Category Archives: Pain Management

Importance of Physical Therapist in Pain Management

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Physical therapy is an essential part of pain management. It involves blending physiology with exercises and applying these principles to the body to improve flexibility, balance, coordination, strength and endurance.

Physical therapists are licensed medical officers who offer treatment for neck and back pain, sciatica, whiplash and wear and tear arthritis, neurologic and musculoskeletal conditions.

When chronic pain strikes you hard, the only thing you wish to do is get curled up in bed with a heating pad and prescribed medication to lessen the aches. However, getting active and regular exercise may sound like a sheer torture, but trust us they are actually the best pain management options for chronic pain.

Physical therapy is a key component of multidisciplinary pain control and the only point of entry for patients in the healthcare system. Apart from restoring balance in your body, it also focuses on imparting education on posture and pace, exercise, manual therapy including massage, joint mobilization and manipulation, and electrical stimulation, heat and cold modalities, imagery, virtual reality and sensory re-education.

The objective is to ease the severity of the pain, build motion and improve function. The multidisciplinary approach includes a patient as an active participant with both active and passive approaches. While active approach includes self management, education, exercise, passive approach includes physical agents, electrical modalities and other manual therapy treatments.

With the help of physical therapists serving as the guide, an individual can engage in an active that involves problem-solving skills, decision making and more physical activity.  The program also includes self management technique that helps patients believe in their own ability and capacity to control the pain.

It’s imperative for patients to understand that physical inactivity increases risk of chronic pain further. The only way to combat the condition is by getting active every day.

The patients with chronic pain are physically deconditioned. This is the very reason exercise should be started slowly and progressed slowly. The patients are also instructed to stretch before and after a routine. The low-impact exercise includes aerobic, strengthening, stretching, and motor control workouts and is often success in treating variety of painful conditions.

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Physical therapists can help craft an efficient management plan for patients to address on ways to start the schedule when their pain worsens. Such toolbox includes an individualized plan for pain, sleep, stress and all major social roles. The plan also includes extra routines to be followed if the patient is making a progress.

The pain impacts thought process and influences the mood, relations and emotions. It comes in all forms, and each person may respond differently to physical therapy. People have different body types, different patterns of movement, different alignments.

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Physical therapist can help each individual develop a program to correct the necessary incorrect patterns. Hence, the pain management plan is designed to fit the patients’ need, circumstances, situations and body type.

If you or, loved ones suffer from chronic pain and have been looking physical therapists, we suggest you get in touch with Las Vegas pain clinic.

The compassionate and skilled pain doctors in Las Vegas can help you ease the physical pain, and bring joy to your life.

Understanding Peripheral Neuropathy and Its Treatment

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The peripheral nervous system connects the nerves from the brain and the spinal cord to the rest of the body in order to transfer signals about physical sensations back to the brain. When these nerves are damaged and malfunctioned, they disrupt the normal functioning and instead deliver false signals of pain and in some cases no signals at all. Such cases arise due to injury, systemic illness, infection and inherited disorder.

The disorder though seem uncomfortable can be treated. The first thing to consider, however is determining the root cause of the condition.

Symptoms:

There are various symptoms of peripheral neuropathy. Some of them are listed below:

  • Feeling of tingling in hands or feet
  • Sharp stabbing sensations
  • Occurrence of numbness in hands or feet
  • Arms may feel “locked” in one place
  • Loss of control over holding objects
  • Shocking sensation most of the time
  • Low Blood pressure
  • Decrease in sexual intimacy
  • Constipation
  • Difficultly in digestion
  • Excess sweating
  • Diarrhea

Sensory nerve disruption is the most common symptoms of peripheral neuropathy. People have difficulty in walking straight, writing, in fact performing most of everyday activities, such as buttoning shirts and holding phones. When the condition gets severe, patients have complained about being unable to experience sensations of heat, cold, touch, pain.

Treatments:

Certain medications are prescribed by specialists to relieve the pain.

Pain relievers: OTC (Over-the-counter) pain medications, such as nonsteroidal anti-inflammatory drugs, are recommended for mild symptoms. Depending on the severity, you may be required to take strong painkillers.

 

 

Anti-seizure medications: Doctors may also suggest medications such as gabapentin (Gralise, Neurontin) and pregabalin (Lyrica) to relieve nerve pain. The medications were first developed to treat epilepsy, and can bring potential side effects including drowsiness.

 

 

Capsaicin: You may be asked to apply Capsaicin (substance found in hot peppers) with other treatments for modest improvement in the condition. The cream has side effects such as skin burning and irritation hence one must consult with a doctor before applying.

 

Antidepressants: Healthcare providers could suggest you certain tricyclic antidepressants,s uch as amitriptyline, doxepin and nortriptyline (Pamelor)that assist in blocking the chemical process in your brain and spinal cord.

 

 

Therapy:

You can also opt for therapies and related procedures to help ease the symptoms.

 

 

 

TENS (Transcutaneous electrical nerve stimulation): By placing adheisve electrodes on the skin, a gentle electric current is delivered at varying frequencies. This should be applied for 30 minutes every day for a month.

 

Some people may benefit largely from Plasma exchange and intravenous immune globulin that help supplying high levels of proteins and suppress immune system activity. The procedure involves removing the blood, then removing antibodies and other proteins from the blood and finally restoring blood back to the body.

Involve in more physical activity to improve your movements. Get rough chiropractic care, acupuncture, and massage to bring motion in your body. Practice meditation and yoga to help lessen discomfort.

Also, cut back or stop alcohol consumption and smoke.

For more detailed information, we suggest you get in touch with a professional healthcare provider . The compassionate and skilled Board Certified pain specialists in Las Vegas (www.painmanagementlasvegas.com) will diligently take care of your condition and help you get back to active life.

How Pain Management Clinics Treat Back Pain

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The treatment of back pain depends on its intensity and cause. Acute back pain usually gets better with treatment at home. Over-the-counter pain killers and heat or ice therapy can give relief from acute back pain. The matter of concern however is chronic pain – a pain that people in the past said that we have to ‘live with’. Thanks to the development in medical science, however, in recent years, researchers have come up with pain management therapies to treat chronic back pain and all other types of chronic pain. You can get chronic back pain treated in pain management clinics in Las Vegas.

If you are experiencing back pain, do not leave it untreated and it can interfere with the healing process of the same and affect your immune system as well. Here we look at some approaches used by pain management doctors to treat chronic back pain.

What is Pain Management?

Pain medicine or pain management is a branch of medical science that deals with the study of pain, its diagnosis and treatment, its prevention and evaluation. It also includes the study of rehabilitation of various painful disorders.

Chronic Back Pain – Role of Pain Management

 

Pain management has a variety of purposes to serve when it comes to musculoskeletal and spine cases. It usually different from surgical treatment and the techniques it employs in case of chronic back pain are as follows:

  • Help identify the source or origin of the patient’s back pain
  • Help determine the areas, if any that needs surgical treatment
  • Help with the rehabilitation of the patient after the completion of the surgery etc.

Pain management makes use of a variety of techniques to address not only chronic back pain but also all the other types of pain. Let’s have a look at them in details.

Pain Management Techniques

Research is still being conducted to know which techniques and pain management therapies offer the best results. One can consult pain management doctors and other places to know what the best is for him or her. Pain management technique can be grouped under the following the heads:

  • Physical therapy that is non invasive and does not involve the use of any medications
  • Use of pain medications that is completely pharmacological in nature
  • Injections and stem cell procedures that are invasive in nature

Non Invasive Pain Management (non drug)

This is used to treat chronic back pain and neck pain and does not involve the use of any drugs. Some of the most common pain management techniques included under this are:

  • Exercise – Physical exercise can give relief from chronic back pain. This is necessary for maintaining musculoskeletal health, disc nutrition and cardiovascular health as well
  • Manual techniques – Chiropractic and massage therapy comes under this. Chiropractic involves the stimulation of the spine with the use of hands and is really effective in treating back pain.

Non Invasive Pain Management (with drug)

Pain clinics usually prescribe the following categories of drugs to treat back pain and other pains:

  • Analgesics
  • Muscle relaxants
  • NSAIDs or non steroidal anti inflammatory agents
  • Narcotic medications
  • Neuromodulating medications
  • Antidepressants and anticonvulsants

Invasive Pain Management Techniques

This includes injections or the placement of devices inside the body to treat the underlying cause of the pain. Some of the invasive pain management techniques include:

  • Injections
  • Prolotherapy
  • Electrotherapy devices implantation
  • Radiofrequency radioblation

Solution to Back Pain by Pain management clinics

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Pain can be dealt with when it is a mild pain. However when it’s a back pain even a mild pain can make you highly uncomfortable. Now as we know pain are of two types, namely acute pain and chronic pain, back pain can be acute and if not cured can lead to chronic pain which can be severe. There are several factors which causes back pain. An unsupervised exercise can cause you back pain.

Pain Specialist says even if you simply crawling in bed for a good night sleep can cause you back pain, sitting at your office desk for straight 9 hours can cause you back pain, any simple chore of lifting something can cause you back pain. The injuries that are caused on our back or spine are not visible unlike bone injuries since the injuries are caused on the vertebrae, tendons, or ligaments.

To give you a more vivid picture please follow the below mentioned points for back pain:

  • The more you sit and work the more pressure you put on your disks and vertebra. We work for nine hours straight and in these nine hours we tend to slouch and hunch to get more comfortable. What we don’t understand that we tend to hurt our back more and it makes our spine stiff and rigid and that causes injury to our back, thus causing back pain. It is advisable to walk around in between or take stroll on the office floor itself to get your tissues and tendons active. Pain management clinic Las Vegas states insists there are software’s and apps today that will flash on your screen from time to time to remind you of when to take breaks and go for a stroll or even stretch. You can program it as per your body needs.
  • Once we are asleep it’s difficult for us to know in what position we are sleeping. Pain management clinic Las Vegas states we tend to sleep on our belly upside down and this effects our spine. Sleeping on our side or back will keep our spinal cord stretched out and nonaligned. While when we sleep on our belly that does not happen. If you want to sleep on your tummy try to slide in a pillow under our belly so that the disk bones should be in an aggravated position.
  • It gives us immense pleasure to lie down on our back and get rest from the tiring day we have had. However lying down for almost a day can make your back pain more and can make you feel down or depressed. Pain management doctors  says lying down for long can cause pressure on your lumbar spine. As per researchers it is advisable to be associated with any activity. These activates can be running, swimming, cycling.

Now there are solution to these problems too. Just follow few simple tricks. Doctors states when you see by lying down your back is starting to hurt, hop out of the bed and do some light activity such as jog in one spot or stretch a bit. You can also apply the alternate hot and cold treatment.

If still the pain persists, you can go to a chiropractor for muscle manipulation or you can have an acupuncture session. You can go for a cognitive behavioral therapy which will try to make you understand the mind and body technique which will help you cope up with chronic back pain. We suggest that Swedish massage therapy has also been very effective in these scenarios.

Common Procedures Followed to provide Pain Management Solution

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It is not easy to deal with a pain and more so when it is a chronic pain. Pains are common and they are more common in lives of people who are active and are into a lot of manual labor or exercises. A serious pain can bring your life to a standstill and hence, it is important that you treat it before it comes too late. Pain management clinic offer you relief from pain by offering you the right pain management solutions. Most people resort to painkillers and this is vehemently opposed by pain doctors and other places as pain killers do more harm than good to your body. It is said that an American dies every 14 seconds due to painkiller overdose.

Pain clinics offer you the following in order to treat your pain and give you permanent relief:

Pain doctors make use of one or more of these to treat pain and give you relief with minimum or no side effects. The ones mentioned above are only a few of them. These pain management clinics offer more than 50 different therapies so that you can avoid a surgery and these therapies like Stem Cell Injections, Platelet Rich Plasma Therapy, and Physical Rehabilitation etc. have great success rates. These pain management doctors offer a wide array of pain management procedures as well like Facet Joint Injection, Medial Branch Blocks, Epidural Steroid Injections, Sacroiliac Joint Injection, Trigger Point Injections and many more.

las vegas pain management clinics

The choice of therapy depends on your intensity and location of pain. Most pain clinic and elsewhere have a team of health experts who specialize in treating different kinds of pain. They treat your pain and also offer you strategies those help you to manage your pain in the long run and avoid the same. Some pains can never be completed treated and the only solution for them is to manage them properly so that you lead a normal life to the extent it is possible.

The team of health experts consists of doctors specializing in chiropractic, acupuncturists, physical therapists, physiologists and pain management doctors who specialize in invasive pain management therapies. They work together in putting together a pain management strategy for you tailored to meet you specific needs and requirements as far as your pain is concerned.

Pain management doctors these days try and find the cause of the chronic pain and try to treat the cause so that you get permanent relief from the pain. It is not that they do not make use of opoids completely but they know where to draw the line. When the pain is unbearable, opoids offer immediate relief but they can never treat the cause. These pain management doctors make use of manipulations, chiropractic therapy and the likes to treat you and give you relief.

For complete pain management solutions, visit your nearest Pain Management Clinic in Las Vegas.

Celiac Plexus Block Injection at Las Vegas Pain Clinic

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 What is the celiac plexus block?

The celiac plexus block is an injection into or around your celiac plexus nerves, which surround the main artery inside of your abdomen. These nerves are responsible for controlling nerve function and in some cases, they carry pain information from your abdominal organ tissues to your brain or spinal cord.

What is the purpose of this block?

Abdominal pain treatment Las VegasThe celiac plexus block is performed at a pain clinic in order to block the nerves which move pain signals to various organs from the abdomen. This can be done by pain management doctors in an effort to reduce pain inside of your abdomen. This is typically a pain treatment for chronic abdomen pain or chronic pancreatitis.

How long does the celiac plexus block take to complete?
Once your procedure begins, the process takes between ten and thirty minutes to be injected.

What is injected into the body?

With the celiac plexus block there is a local anesthetic injected into your body. In some cases the doctors might add a steroid medication or epinephrine in order to prolong the effects of the block.

Will the procedure hurt?

This procedure requires that a needle be inserted through your skin and your deeper tissues. So in this sense, there is some pain involved but the skin and the deeper tissues can be numbed using a local anesthetic that requires a thin needle prior to the actual celiac plexus block needle being inserted. In many cases, patients will receive an IV sedation which makes the entire process a much more tolerable one.

Will a patient be “out” for this procedure?

No, for the celiac plexus block there is not general anesthesia used but a local anesthetic. Many patients receive a mild form of sedation to make the process more bearable and the amount of sedation used is really based on the tolerance of the patient. Some patients may have adequate amounts of sedation that they only remember parts of the procedure, or none of it.

How is this process done?

Las Vegas pain managementFor this procedure, at the Las Vegas pain clinic the patient lies on their stomach. They are monitored using an EKG machine with an oxygen monitoring device and a blood pressure cuff in most cases. The celiac plexus block is performed with sterile medical conditions. The skin on the back will be cleaned with an antiseptic and the skin will be numbed with the anesthesia. The x-ray is taken to guide the needle into the right position outside of the body. Once the needle is in place, dye is used to confirm that the injected medication will reach the appropriate area. Once this is confirmed, the injection will take place. The x-ray will be used to determine how effective the injection was. Once a sufficient area is covered, the process is complete. The needle is removed and proper coverings administered to the area of injection.

What is expected after the celiac plexus block?

After this procedure the abdomen may feel warm. There may be temporary weakness in that area, but after a few hours the pain will become decidedly less or may be gone entirely.

Pelvic Pain Treatment With Pain Doctors In Las Vegas

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What is Pelvic Pain?

Pelvic Pain TreatmentPelvic pain is always experienced in the lower part of the abdomen and pelvis. This condition is more common in women than men. In women, pelvic pain can be explained as symptoms that arise from urinary. Pelvic pain can be described as either dull or sharp; it might be steady now and again. Also, and it might be mellow, direct or serious. Pelvic pain can at times emanate to the thigh, lower back or thighs.
Pelvic pain can occur abruptly, strongly, quickly, with intense and over a long period of time. Incessant pelvic pain alludes to any consistent pelvic pain that has been available for a couple of months or even more. Now and again, you may experience pelvic agony just at sure times, for example, when you urinate or amid sexual movement.

What are the causes of pelvic pain?

Pelvic pain can be caused by different diseases and conditions. In most cases, this disease develops as a result of more than one condition. This disorder may arise from urinary, digestive and reproductive system. However, chronic pelvic pain arises from connective tissue together with muscles in the pelvic floor’s structure. There are also some instances when this disorder can be caused by nerves’ irritation in the pelvis.

Some of the major causes of pelvic pain to in female reproductive system include:
Vulvodynia
Ovarian cancer
• Menstrual cramps
Adenomyosis
• Miscarriage

Cause in men and women:
• Colon cancer
• Sexual abuse
• Intestinal obstruction
• Appendicitis
• Kidney stone
• Urinary tract infection and many more.

What are the symptoms of Pelvic Pain?

The symptoms of this disorder include:
• Pain during ovulation
• Infertility
• Bloating (in the abdomen)
• Pain during monthly periods (for ladies)
• Pressure (in the lower pelvis)

Pelvic pain Diagnosis

Chronic Pelvic Pain TreatmentPelvic pain is diagnosed by pain doctors though a physical examination. The doctor will examine your abdomen and pelvis. Then, a checkup of the organs, tissues and muscles will follow before suggesting the pain disorder you are suffering from.

The information gathered from the physical examination will be used to determine whether there is a need for extra tests or procedures.

Some of the tests and procedures that will follow include:
• Lab test, which include a urine test
• Cystoscopy: checking the bladder using viewing instrument
• Pelvic ultrasound: this involve the use of sound waves when looking at structure and organs that within the pelvic region.

What are the Treatment Options of Pelvic pain?

For a patient with multiple problem, the treatment of pelvic pain becomes complex. Therefore, specific and simultaneous psychological therapy are highly recommended. The patient should have a good relationship with the Las Vegas pain doctor. In addition, the patient should tailor the treatment of the pelvic pain.

Some of the recommended treatments include:

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• Pharmacotherapy: This includes symptomatic abortive therapy, which stops or reduces the severity of the chronic pain.
• Physical therapy: This includes the use hot or cold applications, massage, traction, manipulation, stretching exercise and transcutaneous electrical nerve stimulation.
• Psychological therapy: This includes relaxation, reassurance, and stress management program together with biofeedback techniques. These kinds of treatments will reduce the frequency in addition to severity of chronic pain.

Well, remember to visit the pain management doctors in Las Vegas if the pain persist so that you can get the recommended advice for the condition you may be experiencing.