Fibromyalgia is a painful, chronic condition, which unfortunately healthcare professionals know little about. Because doctors have yet to determine the exact cause behind fibromyalgia, it can be a big challenge to treat, however, healthcare specialists experienced in chronic pain have gathered some evidence behind its possible causes.
What causes fibromyalgia?
Research studies have reported that women are also more likely to suffer from fibromyalgia. A fact that, unsurprisingly, has no known explanation to this day. There is evidence on what may cause fibromyalgia, but the results are varied. Findings include:
The chronic pain associated with fibromyalgia may be due to abnormalities in the endocrine system and autonomic nervous system. Some researchers feel that changes in the autonomic nervous system (which is triggered whenever you’re stressed) and endocrine system (which releases hormones in response to stress) induces the widespread chronic pain associated with fibromyalgia. An autonomic nervous system that is over-active induces excessive hormones that sensitize pain receptors, causing pain and tenderness.
Fibromyalgia may be linked to physical or emotional trauma via post-traumatic anxiety disorder.
Genetics may play a role because fibromyalgia seems to run in families.
Viral or bacterial infections may cause the condition. Hepatitis C, the HIV virus and Lyme disease have been correlated with fibromyalgia and some evidence suggests the disease may be also caused by vaccinations.
Muscle tissue abnormalities might be to blame. Muscle abnormalities may be structural, metabolic, or functional. Muscle abnormalities may be brought on by disturbances in the endocrine system from repairing, in that diminished growth hormone levels that may prevent muscle tissue.
Some research suggests that the musculoskeletal pain of fibromyalgia may be caused by central sensitization. When the nervous system becomes sensitized, which increases the amount of pain, central sensitization occurs.
It might be linked to abnormal blood flow. A November 2008 study ascertained that fibromyalgia may be linked to blood circulation in two areas of the brain. A study found that women with fibromyalgia have blood flow in the area. Conversely, they have too little blood circulation in the area of the brain that’s involved in pain response. The researchers also found that the more severe the symptoms, the more acute the blood circulation.
Like most ailments, it’s quite possible that fibromyalgia does not simply have one trigger; rather, many factors may impact your likelihood of developing the problem. The study may yield conclusions that are separate, but it’s currently giving the medical community a better comprehension of fibromyalgia. Subsequently, it is going to help create treatments.
Fibromyalgia Diagnostic Process: What Could Occur
It’s extremely tricky to diagnose fibromyalgia. There isn’t one test that a physician can use as a way to definitively say, “Yes, you still have fibromyalgia.” Because there are several conditions that have similar symptoms, including chronic fatigue syndrome, arthritis, and lupus, diagnosing fibromyalgia is more a process of elimination.
It could take a while between when you notice symptoms and if you are diagnosed with fibromyalgia, and that may be frustrating. Try to remain patient and remember that your doctor is working to obtain the reason for your pain and symptoms. Making the perfect diagnosis makes treatment much more successful.
Medical History: Your physician will have a full medical history, asking you about any other conditions you have and what runs in your family.
Share Your Symptoms: You will also have to detail your symptoms: where it hurts, how it hurts, and just how long it hurts. Diagnosing fibromyalgia is dependent upon your report of these symptoms, so it’s best to be as specific and accurate as you can. You may choose to keep a pain diary (a record of all of your symptoms) so that it’s a lot easier to share info with your physician through the consultation.
Because fibromyalgia has many potential symptoms and co-existing conditions, attempt to be a thorough as possible when speaking about what you have been experiencing. Tell your doctor if you have been having trouble sleeping, should you are feeling tired a lot of the moment, if you have had any headaches, etc..
Physical Evaluation: The doctor can also palpate (so he is going to apply light pressure with the hands) that the 18 tender points.
Other Potential Tests
As mentioned above, the symptoms of fibromyalgia can be extremely similar to other conditions, such as rheumatoid arthritis, hypothyroidism, and ankylosing spondylitis. Your physician will want to rule out any conditions, so he or she may order tests. Remember, these tests are not to diagnose fibromyalgia; they are to eliminate any other possible conditions.
The Physician may order:
Anti-nuclear antibody (ANA) test: Anti-nuclear Compounds are abnormal proteins which could be on your blood if you have lupus, a condition with symptoms similar to fibromyalgia). Whether your blood has these proteins, the physician will want to find out in order to rule out lupus.
Blood count: By taking a look at your blood count, your doctor may have the ability to see an additional cause for your intense exhaustion, such as anemia.
Erythrocyte sedimentation rate (ESR): An ESR test measures how fast red blood cells fall to the bottom of a test tube. In people with rheumatic disease (such as rheumatoid arthritis), the ESR or “sed rate” is sometimes higher. The red blood cells fall into the bottom of the tube, which suggests that there is inflammation within the body.
Rheumatoid factor (RF) test: In many patients with an inflammatory illness (like rheumatoid arthritis, which has symptoms related to fibromyalgia), a higher degree of the rheumatoid factor could be identified from the blood. A higher degree of RF doesn’t guarantee that your pain is brought on by rheumatoid arthritis (RA), but doing an RF evaluation will help your doctor explore the possibility of an RA diagnosis.
Thyroid tests: These tests can help the doctor rule out thyroid problems.
Closing Note on Fibromyalgia Diagnosis
Again, assessing fibromyalgia can take awhile. Your job as a patient is to be more proactive in the diagnostic procedure; be your personal advocate. By way of instance, as soon as your physician orders a test, ask why. Be sure you know the way that test will help figure and what the results will tell you. Continue asking questions until you do, if you do not understand the outcomes or reasoning.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Dr. Alex Jimenez collaborates with top rated diagnosticians and imaging specialists. We are blessed to have in our association, imaging specialists that provide fast, courteous & premiere board certified specialists. In collaboration with our offices we can provide the quality of service our patients mandate and deserve.
Who We Are
Diagnostic Outpatient Imaging (DOI) is a state-of-the-art Radiology center in El Paso, TX. It is the only center of its kind in El Paso, owned and operated by a Radiologist.
This means when you come to DOI for a radiologic exam, every detail, from the design of the rooms, the choice of the equipment, the hand-picked technologists, and the software which runs the office, is carefully chosen or designed by the Radiologist and not by an accountant.
Our market niche is one center of excellence. Our values related to patient care are: We believe in treating patients the way we would treat our family and we will do our best to ensure that you have a good experience at our clinic.
Dear Doctors,
We are pleased to inform you of the arrival of our Titan 3-Tesla MRI at Diagnostic Outpatient Imaging. This is El Paso’s only radiology imaging center that offers this technology. Patients do not always realize how important image quality is: It can make the difference in the diagnosis.
3-Tesla MRI is like HD TV and once you try it, you will not want to go back. The increased magnet strength gives us many benefits at no additional expense to the patient. It gives us the ability to scan faster or to scan with higher detail. An MRI of the brain can take 20 minutes and have exceptional quality, or we can perform the scan in less time, with better quality that is achieved on most 1.5 Tesla “high field” MRIs. This is incredibly useful for children.
Our 3T MRI can perform Diffusion Tensor Imaging, MRI Spectroscopy and CSF flow studies to name just a few of its possibilities.
This scanner is not only very fast, it is very large. Our open MRI has a clearance of 35 cm. The 3T has a diameter of 71 cm! This is welcome news for nervous or claustrophobic patients, and combined with its speed, it can actually eliminate the need for sedation for some patients. 3T MRI is faster, clearer, and has more diagnostic possibilities. We are certain you and your patients will notice the difference.
Our Services
MRI’s:
DOI has three MRI’s under one roof. All are American College of Radiology (ACR) Certified.
Good
Open MRI (0.35 Tesla): This MRI perfect for claustrophobic and very large patients. There is no table weight limit on this MRI
Better
High Field 1.5 Tesla MRI- This is a eight channel MRI with high end image quality. It is in a beautiful room and has ‘pianissimo’ technology, which makes the MRI relatively quiet. This machine has been the best MRI in private practice in El Paso for years. It will soon be eclipsed by our new 3.0 Tesla MRI.
Best
High Field 3.0 Tesla MRI- This is the only 3.0 Tesla MRI in private practice in El Paso. This technology can deliver stunning image quality, which can actually make a difference in your diagnosis. The increased magnet strength gives us many benefits at no additional expense to the patient.�??It gives us the ability to scan faster, or to scan with higher detail. This is welcome news for nervous or claustrophobic patients, and as well as for children as it can actually eliminate the need for sedation in some patients. 3T is faster, clearer, more diagnostic for a better for MRI. It is like HD TV. Once you have tried it, you won’t want to go back. This MRI effectively doubles our MRI capacity. If needed most exams can be completed in under 5 minutes, instead of the normal 30-45 minutes.
Breast MRI:
DOI began Breast MRI in July 2007, being the first facility in El Paso to perform the exam. We have now performed over 2500 breast MRI’s and many MRI-guided breast biopsies. All have been interpreted and/or performed by Dr. Boushka, making him the most experienced radiologist in the city with this exam. This is the most powerful tool for the detection of Breast cancer to date.
Hours: Monday to Thursday 7 am to 9 pm Friday 7 am to 5 pm Saturday 8 am to 4 pm
Prostate MRI:
Guys, you need great medical care also. We are the only facility in El Paso performing this leading edge exam. MRI can see cancers when other imaging methods cannot. Not only can we see prostate cancers with MRI, we can perform MRI-guided prostate biopies for pathologic (definitive) diagnosis.
Monday to Thursday 7 am to 9 pm Friday 7 am to 5 pm Saturday 8 am to 4 pm
CT:
We have a 16 slice Toshiba Aquillion CT scanner, with newly updated in Dec 2013. The upgrade allows for reduced X-ray dose, higher resolution, more patient comfort, shorter breath holds and doubles the speed of the scanner. This scanner performs CT X-ray exams as helical volume acquisitions in 3D from a single patient exam. Most exams are finished in under 60 seconds, unless delayed images with contrast are indicated. Additionally we have a powerful 3D post processing workstation.
Hours Monday to Friday 7 am to 6 pm
Ultrasound:
DOI has just doubled our Ultrasound capacity with newly purchased Philips 34 XRL scanner. We have Three certified Ultrasonographers with cumulative experience of 45 years. We are confident you will find them professional and compassionate. Beverly Bruner RDMS, Sonographer, formally of Desert Imaging has joined our team.
3D OB Ultrasounds:
You better believe it. Available whenever our US department is open. No referral necessary. Images are reviewed by an actual radiologist.
Ultrasound Hours: Monday, Tuesday, Thursday 8 am to 5 pm Wednesday 8 am to 8 pm Friday 8 am to 5 pm Saturday 8 am to 12 pm
Digital Mammography
DOI was the first facility in El Paso to acquire Hologic Full Field Digital Mammography and thus we have more experience with this technology than any facility in El Paso. Our Mammographer has 20 years of experience and has her own following of patents who seek her out to perform their mammograms because of her excellent and compassionate care. Our private pay screening mammography price of $90, including the interpretation is an unbeaten price in El Paso.
Hours Mon – Fri 8am to 4pm Extended hours Wednesday until 8pm) Saturdays 8am to 12pm
Bone Denisity (DEXA)
We have a brand new, Hologic Discovery CI bone densitometer scanner. This is the latest technology.
X-Ray
Our digital computed radiography was just updated February 2014. No appointments are necessary.
Chronic muscle pain is defined as persistent, long term pain which can continue for weeks, months, even years after the supposed source of the issue has healed. While many cases of chronic pain can occur due to unknown causes, some cases can be traced back to other underlying injuries or conditions, such as fibromyalgia.
What is fibromyalgia?
Fibromyalgia is a chronic pain disorder that affects millions of Americans annually, mostly women, and may be both physically and emotionally debilitating. Fibromyalgia stems from the Latin term for fibrous tissue (fibro) and the Greek words for muscle (myo) and pain (algia). Indeed, fibromyalgia sufferers experience widespread chronic muscle pain.
An interesting note: fibromyalgia was once considered a psychological disorder, but studies have proven that people with fibromyalgia may have a lower threshold for pain. This could be from emotional distress, harm, or levels of compounds from the brain but the cause is uncertain.
Individuals with fibromyalgia also report irritable bowel syndrome, chronic fatigue syndrome, sleep disorders, and migraines. Physicians have yet to find the connection between these ailments and fibromyalgia.
Questions About Fibromyalgia
What are the signs of fibromyalgia?
Widespread pain is the most frequent symptom of fibromyalgia. However, patients typically experience several symptoms, such as extreme fatigue and pain. People with fibromyalgia additionally have nervousness and/or melancholy as well as problems sleeping.
What conditions co-exist with fibromyalgia?
Irritable bowel syndrome
Irritable bladder
Migraine headaches
Raynaud’s Syndrome
Restless legs syndrome
TMJ or Temporomandibular joint disorder
What causes fibromyalgia?
Doctors have yet to ascertain fibromyalgia’s exact cause, though research findings are shedding light. Causes include abnormalities in nervous systems and the endocrine, genetics, muscle tissue abnormalities, and blood flow. It’s very possible that fibromyalgia does not simply have one cause many factors may impact your likelihood of developing the condition.
What are some treatment options to deal with fibromyalgia?
The type of treatment you’ll need will depend on your symptoms. For instance, your doctor can prescribe an antidepressant to not just lessen your pain but also address melancholy. If you are stressed or have difficulty sleeping, an exercise program will help.
Medicines to treat fibromyalgia include:
Lyrica (pregabalin) is a nerve pain medicine
Cymbalta (duloxetine hydrochloride) an antidepressant that may help alleviate pain
Savella (milnacipran HCI) is an antidepressant and medication for nerve pain
Muscle relaxants
Over-the-counter pain relievers
Some common treatment options include treatments such as massage and biofeedback therapy to help manage stress. Your doctor may recommend that you see a physical chiropractor, and a psychologist may address fibromyalgia’s mental and psychological toll.
Who treats fibromyalgia?
Your primary care physician (PCP) might be able to diagnose and treat your condition. But if your PCP doesn’t understand enough about fibromyalgia, a professional might be your best alternative.
Arguably more than any other physician, rheumatologists , closely follow fibromyalgia improvements and will have the best knowledge base on the status. You might also want to visit a neurologist for drugs to control your pain. Another choice is to consult with with a pain management doctor. These doctors treat all sorts of pain, such as that.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Chronic pain is pain that doesn’t go away. Unlike acute pain, that comes on suddenly and can usually be traced directly to a cause, chronic pain lingers and it isn’t easy to tell what is causing it. That is the situation that millions of chronic pain sufferers have been in: there’s no reason as to why they have persistent pain.
In actuality, chronic pain in itself can be considered a disease or illness. Most times, pain is a symptom of another illness or problem. If pain becomes persistent, though, it isn’t just a sign of a problem, it is the issue.
What can you do about chronic pain?
One typically accepted definition of chronic pain is pain that still remains, even when the related injury or disease has been healed. It’s pain that persists 6 months or longer after the associated injury or disease has been managed. Chronic pain not only affects the body physically, it can also affect the mind.
Psychologists and Chronic Pain
Being referred to a psychologist as part of the chronic pain treatment plan does not necessarily mean your doctor thinks that your pain is only mental. If your doctor refers you it usually means that they are well-aware of the effects pain can have on the mind. It means that the healthcare professional is currently taking a multi-disciplinary strategy to your pain, one which may comprise of psychology, physical therapy, and medications, for example. Since chronic pain is a condition that is multi-faceted, it needs a multi-faceted therapy plan.
A Psychologist’s Role
Chronic pain does involve an emotional component. Back in 1979, the International Association for the Study of Pain redefined pain. They said that it’s a “sensory and emotional experience. ” A translation: pain has physical and emotional sides, and it exists even if there is no identifiable cause. In other words, the pain simply exists because the individual feels (or thinks he or she feels) it. Persistent pain can have a psychological toll on an individual’s life. The following list of ideas aren’t atypical for a chronic pain patient to have when dealing with the painful symptoms.
I can not work since I am in so much pain, so I am worthless for my loved ones.
I do not even feel like myself anymore since my whole life revolves round this annoyance.
I’m so lonely and isolated because no one understands my pain.
I’m whining too much about my annoyance, I’m such a weakling! I must just put on a happy face.
I can’t even do the simplest tasks anymore. I’m a failure.
With thoughts such as that dominating your mind, it can be difficult to fully deal with your pain. The psychological aspect can still make you feel trapped with the pain, although you might be taking actions to take care of the physical elements of your pain. A psychologist can help you deal with the psychological impact of chronic pain.
Utilizing behavioral treatment techniques, a psychologist can help you identify and change negative thoughts, ideas that can aggravate your pain. The psychologist can help you cope with anxiety, any depression, or other mood disorders related to chronic pain. What happens in sessions with your psychologist is left up to you, but it’s a time to be completely and totally truthful about how chronic pain is affecting your ideas, relationships, career, and self-esteem. The main goal is to help you live your life fully, restoring your overall health and wellness, mentally.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Many Americans in the United States will visit a healthcare professional’s office reporting some type of pain. While most cases of pain are considered acute, or temporary, resolving after the injury or condition causing the symptoms has healed, a large percentage of individuals will still report pain long after the source has disappeared. This is known as chronic pain. Fortunately, there are a variety of treatment methods which can also help ease these symptoms.
Are injections used to treat chronic pain?
From physical therapy and chiropractic care, to drugs and medications, numerous types of treatment methods and therapies can be used to treat chronic pain, each more beneficial to certain people than others. Epidural steroid injections and facet joint injections are some of the most common types of injections utilized to ease chronic pain symptoms. For some individuals, injections may be more useful than other forms of treatment. As with any medical procedure, however, it’s important to understand how helpful these can be for each, individual patient.
Epidural Corticosteroid Injections for Chronic Pain
Although epidural steroid injections (also called epidural corticosteroid injections) can be helpful to confirm a diagnosis, they should be used primarily after a specific presumptive diagnosis has been established. Additionally, injections shouldn’t be used in isolation, but rather in combination with a program strengthening, stressing muscle flexibility, and operational recovery, most commonly associated with chronic pain, in this case.
Appropriate follow-up after shots to rate ability and the individual’s treatment response to progress in the rehabilitation program is indispensable. Observation of this response is necessary prior to a second or third shot, although a number of injections can be attempted to decrease pain. Epidural steroid injections are an adjunct treatment, which facilitates participation in an active exercise program and may assist in avoiding the need for surgical intervention.
Treatment Rationale
The rationale for the use of epidural corticosteroid injection has enhanced with the signs of an inflammatory basis for radicular pain from disc herniation. Although prospective trials are lacking, epidural steroids have been proven to be effective in pain reduction in patients with referred pain. If used in the initial weeks after onset the efficacy is increased.
The goal of these injections would be to facilitate an active exercise program and also to progress sufferers through the pain and inflammation phase of healing as quickly as possible. As with all injections, it needs to be a part of a comprehensive treatment plan involving active exercise programs.
How the Injection Is Applied
To ensure proper needle placement of corticosteroids, fluoroscopic guidance is recommended. Meaning a healthcare professional will use special imaging gear during the injection to be sure the needle is going in at the right place. Some patients may require more than one injection. Repeat shots should be based on goals and the response after the injection. It is not necessary for many patients to experience a set number or “series” of injections. If minimal to no advancement is found following two shots, then further similar shots aren’t warranted. The recent usage of the approach allows the medicine to be delivered in a fashion to the ventral part of the spinal canal. All patients must be followed by consecutive injections (10-14 days later) to assess therapeutic reaction.
Utilization of Epidural Steroid Injections
Epidural shots and intradiscal injections have been used in treating non-radicular degenerative disc disorder with limited success. In addition, epidural steroids are used in patients with neurogenic claudication from spinal stenosis with mixed outcomes. A number of shots can be tried to decrease pain thought to be at least in part mediated by inflammation.
Facet Joint Injections for Chronic Pain
The therapeutic advantage of facet injections remains controversial. The controversy starts with the significance of the background and examination with lower back pain. Many patients will complain of back and lower extremity pain with standing, walking, and extension-type pursuits. The examination is normal, and also tests for nerve root inflammation are often negative. Many patients may have increased pain on passive expansion, or extension and rotation.
Additionally, radiographic and bone scanning imaging hasn’t been useful in selecting appropriate patients for facet injections. Consequently, the primary job of facet injections remains diagnostic. There is support for the impact of shots or ablations of the nerves. Facet injections should be used for patients who have failed a guided non-operative treatment program that incorporates various manipulation/mobilization methods. They should be done under fluoroscopic guidance and are not suggested in the initial four to six weeks of treatment.
Goal of Facet Joint Injections
The goal of facet injections is to verify the diagnosis and perhaps assist with pain reduction to be able to alleviate an active physical treatment program. If prior injections were helpful and there’s a recurrence of pain, they can be replicated replicate injections should be limited. This process should be used only in people failing a comprehensive application and in no manner should be considered at the initial management of an incident of acute low back pain.
Be sure to seek the proper guidance from an experienced and qualified healthcare professional before attempting any medical procedure, method or therapy. Injections for chronic pain are only one form of treatment used for the mentioned symptoms. Other treatment options can be used alongside these or in place of the above.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
Chronic pain is known as pain that persists for 12 weeks or even longer, even after pain is no longer acute (short-term, acute pain) or the injury has healed. Of course there are many causes of chronic pain that can influence any level of the spine, cervical (neck), mid back (thoracic), lower spine (lumbar), sacral (sacrum) or some combination of levels.
What treatments do interventional pain management specialists perform?
Oftentimes, early and aggressive therapy of chronic neck or back pain can earn a difference that is life-changing. But remember that knowledge is power: Be certain that you know your choices. There are various treatment procedures and treatments available for chronic pain, each completed by a treatment specialists. Interventional pain management specialist treatments may be a fantastic solution for some people with chronic pain symptoms.
Interventional Pain Management Specialists
Interventional pain management (IPM) is a special field of medicine that uses injections and small processes to help patients control their own chronic pain. Interventional pain management specialists are trained to diagnose and cure ailments, and their goal is to improve patients’ quality of life.
IPM’s Role in Treating Chronic Back Pain
Pain control plays a big role in chronic pain since many forms of pain can’t be cured, so pain victims must find out how to live with and work around the pain. A pain management specialist can help them locate the pain relief that they need to work in the daily. The interventional treatments are part of a multi-disciplinary approach that might include use of medications, psychology, and therapy. Part of IPM is currently finding treatments that works best for your treatment or combination. Some potential interventional pain management therapies are:
Injections
Your interventional pain management expert will have you try injections, which send anti inflammatory medications and strong pain-relieving straight. A few examples of injections used for chronic pain are:
Epidural steroid injection: This is one of the most commonly used injections. An epidural steroid injection (ESI) aims the epidural space, that is the space surrounding the membrane which holds the spinal fluid around the spinal cord and nerve roots. Nerves traveling through the epidural area and then branch out to other parts of your body, like your thighs. When a nerve root is compressed (pinched) from the epidural space, you’ll have pain that travels down your spine and into your legs (commonly called sciatica, even though the technical medical term is radiculopathy). An epidural steroid injection sends steroids right to the nerve root that’s inflamed. You need 2-3 injections; normally, you shouldn’t have that because of the potential side effects of the steroids.
Facet joint injection: Also called facet blocks, facet joint injections are helpful in case your facet joints are causing annoyance. Facet joints in your back allow you to move and provide stability. Though, you will have pain, if they get inflamed. The joint wills numb and can lower your pain.
Sacroiliac joint injection: The joint is where your pelvis and spine come and also an aching sacroiliac joint can be extremely debilitating. The injection may reduce inflammation and pain.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
When affected by chronic pain, an individuals initial concern often involves what type of treatment they should seek for their particular issue. While many doctors are qualified and experienced in treating a variety of injuries and conditions, only some specialists can be classified as pain experts: pain management specialists.
What is a pain management specialist?
Pain medicine or pain management specialists provide varied treatments, including medications, action modification, therapeutic injections, physical therapy, and alternative kinds of care like acupuncture, manipulation, and music or art therapy for chronic pain. Multidisciplinary pain medicine joins two or more treatments to maximize pain management.
Concerning Pain Management Specialists
A pain management specialist is a physician or osteopathic physician who treats pain. Although called interventional pain management specialists or pain medicine specialist, a number of these doctors are physiatrists or anesthesiologists. Pain management and medication treatment is a team effort frequently involving the patient’s primary care doctor or other treating doctor, and specialists in radiology, psychiatry, psychology, oncology, nursing, physical therapy, complimentary alternative medicine, and other fields.
Education and Training
After graduating medical school and finishing a one-year internship, the doctor enters a program in anesthesiology or physical medicine but from different fields such as psychiatry and neurology. Upon completion of a residency program (typically 3 years long), the doctor completes a one-year fellowship for advanced training in pain medicine.
Pain medication specialists are board certified. The associations that board certify physiatrists, anesthesiologists, neurologists, and psychiatrists all collaborate to provide the board examination to the subspecialty of pain medicine. Pain medicine and management specialists keep their education and training throughout their careers. There are many opportunities for pain management specialists to remain current with technical and medical improvements in pain medication, such as society meetings and journals.
Goals of Pain Management
By reducing pain, frequency and intensity, a pain management specialist’s goal is to handle chronic or acute pain. A pain management program can manage your operational goals for activities of daily living besides fixing pain problems. In general, a pain medication program intends to give you a feeling of well-being, increase your level of action (like return to work), and reduce or eliminate your dependence on drugs.
Kinds of Pain Treated
Pain medicine specialists treat all kinds of pain. Intense pain is described as severe or sharp and may signal something isn’t right. The pain experienced during care is an instance of acute pain. Infection lasting more or even 6 months is described as chronic. This kind of pain is persistent and varies from moderate to severe. Spinal arthritis (spondylosis) pain is often chronic. A good outcome is produced by combining different treatments although chronic pain is difficult to manage.
Treatment may include:
Limit activities that increase pain (activity modification)
Prescription medication: Nonsteroidal anti inflammatory medications, muscle relaxants, narcotics (opioids), anti-depressants, and antiseizure drugs. Some antiseizure and antidepressant medications have proven to help manage specific types of chronic pain.
Injection therapy: provide pain relief, as well as Injections may help to pinpoint the reason behind pain. Therapies include facet joint anabolic steroid, and joint injections; and nerve rootbranch, peripheral and sympathetic nerve block .
Physical Therapy: Heat/ice, massage, spinal traction, transcutaneous electric nerve stimulation (TENS), ultrasound, and therapeutic practice.
Pulsed Radiofrequency Neurotomy is a minimally invasive procedure that prevents nerves from sending pain signals to the brain.
Rhizotomy utilizes electrodes that are heated to turn off pain signals from nerves that are particular.
Spinal Cord Stimulation is an implanted device that produces electrical impulses to block pain perception.
Intrathecal Pumps are sometimes referred to as pain pumps. The device is surgically implanted and dispenses doses of medication within the spinal tract.
Acupuncture is the insertion of needles to some of 2,000 acupuncture points or the body’s 20 Meridian factors. Acupuncture is central to Traditional Chinese Medicine (TCM), which includes other holistic treatments.
Manipulation is performed by chiropractors, osteopathic doctors (DO), and some physical therapists, even though the treatment varies among these careers. Manipulation is described as the use of force or pressure to take care of a disorder.
Art and music therapy are approaches to distract your mind. Besides a creative outlet, comfort is promoted by these therapies, provide a way for expression, help to reduce anxiety, raises self-esteem, and are fun.
What to Expect During an Appointment
Your consultation with interventional pain management specialist is much like other physician visits. Even though there are a number of similarities, the focus is quickly managing it, and on your pain, the cause or contributing factors.
Pain medication doctors perform a physical and neurological evaluation, and review your medical history paying special attention to pain history. You may be asked many questions about your pain, such as:
On a scale from zero to 10, with 10 being the worse pain possible, speed your pain.
When did pain begin? When pain began what were you doing?
Does pain disperse into different areas of the human body?
Is its intensity continuous, or can it be worse at different times of the night or day?
What helps to relieve the pain? Why is pain worse?
What treatments have you tried? What worked? What failed?
Do you take herbal supplements, vitamins, or over-the-counter medications?
Can you take prescription medication? If so, what, how much, and how?
Most pain medication specialists utilize a standardized drawing of the front/back of the human body to let you indicate where pain is sensed, as well as indicate pain spread and type (eg, gentle, sharp). You may be requested to complete the form each time you stop by the pain physician. The drawing can help to evaluate your treatment progress.
Accurate Diagnosis Key to Remedy
Pain medication involves diagnosing the cause or source of pain. Making the proper diagnosis may entail obtaining an X-ray, CT scan, or MRI study to confirm the cause of your neck or back pain. When treating spine-related pain (which may include leg or arm signs), additional tests, such as discography, bone scans, nerve studies (electromyography, nerve conduction study), and myelography could be carried out. The identification is essential to a successful treatment program.
Some spinal disorders and pain therapy requires involvement including orthopaedic surgeon, neurosurgeon, your primary care doctor, and practitioners in radiology, psychiatry, psychology, oncology, nursing, physical therapy, and complimentary medicine. The pain medicine specialist may consult with and/or consult with spine surgeon or a neurosurgeon to ascertain whether spine surgery is required by your pain issue.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Wellness
Overall health and wellness are essential towards maintaining the proper mental and physical balance in the body. From eating a balanced nutrition as well as exercising and participating in physical activities, to sleeping a healthy amount of time on a regular basis, following the best health and wellness tips can ultimately help maintain overall well-being. Eating plenty of fruits and vegetables can go a long way towards helping people become healthy.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
Please note that we can answer general questions, but anything specific to your medical case should be discussed with your physician.
