Welcome to Pain Management Institute

To make an appointment for any of our locations, please call

All Posts in Category: Blog


Understand the neurological movement disorder

There is a group of the nervous system in human bodies which deal with the body movements and send signals from the brain to different the body part. However, there are also some nervous system diseases which cause movement disorder. The movement disorder can be of various forms. The outcome of the disorder can be in abnormally increased movements of the body parts, or it can reduce the speed of the movements. Some common movement disorders are cervical dystonia and Parkinson’s disease. However, there is a lack of awareness of these diseases which is why the treatments of these diseases are also limited. Cervical dystonia is a disease in which the contraction of the muscle of neck twist the neck toward one side or it causes the head to move forward and backward on its own. The patient loses control of the movements of their neck. Not only this, but this disease also cause severe and unbearable pain in the neck.  Parkinson’s disease is also linked with the nervous system of the human body. In this disease actually, the motor system of a human body gets affected. This disease actually impacts negatively on the cells present in the brain to produce dopamine.

Symptoms of the diseases

The cervical dystonia and Parkinson’s disease impact different parts of a human body and cause different movement disorder which is why the symptoms of these diseases also differ from one another. The symptoms of the cervical dystonia are eye muscle contraction, change in the voice quality and sound turns into whispering, repetitive movements due to cramps in hands and arms, movement of chin towards the shoulder, uncontrollable movement of the ear towards the shoulder, chin straight up, movement of chin downwards. The minimum age which is more susceptible to this disease is 30. It can also be genetic.

On the other hand, the symptoms of Parkinson’s disease do not occur suddenly. The symptoms start getting more prominent as the disease start getting worse. Only symptoms which appear at the early stage of the disease are tiredness and irritation. However, as the disease starts getting serious, the patient start having a controllable and constant tremor in the whole body of some specific parts such as feet, fingers especially forefinger and thumb, or in hands. This disease mostly reduces the speed of basic body movements like walking or leaving the bed. In worse condition, the patient’s vision also gets affected. The symptoms of the disease keep changing or getting prominent at every stage.

Suggested treatment

For decades, there were no proper treatments for cervical dystonia and Parkinson’s disease. Doctors use to control severe pain through medication.  However, it’s most appropriate and effective treatment has been found out in the form of Botox. During the treatment, doctors inject Botulinum toxin in the body or in the damaged part of the body to control the movements.

To get further information please contact the specialist and consultants for pain management. Please call on 815-412-6174.

Read More

Understand lower back pain in medical term

The term lower back pain is not hard to understand, however, the fact most people do not know about is that people complain about different types of back pain. Many People ignore this pain by considering it common or conventional, the fact is it leads to disability. As per the estimation conducted by the American chiropractic association (ACA), there are at least 54% of individuals around the world who are now disabled because of their constant back pain and lack of medical attention. The ratio reached its peak in the year 2015. There is at least one-third of the American population which complaints about lower back pain and back pain. The quantity of the patients with back pain and lower back pain is expected to grow in coming years and the growth is estimated to be at least 80%.

These facts point out that the conquering lower back pain is important as soon as possible with the most appropriate treatment. However, to understand the suitable treatment, evaluation of the form of the lower back pain is important. The symptoms of the disease are going to lead towards the right direction, however, to be sure, the doctor would recommend a few lab tests such as CT scans and x-rays.

Below are some forms which cause lower back pain especially in sitting position

Weakness and muscle strain

These are the most conventional causes of lower back pain. Every human body has cure muscles present sides, in buttocks, hips, back, and abdomen. Body weakness effects these core muscles the most and weakens them. Weakness reduces the strength of these muscles to support the spine which results in severe pain which keeps increasing with time. Once weakened, these core muscles cannot even bear simple regular activates especially like aerobics and stretching. These exercises and some other sudden movements cause muscle strain. Affected people may not feel the pain immediately, however, they would definitely feel it while sitting.

Degenerative disc disease and lower back pain

The problem of the degenerative disc is very common in older people. The term degenerative disc disease is also known as DDD. It mostly starts at the age of 40. There are at least 40% of people at the age of 40 who have this disease. Lower back pain mostly points out towards limber Degenerative disc disease. There was a time when surgery was the only way for conquering this disease, however, it is now being treated by stem cell therapies and PRP treatments.

Sciatica and lower back pain

There is two reasons for people to have sciatica which are lumbar disc and herniated disc. The pain in the sciatic nerve cause sciatica. The pain starts from the starting point of the nerve which is spine and goes towards the back of the legs. The ratio of patients complaining about sciatica is increasing with time. People who have a habit of smoking are comparatively more vulnerable to sciatica. There are few remedies and exercises which individuals can use for conquering lower back pain caused by sciatica, however, to resolve the issue completely and fully, there is definitely a need to get medical treatments like PRP therapies and stem cell therapy.

Call on 815-412-6174 to get guidance on lower back pain management from most experienced consultants. 

Read More
Doctor Richard Erff, chief of the Carl R. Darnall Army Medical Center Pain Clinic, administers cervical epidural steroid injections to Spc. Michael Ryan, who suffers from chronic neck and back injuries. Ryan’s pain stems from a traumatic brain injury he received while deployed to Iraq. (U.S. Army photo by Patricia Deal, CRDAMC Public Affairs)

Understand the chronic pain management measures

The word Botox is being used and understood for decades now.  The Botox treatment has been accepted largely and it is being used to treat various medical issues. The Botox Treatments for Chronic Pain are especially useful in the medical field. It is being used as a measure of chronic pain management. Still, there are many who do not know what the work Botox actually mean. In a Botox treatment, the specialists use the Botulinum toxin. The Botulinum toxin assists in relaxing the muscles. The Botulinum toxin relaxes the muscles by reducing the hyperactivity of the muscles and also helps in managing the muscular pain.

Reasons to use Botox treatment

The Botox treatments were used for the first time in 1817 by Justinus Kerner. He treated strabismus by using BTX-A. From that time until now, the Botox treatments are being used largely. The Botulinum toxin works as a pre-synaptic blocking agent for neuromuscular. The Botulinum toxin starts denervation of chemical so that it can suppress the process acetylcholine secretion which occurs on the ending nerves of a human body. However, to make to increase the effectiveness of the Botox Treatments for Chronic Pain management, it is important to inject only a specific and appropriate amount of Botulinum toxin in the muscle. The low amount will reduce the effectiveness of the treatment and high amount has dangerous side effects. An appropriate amount of the Botulinum toxin does not paralyzes the glandular tissues still contract them enough to reduce their activity.

How Botox works for chronic pain management

The Botox treatments to treat chronic pain, however, the treatment works the most when it is combined with the physical therapy. The Botox treatments reduced the muscle contraction which can occur in the result of the number of treatments. The treatment has proved curable for all kinds of chronic pain, however, it has proved most efficient for chronic pain of the neck. This treatment is useful for the forms of pain which are directly or indirectly link with muscles. The nerve terminal membrane is the reason which makes the Botox Treatments for Chronic Pain effective. There are some accepters of the nerve terminal membrane which make the Botulinum toxin useful for the cholinergic nerves relaxation. The Botox treatments for chronic pain treat chronic back pain as well.

Below are the medical issues which can be cured by taking the measure of Botox Treatments for Chronic Pain relief.

Forms of Chronic Pain treated by Botox

There are various medical issues which have been treated by Botox including headache, cervical and scapular pain syndrome. There are medicines which are being used to treat myofascial pain syndrome, however, these medicines take too much time to cure the disease. Botox, on the other hand, take relatively less time. The treatment takes 2 to 3 months to cure Chronic Pain. There are some side effects of the treatment which are fatigue, headaches, and muscle pain.

Read More

Carpal Tunnel Syndrome and its effective treatments

Are you having wrist or hand pain and unable to understand the reason? The chances that you have Carpal Tunnel Syndrome are higher so rather than panic, you need to take the most immediate step which is to contact a consultant. The Carpal Tunnel Syndrome occurs when the median nerve gets squeezed from the point where it is passing from the wrist. The squeeze to the tunnel occurs with the swell of the wrists which presses the nerve and cause pain or tingle in the hand and wrist. The intensity of the pain increases in the night even more and also cause numbness.

Below are some symptoms which will help you in evaluating whether the pain you are having in your hand is the result of Carpal Tunnel Syndrome or not or whether you need to go through Carpal Tunnel Syndrome treatment.

Common symptoms of Carpal Tunnel Syndrome

  • Constant pain in the thumb is the main symptom of the Carpal Tunnel Syndrome.
  • You would continuously feel tingling in hands
  • Increased pain of Carpal Tunnel Syndrome turns into burning sensations in hands.
  • As the problem gets severe, it gets hard for people to use their hand properly especially for the tasks for which they need to use extra pressure of hands.
  • Hands become weaker and start swelling.

Women are more prone to have this syndrome than men and it mostly happens in the age of 30 to 60. There are some activities which lead to this issue including smoking, obesity or overweight, and specific hand movements which are common in manufacturing and such other jobs. If you are in manufacturing department where you are required to put pressure on your hands, it is important for you to use self-care as Carpal Tunnel Syndrome treatment, however, self-care is also important for hands in case you have diabetes which also causes Carpal Tunnel Syndrome.

Taking Carpal Tunnel Syndrome measures

Prevention methods are better than Carpal Tunnel Syndrome treatments so you need to implement effective changes in your lifestyle if you want to present its occurrence. There are diseases which leads to the occurrence of Carpal Tunnel Syndrome such as high blood pressure, diabetes, and arthritis. If you have any such conditions, you need to get the proper medication to prevent further injuries.

You also need to improve your lifestyle and add healthy food items in your diet plans. Giving attention to the hand movements and postures is also important. Physical exercises are very useful to prevent Carpal Tunnel Syndrome.

Effective clinical treatments for Carpal Tunnel Syndrome

Before starting Carpal Tunnel Syndrome treatment, the doctor needs to conduct a physical exam of the patient in which he judges the sensations in the fingers and strength of the hand. He also bands the wrist of the patient to understand whether there are symptoms for the syndrome or not. X-rays reports evaluate whether there are any internal causes which can lead to this Syndrome or if the patient has arthritis or not. There are anti-inflammatory drugs which are being used as Carpal Tunnel Syndrome treatments. These drugs relieve the pressure from the nerve and reduce the welling. Some doctors also treat it with open surgery and Endoscopic depends on the requirement of the syndrome.

Read More

Find Out the Cervical Dystonia Natural Treatments

When it comes to cervical dystonia, it is a neurological movement condition that takes place in the form of unintentional muscle spasms and contractions. On the other hand, when it comes to cervical dystonia, there may be diverse causes which could incorporate genetics, strokes, oxygen deficiency, infections, medicine side-effects, brain tumors, nerve damage, brain injuries and specific medical disorders. Moreover, there are cervical dystonia natural treatment alternatives accessible that could turn out to be useful.

On the other hand, symptoms of cervical dystonia include troubled posture, rapid blinking, oddly turned neck, unclear speech, muscle issues, inconvenience swallowing and inability to walk properly. There is a range of cervical dystonia natural treatment options accessible that may work in a manner to help lessen the ill effects of dystonia and regain the quality of life.

Cervical dystonia natural treatments have the potential to help appropriate muscle function and support nerves. The natural treatments, in this case, work in a manner to help in the right direction of cervical dystonia or uncontrollable torticollis. For this situation, lysine, magnesium and iodine are the feasible pieces. The decline in the use of sugar is additionally helpful.

  • Lysine

This is one of the noteworthy amino acids that work in a manner to mitigate the condition. It works in a manner to reduce the level of tension in an individual and grows the level of serotonin. The troubling condition would have the capacity to be brought under control with the help of using lysine.

  • Magnesium

This is a valuable supplement which works in a manner to help in the condition of cervical dystonia. In view of the fact that magnesium is another key supplement required for natural body function. It regulates blood pressure.

  • Iodine

This is another essential piece which is valuable in the condition of cervical dystonia. It works in a manner to throw away the toxins from the body along with control the nervous system.

Valuable Vitamins In The Case Of Cervical Dystonia Natural Treatment

  • Vitamin B-12

This works in a manner to expand the immune system, additionally helps in the recuperating process, relaxes up tense muscles and empowers the body to deliver a myelin sheath.

  • Vitamin D

This supports in nerve communication, help the immune system, relaxes tense muscles and passes on blood and oxygen to nerves and muscles.

  • Vitamin E

This is basically an antioxidant that works in a manner to help the immune system and protects the body from viral infections, toxins, pollutants and viruses that can work in a way to trigger dystonia.

Read More
Free picture () from https://torange.biz/fx/botox-effect-hard-light-very-80899

How Does Botox® Injections Treat Chronic Pain?

Not many people are aware of the fact that there are Botox® treatments for chronic pain. Botox® injections are utilized not exclusively to reduce fine lines and wrinkles, but in addition, for chronic pain management, including back and nerve pain. In this case, chronic pain control and other alternative uses for BOTOX ® injections have appeared how versatile and compelling this treatment is.

Whether Botox® treatments for chronic pain or cosmetic applications, the diverse advantage of BOTOX® injections is its capacity to treat a particular target area. Doctors using Botox® treatments for chronic pain (including back and nerve pain) can enable patients to live in good health, progressively comfortable lives. Utilizing Computed Tomography (CT) with an objective to discover precisely where the pain is taking place, doctors can use pain control procedures that precisely focus on those muscles or group of muscles. Once the source of the pain has been identified, Botox® treatments for chronic pain are directed with an objective to treat chronic pain.

Candidates for Botox® Treatments for Chronic Pain

Botox® treatments for chronic pain enables doctors to adequately treat numerous types of chronic pain. Based on the fact that treatment includes only a few simple injections, most patients are able to get treatment without any particular requirements. The most ideal approach to decide whether BOTOX® treatment can be utilized as an option in contrast to different types of chronic pain control is to discuss your individual case with a doctor. With the help of thorough examination of your nerve pain, back pain, or other constant disorder, a doctor will be in a position to decide whether botulinum toxin, the protein that makes up BOTOX® injections, can help reduce your pain and give you the comfort you are looking for.

Pros and Cons of BOTOX®

There are not many risks related to BOTOX® pain management treatment when it is utilized as a treatment for either chronic pain or fine lines and wrinkles. In any case, similarly as with any medical procedure, the potential side effects are worthy of consideration.

While talking about whether pain control with BOTOX® injections are appropriate for you, your doctor will clarify the risks associated with the procedure. A few patients are allergic to BOTOX® injections and could go through a negative reaction. Others may observe slight bruising around the treatment site. It is likewise possible for unintended reactions of the injections to affect nearby muscle groups.

In this case, your doctor will examine with you your objectives for treatment, evaluate your risk factors, furnish you with thorough information regarding various types of pain management, and answer any inquiries you may have. These steps are extremely significant prior to decide on BOTOX® treatment as a method for chronic pain management.

Read More

Interesting Aspects of Discography

It is a fact that the discogram is less regarding the anatomy of the disc and rather regarding its physiology in order to decide whether the disc is causing pain. It is common to discographers that an extremely strange looking disc may not be the cause of the pain and a slightly disrupted disc might be related to serious pain. It is difficult to conclusively diagnose a painful disc without performing discography.

The extremely sensitive anatomic tests are the lumbar MRI and CT myelogram yet are not quite certain in characterizing real pain generators. Whenever the lumbar discogram is performed appropriately, is intended to induce pain in a sensitive disc. A spinal fusion strategy that is intended to eliminate an internally upset, painful disc would not be the procedure of choice in the event that pressurization of the disc didn’t repeat the patient’s clinical discomfort. In this case, the spine specialist should be certain beyond a shadow of a doubt that the level or levels being fused are responsible for the patient’s pain.

In the event that the fused levels were not at first agonizing, as a result, spine surgery won’t be operational, and the patient will be left with a fused spine most likely still be in pain. Based on the fact that a spine fusion procedure brings a noteworthy level of risk and healing time, the more information that can be acquired before back surgery the better.

In the case of lumbar discography, an injection is used with an objective to assess patients with back pain who have not reacted to extensive conservative (nonsurgical) procedures. The most common utilization of discography is for surgical planning before a lumbar fusion.

This diagnostic process additionally recognized as discogram is a controversial one.

  • The experts of discography believe the information obtained from this examination is unobtainable any other way.
  • The procedure’s experts believe the reactions evoked from disc pressurization are not valuable in assessing back pain patients.

Possible Risks and Complexities of a Discography

As compared to any other invasive test, there are related risks and conceivable complications.

  • The most dreaded complexity is a disc space infection, which can be hard to treat. Luckily, by utilizing severe sterile strategies this is a phenomenal complexity.
  • There are very remote chances of nerve root damage
  • Spinal headache is additionally a remote risk

However, with an experienced and skilled discographer who utilizes current discography procedures, these risks are usually avoidable.

Read More

What Is Epidural Lysis And How The Procedure Is Done?

The condition is commonly caused by leakage into the lumbar spine’s epidural space after the surgical process. Adhesions can result in constant leg pain, yet doctors are skilled for breaking up the scar tissue that works in a way to cause pain with the utilization of a particular catheter and blend of medications. This is actually an epidural lysis procedure.

In most cases, epidural adhesions happen after spine surgery, however, in some cases, this can likewise happen after disc herniation because of leakage of disc material into epidural space. The objective of epidural lysis procedure is to precisely and chemically break off unnecessary scar tissue in the epidural space in order to diminish nerve disturbance and potentially ease the pain.

How Is The Epidural Lysis Procedure Done?

The patient will be required to lie on the stomach, then the monitors will be attached in order to screen the heart rate, blood pressure, and oxygenation. After the patient has been sedated, the back will be brushed with an antiseptic solution and drape the back with sterile material. The doctor will numb the skin with a local anesthetic. After that, the doctor will insert a particular needle through the skin simply over the tailbone region into the epidural space.

An X-Ray dye will be injected into the needle to picture the scarred region. A particular catheter will be inserted through the needle to the scarred zone in order to break the adhesions. Furthermore, different liquids will be injected through the catheter with an objective to diminish the pain, break down scar tissue, and decrease inflammation. Regular medications utilized are steroids, local anesthetic, enzyme and hypertonic saline.

Suitable Candidates for Epidural Lysis Procedure

In most cases, the procedure is utilized with patients who have constant lower back and leg pain because of epidural adhesions after lumbar (lower) spine surgery or an injury. However, symptoms include lower back pain (normally a consistent, burning pain), radicular pain, (for example, sciatica which shoots from the spine into the thighs, calves or feet), muscle spasms, motor/sensory or reflex changes, and restricted flexibility in the thighs and calves.

Besides treating unnecessary scarring, this procedure can be utilized to treat a scope of other back and spine conditions, including:

  • Herniated or prolapsed intervertebral discs (particularly when not surgically correctable).
  • Metastatic carcinoma of the spine (driving towards compression fracture).
  • Degenerative spondylosis (influencing numerous levels of the spine).
  • Spinal (back) stenosis (a reduction of the open spaces within the spine).
  • Cervical (neck) stenosis.
  • Post-laminectomy syndrome (failed back surgery).
  • Degenerative arthritis of the spine.
  • Occipital neuralgia.

Epidural lysis procedure is certainly not a “first line” treatment. However, in most cases, patients who go through this treatment have attempted more conservative treatment alternatives, (for example, medications and epidural steroid injections), which have been unsuccessful to ease the pain.

Read More

What Is An Epidural Steroid Injection And Who Is A Suitable Candidate?

This is a common procedure for treating inflammation related to low back related leg pain, or neck related arm pain. In both of these conditions, the spinal nerves turn out to be inflamed because of tightening of the passages where the nerves travel as they go down or out of the spine.

Why There Is A Need Of Epidural Steroid Injections?

Tightening of the spinal sections can result from a range of causes, this includes disc herniation, bone spurs, thickening of the ligaments in the spine, joint cysts, or even unusual arrangement of the vertebrae. The epidural space is a fat filled that involves the spinal sac and gives cushioning to the nerves and spinal cord.

In this case, steroids put into the epidural space have a strong anti-inflammatory response that works in a way to diminish pain and enable patients to improve mobility. In spite of the fact that steroids don’t change the fundamental condition, they can work in a way to break the cycle of pain and inflammation and enable the body to compensate for the condition. As a result, the epidural steroid injections can give benefits that outlast the impacts of the steroid itself.

The Suitable Candidates for Epidural Steroid Injections

Individuals suffering from pain in the neck, arm, low back, or leg may turn out to be suitable candidates for epidural steroid injections. In particular, those with the following conditions:

Spinal Stenosis:

A tightening of the spinal canal and nerve root canal can result in back and leg pain, particularly when walking.


A weakness or fracture in the middle of the upper and lower facets of a vertebra. In the event that the vertebra slips forward, it can compress the nerve roots resulting in pain.

Herniated Disc:

The gel-like material inside the disc can result in bulging or rupture through a weak zone around the wall. Irritation, pain, and swelling happen when this material crushes out and interacts with a spinal nerve.

Degenerative Disc:

A breakdown or aging of the intervertebral disc resulting in the breakdown of the disc space, tears in the annulus, and growth of bone spurs.


Pain that progresses along the sciatic nerve in the buttocks and down the legs. It is normally resulted by compression of the fifth lumbar or first sacral spinal nerve.

The utilization of epidural steroid injections has demonstrated positive outcomes for certain patients in the treatment of painful inflammatory conditions. The injections can likewise help decide if surgery may be advantageous for pain related to a herniated disc. At the point when symptoms meddle with rehabilitative activities, epidurals can work in a way to ease the pain enough so patients can proceed with their physical therapy.

Read More

What Is A Facet Block Injection? The Procedure and Purpose of Facet Block Injection

This is a treatment that gives brief relief from back pain, just as a test to see if facet joints are the source of a patient’s back pain. In this case, the injection is inserted into the facet joints, which are situated on each side of the vertebra and associate the vertebra of the back together. The injection works in a way to diminish inflammation in the tissue of the facet joint.

The facet block injection is performed with requiring the patient lying on the abdomen. Preceding the injection, the site of the injection is cleaned and numbed with local anesthetic. The medication is inserted with the help of X-Ray guidance.

Prior to the Facet Block Injection

The patient will be asked to provide information in regards to the ongoing issues, past medical history, and medications. The patient will be guided with complete guidelines on the best way to plan for the coming procedure. It is advisable to carry a recent MRI with you. The patient will likewise be asked to hold any blood thinning medications, for example, Coumadin, Plavix, Aspirin, and any NSAIDS.

After The Facet Block Injection

After the procedure, you may have brief numbness or faintness of your extremities enduring up to 6 hours. In some cases, it might be problematic to walk because of an absence of sensation in your foot. As this decreases, a few patients report expanded inconvenience. This can be linked with disturbance from the steroid and will resolve. You should start to observe relief from pain after 3-7 days of the procedure. However, there is no certainty how much relief from pain you will get. Fruitful outcomes rely upon your diagnosis.

What Purposes Does A Facet Block Injection Serve?

This treatment serves two needs: diagnosis and treatment. On the off chance that the patient gets 50% or more noteworthy relief from pain like 2 hours after the procedure, it can be anticipated the facet joint is a source of the pain in this case, as may occur with joint pain or injury. Once the diagnosis is confirmed with repeat injections, the facet block is then used to diminish pain using corticosteroids.

How Soon Can You Resume Everyday Activities After The Procedure Of Facet Block Injection?

When allowed to go home, you will be advised to rest for 24 hours and avoid driving or operating machinery for 24 hours. A sum of three injections inside a six-month timespan can be performed. In this case, injections must be spaced at least two weeks apart and you should contact the doctor in the middle of injections to get a new prescription for each.

Read More