Welcome to Pain Management Institute

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

All Posts Tagged: shoulder pain treatment

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-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
2018-11-22

Easy Shoulder Pain Treatments & When to See a Doctor in Case of Shoulder Pain

Each shoulder has two joints, as a result making the most flexible parts of the body. The principle shoulder joint (Glenohumeral) is a ball and socket joint. The reason behind its name is on the grounds that the top point of the upper arm bone (Humerus) is shaped identically to a ball. The function of this ball is to fit into the blade bone, which works in a way as the socket, allowing the shoulder an extensive range of movement.

Anybody can be influenced by the common joint issue. Cartilage, ligaments, muscles, nerves, or tendons could play a role in the shoulder pain. It can likewise include the shoulder blade, neck, arm, and hand.  Prompt shoulder pain treatment is imperative. The timeline could go up to eight weeks or longer in order to heal the shoulder pain.

Easy Shoulder Pain Treatment Options

Non-Steroidal Anti-Inflammatory Medications/NSAIDS that are Available Over The Counter

Above are two noteworthy conventional kinds of NSAIDs: Ibuprofen and Naproxen.  They are used by prescription and are fairly protected to utilize per their labels.

Apply Heat to the Shoulder

This can be done by a gentle hot shower on the shoulder for around 5 to 10 minutes. Or on the other hand, you can utilize an electric hot pack. In the event that utilizing the electric hot pack, it best to set on medium heat, avoid high heat level. As per the conducted research, the results demonstrate that human bodies react to medium heat levels better, as compared to extreme heat levels.

Apply Ice to the Shoulder

An ice pack inside a pillowcase for about ten minutes can be productive. Ice massage is likewise an alternative yet ice ought not to be left in direct contact with the skin for more than 5 minutes because of the genuine plausibility of frostbite.

Stretches

It is useful to stretching the musculature that includes the shoulder joint and can help ease the pain as well as perhaps avert future injury.

Salt Bathe

This treatment is certainly traditional yet has some recent importance as seen on TV as well. In order to get a salt bathe, fill a bath with warm water and include Epsom or another brand of bathing salts.

Massage

In this case, you can get a relative in order to knead your muscles that are sore. Or on the other hand, if you are independent, get a sock and a tennis ball. Put a tennis ball inside a sock. Toss the ball onto your back shoulder. Then go against a wall in order to apply pressure to the tennis ball and roll around, consequently giving yourself a massage.

When to See a Doctor In Case of Shoulder Pain

Except for you’ve had a serious injury or get a sudden, constant pain, the shoulder pain can usually be treated without seeing a doctor.

In the event that, after two weeks of treating yourself, you notice the pain isn’t going away, it is advised to see your doctor or a physiotherapist.

It is likewise best to see your doctor at the earliest opportunity on the off chance that you:

  • Get into a serious pain in both shoulders
  • Similarly feel the pain in your thighs
  • Feel feverish or unwell

These can be indications of the condition known as (Polymyalgia Rheumatica) which required immediate treatment.

Read More
2018-08-31 p

Every painful sensation is to be considered on an immediate basis

Regardless of whether we’re conveying the heaviness of the world on our shoulders, bear shoulder pain gets us down in a variety of different ways. To start with, pain is pain and never fun. Agony is debilitating and meddles with all that we do. What’s more, we utilize our arms for relatively every action and most developments, so on the off chance that it happens to the arms, it happens to the shoulders, as well.

Next, when shoulders are insecure, feeble and excruciating, they haul our stance askew. Thus, this makes a course of different impacts, for example, debilitated abs, agonizing back muscles and a strict undeniable irritation. This blog covers the shoulder pain treatment options that can help facilitate the excruciating sensations.

Minor wounds that have just slight pain can be dealt with at home. On the off chance that the source of the pain and the reason for the pain are not known, or if the signs recommend you may have a more genuine condition, you should contact your specialist while starting essential care measures.

  • Rest: Use the injured area as little as possible for the first two to three days, and then slowly begin to exercise the injured area. This speeds recovery.
  • Ice: Place the ice in a plastic bag, wrap the bag with a towel, and then apply to the injured area for 15-20 minutes every hour. Directly applying ice can damage the skin.
  • Elevation: Elevation of the injured area above your heart helps the swelling go down. This reduces your pain. Use pillows to prop yourself up.
  • Pain control: Acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help control swelling and pain.
  • Heat: Do not apply heat in the first week after an injury because it can increase the swelling in the injured area and worsen your pain.

A treatment plan will be produced after a total history and physical examination (and any tests, if required). Treatment alternatives differ for each condition. Obviously, a basic strain is dealt with far uniquely in contrast to a heart attack. A few conditions require hospitalization, careful repair, non-intrusive treatment, or other rehabilitative measures. The degree of recuperation might be finished or constrained. A few conditions can be repetitive or steady; therefore, you ought to have a treatment intend to figure out how to manage and adjust to any constraints.

Still confused? You can get expert advice and Dr. Zaki Anwar. He is a world renowned Pain Medicine Physician and has been practicing ways to cure pain leading to serious problems for the past several years and has achieved remarkable results. Patients can make an appointment on a walk-in basis, which is unique to our community, and have direct access to a surgeon who is able to diagnose and treat their urgent needs. You can also make an appointment by calling our office at 815-464-7212.

Read More
PainManagement

Can do simple activities anymore?

Painful Shoulder

Whether or not we’re carrying the weight of the world on our shoulders, shoulder pain gets us down in several ways.  Primarily, pain is twinge and never fun.  It frustrates us and get in the way with everything we do. We use our arms for almost every activity and most movements, so if it happens to the arms, it happens to the shoulders, too!

Secondly, when shoulders are unsteady, fragile and painful, they draw our posture out of alignment and this creates a cascade of other effects, such as weakened abdominal muscles, unhappy back muscles and a literal pain in the neck. Severe shoulder arthritis and chronic shoulder pain can formulate the daily-life activities we perform such as, combing hair, reaching for a lamp or putting on clothes gets enormously difficult. If you can’t do the simple things you once did, you may be suffering from a shoulder condition.

Chronic shoulder pain is a common complaint in the pain medicine physician’s office,” says Dr. Zaki. Successful treatment relies upon an precise diagnosis of the more common etiologies: rotator cuff disorders, adhesive capsulitis, acromioclavicular osteoarthritis, glenohumeral osteoarthritis, and instability.

At Pain Management Institute, Dr Zaki Anwar is very experienced in interventional treatments. Dr. Zaki Anwar is a world renowned Pain Medicine Physician. He has been practicing ways to cure pain leading to serious problems for the past several years and has achieved remarkable results. Get his expert opinion by just making a phone call at 815-464-7212.

Shoulder conditions and treatments

  • Rotator Cuff Injury / Shoulder Tendonitis:

It gets better with reduced activity, especially overhead movements, posture adjustments, and changing movements to help the healing, as well as ice, heat and OTC anti-inflammatory drugs. Physical therapy is effective and so is massaging.

  • Shoulder joint instability:

Recovery involves strengthening rotator cuff muscles and scapular muscles to reduce dislocations. Taping is another treatment that is recommended.

  • Shoulder Dislocation:

Treatment is done using ice, rest and anti-inflammatory drugs.

  • Frozen Shoulder:

Treatment includes massage and myofascial release.  The tissue experiencing sticky inflammation needs to be gently coaxed apart. Particular exercises, such as shoulder rolls, scapula rolls and arm stretch are especially therapeutic for this condition.  Acupuncture and electrical micro-current stimulation are also helpful. And, once the shoulder has recovered, keep it warm, supple, strong and stretched with regular movement and exercise.

  • Shoulder Impingement:

Physical therapy is the greatest treatment for this condition, as strengthening the muscles and balancing all the muscles and tissues that affect the position of the shoulder effectively can relieve the impingement. Myofascial release and massage help relax the muscles involved so that they can loosen their grip on the bones and everything can relax back into place giving you quick shoulder pain relief. Exercise is helpful with this condition; pendulum, arm stretch.

  • Bursitis:

This condition gets better with reduced activity, RICE (rest, ice, compression, elevation), and massage and myofascial release of neighboring muscles. Gently, but rapidly vibrating the arm helps to bring relief, and massaging the arms.

  • Osteoarthritis:

Arthritis requires movement, but it must be measured and appropriate, so a physical therapist guides you about using the appropriate exercises that involves stretching, strengthening and supporting the joint. Treatment can also include heat and ice, anti-inflammatory medications and often steroid injections.

  • Thoracic Outlet Syndrome (TOS):

Physical therapy, myofascial release, acupuncture, exercise, and electrical simulation are helpful in relieving the variety of symptoms caused by TOS.

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

Measures That Will Provide Ultimate Shoulder Pain Relief!

Nothing can be more painful, when you are an athlete and because of shoulder injury you have to sit out or you have been advised not to play for the next four to five days. The pain as a result of injury might be so painful that you are restricted to your room. But at the same time the athletes become depressed as to how and when they will return back to the game fit and healthy.

Here Are the Simple Ways That Will Help Cure Shoulder Pain

In order to protect you from getting the injury as well as the pain much worse, here we have highlighted some tips that if followed will definitely relieve your pain to a greater extent:

Changing The Sleeping Position

In case you are facing shoulder pain in your right shoulder, so in such a situation make sure that you sleep on the opposite side that is on your left shoulder or at you back. If sleeping on your back causes pain or irritates the shoulder then try supporting your arm with the pillow.

Rest

When you know that it is an injury in the shoulder that is causing acute pain then it is a sign that your shoulder needs rest, rather some time for the injury to heal. Try quitting those activities that require extensive shoulder involvement such as swimming, throwing a baseball etc. Instead find an alternative to these like riding a stationary bike.

Warming Up

Before stepping into the field to play volleyball or baseball, try to warm up yourself by performing mild exercises. For instance, you can start this by a walk and then slowly and gradually building the stamina for a jog. Doing this, will help increase your heart rate and through your body temperature a synovial fluid is activated that helps in lubricating the joints thereby relieving the shoulder pain to a greater extent.

Building Up Your Endurance

Once your shoulder pain, gets time to become at ease then you can surely work on building up your endurance level. Start first by playing for a shorter period, in order to build up your strength and then slowly and gradually increase your time frame.

 

 

 

 

If you or any of your loved one is suffering from any shoulder pain or 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

What can be Done to Obtain Relief from Shoulder Pain!

Performing different household chores, people often get troubled in the situation when they are facing a little stiffness or some chronic pain in their body. Undoubtedly, a small amount of pain only, make people feel fatigued and frustrated in doing the usual tasks. In such a painful condition, people like to relax a bit, quitting all the tasks. There is nothing bad in this, but when this happens on daily basis, it becomes excruciating and not only affects the daily routine but also decreases the enthusiasm in performing the usual tasks.

Steps That Need to Be Followed!!

Shoulder being the most important part of the body that provides the overall movement. If one is facing chronic shoulder pain then you can understand that how badly it will have an effect on your mood as well as your performance on daily basis. In case of chronic pain these tips can be opted for at home as well.

The Painkillers

If you feel that the pain has just started in your shoulder and it is mild, then opt for simple pain killers or non-steroidal anti-inflammatory tablets or creams that will prevent the progression of pain.

Improvement In your Posture!

Feeling shoulder pain? Check for your posture first. There are times when you carry yourself with a poor posture thinking that it is somewhat a comfortable position. But you must be aware that your positions, like slouching or leaning forward at the desk or while standing or sitting can lead you to stiffness in your joints and then to chronic pain. Try to change your position frequently and also work on your posture in order to prevent chronic shoulder pain.

Lessen the Stress on your Shoulders

While performing the daily activities, or involved in our office tasks, we, by mistake lift heavy objects and that too in a wrong posture. This can also contribute towards chronic shoulder pain. The tasks like vacuuming in which you have to bend the upper part of your body, the usage of phones being held improperly or for a greater period of time can also lead to most of the strain in the body.

If you or any of your loved one is suffering from shoulder pain or 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

Neck Or Shoulder Pain? Here is the Solution!!

Both the shoulder and neck when are in trouble, they make it very much difficult for a person the movement, the performance of various tasks whether at home or outside, reason being these are the most important areas in a body that are responsible for movement most of the time. At work also, when there is chronic shoulder pain or neck pain he/she will start loosing focus on their work. This altogether means that something at workplace or at home is being done that is triggering the pain.

What are the causes of shoulder pain?

Let’s find out, that what in actuality are the common causes leading to shoulder pain.

  • In case, you are working with the arms raised above your shoulder level
  • Bad postures
  • You are sitting in one position for a longer time and thus your muscles have to hold your body weight for a greater amount of time
  • Vibration felt in the body as a result of over rough roads etc
  • In case you expose your body to extreme temperature
  • Unwanted pressure on your shoulders that gives rise to uneasiness
  • The stress that is observed when you rest your hands rather your wrists on a some hard desk

What Tips Can Help Fight the Pain?

There are certain tips that must be followed in order to fight the shoulder pain or the neck pain that you are facing. These belong to both at work and at home.

A 3 Minute Break will do it all!!

Sitting on the chair and working constantly will not only stress yourself but will also create pressure on some specific muscles. So, get up from your place and take a 3 minute break involving stretching your neck and shoulders, going out for a while etc.

Rearrange Your workplace

Everything needs some modification in order to make the place more cozy and comfortable. Probably, it might be your sitting area that is making you feel uneasy and contributing towards acute shoulder pain. Not only the heights of the monitor involving the chair and your eye level must be at a certain level but the place where you sit must be totally in support of your spine.

Change things

Yes, a change is very important in order to give the place a new look be it at home in your room or at your workplace. Change your mouse keeping side, involve yourself in those activities that will help switch your muscle groups.

If you or any of your loved one is suffering from a certain acute shoulder pain or personal injury 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

Frozen Shoulder – It’s Symptoms & Treatment Options

Frozen shoulder, also said to be the adhesive capsulitis is a condition in which the shoulder becomes painful and stiff. Most people think that it is the normal shoulder pain and it would go after two or three stretches or opting for some pain killers will help relieve the chronic pain. But it is recommended that in such a situation one must pay a visit to a pain management specialist, who will properly diagnose the condition and suggest the medications accordingly.

Sometimes, it is the frozen shoulder condition that is causing acute shoulder pain and compelling the person to stay away from the routinely chores.

What are the Symptoms OF Frozen Shoulder?

The pain, stiffness and limitation in the range of movement can be further elaborated with the below phases that confirm about whether a person is facing frozen shoulder pain or not:

The freezing, painful phase

In this the shoulder pain is followed by stiffness and limitation in movement. Moreover, this pain increases at night time and is felt more when a person lies on the affected.

The frozen, stiff Phase

If not treated properly then this condition may last for 4-12 months. However, with certain medication even if the stiffness is treated, there remains a restriction for a person in moving easily. Shoulder being the most important part, when affected disturbs all our body parts and makes a person frustrated in performing the normal activities.

The Recovery Phase

This period can be witnessed after opting for a righteous treatment. In it the pain is alleviated and the person is able to remove the hurdle of difficulty in movement.

The treatment Options For Frozen Shoulder Include:

Shoulder pain can be alleviated if below treatment options are followed:

Ordinary Pain killers

Paracetamol or codeine being a very strong pain killer can be opted in order to ease the excruciating pain.

Anti-inflammatory pain killers

These pain killers help not only in easing the pain but also reduce the inflammation felt in the shoulder. The examples of such pain killers include ibuprofen, diclofenac and naproxen.

Shoulder exercises

A person is advised to perform a little workout just to prevent the shoulder from being stiff. Constant movement will help ease the pain and enhance the movement.

Physiotherapy

If not by yourself, then you can look for a physiotherapist who will advise you some good exercises that will help ease the chronic shoulder pain.

If you or any of your loved one is suffering from shoulder pain or 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