Pain Management

Top 4 Treatments for Arthritis

Posted in What's New, In the News, Orthopedic News, Orthopedics, Pain Management on Wednesday, 01 February 2017

What is Arthritis?

Arthritis is not a single disease; rather, it is a way of referring to joint pain or disease. In fact, there are more than 100 different types of arthritis and related conditions, with the two most common types being osteoarthritis (OA) and rheumatoid arthritis (RA). It is a very common condition; about 1 in 5 adults in the United States are affected by it.


Reduce Arthritis Pain with Simple Lifestyle Changes

Posted in Orthopedics, Pain Management on Tuesday, 29 October 2013

Arthritis is a painful disorder that involves inflammation of the joints. The term arthritis is actually an umbrella, describing over 100 forms of arthritis including common forms such as osteoarthritis and rheumatoid arthritis.  Regardless of the type of arthritis, the condition usually involves joint stiffness and varying levels of pain. While there is no cure for arthritis, treatment options can range from physical therapy and joint replacement surgery, to simple lifestyle changes. 

Making Lifestyle Changes

Arthritis pain can be effectively managed by modifying your diet.Many arthritis patients find that by making simple lifestyle changes they are able to help reduce or maintain pain levels. Simple low impact exercises like taking short walks or swimming 2 to 3 times a week may improve joint stiffness. In addition to low impact exercises, many arthritis patients find that making simple dietary changes also helps reduce inflammation, joint stiffness and pain.

As arthritis is, by definition, inflammation of the joints, avoiding foods that cause inflammation, or consuming foods that are known to reduce inflammation may help reduce pain. Below are some food that is known to reduce inflammation.


Myofascial Pain Syndrome- Causes and Symptoms

Posted in Orthopedics, Pain Management on Thursday, 24 October 2013

What is Myofascial Pain Syndrome?

Myofascial Pain syndrome (MPS) is a condition that describes chronic muscle pain. The condition affects both the muscles (Myo) and the connective tissues (fascia) that cover and join the muscles.  MPS can affect a single muscle or entire muscle groups. Physicians often find with Myofascial pain that because of the fascia, the actual tender or pain point may not be the area that is the source of the pain. For example, connective tissue in your hip runs all the way through to your head, so it’s possible that pain in your neck, may be the result of an injury to lower back or hip, and vice versa.  The actual pain is a trigger point, this is why you’ll often hear myofascial pain referred to as trigger points. 

What causes MPS?

Myofascial Pain (trigger points) is usually the result of a muscle injury, excessive muscle fatigue or strain on certain muscle groups. While it is very difficult to identify certain activities or injuries that cause myofacial pain syndrome, most sports, such as basketball, baseball, football, or hockey, put much demand on the body and, depending on the sport, particular muscles groups. If you injure your back or legs as a result of playing one of these sports, trigger points are possible. In addition to sports, careers or jobs that require great physical demand can also cause injury which may lead to Myofascial Pain Syndrome.  


Ease Arthritis Pain with Exercise

Posted in Orthopedics, Pain Management on Tuesday, 01 October 2013

Arthritis is a common condition that involves inflammation of one or more joints.  It’s known to be painful, and the pain will vary depending on the location, type and severity.  When pain does flare up as a result of arthritis, the last thing that comes to mind is exercise, but exercise has been proven to be a great way to ease arthritis pain and improve physical function.  A recent study by the Centers for Disease Control and Prevention (CDC) showed that less than 24% of arthritis patients (in the study) get the recommended minimum walking time of 150 minutes a week.

Take A Walk 

Walking is a great exercise for arthritis patients because it’s a low impact exercise that’s easy and reasonable to do. You can walk around the neighborhood, at parks, by yourself or with friends; it also doesn’t cost you anything.  Getting your exercise doesn’t have to be complicated or expensive, it just needs to be consistent.  Choose a walking plan and then commit to it.

The research by the CDC indicated that a 6 week walking routine helped to reduce pain and fatigue and increase physical function.  Of course, before starting any exercise routine, it’s best to consult with your physician, but in most cases you’ll find that your physician wants you to stay reasonably active, and that activity promotes good health.


Pain Management – Treating Chronic Pain with Trigger Point Injections

Posted in Orthopedics, Pain Management on Wednesday, 22 May 2013

There are many different treatments for chronic pain ranging from medication to surgery, and if you suffer from chronic pain you are probably already familiar with many of the options available such as physical and massage therapy, acupuncture and pain injections. Most people have some knowledge of physical therapy and some alternative treatments like acupuncture which are growing in popularity. But general knowledge on some of the other available pain management options such as pain injections seem to be less widespread. In this article, we’ll take a look at trigger point injections and why you may want to consider this option.

What are Trigger Point Injections and Why Should I Consider the Treatment?

A trigger point injection (TPI) is an outpatient procedure used to relieve pain caused by trigger points or knots in muscles. Trigger point injections are administered by a health care professional and involve a small needle being inserted into the trigger point or painful area. Lidocaine which is a numbing agent is commonly the injected substance and used to numb the muscle or muscle group(s) causing the pain. Sometimes an anti-inflammatory is also injected into the trigger point area. 

When you have tight muscles that are bound-up in knots, they can lead to chronic pain or extreme discomfort. The trigger point injections help to reduce pain by releasing the tension caused by the muscles. Of course, the injections are not effective for every patient, but trigger point injections have proven, in many cases, to provide fast relief by helping the tight muscles to relax. Additionally, it’s a fairly quick procedure and can take as little as a few minutes to be administered.

Where Do TPI’s Fall in My Pain Management Plan?

Trigger Point Injections Provide Back Pain ReliefTrigger point injections are not usually the first treatment a physician would recommend for chronic pain, most of the time, a trigger point injection would be recommended after you’ve attempted resting the affected area, prescription medication and/or a physical therapy regimen. Certainly, the type of treatment recommended for you is dependent on your individual circumstance and only your physician could give you specifics about trigger point injections and your pain management plan. For the most part, a physician may recommend other treatments before a trigger point injection.

Contact Your Physician

If you are suffering from chronic pain, or think you need trigger point injections, contact your physician immediately and discuss your options. Your doctor may suggest other treatments before trigger point injections or not recommend them at all.

Your treatment plan is designed to help you manage pain and increase quality of life; at IBJI our physicians take pride in helping our patients live happier and healthier lives. If you would like to speak to an IBJI physician about your condition find a location nearest you or call to learn about our comprehensive pain management program.


5 Symptoms of Rheumatoid Arthritis

Posted in Orthopedics, Autoimmune, Pain Management on Tuesday, 19 March 2013

Rheumatoid Arthritist can cause pain in the hands that make even the simplest of tasks difficultRheumatoid Arthritis or RA is a chronic autoimmune disorder that can be very painful. RA causes inflammation of the joints which can lead to stiffness and swelling in the affected area. The key to slowing the progression of the disease is recognizing the symptoms and getting treatment as early as possible. Unfortunately, recognizing the symptoms can be tricky as RA may have periods of remission and during those periods there will likely be no symptoms. The key is to listen to your body and not ignore the symptoms.

Numbness or tingling in the hands

One of the most common symptoms of RA is numbness or tingling in the hands. The inflammation compresses the nerves which may cause pain in the wrist area or the hands. Carpal tunnel syndrome is a known condition that affects the wrists and hands and also may be an early sign of Rheumatoid Arthritis.

Morning Stiffness

Morning stiffness is a common complaint of people with RA. The joints are usually very stiff and may have limited range of motion in the morning and then loosen during the day with movement and activity.

Joint Pain

Rheumatoid Arthritis can affect many areas of the body but pain is often directly related to joints. The numbness and tingling in the hands is a common area affected, but pain may be felt in the knees, elbows, shoulders, jaw or neck.

Fatigue

Fatigue by itself is not enough to classify it as a symptom of Rheumatoid Arthritis. But constant fatigue in combination with some of the other symptoms, like pain in the joints or tingling in the hands, may be a result of inflammation caused by RA.

Foot Pain

Some people with RA find they have pain in the heel or forefront of the foot as a result of the inflammation. The pain can be such that it stops men from wearing dress shoes or women from heels.

Don’t Ignore the Symptoms of RA

Rheumatoid Arthritis may affect your entire body, but more commonly you will have pain in your hands or joint areas like knees or elbows. The pain or stiffness may be worse in the morning and take you a few hours to feel like you have loosened up.

Remember, individually not all of the symptoms will be good indications of RA, but if you have multiple symptoms, that may be a better indication of the possibility of the disorder. Knowing these symptoms may help you recognize the disease early and get the proper treatment. The key is to not ignore the symptoms and to speak with an orthopedic doctor as soon as the symptoms surface.

 

This information is not intended to provide advise or treatment for a specific situation. Consult your physician and medical team for information and treatment plans on your specific condition(s).


What is Pain Management and What Are My Options?

Posted in Orthopedics, Pain Management on Thursday, 07 March 2013

If you have been living with pain in any area of your body for an extended period of time, you are probably familiar with the phrase “pain management”. Many people suffer from conditions like arthritis, tendonitis, and other conditions that may gradually progress without the help of a pain management treatment plan. An effective pain management treatment program will usually involve multiple physicians and therapist that will work together to help reduce or eliminate your pain. 

What is Pain Management?

Chronic pain conditions can stop you from playing your favorite sports, working or conducting normal day-to-day activities. The main purpose of pain management is to reduce your pain and increase your function to improve quality of life. Pain management usually involves a team effort, for instance, you may start off seeing a doctor because you have low back pain. That physician may prescribe you medication and recommend you see a physical therapist. If the physical therapist and the physician are able to eliminate your pain, your pain management treatment would stop.

However, if the physical therapist put you through an entire program and you were still in pain, she may recommend non-steroidal injections. All of these health practitioners will work together to help you reduce and eliminate your pain.


What is Arthritis of the hands?

Posted in Orthopedics, Autoimmune, Pain Management on Tuesday, 12 February 2013

Do you have pain in your wrist or hands? Do you have stiffness in your fingers that seems to be worst in the mornings? What about numbness in your fingers? All of these symptoms are common with arthritis in the hands. Arthritis in the hands can dramatically reduce the quality of life as not having full usage of your hands can really alter how you do things or stop normal day-to-day activities completely.

What is arthritis of the hand?

Arthritis is a condition that describes inflammation of the joints. The most common form of arthritis is degenerative arthritis, also called osteoarthritis. This form of arthritis in your hands can limit functionality and cause much pain due to the loss of cartilage as it wears over time. Osteoarthritis of the hands is usually experienced later in life as it is a degenerative disease.

What are some of the symptoms?

While there are many types of arthritis many of them have common symptoms. Here are some of the most common symptoms:

  • Pain in hands or fingers
  • Stiffness in hands, especially early in the morning and may improve with day.
  • Swollen joints in hands
  • Hand or wrist may have limited range of motion
  • Affected hand joint may be tender to the touch

Do You Have Chronic Pain in Your Hands

Posted in Orthopedics, Pain Management on Tuesday, 05 February 2013

If you’ve had chronic pain in your hands you know how discomforting and inconvenient the pain can make simple every day task. Holding a cup of coffee or typing on a keyboard can cause considerable pain. But how do you know when it’s time for surgery and what exactly is hand surgery anyway? Of course only you and your orthopedic physician can decide when surgery is appropriate as the need for surgery will greatly vary from case to case. In this article will talk about hand surgery and some of the conditions that may lead to a surgery.

What is hand surgery?

Hand Surgery is a field in orthopedic surgery that diagnosis treats and corrects problem of the hand. The title “hand surgeon” is a little misleading as a hand surgeon is a doctor with specialized training for upper extremities including hands, arms, and shoulders. Hand surgeons also do more than surgery. Hand Surgeons also treat fractures, nerve problems, and tendonitis.

How do I know if I need hand Surgery?

If you have been visiting your physician you will have tried other methods to reduce or eliminate the pain and surgery will typically be used as a last resort. It’s important that you have good open communication with your orthopedic physician as most people know when they need surgery as the pain has made it impossible to do normal day- to- day activities. If you are experiencing this type of pain and it continually gets worst, your physician needs to know and together you can take the best course of action.

Common Conditions that May Cause Hand Surgery

Hand Osteoarthritis

Arthritis of the hands is a very common condition and could progress to hand surgery. Osteoarthritis of the hands is generally describes as a degenerative condition where the protective condition between the joints wears out over time.  If other treatments fail, your movement becomes too restricted and the pain continues to progress, surgery may be a viable treatment.

Carpal Tunnel Syndrome

Carpal tunnel is a common condition that affects the hands and wrist. There is usually pain or numbness due to pressure or the compression of the median nerve. Treatment may start as rest and anti-inflammatory medical but can progress to a hand surgery.

Hand or Finger Tendonitis

Tendonitis refers to inflammation of the tendon and it usually caused by overuse. Because this is typically caused by over use, rest and ice are typically the first line of defense against this condition. Physical therapy and over-the counter medications may also help reduce the inflammation and pain. However if pain is unbearable your orthopedic surgeon may recommend surgery.

Pain in the hands is much different than almost any other condition as we use our hands for almost everything. Eating, bathing and just doing day-today chores can become impossible with chronic hand pain. A good orthopedic physician will try to help you reduce and eliminate pain with non-invasive methods before considering surgery.  However surgery is sometimes the best route to get functional use of your hand.

If you have any questions about hand surgery contact a Hand Surgeon at IBJI and make an appointment today.

 

This information is not intended to provide advise or treatment for a specific situation. Consult your physician and medical team for information and treatment plans on your specific condition(s).

Tags hand surgery

Common Areas Affected By Osteoarthritis

Posted in Orthopedics, Pain Management on Thursday, 15 November 2012

When you wake up in the morning do you feel a stiffness or pain in your joints? Does the pain and stiffness get better as they day goes on. These are common symptoms of osteoarthritis (OA). Osteoarthritis is the most common form and is often called “wear and tear” arthritis.  Osteoarthritis can occur from an acute injury like a slip and fall but typically it is the result of repetitive motion.  Symptoms can range from pain in the affected area, to loss of flexibility. Most people suffering from osteoarthritis will also commonly complain of joint stiffness as well. The most common areas affected by OA are the knees hips and spine.  Both the low are upper back are subject to the symptoms of osteoarthritis. 

Osteoarthritis Of The Knees

Osteoarthritis in the knees is very common and stiffness and pain will often make it uncomfortable to stand for long periods of time or even walk in more severe cases.  The knees joints are subject to a lot of wear and tear over the years making them a common area for osteoarthritis. All the running, walking and getting up and down accumulates over time casing the wear and tear in the knees. Weight is also often a factor as many people are overweight which subjects the knees to added pressure.


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