Elbow pain can have a number of underlying causes. Sportsmen like tennis and baseball players, golfers and boxers are quite susceptible to elbow injury due to the nature of their game. Elbow disorders may be caused due to damage in muscles or tendons of the arm, arthritis or defects in the bones of the arm. Whatever be the root cause of pain, a visit to the pain management doctors of Los Angeles will help in the accurate diagnosis and treatment of elbow pain.
Who is not aware of the phrase “Heath is wealth”? Almost everyone is. Many of us believe in the phrase as well, but to follow the phrase; people are seen to be more or less reluctant. Small or huge, a disease is always a disease and due to utter negligence, a small disease does not take much time to turn into a huge and serious one. One of the diseases that turn bigger because of ignorance and improper diagnosis is Radiculopathy.
What is Radiculopathy
If we define Radiculopathy in short, then we must state that it is a disease that is directly related to nerves and causes serious pain, especially in bone joints. The major area of its occurrence is the spinal cord. Apart from causing extreme pain, the very disease also causes a lack of sensation and makes the whole human system lethargic.
From the spinal cord, Radiculopathy spreads its action in arms and lower back as well. Thus, those who are the victims of the stated disease often noticed to avoid sitting for a long time at a place because of severe lower back pain. The pain then affects the extreme lower portion of the human body that is the legs.
Causes and cure of Radiculopathy
Through Radiculopathy itself is a disease but it gets caused by other group of diseases and other serious reasons as well. The disease originates from the root of nerves that are already affected by any other disease. Firmness of nerves, stimulated bones or osteophytes, infection within spinal cord due to tumors and diabetes are the major causes of Radiculopathy.
The first and foremost indication of Radiculopathy is severe pain and it gradually lowers down from its root. From spinal cord it gets sent to lower back and then in the arms and legs. The weakness appears to the whole body after affecting the arms and the legs. Apart from these, some of the victims of Radiculopathy also suffer from hypersensitivity in the areas where the disease takes place.
After all these shocking information, there is good news that this disease is curable. First of all one must not ignore when the pain and the weakness first occurs in the stated areas of the body as the mere outcome of physical labor. It is always suggested to consult an expert physician who is a specialist in treating the disease Radiculopathy.
It is always intelligent to rely on a Pain Clinic Los Angeles as there are groups of experienced doctors who run the clinics to deal with the very disease in every now and then with all their knowledge and expertise. From testing the numbness with basic things like a needle to treating the patients with the most modern medical equipment, the expert professional physicians who are based in Los Angeles, do whatever it takes to cure a patient.
People who are suffering from Radiculopathy can get a cure from Los Angeles based doctors’ treatments as it is highly reliable and the expected expense for the treatment is reasonable as well as affordable.
Kyphoplasty is a minimally invasive treatment that rebuilds the vertebral space using orthopedic cement. The vertebral space may occur due to compression fracture and this treatment can help a person to stand erect again.
Prior to kyphoplasty procedure, a balloon is inflated in the fracture to create an empty space. This helps in injecting more bone cement which is placed under lower pressure.
Los Angeles pain management clinics are the best place where such treatments are conducted with precision. The aim of this procedure is to stop pain caused by spinal fracture and to restore the lost vertebral body height which occurs due to compression fracture.
Who should go for Kyphoplasty?
People with a deformed spine experiencing painful symptoms from recent compression fractures are advised by doctors to undergo kyphoplasty. California Pain Network, specializes in kyphoplasty to rectify the posture of a patient who has a bent spinal structure as a result of bone loss.
Although, it is quite common among old people to bend forward with age, it may also be seen among younger people after an injury. Timely consult with family doctors can prevent permanent damage.
How is the surgery conducted?
A typical kyphoplasty surgery is conducted in the following manner:
- The patient is made to lie down on the operating table either completely asleep or sedated
- Through two opening in the body, specialized tubes are inserted directly into the affected vertebra
- Through the tube, the balloons are inserted into the collapsed vertebra and once in place, these balloons are inflated with a liquid to lift the vertebra back its original height
- After the bone gets expanded, the balloons are deflated, leaving an empty cavity within it
- Now the bone cement in inverted into the vertebra through both the tubes into the hollow space and it solidifies after a minute
As soon as the patient is awake, he/she is made to walk around and is discharged within a day or two. Later on, only physical therapy is required for strengthening of the spinal muscles. There is no need for pain medication anymore. California Pain Network conducts these surgeries on a regular basis and are trusted by many people.
What are the benefits of Kyphoplasty?
Not only such treatment restores the height of the spinal column and repairs compression fracture, kyphoplasty also provides the following other benefits:
- It is a minimal invasive procedure which involves minute incisions and allows for short surgical recovery time
- Patients can often move out of the hospital in a day or two post operation without any acute feel of pain
- They are able to return to their normal daily life quite soon
- There is no need for bracing
Another very important factor, which is ensured by Los Angeles pain management doctors right after surgery,is that this treatment prevents further fracture to the vertebrae. They say that by stabilizing the vertebrae, it prevents onset of severe spinal deformity.
The Doctors are experts in conducting these surgeries. It works best for newly developed fracture but is also effective for old injuries.
Recovery from Kyphoplasty
Pain Specialist gives you suggestion on procedures to follow while recovering from kyphoplasty. While pain relief may be immediate for certain patients, for others it may take a day or two. Normal daily routine and lifestyle can be followed by lifting of heavy weights and other such activities are better to avoid.
Regular check-up post-surgery is recommended by the doctors to review their condition including medication to prevent bone loss.
What is an epidural blood patch?
This is an injection of your own blood into your epidural. The epidural space into which the injection takes place is not your spinal cord but rather right outside of the sack of fluid which contains your spinal nerves.
Who needs this procedure?
In some cases patients who have injections and other spinal column may require this procedure. A spinal tap, spinal injection, or the epidural received during labor are conditions under which this procedure is done. There are some cases where patients have a severe headache after these procedures which is typically a sign of a leak of your spinal fluid into this epidural space. The headache itself is not harmful to you but it can be very debilitating and if you experience this headache you can come to a clinic and get the blood patch. This blood patch will inject freshly drawn blood into the space to plug this week. This causes the pain to go away. In some cases this type of procedure is necessary after trauma like a motor vehicle accident.
How long does the procedure take?
The actual injection of your blood takes a few minutes at the Los Angeles pain clinic. But you should allow approximately one and a half hours for the entire procedure to include the time it takes to sign any documents, position yourself in the room, and be observed by a nurse after the procedure.
What medications are used?
The area which is to be injected will receive a local anesthetic so that your skin is numbed. If you require additional sedatives they can be provided by a pain management doctor in Los Angeles.
Is the procedure painful?
You will feel a small injection of local anesthetic using a small needle. This feels like a slight pinch after which you feel a slight burning sensation. But following this the skin will be numb and you will not feel more than a slight pressure at the injection site. If you want to have IV sedation or oral sedation these are both possible.
How is this process completed?
This process is typically completed with the patient lying on her stomach. Their oxygen and blood pressure will be monitored. The skin at the site of the injection will be cleaned using antiseptic solution. A small catheter will be placed into a vein and your pain management specialist in Los Angeles will place the epidural needle into the affected area after they have drawn blood from your vein.
What can I expect after this procedure?
Immediately after the procedure you might feel slight pressure in your back. This pressure is caused by the new dose of blood in the area. After the initial injection you should rest for 30 minutes. You should be able to stand after 30 minutes. Many patients at the clinic experience relief immediately and after a few hours your body will be able to replenish any of the lost spinal fluid and your headache should get better. After the procedure it is advised that you take one or two days to relax and recover before you go back to work. Unless there are complications you can return to work after one day.
What is Knee arthroscopy?
Knee arthroscopy is a kind of keyhole surgery carried out on inside of your knee joint to discover symptoms such as, irritation or a harm. You may opt for treatment of knee arthroscopy where your physiotherapist may repair or remove any harmed tissue and ligament. Your physiotherapistmay take little tissue tests (biopsies), which can be used to analyze the situation and identify the main cause of knee arthroscopy.
Arthroscopy is used to analyze several knee problems, such as, torn meniscus (kneecap), or repair ligaments in joint. Knee problems are accompanied by severe pain which patients must be aware of. Your recuperation time and visualization will rely upon the seriousness of the knee problem and the unpredictability of how long it may last.
Why Prefer Knee arthroscopy?
The following are the major reasons why knee arthroscopy is recommended:
• Torn meniscus. Meniscus is defined as a ligament that pads the space found between the bones in the knee. It can be repaired through Surgery.
• Damaged anterior cruciate ligament (ACL)
• Swollen or injured covering of the joint. This coating is known as the synovium.
• Misalignment of the kneecap.
• Small pieces of damaged ligament up the knee joint
• Removal of Baker’s lump. The swelling takes place at the knee where liquid has been filled. Now and then the issue happens if swelling and painexist for different reasons, similar to joint inflammation
• A few fractures of the knee bones.
How are Knee Arthroscopy Performed?
Knee arthroscopy is generally performed under broad sedative, though it can be done under spinal anesthesia, or analgesic. During this procedure, antibacterial liquid is used to clean the skin on the affected joint. A small entry point, a couple of millimeters long, is made so thatthe arthroscope can be inserted. One or more extra cuts will also be made so that an examining test can be done and other fine surgical instruments can be inserted. The doctor may fill the joint with a clean liquid to extend it and make it easier for viewing. Doing so will help the doctor see the inside of your joint using aneyepiece.This present a good chance where the doctor will repair any harmed regions and remove any undesirable tissue.
The doctor will further carry out more tests using arthroscope and, if necessary, remove or repair any areas affected with the help of surgical instruments embedded through the entry points. After the procedure, the arthroscope and any other instruments are removed, alongside any excess liquid from the joint.
How do Knee arthroscopy Relieve Pain?
The doctor recommends that you take your pain management medication at the onset ofpain. This will help relieve pain before it becomes acute. You may also prefer to have a nerve square, which is a pain reliever after surgery. Ensure you take the recommended medication to help relieve pain in the nerve.
Are there Risks Associated with Knee arthroscopy?
While knee arthroscopy is highly recommended for treatment of knee injuries, there are a few dangers that patients ought to be aware of. Upon undergoing the knee arthroscopy, patients may experience incidences such as swelling, solidness of the joint, dying, blood clusters, and other diseases that are effects of knee problem.All these should be reported to the doctor so that you can get the best advice on what to do.
Ask any pain management clinic what type of problem they see often and they will tell you headaches bring in a lot of patients. While virtually everyone knows something about headaches, many people do not know much about the different types of headaches. Your local pain management clinic wants to share the following information with you so you will be prepared to understand what may be causing your headache.
General Headache Information:
Pain management clinic personnel would define headaches as pain that is continuous and located in the head or neck. There are different kinds of headaches, and many require their own special treatments. It has been estimated that more than 45 million people in the US have some form of chronic headaches.
The Tension Headache:
Every year, pain management clinics across America see patients complaining of tension headaches. In fact, the tension headache is, perhaps, the most common type of headache that people suffer from. This headache is often caused by muscle contraction and may stay with a person over a long period of time. Generally, the pain is on both sides of the head and in the front and back of the head. Tension headaches are not made worse if the person does activities, and there is usually no other symptoms.
It is important that the patient see someone at a local pain management clinic so the headache can be treated properly.
This is also known as temporal arteritis, as caused by inflammation in the large arteries which supply the head area and temple area. This type of headache is felt in the temples and patients complain of a continuous, aching pain that varies in intensity. Generally, these headaches occur in individuals who are 60 years old or older. Other symptoms may be present as well such as jaw pain, night sweats, weight loss, and depression. Those who have this type of headache should visit a pain management clinic for diagnosis as soon as possible.
Sinus headaches are another common type of headache. They are caused by sinus inflammation, which is often the result of some form of allergic reaction. Sinus headache pain can be constant and felt in the cheekbones, bridge of the nose, and forehead. A diagnosis should be made by a pain management clinic doctor and may require certain tests and procedures. Use of antibiotics and decongestants are first line treatments of sinus headaches. Antihistamines may also be needed. Pain management clinic personnel do not recommend the people self-diagnose or self-treat this type of headache as taking the wrong type of medication can make the condition worse.
There are other types of headaches, namely migraine and cluster headaches, as well. In all cases, headaches are painful and cause people to change their lifestyles because of this pain. Working with an experienced pain management clinic is one of the best ways to get relief from this pain and to identify what the problem is in the first place. If you suffer from headaches, make an appointment with your pain management clinic today.
While pain can come in many different types in different parts of the body, one of the main distinctions that must be made is between acute, or short-term, and chronic (or lasting) pain. They tend to have different types of causes, and need different pain management strategies no matter what the cause may be.
Diagnosis: Whether the problem is acute or chronic, the first thing that needs to be dealt with is determining what’s causing it. Generally, treatment of this underlying cause is important to treating the pain, which can’t always be considered as a separate condition. Acute pain is generally a direct symptom of a specific injury.
Chronic pain that has lasted for months eventually becomes a medical condition of its own. In some cases, it may have started from an injury that has now long since healed. In others, the might be no apparent cause. Not having an underlying problem to deal with can make treatment more difficult. However, there are other times when the pain does not go away, and this can be a symptom of an undiagnosed illness – sometimes a severe one.
Short-term treatment: In this type of treatment, most often the key is simply to keep it under control until the underlying injury is healed. This is sometimes most easily done with medication. Muscle relaxants, over-the-counter or prescription pain relievers, or corticosteroid injections can be used, depending on location and severity.
Long-term treatment: With chronic pain, the effects of longer-term treatment need to be considered. Many medications are not intended for use over extended periods of time. In some cases, the effects of this use have not been well studied. Eventually, it’s generally best to look at other options.
Surgery is often considered for lasting back conditions, particularly with spinal disc injuries. While this is considered somewhat drastic and is often a last resort, it can get good results.
Another treatment used in more severe cases is electrical stimulation, which connects an implanted wire from a pulse generator directly to the nervous system. The generator is then turned on for a certain amount of time each day. This is often done for severe nerve pain, or for back problems that were not resolved by surgery.
When no apparent organic cause for chronic pain is found, adjusting movement and behavior can help to mitigate symptoms. In many cases, it’s important to avoid straining nearby muscles that could become overworked in compensation.
Many people also turn to less conventional therapies, such as acupuncture or chiropractic treatment. While not always recommended, these have been reported to produce good results.
Strategies used in both: For many types of joint or muscle pain, physical therapy is recommended. This can help prevent stiffness or other difficulties with the healing of acute injuries, and keep them from developing into chronic conditions. Similar stretching and strength exercises are also sometimes recommended to improve movement over the longer term.
Especially for lower-level pain, whether chronic or acute, massage therapy can help to relieve muscle tension that may be making it worse. Massages can also help ease strains.
Those suffering from migraines already know how excruciating the pain can be at times. For some people, certain types of drugs may help prevent episodes from coming on.
One of the more common drugs used to help prevent migraines are beta-blockers. These drugs help to relax blood vessels which can be helpful in stopping a migraine in its tracks.
The calcium channel blockers can be used to help decrease the amount of constriction that takes place with the blood vessels. Narrowing of blood vessels often brings on headaches.
Some types of antidepressants have been seen as being effective in helping stave off migraines. Amitriptyline and nortriptyline are two such drugs.
Botox, also known as botulinum toxin, has helped some people. The drug is injected into the face and parts of the scalp. It does not work with everyone, however.
Who Should Use Migraine Prevention Medications:
If you fall into one of these categories, your doctor and you may wish to consider adding pain management and preventive drugs to your regime:
• Those whose headaches are disabling or headaches that interfere with life or work
• Those who have 3 or more headaches (moderate to severe) per month
• Those whose migraines affect their quality of life
• Those who take other pain management drugs often with no relief
• Those who suffer from adverse side-effects to their current pain management medications
• Those who wish to try preventive measures as a part of their pain management program
• Those who are able to take medication on a daily basis
• Those who have unusual symptoms such as auras
Preventive Drugs for Migraine Should NOT Be Used:
• By those whose symptoms are controlled and not disabling
• By those who do not have 3 or more moderate to severe headaches per month
• By those who are having success with other drugs
• By those who are not having adverse side-effects with their current medications
• By those who have medical conditions that would preclude them from taking preventive drugs
• By those who cannot adjust to the side-effects of preventive drugs
• By those who would prefer non-drug therapies as part of their pain management program
As is true for any type of pain management program whether it is for migraines or some other health issue, consult with your doctor first. He or she will be able to share the latest medical news with you that will pertain to your condition. It is never advisable to start a medical program on your own as some signs and symptoms may be indicative of serious health conditions that require professional medical assistance.
In addition to the above preventive drugs for migraines, there are also many non-drug pain management therapies available. These include such things as relaxation exercises, biofeedback, and certain devices that can help to lessen the pain or, at least, help you to cope with it when it hits. Again, your doctor is your best source of information when it comes to finding those medical actions and medications that can work with you and your personal health issue.
Scoliosis is a condition which causes a curvature of the spine. When scoliosis occurs in childhood, the individual may experience rotation of the spine that results in damage to the spine and to various organs in their bodies. Traditionally, the only treatments used for scoliosis were wearing braces or having surgery in which a metal rod is placed inside the spinal column to hold it in place. Not all children with scoliosis advance with the same severity that requires surgical intervention. Those who have mild to moderate cases are often treated by pain management doctors who also work to prevent the curvature(s) of the spine from increasing.
Adults typically believe that if they did not have scoliosis as a child, they will not have it as adults. In reality, scoliosis can occur during adulthood when degenerative arthritis causes a breakdown of the facet joints so that the spine begins to shift to one side, resulting in the same “S” curvature that results in early-onset scoliosis.
How Adult Scoliosis is Diagnosed
Some adults who develop scoliosis do not have pain from the condition and never seek treatment from pain management doctors to learn their diagnosis. Some may experience pain as a direct result of the condition or they may be experiencing pain from something else when the scoliosis is discovered. Scoliosis is easily viewed on an X-ray so that diagnosing the condition may be as simple and accidental as taking a chest X-ray to confirm Pneumonia and detecting the spinal curvature.
Differences Between Adolescent and Adult Scoliosis
When children develop scoliosis, it has no known cause. While those with mild forms may not recognize their condition at the time it occurs, others will advance severely so that they will experience damage to other areas of the body as a result. Many will visit pain management doctors to monitor their conditions and provide any needed treatment while they are still young.
Degenerative scoliosis, on the other hand, has a known cause. As adults age, the facet joints deteriorate and cause the curvature of the spine. Adults with degenerative scoliosis will often experience pain from the inflammation of the joints, not the curvature of the spine. Another incorrect assumption about adult scoliosis is that the condition does not advance. While it progresses slowly, the curve will continue to increase over time. It is just at a much slower rate than that which occurs with adolescent scoliosis. Therefore, the treatment they receive is for their pain, not for the condition itself.
Degenerative scoliosis occurs in aging adults in the same way that osteoarthritis can impact bones. The cartilage which protects the joints is worn away, causing the bones to rub together and cause inflammation and pain to occur. This usually occurs gradually over time with symptoms usually being the most severe in the mornings. Standing and walking are often difficult, sometimes causing pain from lumbar stenosis, a constriction of the lumbar spinal canal that result from the enlargement of the facet joints. For most adults with degenerative scoliosis, treatment is sought from pain management doctors as an elective choice to improve quality of life.
Spinal cord stimulation (SCS) is a procedure that helps control chronic pain by using electrical impulses. An implantable medical device known as a spinal cord stimulator is placed near the spinal cord to reduce both leg or Back Pain.
One of the critical factors in the success of this procedure is patient selection. The Los Angeles pain management doctor will assess a patient’s clinical and psychosocial conditions to determine whether spinal cord stimulation is the best option. Typically, patients chosen for spinal cord stimulator implant have undergone one or more unsuccessful surgeries; had a previous disability for more than a year; and suffered from pain in the lower back and leg.
You may qualify as a candidate for the procedure, if you meet the following criteria:
- You’ve had a successful trial stimulation treatment
- You have a verified source of pain
- You’re not seriously dependent on drugs or any pain medication
- You don’t suffer from psychiatric conditions, such as depression, that can worsen pain
- You don’t have existing medical conditions that preclude the use of spinal cord stimulator implant
- You’ve had failed conservative therapies
- You have chronic neck or back pain
- You have Reflex Sympathetic Dystrophy (RSD)
- You have peripheral vascular disease
- You have peripheral neuropathy
- Your pain remains or worsens despite previous back surgery
Pregnant or women who are nursing are not allowed to undergo this procedure. Moreover, patients who have the following conditions are not suitable candidates for spinal cord stimulation:
- Correctable lesion
- Less than 50 percent reduction in the degree of pain during a stimulation trial
- Feeling of discomfort from the sensation caused by transcutaneous electro stimulation units
- Demand type cardiac pacemaker
- Systemic infection
Your Orange County Pain Doctor will conduct a comprehensive evaluation to find out if you’re a good candidate for a spinal cord stimulator implant. Your pain history will be thoroughly evaluated to assess whether the treatment is appropriate for your goals of pain reduction. A pain specialist, physiatrist or neurosurgeon will examine your physical condition, medication and all prior treatments including surgeries, injections and physical therapy. A psychologist may also evaluate your condition, as pain is known to have psychological effects.
Spinal cord stimulation can help reduce chronic pain caused by:
- Complex regional pain syndrome
- Failed back surgery syndrome
- Chronic arm/leg pain
- Spinal cord injury
- Multiple sclerosis
- Peripheral vascular disease
- Stump pain
- Pelvic Pain
If a correctable condition causes your pain, then this condition must be treated first before choosing to undergo SCS. Once your pain management doctor in Orange County considers you as a good candidate for SCS, you’ll undergo a trial stimulation that will further determine if spinal cord stimulation is appropriate for the severity, location and type of pain you have.
The California Pain Network offers Board Certified pain treatments at several locations in Los Angeles and Orange County. Both medical and interventional pain treatments are offered. Over 50 treatments are offered, with impressive success rates being seen.
Call (310) 626-1526 for more information and scheduling today!