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pain blog

Spinal cord stimulation for back pain relief

Overview

Candidates who have tried all the other traditional treatments and surgery and still experience back pain can have an option to once think of the spinal cord stimulation

Spinal cord stimulation proclaims minimal electrical stimulation to nerves along the vertebral column, altering or blocking the nerve activity in a distinguished manner  to reduce and sometimes eliminate the feeling of pain reaching the brain

The treatment was first used to treat severe back pain in 1967. Later it became medically approved by the FDA. The spinal cord stimulation is used to treat pain in the trunk, arm or legs

Spinal cord stimulation process is also called neuro stimulation, that is managed by gentle electrical vibrations to that interrupt with pain messages and divert them from reaching the brain, a small device is inserted near the vertebral column, the device has the similar function as the cardiac pacemaker, which can be called by some people as the pacemaker device for pain

The chronic pain conditions that respond well to spinal cord stimulation

The spinal cord stimulation is used to treat a number of painful conditions that include;

  • Failed back surgery syndrome
  • Cervical and lumbar radiculitis
  • Neuropathy
  • Complex regional pain syndrome
  • Other painful conditions that respond well to spinal cord stimulation process area;
  • Inflammation and scarring of the outer layers of the spinal nerves
  • Back pain that continues to the legs
  • Neck pain with or without arm pain
  • Complex regional pain syndrome
  • Angina pains

Trial Period

Distinctive of other treatment that requires surgery, spinal cord stimulation can be done as a trial for a few days before a candidate decides for implantation of the device and experience any negative effects, the experimental period is a part of two step verification process  to identify if the candidate is suitable for therapy, if the patient does not decide to continue with the treatment the device is taken out with the help of small incision which is covered with a bandage

The imaging test is necessary to be done because the spinal cord stimulation does not work for every individual, the people who are suitable candidates for the treatment experience almost half reduction in pain, and improved routinely task

Specialists who can perform spinal cord stimulation

The specialist who can well perform  spinal cord stimulation process can be

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pain blog

Selective nerve root block for diagnosis and back pain management

Overview

A selective nerve root block is a slightest invasive procedure that is done for the diagnosis and treatment of cervical pain, thoracic and the lumbar pain and other pain associated with the spine

The procedure involves injecting a local anesthesia directly into a certain targeted nerve of the vertebral column to help indicate the source of patient’s pain causes

When a spinal nerve root become inflamed or pinched it can cause back pain, additionally the, symptom might be felt in the upper or the lower area of the spinal cord

For instance;

  • Cervical spine nerve inflammation may bring pain, numbness and weakness in the neck shoulder and arms
  • Where as the thoracic nerve pinching can cause inflammation in the upper back and the lower back along with the chest wall and the ribs
  • The lumbar nerve root can cause pain and weakness in the lower back, hips, buttock and the legs
  • In some cases the source of patient’s pain cannot be identified even the physical examination and imaging may not be as helpful to identify which nerve is causing pain

The purpose of selective nerve root block is to disengage the nerve root that is the cause of discomfort to the patient, moreover the selective nerve root serves as the remedy to comfort various painful conditions

The Selective nerve root block is carried by injecting a local anesthetic along with steroids in the targeted nerve root. The local anesthetic numbs the nerve and the steroid helps to reduce swelling and discomfort, the medications are specifically directed at the nerve root.

The results of selective nerve root block may vary case to case as some nerve roots are very complex to treat due to their location and surrounding conditions

Conditions that are treated with selective nerve root blocks

The conditions that are commonly well treated with selective nerve root blocks include

  • Cervical pain
  • Lumbar nerve root pain
  • Failed back surgery syndrome
  • Shrinking of the spinal canal
  • Bulging intervertebral disc
  • Herniated disc
  • Arthritis

Conclusion

A selective nerve root block is less invasive therapy that can potentially diagnose and treat many symptoms that result from spinal nerve root inflammation. These procedures are considered safe and beneficial therapy for several chronic pain conditions

The desired results can be observed within days to months, the selective nerve root therapy can be repeated if required

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Symptoms, causes and treatment of musculoskeletal pain

The pain that affects the muscles, ligaments, tendons and bones is referred as musculoskeletal pain.

Causes of musculoskeletal pain

There are several different causes of musculoskeletal pain, muscles and tissues can be damaged with the daily activities. Jerking movements, sudden falls, fractures, spasms, dislocations and direct hit to the muscles can cause musculoskeletal pain. Other causes may include posture strain, repetitive movements, excessive use and continued confinement, poor posture and poor workplace setting may bring vertebral alignment problems and muscle contraction, therefore causing pressure on other muscles and affecting their function causing severe pain, since pain is the most common indication of most musculoskeletal disorders. The pain varies from mild to severe and from acute to chronic and if stays for a long time can diffuse to other organs

Musculoskeletal disorder often causes pain by pinching nerves, these conditions may include carpal tunnel syndrome, the pain causes a burning sensation and diffuse along the nerve path, accompanied by tingling, weakness and numbness

In some cases the muscle pain is often a consequence of dysfunction of other organ systems

What Are the Symptoms of Musculoskeletal Pain?

The symptoms of musculoskeletal pain are accompanied with pain in the whole body as muscles are excessively used or pulled, sometimes the muscles seems to shiver or become inflamed, the symptoms may vary from person to person but the common symptoms are;

  • Pain
  • Fatigues
  • Sleep disorders

How the pain is diagnosed?

Your physician will conduct a thorough physical examination and medical history, additionally the doctor will  conduct a diagnostic study to confirm the diagnosis

 Testing

  • Blood tests
  • X-rays
  • Magnetic resonance imaging (MRI),
  • CT scans
  • Joint fluid testing

 

How Is Musculoskeletal Pain Treated?

Several manual therapies and mobilization techniques have been used to treat people with spinal arrangement problems, for the acute musculoskeletal pain these manual techniques have been very effective and showed rapid results

Medications such as NSAID may be used to treat inflammation, sensation and pain

Other treatments may include:

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botox

Botox treatment in a nut shell

Botox treatment has been proved an astonishing mediation for naturally occurring aging signs somehow the early aging signs also occur due to excessive expressions such as forehead frown, smile lines gleaming from the corners of your eye. These wrinkles and lines can be controlled and treated with the help of micro doses of Botox treatment your face can get it youthfulness back. Treating with the expert physician Botox treatment can work wonders

There is a misconception regarding the Botox treatment as it becomes alarming to the individuals, that Botox paralysis the face muscles as it contain Neurotoxin since the last 3 decades Botox treatment have been proven as the best anti aging medicine, working in good faith

How the Botox is done?

Botox treatment is very simple, it will be started by a physical examination of your face by asking you to give some expressions such as frown, looking up, smile, curl your nose, make a sad face, whistle, grind your teeth, and other expressions. After a thorough examination of your facial expressions the physician will acknowledge you about the vital areas that contribute to aging faster. After the examination the physician will draw a personalized treatment plan

Once the treatment plan is outlined skin is cleaned and local anesthesia is applied on the area to be treated. A very thin needle likely to be an insulin needle is injected to deliver the correct amount of dosage in the contracted muscles. The process takes 20 to 40 minutes to be completed

Is the Botox treatment painful?

After the application of anesthesia, most individuals can tolerate with the needle pricks well. Botox medications when injected into the affected area can cause a slight burning sensation and pressure, most candidates interpret as uncomfortable and not painful. For sensitive patients numbing cream with local anesthesia to minimize pain

What are the common side effects?

Side effects with Botox treatment are minor if taken under the guidance of an expert physician. After the procedure the injected might look light scars, which can be cured within 20 to 30 minutes. Other side effects may include risks of bruising, which will last 4 to 5 days. To minimize the chances of bruising it is recommended to avoid blood thinners, vitamin E, green tea, fish oil supplements etc.

If injected in the wrong area Botox can cause the lid to fall off or droopy eyes, moreover injecting in the wrong muscles can cause facial disfigurement

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pain blog

PRP: A New Treatment for Carpal Tunnel Syndrome

Carpal tunnel syndrome is a nerve ailment indicated by pain and weakness in the hand and weakness. It expands from problems in a nerve and in the wrist, though the exact cause is still not discovered
Platelet rich Plasma therapy is a gifted modern treatment for Carpal tunnel syndrome and other ailments such as arthritis and tennis elbow

Understanding Carpal Tunnel Syndrome

As our wrists are complicated yet flexible joints that allow us to do everything, when these joints become painful our movements become restricted in a way that we cannot accept, even the smallest task as for typing or even holding a steering wheel can be extremely painful

The median nerve controls sensation and mobilization in your thumb and the first three fingers exclusive of the little pinky

Anatomy of median nerve

As other tendons and muscles the median nerve passes from your lower arm into your wrist through the cavity called the carpal tunnel, the carpal tunnels are the space underneath the muscles that links the bones where the palm and wrist meets

A disorder of the ligament can cause swelling, irritation and pushed carpal tunnel. The tissues around the median nerve to get inflamed and causes pain, pinching and increase immobility of the wrist and hand. Early symptoms can be reversible as with time the carpal tunnel syndrome becomes more rigid and causes permanent nerve damage

Carpal tunnel syndrome is more often associated with poor workplace conditions, however, other underlying causes may be associated with medical conditions such as

  • Diabetes
  • Hypothyroidism
  • Osteoarthritis (OA)
  • Rheumatoid arthritis (RA)

PRP as a Carpal Tunnel Treatment

 Platelet plasma therapy is a proven regenerative medicine that uses your own blood to heal the injuries and degenerated tissues

The procedure is carried by taking a small amount of blood from the patient’s body and processing I into a high speed centrifuge in order to multiply the growth factors and make it plasma rich. The process only takes 15 minutes to separate the growth factors from the blood and platelet rich plasma is formed

The PRP is then injected into the affected area that not only heals, but also regenerates the damaged tissues

PRP guarantees the treatment of nerve disorder or pinched nerves specifically in the case of carpal tunnel syndrome. The PRP therapy is efficient in addressing carpal tunnel syndrome even if it is 12 weeks older

Since the PRP is obtained from your own body there are the least chances of allergic reactions and non acceptance of the body. Moreover the patients are exposed to less risks, less recovery time and guaranteed result

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pain blog

Reasons to consider Stem Cell Therapy for Arm Pain

Types and causes of your arm pain

Rotator cuff injury

Rotator cuff injury can be

  • What causes a rotator cuff injury?
  • Rotator cuff injuries can range from mild to severe. They tend to fall into one of three categories.
  • Tendinitis is an injury caused by overuse of the rotator cuff. This causes it to become inflamed. Tennis players, who use an overhead serve and painters who have to reach upward to do their jobs commonly experience this injury.
  • Bursitis is another common rotator cuff injury. It’s caused by inflammation of the bursa. These are fluid-filled sacs that sit between the rotator cuff tendons and the underlying bone.
  • Rotator cuff strains or tears are caused by overuse or acute injury. The tendons that connect muscles to bones can overstretch (strain) or tear, partially or completely. The rotator cuff can also strain or tear after a fall, a car accident, or another sudden injury. These injuries typically cause intense and immediate pain.

What causes arthritis?

Cartilage is a firm but flexible connective tissue in your joints. It protects the joints by absorbing the pressure and shock created when you move and put stress on them. A reduction in the normal amount of this cartilage tissue cause some forms of arthritis.

Key points

  1. Numbness, tingling, and pain in your thumb and the first three fingers of your hand are common symptoms of carpal tunnel syndrome.
  2. The pain in your carpal tunnel is due to excess pressure in your wrist and on the median nerve.
  3. Carpal tunnel syndrome can be made worse if the wrist is overextended repeatedly.

What is tennis elbow?

Tennis elbow, or lateral epicondylitis, is a painful inflammation of the elbow joint caused by repetitive stress (overuse). The pain is located on the outside (lateral side) of the elbow, but may radiate down the back of your forearm. You’ll likely feel the pain when you straighten or fully extend your arm.

What Is a Dislocation?

A dislocation occurs when a bone slips out of a joint. For example, the top of your arm bone fits into a joint at your shoulder. When it slips or pops out of that joint, you have a dislocated shoulder. You can dislocate almost any joint in your body, including your knee, hip, ankle, or shoulder.

Since a dislocation means your bone is no longer where it should be, you should treat it as an emergency and seek medical attention as soon as possible. An untreated dislocation could cause damage to your ligaments, nerves, or blood vessels.

However, when tissues are injured, the degenerative process exceeds this regenerative process, resulting in structures that become weaker, painful and less functional. While there are several types of stem cells, those that are best at promoting musculoskeletal healing (tendon, ligament, cartilage and bone) are found in bone marrow. These mesenchymal stem cells, or MSCs, are essential to successful patient outcomes

  • The human body keeps a supply of stem cells available to help repair injured and degenerated tissues at all times, making it fairly simple to retrieve them for therapeutic purposes.
  • As stem cells remain in reserve, in the marrow cavity of your bones, we have found the easiest place to harvest these stem cells is from the back of the hip area (iliac bone).
  • Procedure is done in the office, under ultrasound or x-ray precision and guidance.
  • Patients lay face down as the doctor thoroughly cleans the area before numbing the skin and bone.
  • A special needle is inserted into the bone to withdraw marrow blood, which contains the stem cells. Note: This procedure is not like a bone marrow biopsy nor is it at painful as one. This harvesting procedure is well tolerated by patients and not considered difficult as many patients claim it is not painful.
  • After bone marrow blood is drawn, it is taken to our onsite Regenexx laboratory and centrifuged to concentrate and purify the stem cells while other cells that are not needed are removed, leaving a concentrated sample of stem cells used to help heal your injury.
  • The entire process is done by hand to enable customized designing of the stem cell specimen for your particular injury.
  • A preparation of your concentrated platelets are also gathered at this time for injection into the injury site to release growth factors that “turn on” the stem cells that will later be injected.
  • These platelets are injected again 3-5 days later to
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pain blog

PRP: An improved cure for Carpal Tunnel Syndrome

Introduction

Carpal tunnel syndrome or CTS is a nerve disorder indicated by severe pain and feebleness in the arm or wrist. It begins from the complication in the nerve of the wrist, though the actual cause is not yet determined

Platelet rich plasma treatment is a gifted modern therapy for CTS and several other causes of joint disorders including osteoarthritis and tennis elbow

What is carpal tunnel syndrome?

Our wrist is complicated yet bendable joints that facilitate us to do everything, when the nerve is damaged, our actions are restricted  even if it is a slightest move

Carpal tunnel syndrome is a wrist pain originator, and is caused by stress on the median nerve in your wrist, the nerve is responsible to control the sensation and feeling in the first three fingers and thumbs however the little pinky is not linked with the median nerve

The Carpal tunnel is a cavity in your lower arm under the tendons that connects the bones of the wrist to palm

Soreness in the tendon may cause inflammation and swelling and which in turn pushes down the carpal tunnel, when the tissues around the nerve swells, it puts pressure on the median nerve thus resulting in restricted movement in the hand

Earlier nerve damage can be treated and overcome, however with time goes on nerve damage can become permanent

Recent research prose that Carpel Tunnel Syndrome are mostly caused by poor working conditions or other causes may include

  • Diabetes
  • Hypothyroidism
  • Osteoarthritis
  • Rhuematoid arthritis

PRP as a Carpal Tunnel Treatment

Platelet-rich plasma therapy, is an approved medication technique that uses one’s own blood to treat any injury or disorder

The therapy includes taking up a small amount of blood and depositing it immediately into a rotating centrifuge. The centrifuge separates the plasma from the blood and produces it platelet rich plasma. The produced element is then injected into the place of injury, as the platelet rich plasma is full of growth factors it facilitates healing process rapidly

PRP shows guarantee in treating carpal tunnel syndrome. Recent findings have shown that it is efficient in regulating median nerve injury within 12 weeks after nerve injury

As in as platelet rich plasma comes from your own blood there are the least chances of rejection or allergic reactions of the body. The PRP brings quick recovery, least risk factors and promising results

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pain blog

Purpose of occupational health care

Health determinants

Societal factors as in as, working for a living, tasks, economic status are necessary health making elements and having an employment shows an individual’s capacity to function as a component of their overall health condition. Consequently the capacity to progress with activity and being efficient affects the economic status of a single  person, family, communities and nations.

Occupation facilitates earnings, social circles and resources to fulfill health needs and enlightens self esteem and is a fundamental fringe benefit for health and prosperity

As workplaces and health are complicatedly linked and paying proper attention is important for society and individuals. Physicians need to give suitable combinations to work outputs and management of health conditions to make perfect working ability

The basic occupational health care elements include;

  • Training of primary health care professionals to understand early work related ill health, to encourage about making better working conditions, to support get back to work and conserve and build up working ability
  • Connecting occupational care centers under primary care networks and specifying mutual training and occupational knowledge to promote combination and continuation of occupational care
  • Making financial assistance to humans as well as technology along with improvement of work related guidelines
  • Improvement of research and practical approach
  • Establish plans at national level for the health and safety of the workers involving professionals of occupational care and important bodies of the society

Principles for integrating occupational health care in primary health care

  • The health of workers is a portion of commonly accepted health and life
  • The occupational care authorities should promote strategies to fulfill the health needs of the workers
  • In a campaign for universal occupational care first the needs of the individual workers should be fulfilled who are the greatest risks
  • While making decisions all the employee communities or the individuals having interest should be involved
  • Training involving occupational care should be part of health care professional training
  • Workers should be given empowerment and encouraged to make decisions regarding their safety and health conditions

Drawbacks

Usually occupational care is established as self operated service resulting in loss of progress and collaboration and poor application

Conclusion

By making occupational care as a part of the management puts occupational health care in excellent position and early detection of health related problems, preventing long term sick leave, reduced efficiency and work incapabilities. Moreover, patients trust more of their employers in funding for occupational care

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pain blog

What is causing your neck pain?

The neck is made up of the spinal cord that lengthens from the head to the upper body. The discs in  the spinal cord are called cervical disc the main function of  these discs are to absorb any sort of trauma or bump. The bones, tissues and muscles of your neck allows movement. The neck pain is caused by the  damage of these ligaments and bones or in same causes the shocks received by these parts

People experience neck pain or stiffness in many cases due to bad stance or excessive use. However, in many other cases the pain can be caused by a severe injury or trauma

Usually, neck pain is not due to crucial illness and can last in a couple of  days. If you experience your neck pain more than a week and it is accompanied with other symptoms, visit your doctor immediately

Causes of neck pain

There can be several reasons for a stiff neck or chronic neck pain

Muscle spasm or sprains

The muscle spasm can be caused by the  activities or attitude of an individual .

These activities might include;

  • Bad stance
  • Working in the same position while sitting at the desk
  • Sleeping in an inappropriate gesture
  • Bouncing the neck during exercise

Injury

The neck area is exposed during the injury or sudden falls, or accidents where the ligaments of the neck area are forced to expand than their normal capacity. In any case, if the cervical disc is injured it will also damage the spinal cord

Heart attack

Neck pain can also be an indication of heart attack, in case of heart attack other symptoms are also experienced such as;

  • Breathing difficulty
  • Abnormal Sweating
  • Nausea
  • Vomiting
  • Jaw pain
  • Arm pain

If any such symptoms arise you need to immediately call an ambulance or visit the emergency

Meningitis

Meningitis caused  by swelling of  thin  tissues around the brain and the spinal cord. People with Meningitis usually experience stiff neck and fever, headaches. It can be a fatal disease, if you experience any such symptoms seek emergency treatments

Other causes

Other than the above, there might be the causes that increase neck pain

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pain blog

Arm pain causes, symptoms and treatments

There can be several reasons that cause your arm pain, it might be injuries, nerve compressions trauma attacks or joint disorders, along with these reasons,there are several routinely activities including sports typing, lifting heavy objects and excessive workouts that cause your arm pain

Symptoms that are attached to arm pain

  • Burning
  • Ticklish
  • Feebleness
  • Stiffness
  • Inflammation
  • Limited range of motion

Causes

Possible causes of arm pain include:

  • Broken arm
  • Broken wrist/broken hand
  • Bursitis
  • Carpal tunnel syndrome
  • Cervical disk herniation in the neck
  • Dislocated elbow
  • Pinched nerve
  • Rheumatoid arthritis
  • Rotator-cuff injury
  • Sprains and strains
  • Tendinitis
  • Tennis elbow

Treatment

Treatments may range from traditional home treatments to medications and surgery if required

People who suffer from nerve damage or pinched nerve in the area of the arm, wrist or elbow, they should  prevent continuous movements and take significant gaps

Applying an ice  pack on the swollen  arm or wrist can be a better remedy if the pain and inflammation is due to excessive workout and exertion

However the treatment of arm pain depends upon the cause behind in case of infections and joint inflammation can be treated with antibiotics and anti inflammatory drugs

Joint pain or bone damage can be treated by wearing a sling, resting the arm in the correct position and pain killers are advisable in extreme cases surgery is recommended

By following this approach you can relive your arm pain noticeably, and don’t forget the acronym RICE

Rest; you need to take a rest from your daily activities

Ice; treat the swollen areas with an ice pack at least thrice a day

Compression; use slings and compression bandages to reduce inflammation

Elevation; place the arm in an elevating position

If an immediate chest pain and arm stiffness is experienced this may lead to symptoms of heart attack and you need to immediately consult your doctor, and avoid driving to the hospital in such condition

See your doctor right away

If you feel chest pressure along with arm pain and discomfort in breathing, this pain can lead to angina.

Angina is a type of pain that occurs with lower blood flow towards your heart resulting in heart attack

Sudden injury or accident in which you feel a crack sound

If your arm has become immobilized

Weakness or numbness in your arm

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