Back Pain After Sitting? Symptoms of Low Back Pain, oral steroids for


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Understanding Back Pain — Symptoms

In this Article

What Are the Symptoms of Back Pain?

Most people have experienced back pain sometime in their lives. The causes of back pain are numerous; some are self-inflicted due to a lifetime of bad habits. Other back pain causes include accidents, muscle strains, and sports injuries. Although the causes may be different, most often they share the same symptoms.

  • Persistent aching or stiffness anywhere along your spine, from the base of the neck to the tail bone
  • Sharp, localized pain in the neck, upper back, or lower back — especially after lifting heavy objects or engaging in other strenuous activity; (pain in the upper back can also be a sign of a heart attack or other life-threatening conditions.)
  • Chronic ache in the middle or lower back, especially after sitting or standing for extended periods
  • Back pain that radiates from the low back to the buttock, down the back of the thigh, and into the calf and toes
  • Inability to stand straight without having pain or muscle spasms in the lower back

Call Your Doctor About Back Pain If:

  • You feel numbness, tingling, or weakness in your groin, arms or legs; this may signal damage to the spinal cord. Seek immediate medical help.
  • The pain in your back extends downward along the back of the leg; you may be suffering from sciatica.
  • The pain increases when you cough or bend forward at the waist; this can be the sign of a herniated disc.
  • The pain is accompanied by fever, burning during urination, or frequent and/or urgent urination. You may have an infection.
  • You begin to have problems controlling your bowels or bladder; seek immediate medical help.

Other “red flags” that could point to a serious back pain problem include:

  • A history of cancer
  • Unintentional weight loss
  • You have been on steroids or medication that weakens your immune system
  • A history of trauma
  • Pain that is getting worse and does not get better after you rest
  • Pain that has lasted more than a month
  • Nighttime pain
  • Unresponsive to earlier back pain therapies
  • A history of IV drug use

Sources

SOURCES: Oh, W. The Clinical Journal of Pain, January/February 2004.

Friedman, F. Outwitting Back Pain: Why Your Lower Back Hurts and How to Make It Stop, Lyons Press, 2004.


Consultant directory #consultants, #gps, #doctors, #surgeons, #anaesthetics, #burns #and #plastics, #cardiology, #cardiothoracic


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Consultant directory

With so many consultants, all with special interests, we appreciate it can be difficult for GPs to make the right referral choice, and it can be confusing for patients.

This consultant directory is offered as an easy reference guide to the specific clinical services and interests of all the consultants working at or for University Hospitals Birmingham NHS Foundation Trust.

Browse by category

Browse by category results: ophthalmology

Mr Michael A Burdon, Consultant Neuro-Ophthalmologist

Graduated from the University of London (St Thomas’s Hospital Medical School). Post-graduate medical training in Oxford. Ophthalmology training in Birmingham and London. Sub-speciality interest in neuro-ophthalmology.

Mr Alastair Denniston, Consultant Ophthalmologist (Uveitis/Med Retina)

Graduated from the University of Cambridge and awarded a PhD from the University of Birmingham. Previously clinical lecturer at the University of Birmingham. Special interests include uveitis, ocular inflammatory disease and medical retina.

Lt Col Nicholas Glover, Consultant Vitreoretinal Surgeon

Completed his higher training in ophthalmology at Oxford University and is a fellow of the Royal College of Ophthalmologists. Specialist areas are vitreoretinal surgery, trauma and medical retina and cataract procedures.

Lt Col Andrew S Jacks, Consultant Neuro-Ophthalmologist

Trained in ophthalmic surgery at Moorfields Eye Hospital London. Special interests in military ophthalmology and ophthalmic trauma, neuro-ophthalmology and adult strabismus.

Mr Sai Kolli, Consultant Ophthalmic Surgeon

Graduated from Cambridge University. Postgraduate training in Birmingham, Leeds and Moorfields Eye Hospital. PhD in corneal stem cell therapies in 2009. Special interests; corneal and external eye disease, corneal, cataract and refractive surgery.

Mr Timothy D Matthews, Consultant Neuro-Ophthalmologist

His areas of clinical interest are neuro-ophthalmology, eye movement disorders and squints, glaucoma, cataract and refractive surgery. He is the clinical surgery lead for ophthalmology at UHB and the regional advisor of the West Midlands Deanery.

Miss Faye Mellington, Consultant Opthalmic, Oculoplastic and Orbital Surgeon

Graduated from Oxford University in 2000. Completed Ophthalmology training in London and Oxford and advanced subspecialty training in Oculoplastic and Orbital Surgery in Oxford, Birmingham and Moorfield Eye Hospital, London.

Mr Shabbir Mohamed, Consultant Ophthalmologist

Graduated with honours from Manchester Medical School in 1996; his main interests are the medical, laser and surgical management of patients with glaucoma and management of patients with ocular surface disease including red, sore eyes.

Miss Susan Mollan, Consultant Ophthalmologist

Completed higher surgical training at Oxford and the West Midlands. Had advanced training in neuro-ophthalmology, adult strabismus and glaucoma. Interests include furthering medical education along by developing and maintaining medical standards.

Mr Aidan Murray, Ocular Plastic Consultant

Gained his first medical qualification in 1991 from the Royal London Hospital and completed his specialist training in ophthalmology in Birmingham. He is a specialist in oculoplastic, lacrimal and orbital surgery.

Miss Helen E Palmer, Consultant Ophthalmologist, Medical Retina

Gained her first medical qualification from Guy’s Hospital, London and completed her specialist training in London and Birmingham. Her interests include diabetic and vascular eye disease, macular degeneration and uveitis.

Professor Pete Shah, Consultant Ophthalmologist

An internationally recognised leader in glaucoma surgery. Also specialises in complex cataract surgery.

Contact us

Heritage Building
(Queen Elizabeth Hospital)

Mindelsohn Way
Edgbaston, Birmingham
B15 2TH

Tel: 0121 627 2000

Queen Elizabeth
Hospital Birmingham

Mindelsohn Way
Edgbaston, Birmingham
B15 2GW

Tel: 0121 627 2000


Chronic Opioid Therapy Webcast – CME #chronic #pain, #opioids, #therapy, #cme, #online,


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Chronic Opioid Therapy Webcast

Learning Objectives

After completing this CME activity, you should be able to:

  • Evaluate patients presenting with chronic nonterminal pain to assess for potential opioid responsiveness and opioid risk.
  • Develop an evidence-based treatment plan that involves the appropriate selection of an initial opioid, and continuous monitoring and adjustment, for tapering, discontinuation; alternative therapies, or referral to a pain subspecialist.
  • Utilize state Prescription Monitoring Programs (PMPs), patient prescriber agreements, patient counseling documents, an documented urine drug screening to minimize physician liability when prescribing opioids.

Original release date of webcast: May 27, 2016

Presenting Faculty

David T. Walsworth, MD, FAAFP, Associate Chair for Clinical Affairs Associate Professor, Department of Family Medicine, College of Human Medicine, Michigan State University, East Lansing, Michigan

CME Credit

This enduring material activity, Chronic Opioid Therapy, has been reviewed and is acceptable for up to 1 Prescribed credit by the American Academy of Family Physicians. Term of approval begins May 27, 2016. Term of approval is for two years from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Family Physicians designates this enduring material activity for a maximum of 1 AMA PRACategory 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Following this CME activity, participants have the opportunity to earn two additional credits by participating in a Translation to Practice® exercise. Information on Translation to Practice® (t2p™) will be shared within the activity.

CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit.

Disclaimer

The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this activity was accurate at the time of publication. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations.

The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Physicians may care to check specific details such as drug doses and contraindications, etc. in standard sources prior to clinical application. This material might contain recommendations/guidelines developed by other organizations. Please note that although these guidelines might be included, this does not necessarily imply the endorsement by the AAFP.

Have you completed this Presentation?

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Home / CME / CME Webcast – Chronic Opioid Therapy

Copyright © 2017 American Academy of Family Physicians. All rights reserved. About This Site | Privacy Policy | Terms of Use

Copyright 2017 American Academy of Family Physicians. All rights reserved.

Copyright © 2017 American Academy of Family Physicians. All rights reserved. About This Site | Privacy Policy | Terms of Use


Rowe Spine – Pain Care #interventional #spine #and #pain


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PROVIDING THERAPEUTIC MEDICAL CARE

SPECIALIZING IN CHRONIC PAIN PATIENTS

Our clinic provides consultation services for physicians whom refer patients for further evaluation and treatment for their chronic pain patients. We have been successful in treating patients who are non-surgical candidates, as well as those who seek alternatives to surgery to treat their chronic pain conditions.

We have an established physician referral base from a wide range of specialties including Neurosurgery, Orthopedic Surgery, Neurology, and Primary Care. We currently see approximately 95 established patients per week. Many of these patients are seen on a continuing monthly basis. Approximately 10 to 15 new patient referrals are sent to our clinic each week from physician referring offices. We project that within the coming year, our patient load will require the addition of a Physician’s Assistant and a Certified Medical Assistant to the office.

David F. Rowe, M.D. has provided therapeutic medical care and interventional therapies for patients in the Bluffton and surrounding areas since 2011. He is an Anesthesiologist with additional fellowship-training in Pain Management. After graduating from University of Tennessee Health Science Centerl, Dr. Rowe went on to complete a residency in Anesthesiology and Peri-operative Medicine at the Medical University of South Carolina in Charleston. Following completion of his residency program, he then successfully completed fellowship training in Pain Management, also at MUSC. While at MUSC, Dr. Rowe was engaged in several research studies and publication of scientific articles.

Dr. Rowe has over 15 years of experience in successfully treating patients with chronic pain. He moved to the Bluffton area in 2011, and opened The Pain Center of First Choice Healthcare in 2011. Since then, his practice has continued to grow. We are proud to announce that Dr. Rowe was voted the “Best in Bluffton” in the specialized medical category of “Best Pain Doctor 2015” by Bluffton.


Dull pain in left abdomen #dull #pain #in #left #abdomen


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Early pregnancy pain in lower abdomen

pregnancy

Hi, my partner and I found out on Wednesday that we are pregnant, this will be my second child but im having a lot of pain in my lower left abdomen. I was sent straight to hospital on Wednesday night with querie ectopic pregnancy and I’ve had 2 scans. I’m 5 weeks pregnant and im a little worried because although they can see what they call a fluid sack they can’t rule out an ectopic.

Hi, I have exactly the same, pain in the right lower abdomen. I was very scared specially cause I had a miscarriage at 13 weeks in January, so I went to the doc who got me a early preg scan, I was 6 weeks preg and went to do the scan and it showed a cyst in my right ovary they say it’s normal it’s where the egg came out off, but it also wasn’t conclusive on the baby, i had sac, yolk and a shadow but they couldn’t see heart beat, so they did the bloods, the bloods where good hormone levels rised

The cyst did not give me any sharp pain but the was a very deep low dull ache in my lower abdomen that I only really noticed if i was sat doing nothing or if I had over eaten. If you have a cyst they are easy to deal with (if you are not pregnant!) so fingers crossed for you and your u/s.

I have lower abdomen pain ,headache,pelvicpain(specially left side),and movement in upper abdomen.all blood andsonography reports come normal.i had anal sex in april and since i hav to face many problems.and in recent sonography mild free fluid find .i have thick white vaginal discharge.wt it be plz suggest and help for it.

Ok I am really sore in my lower abdomen right where my uterus is coming over my pelvic bone. I wanted to know if it was normal or not. Its really bad when I sit in the floor at work and then get up. Its not like cramps its just sore and really tender if it gets pushed on. Is this normal?

i read something somewhere that pains in early pregnancy in the embryo embedding into your womb. and you can also get spotting called breakthrough spotting again cased by th embryo settling in your womb. dont worry to much but make an appointment anyway just to make sure all is well. good luck.

i have this back pain and its a little in the front lower abdomen area. just on the left side of my body. its doesn’t hurt when i walk but i can feel it when i sit i worry about this cause when i miscarried last year. the first sign was the back pain. but the pain also went into my left leg the last time. nothing like that happening now, is this something i should worry about.

I used to dread sneezing in early pregnancy just because I knew that I was going to get that feeling in my stomach. Its normal though so don’t worry!

For the past three days now I have been feeling slightly sick, lower back pain. and lower abdominal pain. I’m quite large and have lost 2stone in the past 6months. I have also took a lot of HPT all came back negative. Has anyone foundout what was wrong with them.

I haven’t had a lot of symptoms besides my period being late but today at work I was moving furniture (I’m a teacher and was getting my room ready) and I started having cramping/sharp pain in my lower abdomen and my hips and back ache now. I can’t decide if I am just out of shape and that’s why I am hurting or if it really is because I am pregnant? I didn’t know if the symptoms were showing up since I was really active today?

25 weeks along and in the last hour or so I’ve had a good amount of pressure on my lower abdomen. It feels like i have to pee bad. but I dont. Is this normal?

My question is for anyone who has had early bleeding in their pregnancy. On Sat I had a single episode of bright red blood that was maybe the amount of a 1/2 dollar. After that I spotted brown and today it is there only when I wipe, but vitually non-existent. No cramping involved, but the bright red freaked me out. I went for a beta today and have not heard back. I am 16 DPO (4 weeks). The lab tech said something that didn’t sound right. She said by now my numbers should be 500 and up.

I have been getting a lot more pain and pressure in my lower abdomen and pelvis. I think baby is engaging. Are these signs that he is dropping? How long after loss of plug and dropping baby does this last? I don’t think I and gonna make it to 40 weeks.

All last night I was having period like cramps in my lower abdomen and pressure pains in my back. when i got up to move they went away but as soon as I stopped moving they came back. they were pretty intense at one point i was crying. braxton hicks maybe or something different?

In addition, I noticed I have some back pain and perhaps I am just imagining it, but it seems like my stomach is a little queasy the last couple days. Did anyone have these signs early in pregnancy. My breasts are not really sore, but today my nipples hurt like crazy if I touch them. Just wondering. My AF is due sometime next week, I think, if it is gong to be a 28 day cycle. My last AF was really weird.

Each time I have had pain in the lower abdomen ( I am assuming at the point where the embryo is trying to grow). It feels like a knitting needle being pressed against the skin. If I stood up for too long I would start to feel a downward pulling sensation and it would become very uncomfortable. I have also noticed that I also get niggling pains in what I assume is the lymph node just below my belly button.

Here is what I have experienced: I have felt pain in my uterus in early pregnancy —-as far as I know, it is usual. What is NOT normal is to have waves of uterine contractions that usually start in the lower back— which indicates miscarriage. Could you give more details about what the pain feels like? If it doesn’t feel like period cramps and you aren’t having lower back cramps then I say you are fine.

I can’t find anything on stomach pain with pregnancy because when you google it, they assume you mean lower abdominal pain which is normal. I know sharp stomach pain isn’t normal though!

Ectopic pregnancies are usually discovered (unless by beta hCG testing and ultrasound) by acute pain in the lower abdomen. nothing to do with the shoulder.

– sunday night i started bleeding and had slight abdominal pain which lasted through yesterday into last night – the pain was steady and i had some lower back pain aches (no more than when i have my period) – as far as the bleeding is concerned, it was dark red and mainly when i went to the bathroom a little came out and i saw it when i wiped myself – i wore a pad all night and it was barely spotted – i’m not really feeling the pain today (and my breasts don’t hurt as much as they did last week

bloated, cramps, moodyness, some little white discharge, hot flushes, pee a lot more than i used to not so much more often just more when i go, some sharp pain in lower abdomen, nausea in morning and at night sucks


Synovial Fluid Analysis #synovial #fluid #analysis, # #2006 #21st #abnormal #abnormally #activities


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Synovial Fluid Analysis

Synovial fluid analysis is a group of tests that examine joint (synovial) fluid. The tests help diagnose and treat joint-related problems.

Alternative Names

Joint fluid analysis; Joint fluid aspiration

How the test is performed

A sample of synovial fluid is needed for this test. Synovial fluid is normally a thick, straw-colored liquid found in small amounts in joints, bursae, and tendon sheaths.

After the area is cleaned, the health care provider will insert a sterile needle through the skin and into the joint space. Once in the joint, fluid is drawn through the needle into a sterile syringe.

The fluid sample is sent to the laboratory. The laboratory technician will check the sample’s color and clarity, and then place it under a microscope to check it for red and white blood cells, crystals (in the case of gout), and bacteria. In addition, there may be a chemical analysis, and if infection is a concern, a sample will be cultured to see if any bacteria grow.

How to prepare for the test

Normally, no special preparation is necessary, but contact your health care provider before the test to make sure. Tell your doctor if you are taking blood thinners, as they can affect test results.

How the test will feel

Occasionally, the health care provider will first inject local anesthesia with a small needle, which will sting. The aspiration is done with a larger needle and may also cause some pain. The procedure usually lasts less than one minute.

Why the test is performed

The test can help diagnose the cause of pain or swelling in joints. Removing the fluid can also help relieve joint pain.

This test may be used to diagnose:

  • Gout
  • Infection
  • Other inflammatory joint conditions
  • Joint injury
  • Osteoarthritis

What abnormal results mean

Abnormal joint fluid may look cloudy or abnormally thick.

Blood in the joint fluid may be a sign of injury inside the joint or a body-wide bleeding problem. An excess amount of normal synovial fluid can also be a sign of osteoarthritis.

What the risks are

  • Infection of the joint — unusual but more common with repeated aspirations
  • Bleeding into the joint space

Special considerations

Ice or cold packs may be applied to the joint for 24 to 36 hours after the test to reduce the swelling and joint pain. Depending on the exact problem, you can probably resume your normal activities after the procedure. Talk to your health care provider to determine what activity is most appropriate for you.

References

Knight JA, Kjeldsberg CR. Cerebrospinal, synovial, and serous body fluids. In: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 21st ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 28.

Review Date: 7/10/2009

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. Copyright 2010 A.D.A.M. Inc. as modified by University of California San Francisco. Any duplication or distribution of the information contained herein is strictly prohibited.

Information developed by A.D.A.M. Inc. regarding tests and test results may not directly correspond with information provided by UCSF Medical Center. Please discuss with your doctor any questions or concerns you may have.

Getting Care


Spine Surgeon, New York Spine Surgeons: Seth Neubardt, M #spine #surgeon,new #york


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We Believe a Neuro-Ortho
Spine Surgeon Team is Best

Two surgical specialists, Neurosurgeons and Orthopedic Surgeons, are qualified to perform spinal surgery.

Historically, Neurosurgeons have been consulted for operations involving the nerves while Orthopedic Spinal Surgeons were more involved with spinal fusions.

There are some subtle differences in the training for the two specialties. So for patients undergoing spinal surgery, we feel it s best to have both a Neurosurgeon and an Orthopedic Surgeon present and working together. We call this the Neuro-Ortho Team. As our patient, your team is Dr. Neubardt and Dr. Stern.

Remember, when it comes to spinal surgery, spend time to pick the right spine surgeon. It may be the most important decision you ever make!

Meet the New York Spine Surgeon Team of Dr. Stern and Dr. Neubardt

Seth Neubardt, M.D. is a board certified Orthopedic Surgeon who completed a combined Orthopedic-Neurosurgical Fellowship in Spinal Surgery at New York s prestigious NYU Hospital.

Jack Stern M.D. Ph.D. is a board certified Neurosurgeon who completed his spine training at New York s Columbia University.

Dr. Stern and Dr. Neubardt are New York spine surgeons that have been working together for over 16 years, with a focus on complex spinal surgery. They perform over 200 spinal operations a year in a state of the art spine safe operating room. 100% of the surgery is done by Dr. Neubardt and Dr. Stern, without any involvement of residents, interns, medical students or physician s assistants.

When dealing with the spine, is it better to have an ultra-specialist treat you?

Studies suggest that the answer is absolutely yes .

With something as technical and precise as spinal surgery, there is no doubt that you will want a team such as ours that specializes specifically in the spine.

What Makes Us Different
Neubardt & Stern Spine Surgeon Team Qualifications

Here Are 11 Qualifications of the Neubardt / Stern Spine Team:

We are a team with over 53 years of combined experience treating the spine.

We are a team that does not treat any other part of the body. We are ultra-specialists and deal only with spinal problems.

We are a team that provides personal care. We live locally and are easy to reach. Our cell phone number is available to you. Our office phone is always answered by a person, never a machine. We recognize that the idea of spinal surgery can be fearful and we are therefore always available to spend as much time as needed to go over your condition, the alternatives to surgery and the recommended procedure with its associated risks.

We are a team that believes that less is more and will always use the most micro or minimal access surgery when possible. Our spine surgery expertise runs from Band-Aid percutaneous balloon spinal procedures to open fusions.

We are a team that makes your safety our number one priority. We will be there for every minute of your surgery to make sure you are safe and well cared for. We do 100% of the operations ourselves. Our team does not have medical students, residents, interns or physician s assistants.

We are a team that will take care of you after the surgery. When you come back to the office for post-operative care, Dr. Stern and Dr. Neubardt are the only people you will see. We do not have nurse practitioners taking care of you. Even something as simple as removing staples or stitches is something we will do ourselves.

We are a team that encourages you to try non-surgical treatments first. Both of us have strong backgrounds in holistic medicine and are familiar with treatments from acupuncture to traction. In 1997 we co-founded the Center for Holistic Medicine at United Hospital, one of the nation s first hospital based holistic health centers. If you don t need surgery we won t suggest surgery.

We are a team that stays on the cutting edge of technology. Dr. Neubardt has several patents on new spinal instruments that are currently in use in hundreds of hospitals worldwide.

We are a team that believes pain should always be minimized at the time of surgery. We have two physicians on our staff who are pain management specialists. They are available to work with you before surgery to develop a program for your post-operative care which will help minimize pain after surgery.

We are a team that works in a state of the art Spine Safe Operating Room to ensure that every technological advancement available is used to protect your spinal cord and nerves. As a safety precaution, all of our cases are scheduled with spinal cord monitoring. This monitoring consists of an electro physiologic computer which is operated by a technician who remains present throughout your entire surgery, monitoring the real-time function of your spinal cord and nerves.

We are a team that is available to you. The procedure for contacting your doctor in a city or teaching hospital requires several layers of communication. Dr. Stern and Neubardt remove these layers by being directly accessible to you. Living and working close by makes this superb service possible. We feel that getting in touch with your doctor is very important. Go ahead and call our office (914) 948-5067 right now to test how easy it is to reach Ellen or Alison. When they answer, just tell them you are testing the phone and they will understand. In an emergency, they will be able to immediately put you in direct contact with Dr. Neubardt or Dr. Stern.


Seth Neubardt, M.D. Jack Stern, M.D. Ph.D.
244 Westchester Avenue, Suite 310, White Plains, New York (914) 948-5067
Copyright 2012 Seth Neubardt, M.D. & Jack Stern, M.D. Ph.D. | Disclaimer
Last Modified: January 19, 2010 | Site Map


Pain Management Program #pain #management #program


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Pain Management Program

Chronic pain affects nearly one in five Canadians. It’s a disabling problem, often involving physical, psychological, social and occupational factors.

St. Joseph’s Pain Management Clinic at St. Joseph’s Hospital sees more than 5,000 patient visits each year for a wide variety of problems, including musculoskeletal complaints, neuropathic pain syndromes and chronic abdominal pain.

Our multidisciplinary team of anesthesiologists, physiatrists, neurologists, psychologist pharmacists and nurses use their skills and expertise to provide assessment and treatment for people with chronic, non-cancer pain.

Our goal is to develop a treatment program patients can follow with the help of their family doctor.

St. Joseph’s Pain Management Program is a teaching program affiliated with The University of Western Ontario, providing training for physicians, nurses, pharmacists, psychologists, and physiotherapists.

What we do

The outpatient Pain Management Clinic provides diagnosis and treatment for adults who have experienced persistent non-cancer-related pain for more than six months. Examples of common conditions seen at the clinic include back pain, neck pain, arthritis, neuropathic (nerve) pain, and pelvic pain.

One of our areas of clinical expertise, and research, is neuropathic pain including conditions such as diabetic neuropathy, post-herpetic neuralgia, complex regional pain syndrome, and post-surgical nerve pain. Another focus is interventional treatment of chronic back pain including epidural steroids, nerve root injections, and radiofrequency denervation of facet joints, often responsible for chronic neck and back pain.

As a teaching hospital, patients may have residents or students as part of their care team.

Treatments offered

  • Pharmacotherapy
  • Nerve blocks with ultrasound or X-ray guidance
  • Intravenous Infusions
  • Radiofrequency nerve ablation to treat neck and back pain
  • Psychotherapy
  • Rehabilitation and exercise plans
  • Patient education

Goals of treatment

It may not be possible to cure the underlying reason for the chronic pain but through a combination of treatments the patient’s quality of life and functioning may be improved significantly. For each patient, an individualized treatment plan is created that will be co-managed by the family doctor. Our goal is to return patients to the care of their family doctor in their community once this plan of care has been determined. We also partner with several community clinics in and around London to whom we may transfer care.

Are you a first-time patient?

Be sure to read the information for new patients on this site. New patients are required to attend an orientation session. and all patients must confirm each physician appointment .


Holistic Massage – Energy Therapies #ancient #art #massage, #we’re #the #envy #jai


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Back pain at #alternative #medicine, #alternative #medicine #uk, #arthritis, #arthritis #uk, #back


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News for back pain on Friday 28 Jul 2017

Prevention key as EU back pain bill reaches �240 billion (PostureMinder Ltd )

A new EU-wide study by The Work Foundation (www.theworkfoundation.org ) has found that musculoskeletal disorders (MSDs) such as back pain, neck pain and RSI-type conditions, account for nearly half (49%) of all absences from work and 60% of permanent work incapacity in the European Union.

The estimated cost to society in Europe is up to �240 billion every year, with 100 million European citizens suffering the misery of MSDs that are serious enough to warrant treatment and absence from work.

Of course, these figures do not take into account the pain, misery and costs associated with the much larger number of people who suffer less serious back pain and other ill-health without seeking treatment.

The research suggests that prevention and early intervention in MSDs ultimately reduces the burden on governments� health and disability budgets, improves the lives of citizens, and improves employees� performance. It proposes that governments consider more than simply the up-front costs of medical expenditure and incorporates wider socio-economic considerations – such as work productivity – into the financial and medical evaluations for preventing and treating MSDs.

Office back pain prevention expert Dr Philip Worthington, inventor of PostureMinder, an award-winning posture correction and well-being software application, agrees: “This pan-European study reinforces previous national surveys that have highlighted the scale and cost of back pain and other MSDs. It’s a real wake-up call, and the message is clear: prevention and early intervention are key.”

“It’s simply not feasible to treat 100 million people for back pain every year. We have to start trying to get these numbers down by addressing the root causes, such as poor working posture and lifting injuries, before people reach the stage where it starts to affect their work or they need to seek expensive treatment.”

In response to the study’s findings the EU is launching a pan-European Fit For Work campaign which calls for coordinated action from policymakers, healthcare professionals, patients and employers.

About PostureMinder
PostureMinder is award-winning software developed to promote good posture and healthy working habits amongst computer users, both at home and work. Its key innovation is to use any low-cost webcam, such as those built in to most modern laptops or purchased for video conferencing, to automatically detect the user’s posture. Whenever the computer user sits in a damaging posture for a prolonged period, a friendly on-screen reminder appears to encourage them to correct it. This helps directly reduce time spent in damaging postures, and gradually helps the user break their poor posture habits.

PostureMinder also includes comprehensive ergonomic training materials, reminders to take short breaks – or switch to non-computer-based tasks – at recommended intervals, plus video-guided stretch exercises and a hydration tool to encourage good hydration throughout the working day. PostureMinder is available for home, work or educational use, and won a 2007 British Safety Industry Federation Innovation Award. It can be used preventatively, or as a part of a rehabilitation programme for existing sufferers of back or neck pain, RSI and other computer-related health conditions.

Back pain and MSD statistics:
As more and more people move from manufacturing jobs to working in an office, many commentators expected the prevalence of MSDs to go down, but that’s not been seen to be the case.

Long hours spent at a computer keyboard, both at work and home, combined with the more general problems of lack of exercise and obesity, have had the opposite effect.

Recent surveys by the British Chiropractic Association have shown an alarming increase in back pain amongst children, with 45% of 11-18 year olds reported to suffer back pain in the 2008 survey, a 55% increase in just 6 years on the 29% figure found in an identical survey in 2002. The most significant change during that period has been the growth in social networking websites, which has led to a large increase in computer use by children in recent years.

Previous studies have shown that 80% of Americans will seek treatment for back pain in their lifetimes.

The main preventative measure for office workers in the UK has been requirement to train computer-based staff under the Health and Safety (Display Screen Equipment) Regulations 1992. However, the Health and Safety Executive’s 2007 report into the effectiveness of these regulations found that half of UK companies do not provide the required training, and that in any event such training had not significantly reduced the incidence of MSDs amongst UK office staff.

PostureMinder Ltd
Guide Mills
South Street
Ashton under Lyne
Lancashire
OL7 0PJ
United Kingdom


What Are the Warning Signs of a Failing Transvaginal Mesh Device? #transvaginal


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What Are the Warning Signs of a Failing Transvaginal Mesh Device?

08/21/2013 // TWM // Life Care Solutions Group

Many women who have received a transvaginal mesh or sling implant have experienced serious health complications after surgery. The Food and Drug Administration has issued safety warnings concerning the health risks associated with these devices, which have been implanted in thousands of women for the treatment of conditions that result in weakened pelvic floor muscles; however, some patients are still unsure of what the warning signs are that may indicate a problem with their device.

Women who have received vaginal mesh implants, whether they are currently experiencing symptoms or not, need to understand the risks associated with the implant and what symptoms are indicative of it failing. The medical device has been widely used in the treatment of conditions such as pelvic organ prolapse and stress urinary incontinence. The Life Care Solutions Group has outlined a list of some of the most common symptoms below that are indicative of vaginal mesh failure:

• Abdominal pain
• Bleeding
• Pain during intercourse
• Mesh erosion through the top layer of skin in the vagina
• Incontinence
• Chronic vaginal discharge
• Bladder obstruction

Women who experience these or other symptoms after receiving a transvaginal mesh implant should seek prompt medical attention for an evaluation of their condition. A number of women have been required to undergo additional surgeries to have their implants removed. Women seeking compensation for their injuries have filed numerous lawsuits against the makers of these medical devices.

The Life Care Solutions Group is available to assist women who have questions about their medical and legal options in the event that they have been injured by a transvaginal mesh or sling. The resource also has available for download a free eBook about chronic pelvic pain for those seeking more information.

Social Media Tags: transvaginal mesh, pelvic floor muscles, pelvic organ prolapse, stress urinary incontinence, chronic pelvic pain, pain during intercourse, abdominal pain,

Practicing attorney and physician. Having trained in physical medicine and rehabilitation at Baylor University in Houston, with 15 years of experience taking care of patients with catastrophic injuries, I am now a practicing attorney dedicated to patient advocacy and ensuring that my clients receive the gold standard in medical care and just compensation for their injuries.


Pancreatitis Symptoms: Fast Heart Rate, Fever, Jaundice, & More #symptoms,sudden #(acute) #pancreatitis,


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Pancreatitis – Symptoms

The main symptom of sudden (acute) pancreatitis is sudden moderate to severe pain in the upper area of the belly (abdomen ). Sometimes the pain is mild. But the pain may feel as though it bores through the abdomen to the back. Sitting up or leaning forward sometimes reduces the pain. Other symptoms of an attack of pancreatitis are:

Long-term (chronic) pancreatitis also causes pain in the upper abdomen.

WebMD Medical Reference from Healthwise

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information. © 1995-2015 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

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10 Acupressure Points to Relieve Knee Pain #acupressure #points #for #knee #joint


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10 Acupressure Points to Relieve Knee Pain

Knee pain is a common occurrence that appears to be happening more often in recent years. This’s thought to be the result of an increase in activity, and longevity.

There’re many things that can cause knee pain. Torn tendons and ligaments are one of them.

Sometimes the cartilage, soft tissue in your knee breaks down from normal use. This causes your bones to rub against each other, which causes knee pain to occur.

Knee disorders can cause pain. Some might include bursitis, tendonitis, iliotibial band syndrome, osteoarthritis, Osgood, dislocated kneecap, and plica syndrome.

Besides pain these disorders can cause inflammation and swelling in and around the knee joint.

Sometimes if an injury didn’t heal correctly, or wasn’t taken care of properly, it can cause pain.

Treatments

The doctor might advise you to use heat. or ice on the affected area to help relieve pain and swelling. Many suggest RICE Rest, ice, compression and elevation.

He might suggest you start taking an NSAIDS non-steroid anti-inflammatory agents. This too reduce pain and swelling. He might also suggest an NSAID topical cream.

If the swelling is bad enough, the doctor might decide to do cortisone shots in the affected area.

He might suggest using some sort of assistive devices like crutches, or cane when you’re mobile. He might suggest using a brace to keep the knee immobilized while it heals.

He might order a stronger pain medicine and perhaps an oral steroid like prednisone to reduce the pain and swelling. Bracoo Breathable Neoprene Knee Support, One Size, Black,Manufactured by: Yasco

Acupuncture

There are other pain relief treatment options. Two of them are acupuncture and acupressure.

With acupuncture, the doctor will insert small needles into certain areas of the body. This will help alleviate pain and other disorders you might be experiencing.

People assume this treatment begin in early china around 1100 BC. This type of treatment’s believed to correct the imbalance in the flow qi.

It’s also thought that the needles stimulate the body into releasing chemicals, which relieves pain and helps the body heal itself.

Acupressure

Acupressure was first established in Asia thousands of years ago. With the use of pressure point massage, it encourages the body to heal itself balancing and using its own natural energy.

It’s similar to acupuncture because it utilizes the same pressure points. Acupressure uses slight pressure and massage where acupuncture uses small needles.

It has shown to help with poor circulation, stress related disorders. and helps boost the immune system. It also helps purify the body of harmful toxins.

Some use it to tonemuscles and to obtain better health and overall beauty. Others use it for fibromyalgia, chronic muscle pain, fatigue, recover from addiction, emotional disturbances, learning disabilities, and trauma.

It’s also used as a beauty regimen. Over time, your skin loses elasticity from the normal day activities, this causes wrinkles to form.

Using these pressure point areas will enhance muscle tone in the face and other surrounding areas, while it increases blood circulation.

By massaging these areas, with the use of facial exercises, you’ll repair the elasticity in the muscles, which reduces wrinkles. Massaging the area, releases toxins from your skin which helps with appearance.

Acupressure also helps with sexual arousal, duration and sexual pleasure. By touching, kissing and massages these areas during intercourse, you unblock sexual energy, which enhances the overall experience. Acupressure is known to help with infertility.

Acupressure can be used for back pain relief. The pressure areas are located on both sides of your spine. Placing tennis balls against these areas, help relieve the pain.

Stress, fatigue, tension and worrying can disorders to occur. Sometimes these things will exacerbate symptoms of an existing disorders, Acupressure can help alleviate these things by restoring the body’s natural energy balance.

The Top 10 Acupressure Points to Helps Relieve Knee Pain

This area’s is located just behind the knee on either side. Use your index finger and your pointer finger to apply pressure, hold for ten minutes. This decrease knee pain, edema muscle cramps, tension and varicose veins.

This area’s located underneath the knee cap on the outside of your leg. Massage the area in a circular motion for five. You can add a little pressure if you like.

It’s located on the outside crease of a bent knee. Apply pressure in a circular motion, for ten minutes. This decreases pain and stiffness.

Apply pressure on the middle area behind the knee, at the knee joint crease. This helps relieve back pain, sciatica pain, knee stiffness and arthritis

This is two inches, or four fingers down from the knee cap, and a finger width toward the outside. Putting pressure on this area will stop knee pain, help with muscle tone and strengthen your body.

This pressure point is inside the knee at the end of the bent knee crease. It relieves pain and swelling of the knee and fibroids.

This pressure points located on the outer lower leg, below and in front of the head of the shin bone. It helps with muscle tension, strain aches and knee pain.

Take two fingers, and place them on the edge of the crease in your knee, in the hollow area between the two tendons. Slowly move your fingers up and down as you apply a small amount of pressure.

Do this for 7 minutes, repeating three times a day. This relieves tension around your knee, abdominal pain and disorders of the genital.

This point’s located on the bottom of your foot. It runs from the bottom of your big toe to your heal. Massage for ten minutes to relieve back pain.

You can find this one finger length down from your ankle bone. With a small amount of pressure, massage in an up and down motion with your thumb for five minutes.

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Pain Clinic Toronto & Pain Treatment Toronto- 6 locations in GTA #pain


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About our Pain Clinics in Toronto

We operate five pain clinics in Toronto which have helped thousands of patients reduce back pain, acute pain and chronic pain to get back to an active lifestyle. Our Toronto pain clinics are fully staffed with top doctors, and offer chiropractic services, pain treatment, physical therapists, rehabilitation therapists, registered massage therapy, chinese acupuncture, naturopathic medicine, health and wellness, and pain management, and medical assessments. Our great team is dedicated to providing and maintaining the highest quality of ongoing patient care.

We also specialize in motor vehicle accidents (MVA), sports related injuries, WSIB, Extended Health Claims, and much more.

Our Services

Our Physicians

Our team of medical doctors and health care professionals at our Toronto pain clinics are comprised of the following:
Physicians, chiropractors, psychiatrists, psychologists, mental health therapists, neurologists, registered massage therapists (RMT), acupuncturists, naturopath doctors, physiotherapists, rehabilitation specialists, massage therapist, and occupational therapists.

Needless to say, we are your “one-stop” solution to effective pain treatment and pain management in Toronto.

Ontario AODA Compliance

At Pain Rehabilitation Clinic, our staff and organization are committed to providing accessible services for our patients, and to comply with the Accessibility for Ontarians with Disabilities Act (AODA) requirements applicable to Ontario businesses & organizations.

Please view our Statement of Commitment on accessible policies and our feedback form below:


How Insurance Companies Determine Pain and Suffering Damages #pain #and #suffering #lawyer


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How Does The Insurance Company Determine Pain and Suffering Damages?

If you have been injured because of someone else’s carelessness, you can usually seek compensation from the at-fault party’s insurance company, by filing what’s called a third-party claim.

After establishing that the defendant is the one responsible for your injuries (liable), you will also need to present evidence of all your losses associated with the incident (called “damages” in legalese). The insurance company should compensate you for your medical expenses as well as any lost wages you incur. In addition, the insurance company should provide you with some compensation for your general “pain and suffering.” This article discusses when an insurance company will provide compensation for pain and suffering, and how these kinds of damages are calculated.

What is “Pain and Suffering?”

Pain and suffering is a legal term that refers to a host of injuries that a plaintiff may suffer as a result of an accident. It encompasses not just physical pain, but also emotional and mental injuries such as fear, insomnia, grief, worry, inconvenience and even the loss of the enjoyment of life.

In almost every injury case, the plaintiff should be able to recover some amount, even if rather small — and sometimes very large — for pain and suffering damages .

How does an insurance company calculate pain and suffering damages?

There is no hard and fast rule for how an insurance company must calculate pain and suffering. Many plaintiffs’ attorneys were trained to use one of two methods for calculating pain and suffering. The first method is to multiply the plaintiff’s actual damages (medical bills and lost wages) by a certain number, generally between 1 and 5 (depending on the severity of the injury). For example, if a plaintiff incurs $3,000 in medical bills related to a broken arm, he might multiply that by three, and conclude that $9,000 represents a reasonable amount for pain and suffering.

The multiplier method is used in our accident settlement calculator. For more on how to get to a “reasonable” number, see this overview on determining a multiplier .

Alternatively, many plaintiffs’ attorneys use a per diem (Latin for “per day”) approach. Under this method, a certain amount — perhaps $100.00 — is assigned to every day from the day of the accident until the plaintiff reached maximum recovery.

Insurance companies are under no obligation to consider these types of methods in calculating pain and suffering. Many companies use computer programs to determine what amount of any settlement offer should be allotted for pain and suffering. These programs often take into account not just the type of injury, but also the type of medical treatment the claimant sought.

For example, insurance companies usually consider medical treatment by a physician to signify a more serious and compensable injury than does treatment by a chiropractor. Insurance companies also take into account the length of time the claimant sought treatment. If treatment seems excessive for the type of injury, the insurance company will not include all of the treatment in its calculation of pain and suffering.

Proving Pain and Suffering

Damages for pain and suffering are recoverable, but how are they proven? Proof of this type of injury may take many forms and the more evidence you have to support your claim, the better your chance will be of recovering an amount you find satisfactory.

The extent of your injury and accompanying pain and suffering can be evidenced through documentation such as photographs and personal journals that record the plaintiff’s physical and emotional feelings. Documentation from friends and family can provide additional evidence of the way the particular injury has negatively impacted the plaintiff’s life. Proof of treatment by a mental health professional is also helpful, and is necessary where the plaintiff is claiming injuries such as increased anxiety, insomnia, or depression.

How Do You Know What’s Fair?

If the insurance company makes a settlement offer that includes compensation for pain and suffering, how do you know if it’s a reasonable offer? A reasonable approach is to use either the multiplier method or the per diem method to get a ballpark figure (as discussed above).

Then consider whether there were additional circumstances that might increase or decrease that amount. For instance, if your injury left you with a permanent scar on your face, it may be reasonable to increase the amount of pain and suffering you deem fair. On the other hand, a minor bump to the head that healed quickly probably is not worth all that much. Keep these factors in mind when considering how the insurance company has valued your pain and suffering, and when deciding whether the insurance company’s offer is reasonable and fair.

To learn more about negotiating an injury claim, see the articles we have filed away under Settling Your Injury Claim .

Get the compensation you deserve.