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How insomnia can cause depression and chronic pain

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We know how difficult it is to survive with the chronic pain and along with the depression seems to be an overburden. Chronic pain in general is a type of pain that lasts longer and the reason might be a prolong injury. When the pain turns chronic, the body tends to react very odd and it worsens the neuro-chemical change and thus increasing the body sensitivity towards pain.

As a result, there are chances for the chronic pain to prevent you from having normal sleep routine and cause to awaken untimely at the night. The ongoing pain will also increase your pain irritation and make it difficult to deal.

How insomnia is associated with chronic pain?

insomnia is associated with chronic pain

If you are suffering from chronic pain in any region of your body as well as depression then it is surely going to complicate the process of cure or ailment. As per a report published in American Pain Foundation, about 32 million people in the U.S. report is suffering from chronic pain since the last one year. And more than a half is suffering from depression along with the pain.

Generally, pain limits the independence of moving freely and thus the patient is likely going to be depressed. Depression in patients with chronic pain frequently remains undiagnosed and thus leads to loss of sleep or insomnia, lack of energy and decreased physical activity.

How the cycle moves along?

Well pain provokes the emotional response in every patient and if you have pain, anxiety will get a spurt and from that insomnia is a common factor which will occur. Pain specialists Las Vegas thus come ahead to treat insomnia and chronic pain together to keep their patients happy and help them return to their normal life.

How the pain specialists treat both pain and insomnia?

Well, in most of the cases they begin treating the patient with anti-depressant and reduce the perception of the pain as a whole. Many people are advised to take up exercises to curb the insomnia and other issues cropping up due to depression and pain. The daily exercise will help them to stay out of the risks of the depression and choric pain.

You are not a helpless victim, so better work with a healthcare provider who will inspire you constantly to return to your normally life at a constant level, that is what pain specialist Las Vegas does.

Even they also advise the patients to go for talk therapies that are an effective way to treat insomnia and it’s other symptoms along with the chronic pains.

They are no doubt some of the best ways to manage your pains and have a sigh of relief. However, for that you need to follow the quick guide of the pain specialist and act accordingly to get relief from the pains.

So combat and bust your depression and symptoms like insomnia cropping up as a result due to your chronic pains. Curb both of them together with the help of a pain specialist.

Descriptive ways of Pain Assessment and Management

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Prior to treatment that begins in a pain management center that you visit, there are things that you need to take care. You have to look into the precise treatment assessment and management methods of the center to see if they are able to provide you with the most effective treatment to fight back pain.

The pain management center or clinic wherever you might visit, you will find that they are able to help you to acquire both the assessment and management prior to any other ways.

Pain specialist in Las Vegas opens up the details of the assessment techniques, which they adopt in their center to provide quality, and recognized treatment options.

The pain management centers have a multidisciplinary approach, with the focus on –

  • Chronic level of pain
  • Severity of the pain
  • Quality of the pain
  • Contributing factor related to pain
  • Location or etiology of pain if you can identify the place
  • Mechanism of injury in case if it is applicable
  • Barriers to pain assessment

Pain specialists in Las Vegas categories the pain in two scales

Pain specialists in Las Vegas categories the pain scales

Single dimensional

It is one of the effective ways to measure pain through single dimension, with the use of patient self-reporting technique, measurement of the pain intensity. These scales are useful for the acute pain when the etiology is clear to the patient.


Well, in this scales you get to measure the intensity, nature and the location of the pain as well. In some of the popular cases, the impact of the pain is also predictable. It keeps a close tab on the patients’ activity or mood and is useful in dealing with complex pain management.

Pain assessment method for the aging is a little different in the clinics. It follows –

  • Reporting of the discomfort faced by the patients
  • Use of pain to mask new developing physical disabilities
  • Decrease in the vision and hearing abilities

Pain assessment method

For the elderly people, verbal descriptor scales are also put to use, as it may be the easiest one of them. It just requires words from the aging person to describe the type of pain they are suffering from.

Pain assessment method in the infants is also different and it keeps on varying –

  • Well, for them there is 5 variable which are often used such as crying, requirement of oxygen, vital signs, expression and sleeplessness and you have to provide marks of 0 to 2 to assess the neonatal pain
  • For the kids, there is yet another behavioral pain scale, which uses three factors like crying, movement and facial expression. But it is applicable for the kids between 2 to 6 months.
  • You will find that limited cognitive skills influence the pain measures largely in the kids. As for the children of 3 to 4 years, the physicians prefer to use self-report measures to alleviate the pain.
  • To know your pain clinic take a quick look in their assessment techniques and ways to manage any type of pain.

Key Notes on Vertebral Compression Fractures

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Vertebral compression fractures are related to the vertebral collapse and is a result of either a trauma or a predisposing condition like osteoporosis, osteogenesis imperfecta, benign or metastatic tumours, etc. Underlying infections might also result in this disorder. The first stage of treatment of vertebral compression fractures involves non-invasive therapies like pharmacological treatment, use of braces, physical therapy, etc. However, if symptoms continue to persist and the disorder assumes a chronic form, the minimally invasive therapies involving kyphoplasty and vertebroplasty might need to be used to bring relief to patients from the painful symptoms of vertebral compression fractures.

vertebral compression fracture

In a study by the prestigious magazine, Spine, researchers have examined over 1 million patients to evaluate the results of vertebral compression fracture treatment methodologies involving kyphoplasty and vertebroplasty. Out of the total population, 75,364 patients underwent vertebroplasty while 141,343 patients were treated using balloon kyphoplasty procedure. Besides these surgical techniques, the rest of the population were administered conventional, non-invasive treatments. The following are the keynotes of this study:

  1. Patients who were part of the non-operative cohort group exhibited a 25% and 55% higher adjusted risks of mortality than those of the vertebroplasty and kyphoplasty groups. The vertebroplasty group had 19% higher adjusted risk than the patients of the kyphoplasty group.This indicates that the kyphoplasty group has a lower overall risk than the other two groups.
  2. The nonoperative cohorts had a higher adjusted risk of myocardial infarctions, pneumonia, urinary tract infection, etc., than the kyphoplasty group. The kyphoplasty cohorts, on the other hand, had a higher adjusted risk for subsequent augmentation/augmentation fusion and other respiratory complications.
  3. Individuals of the kyphoplasty group had significantly lower morbidity than those of the other two groups. However, the chances of development of myocardial infarction, deep venous thrombosis, infections and hear complications were similar in cases of both vertebroplasty cohorts and kyphoplasty cohorts.

Vertebral Compression Fractures percentage

Thus, from the above study report it can be concluded that kyphoplasty and vertebroplasty had definite positive results on patients of vertebral compression fractures. However, the former was even more effective than the latter in its efficiency of results. Kyphoplasty bore more fruitful results than vertebroplasty. However, the risks associated with both these surgeries were almost similar.

Since chronic cases of vertebral compression fractures are usually associated with morbidity, it is important to treat this disorder with kyphoplasty or vertebroplasty before the symptoms and condition worsens. If conventional, non-operative therapies fail, the minimally invasive therapies usually help alleviate the condition to some extent.

Since vertebral compression fractures are complex disorders, it is extremely important for thee patients to seek help only from the best pain management doctors. If you are a resident of Las Vegas and suspect a case of vertebral compression fracture affecting you or one of your family members, then a visit to a pain clinic in Las Vegas could be your doorway to helping hands. The best doctors always try to cure the disease in the minimally invasive way but surgery is often unavoidable in certain cases.

Recent pain management advances and new challenges

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pain management advances and new challenges

In the past several years, a number of small and large incremental advances have been made in the sphere of pain management. Greater understanding about the molecular mechanism underlying the symptoms of acute and chronic pain have assisted researchers in developing targeted therapies to treat such conditions.

The conventional medications used for pain treatment included NSAID’s, muscle relaxants and steroid injections. However, a new era of pain management drugs has just begun. An insight into the neurotransmitter system has equipped scientists with the knowledge to manipulate these chemical messengers in a way that alleviates the sensation of pain. This has led to the use of antidepressants and other drugs that modulate the brain’s perception of pain for pain management.

Las Vegas pain management

MRI imaging of patients’ brain has shown clear evidence of the areas of the brain activated by pain stimulus. There is also a new understanding of what is referred to as the ‘central sensitization process’ which explains how an untreated painful condition could lead to changes in the central nervous system rendering it more sensitive over time.

The new advances in knowledge helps pain specialists like the Las Vegas pain management doctors to treat pain from different angles (Meet The Doctors). Innovative drugs which target specific molecular pathways, drug pumps that deliver painkillers effectively to the target nerve endings, receptor blockers, etc., are revolutionizing the way both acute and chronic pain is managed. The establishment of the mind-body connection through extensive research in this field has also led to the adoption of psychotherapy and alternative treatment procedures that provides relief from psychotic and chronic pain.

New advances in pain management strategies

New advances in pain management strategies also include the use of cutting edge technology by Las Vegas pain management doctors to deliver the medications to the target area as well as physical procedures for alleviation of pain. In radio frequency ablation, a small portion of the nerve tissue in the affected area is heated to reduce the sensitization to pain. The TENS therapy uses low level electric currents to numb the nerves while pain pacemakers are built on similar principles and are implanted inside the body to block pain stimulations.

The advances in new drugs and technologies to treat pain has left pain management doctors with a wide array of choices. Despite this fact, deciding on a pain management schedule for treatment is not easily applicable because of the lack of consensus in the medical fraternity and the clinical and liability risks associated with such processes. The primary reason of lack of consensus is the high variation in the demands of patients with some seeking medical assistance for every ache and pain. Stubborn patients leads to doctors complying to their demands while others tend to adopt a more conservative approach to treat pain. The latter may end up being criticized by the patients who feel their needs are not properly addressed. Because of these reasons, pain treatment protocols greatly vary and lacks uniformity. Accidental deaths caused by improper use of prescription pain killers is a reality and doctors are often influenced by such factors while selecting pain treatment protocols. All these factors pose significant challenges in pain management strategies where external forces often prevail over a medical judgement by the doctor.

Osteoporosis Treatment Recommended by Pain Management specialists in Las Vegas

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Osteoporosis is a condition affecting the bones where the bones lose mass, weaken and become brittle. Women are most at risk of osteoporosis after menopause due to lower levels of the hormone oestrogen which helps maintain bone mass. Fortunately, preventive treatments exist that may restrict the development of osteoarthritis by maintaining bone density.


Treatment of osteoporosis

Since the disease is based on decreased bone strength and density accompanied by pain and increased chances of fractures, treatments of osteoporosis concentrates on ways to increase bone density and strength. Here are two of the most common treatment modules for osteoporosis suggested by specialist doctors like pain management doctors in Las Vegas.

    • Prescription drugs: Bisphosphonates are the most commonly used osteoporosis drugs. Side effects of this drug may involve gastrointestinal problems. Denosumab is an antibody drug which binds to a protein that is involved in bone resorption. Binding of this antibody to the protein slows down bone resorption and helps maintain bone density. Side effects may include muscle pain, fatigue and sweating.

Prescription drugs of osteoporosis

    • Hormonal therapy: Since lower levels of the estrogen hormone in post menopausal women is primarily responsible for osteoarthritis, replacement of this hormone in these women may reverse some of the adverse effects on the bones. However, hormone therapy increases the risk for strokes, heart attacks and breast cancer. Selective oestrogen receptor modulators mimic estrogen and induce the bone preserving effect of the hormone. Thyrocalcitonin is a hormone produced by the thyroid gland which can also be supplied to osteoporotic patients to regulate calcium levels in the body and treat spinal osteoporosis. The hormone is usually supplied as a nasal spray. Parathyroid hormone is also produced by the thyroid and can be supplemented to encourage new bone growth. This hormone maintains the calcium and phosphate levels in bones. This hormone is administered in the form of injections and is quite expensive.

Hormonal therapy

Prevention of osteoporosis

If you contact reputable pain management specialists like the pain management doctors of Las Vegas, you will learn useful information that will help you manage your osteoarthritis. Here are some of the preventive therapies for the disorder:

    • Diet: Consumption of an optimal amount of proteins, vitamin D and calcium are necessary for maintaining a healthy bone mass. As per expert recommendations, men and premenopausal women must consume 1000 mg of calcium per day and postmenopausal women must consume 1200 mg of calcium per day. Milk and dairy products are the primary sources of calcium in our diet. Exposure to the sun or intake of milk supplemented with vitamin D helps to maintain an optimal level of Vitamin D in the body.


    • Intake of alcohol and caffeine: Excessive consumption of alcohol is not good for the body as it renders the body susceptible to falls during a drinking episode resulting in bone fractures and other injuries. Caffeine consumption must also be lowered as evidence links intake of excess caffeine to poor bone density.

stop Intake of alcohol and caffeine

    • Exercise: Exercise increases bone mass and thus may help in preventing the development of osteo-porosis.


    • Smoking: Smoking cigarettes speeds up the process of bone loss and hence must be kept in check.

Stop Smoking

    • Falls: Increased risk of falling makes the osteoporotic bones susceptible to fractures. Falls can be prevented by taking extra caution during movements.
    • Medications: Long-term use of certain medications like glucocorticoids, heparin, anti-epileptic drugs, etc., may result in reduced bone density and increased chances of osteoporotic fractures.


Major difference between Migraine and Cluster headaches

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If you’ve ever had a migraine, you’d be grateful to suffer that pain instead of the pain caused by a cluster headache. A cluster headache comes as a sharp stabbing pain in the region of one of your eyes and can last anywhere between 15 minutes to three hours. They are so painful that they are called suicide headaches because people who have these headaches have been known to kill themselves just to get rid of the pain.

Signs and symptoms

Migraine and Cluster headaches

Migraines and cluster headaches tend to differ in how they manifest. While people who have migraines usually experience nausea and photosensitivity, a person with a cluster headache usually feels it on only one side of the head and it affects the eye as well. Here are other differences between the two, as evaluated by Las Vegas pain management:

Cluster headaches Signs and symptoms

Frequency of attacks

A cluster headache may occur from one time to six times a day, while a migraine can occur as many as ten times in a single month.

Duration of the attacks

A cluster headache may last between half an hour to three hours long, while a migraine can last anywhere between four hours to three whole days.

Location of the attack

A cluster headache usually occurs on just one side of the head. It starts around the eyes, moves to the forehead, temple, nose, cheek, or upper gum. In the case of a migraine, the pain can occur either on one side of the head or on both sides of the head.

Migraine Signs and symptoms

Time of the attack

Cluster headaches usually occur at the same time each day, thus being called “alarm clock headaches,”, whereas a migraine is more random in its occurrence.

Age of onset

A cluster headache usually manifests in adults aged 20 years or older, whereas a migraine can occur in people of all ages.

Gender of the sufferer

Cluster headaches are mainly seen in males, while migraines mostly occur in females.

Patient’s reaction to the pain

The pain caused by a cluster headache is usually extreme and can be so bad that a person who has it cannot sit still and perform normal activities, whereas a person with a migraine usually feels better if they lie down until the pain goes away.

Nausea and vomiting

2 – 5% of people with a cluster headache exhibit signs of nausea and vomiting, whereas 85% of those with a migraine tend to vomit.

Running nose

70% of people with a cluster headache tend to also show signs of a runny nose, or some sort of nasal discharge, whereas a person with a migraine does not usually have this symptom.

Blurred vision

Blurred vision is uncommon in anyone with a cluster headache but is commonly seen in anyone suffering from a migraine.

Family history

Only 7% of people suffering from a cluster headache had a family history of cluster headaches. On the other hand, 90% of sufferers of migraines have a family history of its occurrence.

Your local Las Vegas pain management clinic can help you understand if what you are suffering from is a migraine or a cluster headache, so visit a Las Vegas pain management center today.

Learn about Symptoms and Triggers of Cluster headaches

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pain clinics Las Vegas

A cluster headache is often described as a pain that is as bad as giving birth to a child without the help of painkillers, or even worse than that. It starts as a sharp stabbing pain in the region of one of your eyes and can last anywhere between 15 minutes to three hours. They are so painful that they are called suicide headaches because people who have these headaches have been known to kill themselves just to get rid of the pain.

How a cluster headache is caused

The exact cause of a cluster headache is unknown, but it is noted to originate from the trigeminal nerve in the base of the brain. When activated, this nerve pathway can cause the eye pain and spread to other areas to give rise to the symptoms of cluster headaches.

Symptoms of cluster headache

Cluster headaches have some common symptoms as noted below:

  • Type of pain: The pain from a cluster headache tends to occur on one side of the head.
  • Severity/intensity of pain: The pain caused by a cluster headache is usually extreme and can be so bad that a person who has it cannot sit still and perform normal activities.
  • Location of pain: The pain from a cluster headache can start around the eye and then move to the forehead, nose, temple, cheek and even upper gum.
  • Duration: A cluster headache remains for different time periods. Sometimes for as short a time as 15 minutes to as long as three hours, but the pain may recur.
  • Frequency of headaches: People who have cluster headaches may suffer as many as three attacks a day and these usually happen at the same time each day, thus being called “alarm clock headaches,”.

Triggers of cluster headaches

The weather is thought to control when cluster headaches occur. They are mostly seen during spring or autumn. Because of this seasonal variation, it is thought that their occurrence is linked to allergies or stress due to workload. However, it is believed that this seasonal variation is due to activation of the trigeminal nerve pathway by the hypothalamus.

Cluster headaches also frequently occur in people who smoke or drink in excess. A person who has cluster headaches tends to have their condition aggravated by further smoking or drinking.

The diagnosis of a cluster headaches at pain clinics Las Vegas is usually done by examining the patient’s previous history of headaches and after a complete physical examination has been done. Since they are so one of a kind, the way the cluster headache presents itself is usually enough to confirm that the person is suffering from one. Tests such as an MRI or a CT scan can be done to further rule out any other conditions that may be causing the pain. A person may also be required to go through an eye examination at pain clinics Las Vegas to ensure that the pain is not being caused due to some underlying eye disease. There is no other specific test at pain clinics Las Vegas that can be conducted to verify that a headache is indeed a cluster headache.

How lower back pain issue can be crucial for body health

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Body Pain Management Las Vegas

Low back pain – what is it? It is something usual in human and almost everyone has experienced it at some point. The lower back, which lies just below the ribcage, is our lumbar region. Pain here grows to be intense and the pain either persists or gets better with time.

At our clinic in Las Vegas pain management, we have been sharing our patients the various symptoms on lower back pain to grow awareness among them. Let us share them to our readers for a quick grasp –

  • The pain can range from a dull ache to stabbing or shooting sensation
  • Due to the pain, you cannot stand upright
  • Acute back pain maybe the result of a sports injury or heavy lifting
  • Pain that exists for more than three months is nothing but chronic pains

And it is advisable to contact a doctor if your pain does not ail within 72 hours.

What type of symptoms should seek red alerts from your end? If a patient gets a severe injury, then you must check out with a professional health care. You will find the danger signs which include bladder control or a loss of bowel, fever, leg weakness and pain when you a cough or urinate.

  • Doctors for Pain management in Las Vegas says that your job is often the culprit  to result in lower back pain. Say your work involves pulling, lifting or anything that increases the chance to twist the spine may contribute to the back pain. Sitting all day in a chair in an uncomfortable manner also leads to lower back pain.
  • Yet another culprit is your bag that hung over your shoulder. It is your lower back that supports the upper part of the body along with the weight that you carry. So if you are carrying an excessive heavy weight bag you tend to have strain in lower back muscles.
  • Your workout format makes everything go wrong and let you suffer from the common cause of overextended muscle that leads to low back pain.
  • Sitting with a wrong posture is always a culprit. Our back supports weight best when you do not slouch. It is important to sit with a good lumbar support with the feet resting on a stool. When you stand, it is essential to keep the balance on both the feet.

Who are at more risk with lower back pain?

  • People who are overweight
  • People who run on an inactive lifestyle
  • Jobs that demands heavy lifting

A doctor diagnoses your lower back pain after he or she check out your history of health conditions as well as discussing the latest symptoms you have. Your doctor will probably not need X-rays, CT or MRI scans before starting treatment.
Pain Relief Center Las Vegas
Some of the treatments that you can try out are –

  • Acupuncture
  • Yoga lessons
  • Physical therapy
  • Surgery
  • Injections
  • Spinal manipulation
  • Medications
  • Massage therapy

Consult your doctor and choose the one that suits you the best and fight with lower back pain to lead a healthy life.

Pain management as a way to treat peripheral neuropathy

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Our peripheral nervous system helps in connecting the nerves from the central nervous system which consists of the brain and spinal cord to the rest of the body, including the hands, arms,  legs, feet, mouth, face and other internal organs. The function of these nerves is to send signals regarding any physical sensations to your brain.

pain clinics las vegas

las vegas pain management

What is Peripheral Neuropathy?

Peripheral neuropathy is a sort of disorder that occurs with the malfunction of these nerves. This creates an obstacle in the normal functioning of the nerves. Though the disorder seems to be uncomfortable, yet  treatments can prove to be helpful. You can find proper treatment of peripheral neuropathy in las vegas pain management clinics.

People having a family history of peripheral neuropathy have more chances of getting the disorder. It can affect any one type of nerve group or all of the three such as:-

1) motor nerves, which connect to your muscles

2) sensory nerves, which connect to your skin and

3) autonomic nerves, which connect to your internal organs


The symptoms of peripheral neuropathy include numbness in hands and feet, heavy-feeling in arms and legs, tingling in hands or feet, things falling frequently from your hands, shocking sensation, fluctuating blood pressure, constipation, thinning of the skin, difficulty in digesting, excessive sweating.


First of all pain management doctors in las vegas perform a physical exam and enquire about your medical history. They also as for doing blood tests to measure vitamin and blood sugar levels and see if your thyroid is functioning properly. They may also tell you to do a computed tomography (CT) scan or magnetic resonance imaging (MRI) to see if anything is pressing on a nerve, such as a tumor. Electromyography, nerve conduction study and a nerve biopsy are also used for diagnosing.


If a peripheral neuropathy occurs due to vitamin deficiency, it can be treated with vitamin therapy and proper diet. Nerve damage caused by alcohol can be prevented by avoiding alcohol. If neuropathy is caused by diabetes, frequent monitoring of blood sugar levels may help. Sometimes a series of treatments proves best in helping you to return to your regular activities.

1) Medicines like acetaminophen (Tylenol), aspirin and ibuprofen, can be very helpful in moderate pain. But excess use of these drugs can affect your liver or stomach function.

2) Prescription pain medications that helps to control the pain include alpha-2 adrenergic agonists, mexiletine, tramadol, COX-2 inhibitors and corticosteroid injections.

3) Pain management doctors in clinics of las Vegas use several medical treatments to treat pain.

pain doctors las vegas

Treatment of Neuropathy

For example, Plasmapheresis is a process of blood transfusion in which irritating antibodies are removed from the patient’s blood.

A nerve block is an injection of anesthetics directly into the nerves.

Transcutaneous electronic nerve stimulation (TENS)- Many patients like this treatment as it is a drug-free therapy. In this, electrodes that are placed on the skin send small amounts of electricity into the skin.

Ergonomic casts can also prove helpful for your legs, feet, hands, arms etc.

4) Other than pain relievers, people have also found relief for peripheral neuropathy with acupuncture, massage, chiropractic care, yoga and meditation. Regular exercise can also help to reduce pain and keep it in control.