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2018-02-10

What hurts my shoulder?

The shoulder is the body’s most mobile joint and enables the arm to have a wide range of motion. This mobility allows us to perform daily tasks like reaching for a coffee cup, showering and answering the phone. However, the repetitive stress can wear down the shoulder muscles, tendons and ligaments, leading to varying degrees of pain and discomfort.

You can sense pain handiest whilst you flow your shoulder, or all of the time. The ache can be brief or it is able to retain and require clinical prognosis and treatment. Dr. Zaki Anwer, MD, explains some of the commonplace and reasons of chronic shoulder ache

Chronic Shoulder pain may arise when any of these structures emerge as irritated, injured or inflamed. Minor muscle lines, repetitive use injuries and repeated overhead motions inclusive of swinging a tennis racket

What are the most common causes of shoulder pain?

Once in a while, it’s far hard to inform the exact nature or supply of shoulder pain, but there are some common causes.

Rotator cuff tears

One common motive of  chronic shoulder pain is a tear of the rotator cuff, that’s made of the muscular tissues and tendons that hold the arm bone in the vicinity in the shoulder joint. Whist the rotator cuff is damaged, you may experience a shoulder ache or weak spot when transferring your arm.

Shoulder injuries

Shoulder impingement syndrome occurs whilst there may be immoderate pressure on tendons within the shoulder from the bones of the shoulder. This may be caused by repeated overhead interest which includes painting, lifting, swimming, tennis and different overhead sports.

Frozen shoulder

Frozen shoulder is a situation that causes aches and boundaries the shoulder’s variety of motions. Although a sole reason of frozen shoulder has but to be decided, specialists suspect it develops whilst the joint turns into inflamed and scar tissue bureaucracy. When this takes location, tissues inside the joint decrease and harden, making the shoulder more difficult to transport.

Osteoarthritis

Osteoarthritis happens when the cartilage that hold up the tops of the bones tears down. The damage of the shoulder causes swelling, chronic shoulder pain and sometimes the generation of bone spurs, when the bones at the end rub together

How long does shoulder pain typically last?

Chronic shoulder pain can last days, weeks, or even longer depending on the underlying cause. You might endure like a dull ache, or it may be sharp and jolting in a specific area. Pain may be restricted to your shoulder or perhaps spread down your upper arm. Applying ice, resting the shoulder and/or taking over-the-counter medications may provide potential relief from chronic shoulder pain

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Chronic-Pain

How an Intrathecal Pain Pump can help with Chronic Pain

The FDA has recently approved an Intrathecal pain pump delivery method of medications that may eliminate or reduce the need for structured Opoids

The basics about the Intrathecal Drug Delivery System

The Intrathecal pain pump is an implantable pump that provides targeted delivery for chronic pain and severe spasm. The Intrathecal pain pump delivers medications straight to the fluid surrounding the spinal cord, which Dr. Zaki Anwer, MD, says, provides relief at minimal dosage as compared to the oral medications in sufferers with chronic pain and severe spasm

The pain pump is designed to ease therapy management by providing physicians with perceptible aid and intuitive workflows

The most suitable candidates for the Intrathecal pain pump are the chronic pain sufferers, unmanageable pain and severe muscle contraction, other treatments have failed to provide relief and have endured unbearable side effects with medications

Reducing or Eliminating Systemic Opioid Use

Dr. Zaki Anwer, MD, at The Pain Management Institute, Chicago, Frankfort saysWith continuous Opoid crises the ability to minimize the use of structured Opoid and efficiently manage my patients with pain is more important than ever.”

He adds “The pain pump aids in simplifying the therapy management, enabling me to focus on providing my patients with pain relief through the Intrathecal delivery of medications so that structured Opioids are reduced or eliminated entirely”

How it’s performed

An Intrathecal pump is surgically implanted under the skin by an expert physician. The pump is implanted in the abdominal area, is linked with the catheter, which digs under the skin to a specific area where the medication is required

The therapy has been proven to be safe and effective when used as directed

  • Does not involve permanent changes to the spinal cord or nerves
  • Can be adjusted to dispense medication according to your activity level and pain patterns
  • Lets you try the therapy for a short period of time before committing to long-term therapy
  • Is reversible the therapy can be turned off, or if desired, it can be surgically removed

Conclusion

In addition to the usual risk of surgery and anesthesia at the time of introducing the pain pump and catheter tubes a variety of side effect may occur directly associated to the pump, the catheter mechanism, the drugs and the refilling process at the time of surgery or following the surgery when the pain pump remains in the position, patients are notified of the infection, failure to control pain development of spinal headache, spinal cord or nerve injury, drug overdose, or adverse reaction to the drugs and equipment malfunction can all occur at, or around, the time of insertion.

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chronic-migraine

Botox can work wonders for chronic migraine sufferers

Botox isn’t just restricted to treat wrinkles. More than 10 percent of the world’s population endures migraine headaches, and they can seek alleviation with Botox treatment

Chronic migraines, involve 15 headache days in a month or more, can be exceptional weakening. For such conditions Botox is the treatment offering life-changing relief, proving, Botox isn’t just for cosmetic purpose any further

“It’s worth trying for people who are having a hard time living with pain,” said Dr Zaki Anwer, MD, at The Pain Management Institute, “Some patients have no other choice.”

Stephen Robert is a chronic migraine sufferer, his headaches are extremely weakening. I was stuck in bed for weeks and was unable to work, I lost jobs because of my severe agonizing and was not able to enjoy quality time with my children when they were toddlers; told Dr Zaki Anwer

He endeavored with a host of medications, but nothing comforted him until he came to visit The Pain Management Institute, Dr. Zaki Anwer, MD. He treated him with Botox and his life was exceptionally changed. “The results are incredible” Dr. Zaki Said

He explained that Botox works on migraines by paralyzing the muscles for the time being. When people have migraines or suffer headaches specifically the covering of the skull, get irritated or inflamed. Additionally, the muscles shrink in the sense and they pull on the scalp, giving rise to pain symptoms “With Botox, what it’s geared to do is alleviate that and help in terms of relaxing those muscles,” said Dr Zaki

Dr Zaki carries out the Botox with very fine needles on the forehead, in the temples and back of the head as well as across the shoulders. Patients can have injection after the intervals of three months

The Botox for a significant number of patients have, have changed their lives and returned them what I believe is a key to spending quality of life, said Dr Zaki Anwer

“I have an entirely different perspective on life now, I’m up. I have now more quality time to spend with my children, I am efficiently working, and don’t miss days from work any more” said  Roberts

As for risks Dr Zaki Anwer explained

Dr Zaki Anwer says he is mostly comfortable with Botox procedures. Even if the toxin spread between the nerve cells, its very rare that may bring complications far from the injected site

“Complications are rare and when they occur typically involve the local spread of the toxin to cause paralysis of unintended targets, for example, eyelid drooping,” he said.

“To make it less scary, all toxins have a limited life,” said Dr. Zaki. “For most patients, regardless of how Botox is used, it will eventually be destroyed by the body.”

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microdiscectomy-surgery

How microdiscectomy surgery saved Michael Porter Jr. and helped him get back to competition

Porter has failed to hit all this season because of a back injury to which he had no other option than a surgery to correct. The surgery was a Microdiscectomy of the spinal disc and the team at the Pain Management Institute explains that Porter would take a couple of months to recover

What is Microdiscectomy?

Microdiscectomy surgery is also known as the micro decompression, and is among the most practiced minimally invasive spine surgery procedures. The main target of Microdiscectomy surgery  is to reduce the pressure off your  nerves to relieve your back pain

Traditionally, discectomies are carried out with an open technique. Your surgeon might make a comparatively large incision, involving the cutting your back muscles so that the view of your spine becomes quite clear. While this technique may bring you benefits, it can cause significant muscle damage and recovery is usually painful and slows down. Microdiscectomy surgery has the same goals as invasive discectomies, it removes the part of your intervertebral disc that cause pressure on your nerve and cause you pain

However, the microdiscestomy spinal surgery procedure is minimally invasive and take advantage of special instruments and visualization tools that allows them to make small incisions to minimize the risk of injury to your back  muscles. The results are quicker and less painful recovering

Porter talks about his injury, he remembers the injury first occurred about two years ago while he was playing he jumped and was hit in the air and came down to the floor flat on his back. The injury became worse in a few weeks causing debilitating pain. Porter and his parents planned to travel Chicago, Frankfort to visit the Pain Management Institute, where after a complete physical examination, they were given multiple options by Dr Zaki Anwer, Pain Management Specialist and Medical Director. And it was eventually decided that Microdiscectomy spinal surgery is the best option. Because of my severe back pain “I had forgotten what it is like to play normal”. “That’s why I’m blessed to have visited Dr. Zaki Anwer and had Microdiscectomy as because of the surgery, I’ll be far better than I was playing without those limitations”.

The patients undergoing Microdiscectomy Spinal Surgery primary need physical therapy as a way to recover soon. Porter said his physical therapy  includes not sitting for longer periods. Porter said “He believes he will recover soon from the back surgery and eventually be 150 percent fine”.

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fractures-Kyphoplasty

No more agonizing of compression fractures with Kyphoplasty

If you are burdened with a painful vertebral compression fracture and you live in Chicago, Frankfort then you are in a good fortune, there is where the prestigious Pain Management Institute by Dr Zaki Anwer, MD, for in- patient Kyphoplasty is located.

Research indicates, more than 750,000 patients suffer compression fractures per year in the United States, these fractures are more frequent than hip fractures, and usually brings prolonged disability

Until the present times doctors were restricted in how they could treat osteoporosis- caused spine fractures. Pain medications, plenty of rest and invasive spinal surgery were the sole choices. Now there is a potential therapeutic and preventive treatment for compression fractures which is called Kyphoplasty

“About 5 years  ago I was diagnosed with two compression fractures with severe pain. While I was in college and was operated.”

“The other fractured vertebral columns were silent until I was playing golf and the moment I felt that back pain, I remembered what it was. The same pain I endured a few years ago. The very same day I visited Dr. Zaki Anwer, MD, at the Pain Management Institute, at first he recommended some pain medications and also we tried some conservative treatments such as Physical therapy. A week later Dr. Zaki Anwer,MD, took an MRI and suggested that he would operate.

“Dr. Zaki Anwer, MD planned a different surgery that the one I had before. It was Kypholplasty, a minimally invasive surgery performed under general anesthesia. Dr Zaki Anwer, MD, made two small incisions in my epidural space with the guidance of an X-Ray placed a probe into the epidural space where the bone was damaged”.

“He penetrated the vertebra and placed a balloon on each side. The balloons were inflated with contrasting pigmentation until they got the desired height and then removed. The space he created with the help of the balloon was then filled with PMMA, an orthopedic cement, that helps bind the fracture. The cement hardened rapidly and  provided strength and stability to the vertebra, restoring height, and relieving my chronic  pain”

Explaining the major difference between spinal surgery and Kyphoplasty, Dr. Zaki Anwer said:

“Instead of making a large incision and cutting through the large back muscle, I make a small incision and use tubes, There is no cutting of the back muscle.”

The Kyphoplasty treatment option is suitable for compression fracture, relieving pain, stabilizing fractures, minimizing spinal deformity and consequences of untreated osteoporosis

Additional benefits of the procedures include:

  • Short surgical time
  • Only general or local anesthesia required
  • The Average hospital stay is one day (or less)
  • Patients can quickly return to the normal activities of daily living
  • No brace required

Talking about the risks Dr Zaki Anwer, MD, advised

It is vital that you must discuss about the potential risks, complications and advantages of Kyphoplasty with your Physician before receiving treatment and rely upon your physician’s diagnosis. Only your physician can determine whether Kyphoplasty is suitable for you or not

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chronic-back-pain

Are you enduring chronic back pain and lost hope?, here is what you need to know

After years of enduring tormenting chronic back pain and being told there was no probability of improvement CiaraCollins of New York finally got her happy days back, thanks to unique treatment she received at The Pain Management Institute. The excruciating pain was due to chronic nerve damage the 28 year old mother of two, encountered after several lower spine surgeries she has undergone five years earlier. Doctors informed her that there is no treatment that can help with the pain and she has to endure it for the rest of her life. The candle of hope lightened when Ciara met Dr. Zaki Anwer, MD, the Pain Management Institute, where she was implanted with Intrathecal Pain Pump to manage her debilitating chronic pain

Ciara had travelled to visit Dr. Zaki Anwer, MD, a pain management specialist, after loosing hopes by several other doctors. Dr. Zaki Anwer, MD, tried a few treatment options including injections and medications. However, after no results he suggested an Intrathecal pain pump trial, a procedure in which a small amount of Opoid pain medication is injected into the epidural space, the trial was exceptionally successful for reducing Ciara’s pain and Dr. Zaki Anwer, MD, referred her a permanent placement of Intrathecal Drug Pump at Pain Management Clinic

The Pain Management Institute is a collaborative, multidisciplinary effort to alleviate pain and restore function by application of technology and medicine,” says Dr. Zaki Anwer,MD, “For the suitable candidate the spinal cord stimulation or Intrathecal Pain Pump therapy can potentially reduce pain and improve the quality of life”

The Intrathecal pain pump therapy is a treatment option for patients enduring chronic pain that does not respond to other treatment options. The is a hockey puck sized that is surgically implanted into the abdomen and works by pumping medications straight the area where the spinal cord is found, also known as the Intrathecal Space. The medication then affects the pain receptors in the spinal cord and the brain to reduce the pain.

Since the medication is released continuously, it is much more effective than oral. Consequently, less medication is taken to manage the pain and the patients are likely to experience fewer side effects, such as nausea, drowsiness, constipation and mental fogginess

Following a successful surgery of having implants Intrathecal Pain Pump and weeks later refilled with medications, Ciara was finally able to manage her pain. She praises the dedicated yet sympathetic staff of the Pain Management Institute helping her get back her happiest days. “Dr. Zaki Anwer, MD, gave me something that I lost hope of, the light of hopes after a very dark period” said Ciara, “My words are limited to express how thankful I am to have an amazing Pain Management Specialist’s care for me”

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Intercostal-nerve-block

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-joint-injections-back-pain

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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stiff-neck

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-suffer

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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