Welcome to Pain Management Institute

To make an appointment for any of our locations, please call
  815.412.6166

All Posts Tagged: chronic shoulder pain treatment

THINGS-YOU-NEED-TO-KNOW-ABOUT-SHOULDER-PAIN-TREATMENT

THINGS YOU NEED TO KNOW ABOUT SHOULDER PAIN TREATMENT

The shoulder has a wide range of motion. When something goes wrong with your shoulder, it disturbs your ability to move freely also it can cause a great deal of pain and discomfort.  Shoulder has three main bones; the humerus, the clavicle, and the scapula. Shoulder is basically a ball-and-socket joint.  Layer of cartilage cushioned these bones.

What causes shoulder pain?

Shoulder joint is the most mobile joint of human body. It moves the shoulder upward and backward, in a circular motion and up and away from the body. Since shoulder is such a mobile joint so it tends to be more susceptible to injury or pain.

Several factors and conditions can contribute to shoulder pain. The most prevalent cause is rotator cuff tendinitis. Rotator cuff is a group of muscles and tendons that help your shoulder to gather into the socket and allow you to move it in a circular motion. Tears or inflammation can occur in your rotator cuff and cause pain or stiffness in your shoulder.

Dislocation of shoulder can also happen. If you move or pulled up your shoulder too hard, the top of your arm might pop out of its socket and you will pain and weakness in your shoulder.

Pinched nerve in the neck or shoulder can also be the reason of shoulder pain.

Humerus bone can also break if you fall and take hard hit and causes pain in your shoulder.

The condition that limits your joint movement is termed as freezing shoulder. It restricts your joint movement and stops you from moving your joint freely.

Degenerative joint disease; osteoarthritis, it can affect the joint of your shoulder. The cartilage between bones breaks down, and they rub together. This can cause pain and stiffness.

Chronic shoulder pain

If your shoulder pain is always with you and it disturbs your daily activities like driving, writing or any other activities of yours then you need to concern a doctor. If you ignore your pain then it could be chronic or long-lasting and will irritate you.

Treatments

If you are continuously suffering from shoulder pain then you should treat it in a proper way so it can’t become more serious. Treatment will depend on the cause and severity of the shoulder pain. Some treatment options include physical or occupational therapy, a sling or shoulder immobilizer, or surgery.

Most common treatment is the use of nonsteroidal anti-inflammatory medicines (NSAIDS). They help to relieve pain and lower inflammation.

Cold pack can also reduce swelling of your shoulder. Apply a cold pack for 10 to 20 minutes at the exact point of your pain can help you to relieve pain.

Heat helps to relax tense muscles and soothe a stiff shoulder. Using a heating pack is also a good option.  You can also go to a physiotherapist for proper care.

If patients have a poor response to initial treatment for chronic shoulder disorders, corticosteroid injections combined with a local anesthetic can be used to relieve the pain. Injections to be beneficial, particularly for short-term decreases in pain and increases in function

Most chronic shoulder problems can be treated with medications, physical therapy and injections. But if your symptoms get worsen after six to 12 weeks of directed treatment you should contact to an orthopedic specialist. Patients with continued instability or disabling pain that is not responsive to any initial conservative measures may require surgery.

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

 

Read More
WHAT-TREATMENTS-ARE-THERE-FOR-CHRONIC-SHOULDER-PAIN

WHAT TREATMENTS ARE THERE FOR CHRONIC SHOULDER PAIN?

Shoulder pain is common. Sometimes, it occurs in an acute manner, inclusive of in a sports injury or when it turns into dislocated. Other times, it comes and goes, like when someone has bursitis. Sometimes, it lasts longer. Chronic shoulder pain is a common trouble in the primary care physician’s office. Effective chronic shoulder pain treatment relies upon on an accurate analysis of the more common etiologies: rotator cuff disorders, adhesive capsulitis, acromioclavicular osteoarthritis, glenohumeral osteoarthritis, and instability.

Management of chronic shoulder pain

There are varieties of options for chronic shoulder pain treatment; some of them are:

  • Occupational therapy

If your shoulder problem is making daily activities difficult, along with dressing, washing and driving, it may help to see an occupational therapist.

An occupational therapist is a trained specialist that will help you regain your independence via showing you the way to alternate the way you do things. They can additionally propose you on how equipment or adaptations could lessen the stress in your shoulder at home, work, or at the same time as you’re driving.

They’ll be capable of providing you with advice on a way to alternate your actions to assist prevent pain persevering with or returning. If your place of work has an occupational health department, they’ll additionally be able to assist.

  • Physiotherapy

Physiotherapy offers benefit in many cases of chronic shoulder pain treatment. Almost anybody will gain from physiotherapy, using methods such as:

  1. Physical activities to strengthen weakened muscles exchange their co-ordination and improve function
  2. Recommendation on improving shoulder, neck and spine posture
  • Activities to ease or save you stiffness
  1. Workout to increase the range of joint movement
  2. Making use of adhesive tape to the pores and skin to lessen the stress on the tissues, and to help growth your awareness of the position of the shoulder and shoulder blade
  3. Manual remedies to the soft tissues and joints – such as massage and manipulation

 

  • Steroid injections

Steroid injections into the joint can ease few shoulder problems. The steroid is typically given with a local anaesthetic to ease the pain. You have to discover your shoulder pain improves pretty quickly.

The injection reduces inflammation and allows you to move your shoulder greater comfortably. The pain relief ought to additionally make your physiotherapy exercises easier; however you shouldn’t use your shoulder for something too strenuous for the first two days after an injection.

  • Surgery

Most shoulder problem generally doesn’t require surgery as chronic shoulder pain treatment. If you do need a surgery it could often be performed the use of keyhole techniques, which require a smaller incision and tend to reduce your recovery time.

For further information call us on 815.412.6166

Read More
WHAT-CAN-BE-DONE-FOR-CHRONIC-SHOULDER-PAIN

WHAT CAN BE DONE FOR CHRONIC SHOULDER PAIN?

Chronic shoulder pain treatment often involves soothing inflammation, swelling, redness and strengthening muscles. Here are several ways you can take care of and relieve your shoulder pain.

  • Anti-inflammatory medication

Nonsteroidal anti-inflammatory medications relieve pain and lower inflammation. Reducing inflammation is important in some of the shoulder injuries.

  • Compression

Wrap the shoulder with an elastic medical bandage to reduce swelling and pain. Wrap it snugly but not too tight. You don’t want to block blood flow. If your hand begins to feel numb, or turn blue, loosen the compression bandage.

  • Heat therapy

Heat helps to relax muscles tension and soothe a stiff shoulder. It can help with muscle pain in the shoulder. Use a heated gel pack, heating pad or a hot water bottle.

  • Activity modification

It reduces shoulder pain with specific recommendations and based upon the underlying diagnosis. Reduction or avoidance of overhead activity is the mainstay of chronic shoulder pain treatment because this avoids the painful arc. Avoiding heavy loading can also help with the pain. Certain overhead activities can precipitate instability symptoms. Cross-body shoulder adduction, such as the motion performed in the golf swing or while weight lifting, should be limited because it can recreate painful joint.

  • Muscle relaxants

Muscle relaxants may help treat pain if you have tense muscle or spasms around the shoulder joint. You will need a prescription from your doctor for muscle relaxants.

Remember that they cause drowsiness and shouldn’t be taken if you’re driving or operating machinery.

  • Physical therapy

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

  • Injections

If patients have a poor response to initial chronic shoulder pain treatment then corticosteroid injections combined with a local anesthetic can be administered. The injection needs to be directed into the affected area where they start reducing joint’s inflammation.

  • Surgery

Although most chronic shoulder pain conditions get better with other treatments but there are some conditions which require surgery as chronic shoulder pain treatment. These include; rotator cuff injuries, glenohumeral osteoarthritis, glenohumeral joint instability, and adhesive capsulitis.

Pain management institute works to cure acute and chronic long-term pain to resume a normal lifestyle. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

Read More
WHAT-TO-DO-IF-YOUR-SHOULDER-HURTS

WHAT TO DO IF YOUR SHOULDER HURTS?

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

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

Medications

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

Activity modification

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

Physical therapy

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

Injections

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

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

For more details call on 815.412.6166

 

Read More
Shoulder-pain-a-constant-irritation

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.

Treatment

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.

Read More
Do-you-know-shoulder-pain-can-be-lung-cancer

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.

Medication

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.

Injection

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.

Read More
2018-05-25 (1)

Treating shoulder pain

Treating shoulder pain

Quick Facts

  • Shoulder pain is the third most reported cause of the musculoskeletal consultancy in the primary care
  • 1% of the adults with developing shoulder pain, consult their general physician every year

Risk factors that aggravate shoulder pain

Physical risk factors that are associated with occupation involves repetitive movements and vulnerability to  heavy machines and tools

Psychosocial factors pertinent to work may also be the risk factor for shoulder pain, involving stress, working hours and pressurizing environment, social support and job satisfaction. However, the influence of these factors is a bit weaker

Athletes whose sports activities involve intense pressure and high influencing contact sports are at a higher risk of shoulder pain

Causes of shoulder pain

Patients appearing in primary care usually report a combination of various shoulder problems such as;

Underlying shoulder pain

  • Rotator cuff disorders:
  • Rotator cuff tears.
  • Sub acromial pain, Subacromial bursitis, tendonitis or Tendinopathy.
  • Frozen shoulder
  • Arthritis
  • Infection (rare)
  • Shoulder instability or Shoulder Dislocation

External shoulder pain

  • Pain arises from the neck, spreading to the shoulder
  • Rheumatoid arthritis
  • Lung cancer

The four most common reasons of shoulder pain and impairment in the primary care are the rotator cuff disorders, joint disease and neck pain

Assessment of shoulder pain

At The Pain Management Institute while diagnosing the shoulder Dr Zaki Anwar MD, Pain Management Specialist and founder of the Pain Management Institute asking you a few questions about your historical medical condition

Shoulder Pain Management

Management of shoulder pain in primary care has been often conservative and reduce and prevent overhead activities, medications for pain relief include Corticosteroid injections. If triggers doesn’t settle quickly or are severe, physiotherapy is more helpful to treat any focused cause

Rotator cuff disorders:

  • Can be managed by modifying the lifestyle and activities, involving the movements such as reaching overhead
  • Taking NSAIDs and over the counter pain medications

Rotator cuff tears

  • Physiotherapy and steroid injections may be helpful for minor tears.
  • For larger tears symptoms may benefit from early reference to a Pain Management Specialist or orthopedics
  • Surgical treatment usually involves arthroscopic rotator cuff tendon repair.

 Expectancy

The risk of developing chronic shoulder pain depends on the intrinsic cause

Elderly age, female gender, triggers of gradual onset, long term symptoms, severe or repetitive symptoms and related neck pain are responsible to produce worst outcomes

Recovery for chronic shoulder pain is usually slow, studies have complete recovery in one month in 23 % of patients and 18 months in 59% of patients

Read More
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

Read More

Know the cause and treatment for your chronic shoulder pain

Shoulder pain is caused by several reasons, symptoms may differ according to the pain caused

However, if your shoulder pain arises from any injury and is getting worse day by day with lesser chances of improvement you should immediately consult your clinician

Common causes

The common causes of your chronic shoulder pain may include;

  • frozen shoulder
  • A rotator cuff disorders
  • An acromioclavicular joint disorder
  • A rotator cuff tear
  • Shoulder instability and you are under 30 years old

These chronic shoulder pain treatment can be conducted by an Orthopaedic surgeon or a Rheumatologist

Chronic shoulder pain treatment alternatives

The alternatives to chronic shoulder pain treatment can be

  • Avoiding such activities that cause your shoulder pain worse
  • Treating it with ice packs
  • Using pain killers and anti inflammatory drugs
  • Physical therapy
  • Surgery
  • Hydrodilitation

The above chronic shoulder pain treatments are discussed in detail with their risks and benefits below

 Avoiding activities that increase shoulder pain

You can avoid overhead arm movements  to avoid frozen shoulder this approach may lead to reduce chronic shoulder pain but may restrict your overall daily activities

Sling

A sling is a supportive bandage used in the case of shoulder injury or sprains in the upper shoulder its purpose is to hold the arm in a stable position with the shoulder,  treating with a sling may restrict day to day activities

Pain killers and anti inflammatory drugs

Are easily available without prescription can relieve pain and swelling,  but may be  harmful if you are experiencing high blood pressure, asthma

Physical therapy

Physiotherapy  includes techniques such as massage and physical exercises, it is very painful, especially in the case of frozen shoulder in the beginning, but improves flexibility and movement of the arm if performed under supervision can be more fruitful

Surgery for frozen shoulder

During this surgery scar tissue is removed from the shoulder to allow the joint to move freely. Surgery is the option if the pain does not last in six months. However the surgery brings high risks such as infections and recovery may take time, physical therapy is recommended after surgery.

Rotator cuff tears

This surgery can be helpful in treating damaged bones and torn tendons. Surgery can be a good option to prevent any shoulder bone dislocation. This surgery is done with a small incision and can be recovered with complete bed rest, risk of infections are involved and for several weeks wearing a sling is highly recommended

Read More

The Reasons & the Treatment Options for Chronic Shoulder Pain!

Shoulder pain can happen to anyone, be it a housewife, a businessman, a typist or school/college going individual. It is a very common complaint and brings with it the irritation of not being able to perform the usual tasks smoothly. In case, you went through an accident a day or a week before, this means that there might be an injury in your shoulder due to which you are facing the pain. In such a situation, you should definitely pay a visit to a pain management specialist.

The reasons of Shoulder Pain

There are certain medical reasons because of which shoulder pain can occur. These are elaborated as under:

Heart Attack

Though the problem is said to be associated with the heart, it causes shoulder or neck pain which is altogether known as referred pain.

Bursitis

Known as a sac, the work of bursitis is to act as a cushion between the joints and the muscles. As a result of some injury due to an accident, the bursae can become swollen, stiff and painful.

Broken shoulder blade

An injury to this part of the body, is usually associated with some forceful trauma. Leading to a fractured bone such as the upper arm or the collarbone, this condition brings with it chronic shoulder pain.

Rotator Cuff Injuries

Shoulder pain can also be felt in the situation, when the tendons (rotator cuff is said to be a group of tendons) are injured while playing, lifting, throwing a ball or by performing some repetitive activity.

Tendonitis

These are supposed to connect the muscles with the bones. In the situation when stress is experienced in a shoulder the tendons swell following the chronic pain.

Whiplash Injury

In case of sudden acceleration or deceleration in a car accident, whiplash injury can occur that has a direct impact on the structures of the neck and the shoulder thus leading to chronic shoulder pain.

What are the treatment options?

In order to cure shoulder pain the treatment options include:

  • Pain killers
  • Anti-inflammatories
  • Physiotherapy
  • Surgery
  • The use of ice packs
  • Avoiding the activities that can contribute towards chronic shoulder pain
  • Arthrographic distension

If you or any of your loved one is suffering from any other body pain, get a professional advice from Dr. Zaki Anwar by placing an appointment at (815) 464-7212). He is an expert anesthesiologist and certified Pain Management Specialist who has been practicing pain relief techniques for the past several years with effective results.

Read More