low back pain and neck pain and who have not responded to common or usual pain management interventions such as medications and physical therapy may be candidates for radiofrequency lesioning.

The purpose of radiofrequency lesioning is to reduce or eliminate facet joint pain and related symptoms in the neck or low back. The procedure interrupts communication of pain between a specific medial nerve root (roots that supply the spine’s facet joints) and the brain.

Before RF is performed, the pain generating facet joint nerve is identified by means of a diagnostic injection, such as a facet joint or medial branch nerve block.  Other tests may include MRI.  Since the medial branch nerves do not control neck or low back muscles, it is not harmful to disrupt or turn off their ability to send pain signals to the brain.

Procedure of radiofrequency lesioning

Radiofrequency lesioning is done under fluoroscopic or X-Ray guidance to assist the precise needle placement. By using a special radiofrequency needle and microelectrode, the tissue at the site of pain is stimulated by a small radiofrequency current. That current will generate heat and blocks the pain pathways. Local anesthetic is used to numb the targeted area before the procedure begins.

Procedure can takes between 30 and 60 minutes depending upon the areas to be treated. The patient can go back to their home after the procedure.

Who benefits from radiofrequency lesioning?

The radiofrequency lesioning procedure is typically performed on patients with chronic pain caused by damaged peripheral nerves or sensory nerves and nervous tissue surrounding the central nervous system which is brain and spinal cord. Some particular conditions that fall under this category generally include:

  • Trigeminal neuralgia (chronic facial pain)
  • Occipital nerve neuralgia
  • Degenerative disc disease
  • Post-herpetic neuralgia
  • Complex Regional Pain Syndrome (CRPS), both type 1 and 2
  • Peripheral neuropathies
  • Coccydynia
  • Neck or back pain due to facet joint arthropathy

Advantages of radiofrequency lesioning

The radiofrequency lesioning disrupts nerve conduction like the conduction of pain signals and in turn it may reduce pain, and other related symptoms. Approximately 70-80% of patients among all will get a good block of the intended nerve. This should help relieve the part of the pain that the blocked nerve is controlling. Sometimes after a nerve has been blocked, it becomes clear that there is pain from the other areas as well.

Risks and complications

Possible side effects of radiofrequency lesioning are;

  • Infection
  • Low blood pressure
  • Headache
  • Allergic reaction to medication

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166


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