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Microdiscectomy is one of the most common minimally invasive spine surgery procedures.  It is also known as microdecompression or microdiskectomy. The procedure performed on patients with a herniated lumbar disc. During this surgery, a surgeon will remove portions of the herniated disc to relieve pressure on the spinal nerve column.

Aim of microdisectomy:

Main goal of microdiscectomy is to take pressure off your nerves to relieve your back pain.

Before microdisectomy, Spinal surgery meant large incisions, long recovery periods, and painful rehab. Microdisectomy have improved the procedure. It relatively has high rates of success, especially in relieving patients’ leg pain (sciatica). Patients are usually able to return to a normal level of activity fairly quickly.

Microdiscectomy Spine Surgery procedure:

Your doctor may suggest diskectomy if conservative, nonsurgical treatments haven’t worked or if your symptoms get worse.

  • A microdiscectomy is performed through a 1 to 1½-inch incision in the midline of the low back.
  • The back muscles lifted off the bony arch of the spine and moved to the side. These back muscles run vertically, so they are held to the side with a retractor during the surgery; and they do not need to be cut.
  • After that the surgeon is able to enter the spine by removing a membrane over the nerve roots.
  • A small portion of the inside facet joint is removed in some cases, to facilitate access to the nerve root and to relieve any pressure or pinching on the nerve.
  • If needed, surgeon makes a small opening in the bony lamina in order to get access to the operative site.
  • Then nerve root is moved to the side.
  • Surgeon goes under the nerve root and removes the fragments of disc that have extrudes out of the disc. For this, surgeon uses small instruments.
  • The muscles are then moved back into place.
  • After that, surgical incision is closed.
  • Steri-strips are placed over the incision to help hold the skin in place to heal.


Microdisectomy is as costly procedure because it requires a surgeon with special training.

Recovery time is shorter than other surgeries. Patients often leave the hospital that same day, or within 24 hours.

You should avoid driving, sitting for a prolonged period after a surgery.  Lifting anything heavy and bending over immediately after the surgery is not recommended.


  • Cerebrospinal fluid leakage which is known as Dural tear can occur in 1 to 2 percent of surgeries
  • Nerve root damage is also a risk
  • In 5 percent of cases, recurrent disc herniation may occur
  • Bowel/bladder incontinence may also occur, but it is very rare
  • Bleeding and infection can also happen


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.

For more details call on 815-412-6174

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Pain that affects the bones, ligaments and tendons and bones is termed as musculoskeletal pain.  It can be acute or sudden or it can be chronic or long lasting. Musculoskeletal pain can be localized in one area, or widespread.

Common types

Musculoskeletal pain can be of various types.

Bone pain is usually deep, penetrating, or dull and most commonly results from injury.

Muscle pain is often less intense than bone pain but it can still be debilitating. Muscle pain can also cause by an injury. An autoimmune reaction, loss of blood flow to the muscle, infection, or a tumor may also be the reason of muscle pain.

Pains in the tendons or ligaments are often caused by injuries, including sprains. This type of musculoskeletal pain often becomes worse when the affected area is stretched or moved.

Fibromyalgia is a condition that may cause pain in the muscles, tendons, or ligaments. The pain is usually in multiple locations and patient can’t be able to tell the exact location of pain.

Joint pain may range from mild to severe and worsens when moving the joint. The joints may also swell. Joint inflammation is a common cause of pain.

Tunnel syndromes refer to musculoskeletal disorders that cause pain due to nerve compression.

Chronic musculoskeletal pain

Chronic musculoskeletal pain conditions are multifaceted. Chronic pain is influenced by and interacts with physical, emotional, psychological and social factors. Chronic pain conditions are mainly driven by alterations in the central nervous system with little or no peripheral stimuli.


The causes of musculoskeletal pain are varied. Muscle tissue can be damaged with the wear and tear of daily activities. Jerking movements, auto accidents, falls, fractures, dislocations can also cause musculoskeletal pain. Repetitive movement, overuse, and prolonged immobilization can also be the reason of pain.


Effective management is markedly different from that of acute musculoskeletal pain. Psychotherapy and biofeedback exercises can be used to manage chronic pain. Injections with anesthetic or anti-inflammatory medications in or around the painful sites are also useful. Exercise that includes muscle strengthening and stretching can also work. NSAIDs are a diverse group of compounds and medications with analgesic, antipyretic, and anti-inflammatory activity. NSAIDs are among the most widely prescribed types of medication in musculoskeletal pain. However NSAIDs must be used with severe caution in older individuals due to the high risk of potentially serious and life-threatening side effects including gastrointestinal bleeding, stroke, renal failure, and ischemic heart disease.

The best form of treatment is to combine a safe pharmacological program with nonpharmacological medications for patients for maximum relieve of pain. Nonpharmacological treatment programs are aimed at targeting the site and source of pain conditions. They involve exercise programs, transcutaneous electrical nerve stimulation (TENS) application, heat/ice therapy and psychological methods.


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Back pain is a common concern affecting many of us at some point in our life. However back pain is not a specific disease it is a symptom that may occur from a variety of different processes. In many of the cases no specific reason of back pain can be identified.

What may be the cause?

Common causes of back pain involve diseases and injuries of nearby organs or tissues. Abnormalities of organs within the abdomen, pelvis, or chest may also be felt in the back. Back pain can also be caused due to kidney, bladder and pelvic infections. More common cause of back pain is strained muscles which occur with incorrect lifting of objects and sudden movements. When lifting, it’s the way you lift that is most important, not just the weight you are lifting so try to lift things properly to avoid back pain.  Osteoporosis (loss of bone density and thinning of bone) can also be the reason of back pain.

How to treat?

Since there are so many reasons of back pain so while treating the pain one should keep the reason in your head. Your doctor can find the reason while examining your back. While doing the self-medication, the back pain treatments you can use includes back exercises and stretches which helps to reduce the intensity of pain. Back pain treatment also includes the use of hot and cold packs, hot water bottle placed in affected area can helps ease the pain or some people find cold packs more comfortable. One can also use painkillers; Nonsteroidal anti-inflammatory medications (NSAIDs) as back pain treatment. Bed rest can help an acute back strain or injury. But it is not true that you should stay in bed. Sometimes remaining immobile in bed can actually make back pain worse. One of the most important things is to keep moving or to stay active to reduce back pain. One of the advanced back pain treatments includes Radiofrequency Discal Nucleoplasty which utilizes a radio frequency probe to disintegrate a small portion of the central disc material. The result of this is partial decompression of the disc, which may help relieve pain caused by bulging discs pressing on nearby spinal nerve roots. Electrical stimulation can also use for the treatment of back pain. Most commonly using electrical stimulation treatment is TENS; transcutaneous electrical nerve stimulation. In this treatment a small, battery-operated device delivers low-voltage electrical current through the skin. The electricity stimulates nerves in the affected area and sends signals to the brain that “scramble” normal pain perception. Nerve blocks are also used for back pain treatment, group of nerves that causes a pain of specific organ or tissue can be blocked by injection of medication into the specific area of the body. There are so many back pain treatments procedures, its depends on the cause and severity of the pain that which procedure is required for treatment.

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.

For more details call on 815-412-6174

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Are you having constant pain in your hip?

The pain management institute is working for decades to provide patients relief from various forms of pain which include joint pain, muscular pain, pain headaches, and even from the pain which results from cancer. However, there have been many patients in pain management institute who have gotten relief from severe hip pain caused by dangerous injuries and diseases by using advanced hip pain treatment relief. The pain management institute is known for its successful treatments and introducing new and more advanced treatments and machines in their organization. The medical center is known for curing even diseases like cancer. They are also working for hip pain treatment relief caused by cancer.

What does it actually mean

The hip pain cancer is the term which mostly describes the bone cancer of hip. The tumor can appear in any part of the body; however, tumor in the hip is a very rare case and has not been heard of too much. But it does not mean that cancer cannot be a cause for hip pain. the pain management institute does not only cure pain which has directly caused by cancer, but the center also has methods of hip pain treatment relief which results from the cancer treatments like chemotherapy and others. Hip pain is the main sign or bone cancer; however, there are other symptoms as well. It does not mean that cancer is the only cause of hip pain, there are others as well which include fractures, sciatica, muscular infections, and bursitis.

Types of bone cancer

There are different types of bone cancer which results in hip pain cancer which includes primary bone cancer, chondrosarcoma, and metastatic cancer. All these types of cancer result in hip pain. This is the most common type of cancer-related to hip bone. In this cancer, the bones of the arms and legs start increasing size in length. The ratio of primary bone cancer is very high in the US and hip pain is a symptom of these types of cancer. In 2019, there were at least 3500 patients went to doctors for hip pain treatment relief; however, they were diagnosed by primary bone cancer. However, the chances for metastatic cancer to cause pain in the hip are very low. This types of cancer can cause pain in any part of the body which include hip too much it is unspecified in which part the patient with metastatic cancer would feel pain. Leukemia in the hip bones would also result in hip pain.

Treatments for hip pain control

Pain management institute has provided treatments like stem cell therapy, PRP therapy and many others which not only control the pain but also control the disease which is causing the pain. These therapies have been the most effective treatments for pain management.

To learn more, please call us on 815-412-6174

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Shoulder pain: a constant irritation

The shoulder is the only joint which remains active at least 24 hours a day. It keeps moving even when individuals are sleeping. It is also the most flexible joint of the body and can be rotated in a different direction. However, pain in the shoulder is as much irritating. You would meet almost every day with at least one individual complaining about shoulder pain but most of them would mostly ignore the pain. They would not think it important to get medical treatment. But they would soon realize that they are not even able to reach their own cupboards to get their clothes and if they would try, they would have to bear a shocking intensity of pain. Enhanced chronic shoulder pain can be very dangerous.

What is chronic shoulder pain?

Pain in the shoulder, arm, or elbow all is known as chronic shoulder pain. This pain also effects on the collarbone and off course the shoulder blade. The pain in the shoulder blade is the worst kind of pain a person is prone to bear. The medical term for the shoulder pain is deltoid pain and causes of this type of pain are various. A common reason for shoulder pain is damage of the rotator cuff which mostly occurs with the athletes especially to golf players and soccer players as well as to hockey players. The reason for this is that they use their shoulder in a specific manner which affects their shoulder cuff. The problem of the shoulder cuff is also known as the tendonitis. Frozen shoulder is another reason which causes shoulder pain. In some cases, the chronic shoulder pain itself can lead to a frozen shoulder. Biceps tendons are also cause for chronic shoulder pain; however, this problem only affects the front side of the shoulder. This problem occurs because of the torn muscles of the biceps. Slap tear is another medical condition which leads to shoulder pain. This pain is related to glenoid labrum joint of the shoulder. Injuries like shoulder dislocation and instability due to some accident are the worst kind of pain which leads to chronic shoulder pain.


The immediate treatments for these diseases are ice packs or hot water bottles. These methods reduce the intensity of the pain to some extent, however in some situations like dislocation; it gets important for the patient to visit doctors as soon as possible. Ice packs and hot water bottles can control the swelling to some extent but cannot cure it completely. Exercise and physical therapies also work for chronic shoulder pain Treatment.

However, if you have tried all the treatments and still suffering from the pain, you can go for the non-surgical treatments like stem cell therapy. This treatment also works for patients who have failed shoulder surgery issues.

To learn more about shoulder pain treatments, please visit us on 815-412-6174.

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Do you know shoulder pain can be lung cancer?

Shoulder pain is so common all around the world. There are at least 20% of people all around the world who suffer shoulder pain at some stage of their life. However, the ratio of older people with chronic shoulder pain is higher than youngsters. This is because after a specific time in life bones start losing calcium which weakens the bones and muscles start paining a lot. There are various causes of shoulder pain and each cause can be cured with different treatment method. The initial treatment for chronic shoulder pain comprises pain medication and physiotherapy. Doctors also prescribe vitamin D supplements in case the reduction is weakening the bones and causing pain.

Causes of chronic shoulder pain

The medical conditions which can result in chronic pain in the shoulder are glenohumeral osteoarthritis, cuff rotator pathology, and adhesive capsulitis. This issue can also occur due to the acromioclavicular osteoarthritis. Doctors use lab diagnosis to evaluate the exact and accurate cause for the pain and suggest treatments accordingly.

What are the treatments?

The chronic shoulder pain treatments have been categorized into different types including activity modification, medication, injections, physical therapies, and surgical treatments.


There are medications like opiate medication, nonsteroidal anti-inflammatory drugs and such; however these treatments provide short term pain relief with no surety of the outcome. Doctors cannot promise of the pain relief or for how long pain will remain in control. There are also risks attached to the pain medication which is why doctors mostly do not prescribe a large dose of these medications.

Physical therapy

There is not any one type of physical therapies which are proving useful for the treatment, in fact, a big large of the therapies are being performed. The pain is being alleviated with the help of heat or ice therapies. Doctors also use ultrasound therapies and hyperthermia as a chronic shoulder pain treatment. If the muscle strain is the reason behind the pain, doctors think strengthening and stretching exercises are the best to cure the pain. It can also help in controlling the intensity of the pain.


During the chronic shoulder pain treatment, doctors use local anesthetic with the corticosteroid injections. Doctors inject the injections on the damaged area which can be e subacromial space, acromioclavicular joint, or glenohumeral joint. These are the areas which are commonly known to be damaged in case of shoulder pain. It has been observed during many treatments that patients who have adhesive capsulitis are more responsive towards the intra-articular injections and they are a probe to get relief.

Surgical treatment

If the surgeries do not work properly, doctors try to cure the problem with the operative surgery. However, the recovery rate of the patients after the surgeries is very low. Doctors try each and every chronic shoulder pain treatment before going with the surgery.

Nonsurgical shoulder pain treatment

The nonsurgical chronic shoulder pain treatment is based on regenerative medicines based on stem cell therapies and PRP treatment. Surgeons replace the damaged or dead blood cells of the muscle tissues with the active cells or platelets to cure the disease.

To learn more about chronic shoulder pain, please call us on 815-412-6174.

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Cancer pain: is there any relief

Patient with cancer can feel different degrees of pain, some would have severe pain, however, some would have very mild pain and there are also those patients who do not feel pain at all. There are some cancer patients who would have achy pain. The intensity of the pain which a cancer patient bears depends on the types of cancer they have and the stage of their disease. Cancer pain management is a process in which the most needed factor is the tolerance level of the patient. If the patient has a high tolerance level, it would be easy for them as well as for the doctors to control and manage the pain. However, there are very rare cases where the patients’ of cancer have unmanageable pain.

Causes of cancer pain

There are different types and causes of cancer pain. Patients feel the most intense pain at the time of the growth of cancer. Cancer growth destroys the tissues and causes pain. Patients also have pain with the increasing size of the tumor because it keeps pressing different organs or the nerves of the patient. Patients also bear very intense pain when their tumor causes a chemical reaction in the body or the brain. Cancer itself is not the only reason for the pain cancer patients have. The treatments which cure the disease also cause pain such as radiology, chemotherapy and the surgery. Chemotherapy is the most painful treatment and its unbearable pain can even cause the death of the patient which is why doctors suggest this treatment to only those cancer patients who have strong will power to go through with the treatment safely. The doctor also considers the age and physical strength of the patients to suggest cancer treatments.

Pain management procedure for cancer

In the case of mild pain, the cancer pain management procedure depends on the pain-relieving medication. The pain-relieving medication gives short-time relaxation to the patients. Doctors mostly prescribe aspirin and ibuprofen. Doctors also suggest opioid medications but they make sure to suggest weak doses. The cancer pain-relieving medications are of different forms. There are some which patient keeps in their mouths to dissolve, however others they take in liquid form or in tablet form. To some patients, doctors give pain-relieving medication in the form of shots.

Many cancer patients for some reason do not like to accept the pain they are having so they do not get any cancer pain management procedure which makes things even more dangerous and complicated for them. Some patients do not express their pain for psychological reasons. They do not want to find out the reasons for the pain. However, at pain management institute, we make sure that our patients express the pain they are having with the accurate intensity so that we can prescribe medication. Knowing about the patients’ pain also helps doctors in deciding future treatments.

If you are a cancer patient and bearing the pain, it is maybe the right time for you to find a solution. We are here to help you out, please call us on 815-412-6174.

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Get treatment for Auto & Work Injury

There is a very basic but common injury which results from auto and work and that is a neck injury. After most car crashes, the first thing the injured people complain about is intense neck pain. The neck pain is common in office workers as well no matter whether they are working in the field or at the desk; however, it is more common in manufacturing departments and in operational departments where employees are involved in intense physical activities. Auto and Work Injury which results in spine damage can also cause neck pain, however in this case; the neck pain can be more intense. The auto and work injury damage the muscles and nerves of the spine which are linked with the neck and cause severe neck pain.

Some times after being hurt or been in a less intense auto accident, individuals do not think to go to the doctors or get any treatment because they do not take the injury seriously. They do not realize that they can have torn muscles and leaving the muscles can cause inflammation which can increase the intensity of the pain in the future. Neck pain is not the only issues which auto and work injury cause, there are also neck pain and lower back pain, numbness in the limbs, loss of range of motion and headaches which can be caused by auto and work injury.

Treatments for neck pain

Neck pain needs proper treatments especially if it has resulted from auto and work injury and it last longer than a week or two. Neck pain treatment becomes more important if the patient numbness in the neck or pain starts traveling towards other body parts such as shoulder, arms, and back. This can mean that the actual reason for the pain is not the neck, it is the spine. Auto and work injury can cause a fracture or torn muscles which cause the pain. Neck pain can also impact the upper chest and cause pain. The neck pain can travel towards eyes and ears. The immediate solution for neck pain is using ice packs or hot water bottle on the area which is hurting. However, in case of constant pain, it is important to get a suggestion from a doctor. Most doctors try to reduce the pain with the help of pain medication and they also suggest physiotherapies, however, however, doctors also recommend lab test to evaluate the actual cause of the pain and to know whether or not the spine or any other muscles or joint damage is causing the pain. There are some very advanced treatments for torn muscles and joints which provide long-lasting and immediate results such as regenerative medicines and stem cell therapy. The stem cell therapy is the treatment in which doctors inject active and healthy cells on the damaged area of the body to increase the healing power of the damaged tissues. Stem cell therapy is a cost-effective treatment for auto and work injury which does not only treat recent injuries but have cured people with older chronic pain.

For further details, please call on 815-412-6174.

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What is Microdiscectomy Spine Surgery?

The spine is one of the most crucial parts of the body especially for the movement of the whole body. The worst result of spine injury or intensified spine pain is a lifelong disability of the patient. However, any less intense of serious spine disorder, injury or pain can also impact the movement of the body. The spine pain or injury can surely impact negatively on any one part of the body and as it gets increasing, other parts also start getting affected. Spine pain mostly starts from the back pain and travels towards the shoulder, arms, and neck.

There are different forms and reasons for spine pain and one of them us herniated disc.

Herniated disc

The herniated disc is the nerve which explains the spine issues like a ruptured disc or slipped disc. The herniated disc leads to degeneration of the tissues of the spine muscles. Doctors also state it as the early stage of degeneration. The bones located in the back to form spine are known as vertebrae. These bones are cushioned and protected by small discs which are known as a herniated disc.  The inflammation which causes herniated disc issue results in the pain in the neck or back. During the process of degeneration, a small twist of the backbone or any specific movement can lead to disc rupture. There are various treatments to cure degeneration and to get rid of pain and one of such treatments is Microdiscectomy Spine Surgery.

Process of Microdiscectomy Spine Surgery

The purpose of this surgery is to reduce the pressure from the nerves of the spinal nerve root during the surgery doctors cure the material which is causing the pressure on the spinal root nerves of the body. The Microdiscectomy Spine Surgery has proved beneficial in relieving the pain caused in legs because of sciatica or radiculopathy. Microdiscectomy Spine Surgery is the treatment which gives immediate results by curing the pain. This is one of the few types of spine surgeries which have a high recovery ratio. The recovery rate after a Microdiscectomy Spine Surgery is at least 85% to 89%. There are different ways to perform the surgery which are invasive Microdiscectomy which include outpatient lumbar discectomy- microdiscectomy and endoscopic discectomy. Doctors use the minimally invasive technique for open surgery. The benefit of this type of surgery is that there is a lack of risk of tissue damage. In the minimum invasive surgery, surgeons insert tubes in the body rather than going with the open incisions.

When to go for the surgery

The decision of going for the surgery is patients own, however, it is better to get treatment before the intensification of the pain. Intensive pain means that the degeneration process has increased very much. To evaluate whether the only option to cure the pain is Microdiscectomy Spine Surgery, doctors mostly prescribe lab tests. It helps in diagnosing the damaged part of the spine.

To learn about Microdiscectomy Spine Surgery and its side effects and benefits, please call on 815-412-6174.

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Botulinum Toxin: a treatment for Piriformis muscle syndrome

The Piriformis syndrome is related to sciatica nerve and it happens when the Piriformis muscles press the sciatic nerve. This syndrome is very uncommon and there are very few patients who have been diagnosed by this syndrome. The Piriformis muscle is a flat muscle of the buttock. This muscle is present in the area of the buttock which touches the hip. The purpose of the muscle is to assist the Tighes in rotation. This is the muscle which helps the individuals in lifting their thighs as well as help in the stabilization of the hip joints as well. The muscles give individuals the ability to walk and perform many other activities. The muscle especially stabilizes the body while shifting weight from one foot to another. The rarity of the disease can be identified from the fact that in 2018, there were only 200,000 patients who were treated for this disease all around the US.

Symptoms of Piriformis syndrome

At the initial stage of the syndrome, the patients get the feeling that the nerve is being pinched; however, the feeling of being pinched soon turns into severe pain. This happens mostly when a person sits in the same place consistently for too long. Most people would feel the symptom of Piriformis syndrome while they are on long drives. The movement which can trigger this pain is while a person is climbing on the stairs. The Piriformis syndrome cannot be evaluated or diagnosed with any lab test. There is no lab test designed to identify this disease. Doctors mostly try to understand whether the patient has any history of trauma on the specific part of the body. Prolonging the treatment to get rid of the pain can increase the intensity of the pain.  Pain can grow so much that it can reach from back to the foot of the patient. The chronicity of the pain helps the doctors in deciding the appropriate treatment for the patients. there have been many treatments which have failed to cure chronic pains completely even the surgeries has failed for which patients go through so much hardship and bear a lot of pain. Lack of surety of the conventional chronic pain treatments has made the scientist come up with new and more advanced methods in the form of Botox Treatments for Chronic Pain including Piriformis syndrome.

Treat Piriformis syndrome with Botulinum Toxin

In Botox treatment for chronic pain, doctors inject Botulinum Toxin in the body on the affected part to cure the torn muscles and tissues. The purpose of the treatment is to increase the healing power of the tissues and reactive or replace the dead cells of the body. Many clinics have found out the new way to Botulinum Toxin in the damaged part of the body.  They have found out that they can inject the Botulinum Toxin by using ultrasound images. The Botulinum Toxin treats the scar tissues of the damaged part of the body and reduces inflammation which automatically reduces the pain. The severity of the disease decided how many injections the patient needs for proper cure.

If you are having any symptoms of Piriformis syndrome, it is good for you to get guidance from medical consultants before the disease gets worse. To get free consultancy, please call on 815-412-6174.

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