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Since 2008, Pain Solutions Medical PC has been dedicated to providing comprehensive care to alleviate chronic and acute pain. Our board-certified interventional pain management specialists use progressive diagnostic techniques to assess your pain andcreate a customized treatment plan that supports your individual goals and lifestyle.



Common conditions we treat are:
Sciatica

Condition

Definition

Sciatica is when your sciatic nerve is affected and can result in pain on one side of your body. Usually, a herniated disk, bone spur, or spinal stenosis can start crushing part of the nerve resulting in a damaged sciatic nerve. Some cases with sciatica can be painful. However, with the proper treatment, most cases can be resolved in only a few weeks. Those who have more intense cases could choose surgery as a treatment option.

Symptoms

You may feel pain from your lower spine to your buttock or down the back of your leg. These are traditional signs of sciatica. The pain can affect people differently. Some experience mild dull aches while others feel jolts of pain. A numbing or tingling sensation can also be experienced.

Treatments

The usage of drugs and medications such as NSAIDs, acetaminophen, muscle relaxants, and more could be used to treat Sciatica.

Epidural steroid injections also are an option to treat Sciatica. Here, a steroid and local anesthetic is inserted to treat the irritated nerve root. It helps settle any inflammation while numbing the pain. This treatment provides fast relief for most patients.

Physical therapy could also be recommended to help regain movement and strength in your muscles while reducing pain.

Proper nutrition and exercise also is a positive contribution to resolving your Sciatica.

Let Hudson Spine and Pain Medicine provide you with the best sciatica and herniated disc treatment in the New York area today!

Spasms

a sudden involuntary muscular contraction or convulsive movement.
Back Pain

Conditions


Definitions

If you have a problem with any part of your spine, you may encounter back pain. People have different tolerances to back pain. While some may just see it as a minor annoyance, others can see it as unbearable and debilitating.

Most pain goes away in about four to six weeks. You should only choose surgery if there is no other option.

Causes

Strains to your back muscles or ligaments tend to be the main culprits when it comes to back pain. Usually, this is a result from improper lifting techniques, bad posture, or poor exercise routines. Those who are overweight may have an increase of risk of developing back pain. Past injuries such as vertebral fractures or ruptured disks could result in back pain as well. Disease such as arthritis and other age induced changes in your spine can also impact your back. Other potential back pain causes are listed below.

  • Muscle Strains
  • Fibromyalgia
  • Herniated Disk
  • Kidney Infection
  • Obesity
  • Osteoarthritis
  • Osteomyelitis
  • Osteoporosis
  • Paget’s Disease of Bone
  • Poor Posture
  • Pregnancy
  • Rheumatoid Arthritis
  • Sciatica
  • Scoliosis
  • Spinal Fractures
  • Spinal Stenosis
  • Sprains and Strains

    Consult with your doctor if your pain remains continuous and unbearable (even if you lie down), it affects your legs, is accompanied by unintended weight loss, or you see swelling or redness on your back.

    Call 911 if your back pain begins after an automobile accident, fall, or sports injury. You should also see immediate medical care if back pain occurs with bowel and bladder control problems, or is introduced with a fever.

Joint Pain

    Conditions

    Definitions

    Joint pain is a common occurrence involving discomfort or pain felt in a joint. Arthritis or arthralgia are typical cases of joint pain. There are different variances of joint pain. Some may feel mild pain while others can experience severe pain making movement difficult.

    Possible causes include:

  • Adults Still’s Disease
  • Muscle Strains
  • Avascular Necrosis
  • Bone Cancer
  • Broken Bone
  • Bursitis
  • Complex Regional Pain Syndrome
  • Dislocation
  • Fibromyalgi
  • Juvenile Rheumatoid Arthritis
  • Gout
  • Hemochromatosis
  • Hypothyroidism
  • Juvenile Rheumatoid Arthritis
  • Leukemia
  • Lupus
  • Lyme Disease
  • Osteoarthritis
  • Osteomalacia
  • Osteomyelitis
  • Paget’s Disease of Bone
  • Pseudogout
  • Psoriatic Arthritis
  • Reactive Arthritis
  • Rheumatoid Arthritis
  • Rickets
  • Sarcoidosis
  • Septic Arthritis
  • Sprains and Strains
  • Tendinitis

    Treatments

    There are several routes to take when it comes to joint pain treatment.

  • Hyaluronic acid supplements are injected into knee joints to ]act as a shock absorber and lubricant to avoid bones rubbing painfully against each other. Pain may subside with these injections. They are given weekly for three to five weeks.
  • Corticosteroid injections are injected in the knee joint to reduce pain and inflammation quickly. However, too many injections can result in more cartilage breakdown. Therefore, the amount of these injections received should be limited.
  • Arthrocentesis or joint fluid aspiration is the removal of joint fluid. A small hollow needle is inserted into your knee and the fluid is removed which usually helps decrease pain or inflammation.
  • Genicular Nerve Block and Radiofrequency Ablation

    Genicular nerve block uses radio waves that affect the nerves in the knees in order to relieve pain. Radiofrequency ablation applies radio waves to a nerve to stun it and relieve the pain via a special needle.

  • Thermal or conventional radiofrequency current blocks painful signals by creating lesions on painful nerves.
  • Pulsed RFA is similar to thermal. However, pulsed RFA shocks the pain conductors and doesn’t change the nerve in any way.
  • Water-cooled or Cooled RFA creates a large lesion on the nerve and uses a multi-channeled electrode that’s cooled by water.
Neck Pain

Definitions

Experiencing neck pain is a common occurrence. From constantly slouching towards the computer screen or bending over your workbench, these poor postures can strain your neck muscles and make them sore. Another cause of neck pain is Osteoarthritis.

While neck pain is usually not connected to a serious medical issue, you should immediately contact medical care if you suddenly feel numb or heavy weakness in your arms, hands, or have shooting pain into your shoulder or down your arm.

Signs and Symptoms

  • Pain or soreness after periods of not moving your head around. Some examples are working at a computer for long hours at a time or long driving assignments.
  • Tightness or spasms in your muscles may be a sign of neck pain.
  • Can’t seem to move your head easily? This may indicate neck pain.
  • Head pain

    When should I see a doctor?

    While most neck pain can be treated easily with home remedies, you should contact your doctor or specialist if none of your treatments are working, especially if it appears that the pain is coming from an injury such as a fall or vehicle accident.

    Please see a doctor if:
  • Your pain becomes unbearable and severe.
  • Continues to affect you for several days without any relief
  • Symptoms spread to arms or legs
  • You experience head pain, numbness, weak muscles, fatigue, or tingling

    Causes

    While there are several different potential reasons why you may have neck pain, please see a doctor for the most accurate diagnosis. The following are common causes of neck pain:

  • Muscle strains are a common source of neck pain. Continuous hours of keeping your neck bent to view your computer or smartphone can strain your neck muscles.
  • Osteoarthritis is a potential cause of neck pain. As you get older your neck joints begin to deteriorate and become more brittle and vulnerable to damage.
  • Herniated discs or bone spurs in the vertebrae of your neck can result in nerve compression. These discs or spurs can put pressure on the nerves coming from the spinal cord, resulting in pain.
  • Another cause is a recent automobile crash. Rear-end collisions can leave you with a whiplash injury which jerks your head back and forward. This motion can strain the soft tissues in your neck.
  • Neck pain can also be an indication of rheumatoid arthritis, meningitis, cancer, or other diseases.

    Treatments

    For mild to moderate neck pain, home remedies or self-care can usually help your neck pain subside within two to three weeks. However, see a doctor if your pain continues to bother you past three weeks.

Medications

Stronger pain medications may be provided by your doctor to lessen the pain.

    Theraphy

  • With physical therapy, you may learn how to fix your posture, strengthen your neck muscles, and other treatments that will help reduce the risk of injury.
  • Transcutaneous electrical nerve stimulation or TENS involve electrodes that give small impulses of electricity to the affected areas providing potential relief.
  • Traction can also be used in therapy to soothe neck pain. Weights, pulleys, or an air bladder is generally used in traction to stretch your neck muscles.
  • Short-term Immobilization may be an option to take pressure off the affected areas on your neck. A soft collar is provided and worn for about one to two weeks. However, this method could result in weaker neck muscles as your neck begins to depend on the support of the collar.

    Surgery or other procedures

  • If deemed serious enough, you may have to receive corticosteroid injections near the nerve roots to help with your neck pain.
  • Surgery could also be an option to relive a painful nerve root or spinal cord compression.
Hip Pain

is a common complaint that can be caused by a wide variety of problems. ... Hip pain on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround your hip joint.
Disc deterioration

describes the natural breakdown of an intervertebral disc of the spine. Despite its name, DDD is not considered a disease, nor is it progressively degenerative. On the contrary, disc degeneration is often the effect of natural daily stresses and minor injuries that cause spinal discs to gradually lose water as the anulus fibrosus, or the rigid outer shell of a disc, weakens. As discs weaken and lose water, they begin to collapse. This can result in pressure being put on the nerves in the spinal column, causing pain and weakness.
Slipped discs

, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the outer ring, known as the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated as well. Tears are almost always postero-lateral (on the back of the sides) owing to the presence of the posterior longitudinal ligament in the spinal canal.[1] This tear in the disc ring may result in the release of chemicals causing inflammation, which may directly cause severe pain even in the absence of nerve root compression.
Fibromyalgia

syndrome affects the muscles and soft tissue. Symptoms include chronic muscle pain, fatigue, sleep problems, and painful tender points or trigger points, which can be relieved through medications, lifestyle changes and stress management.
Spinal stenosis

is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Some people with spinal stenosis may not have symptoms
Carpal tunnel syndrome

is numbness, tingling, weakness, and other problems in your hand because of pressure on the median nerve in your wrist. The median nerve and several tendons run from your forearm to your hand through a small space in your wrist called the carpal tunnel .
Muscle tension/ injuries

refers to the condition in which muscles of the body remain semi-contracted for an extended period. Muscle tension is typically caused by the physiological effects of stress and can lead to episodes of back pain.
Arthritis

Conditions

If you are experiencing pain and stiffness in a joint, you may have arthritis. There are many forms of this disease. A majority are found in the foot or ankle. Arthritis can make everyday routines harder to do as movement can be painful. There is currently no known cure. However, there are plenty of treatments that can help reduce pain or help with joint stiffness, making it easier for people with arthritis to enjoy their everyday activities.

Anatomy

The foot and ankle allow us to move easily. Humans have 28 bones in their feet and over 30 joints. Some of these joints are covered with articular cartilage and synovium which acts as protection and lubricant allowing bones to rub against each other smoothly. Ligaments connect the bones and joints, while muscles and tendons provide strength and power for movement.

Description

Common foot and ankle arthritis types are osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis.

Osteoarthritis

Osteoarthritis occurs when the cartilage in your joints degenerate over time. Although usually seen in middle aged people or older, there are some cases of younger people experiencing osteoarthritis. When the cartilage is gone, there is nothing protecting your bones from rubbing roughly against each other as you move. Obesity and medical family history can affect your chances of getting osteoarthritis as well.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease in which the immune system goes after its own tissues. The synovium is attacked and eventually bone and cartilage damage occurs. Ligaments and tendons can also incur damage in this situation. The cause of this disease is unknown. It is suspected that “triggers,” such as infections or environmental factors, can awaken this process.

Posttraumatic Arthritis

You could be prone to posttraumatic arthritis after experiencing an accident or injury. Your cartilage eventually wears away leaving your bones rubbing painfully against each other. Posttraumatic arthritis could show up even years after your injury. The chances of your joint becoming arthritic is seven times more likely than one who isn’t hurt, as hormones after an injury could contribute to your cartilage cells decaying.

Symptoms

There are a variety of symptoms that could affect you if you have arthritis. Pain may gradually increase or suddenly occur out of nowhere.

  • Pain when you move
  • Pain that you experience whenever you engage in physical activities
  • Pain when pressure is applied
  • Swelling, warmth, and redness also can be an indication of arthritis.
  • Pain after long moments of not moving such as after sleeping or sitting.
  • Walking could become difficult due to the pain.
  • Doctor Help

    Your doctor can provide the right diagnosis when it comes to arthritis. From running tests such as x-rays, CT scans, MRIs, and other lab tests, your medical examiner will be able to best assess what is bothering you and provide a solution.

    Treatment

    Although there is no cure, there are plenty of treatments available to help relieve some of the pain. Physical therapy is always an option that will help strengthen muscles in areas affected to any degree by your arthritis and may also provide joint pain relief. Assistive devices such as braces or canes is a viable option for providing stability while taking weight and pressure off the affected area. Finally, your doctor may prescribe medications such as ibuprofen or naproxen to reduce swelling and pain. Cortisone is another drug that offers temporary relief.

Knee pain

Knee pain is a common problem that can originate in any of the bony structures compromising the knee joint (femur, tibia, fibula), the kneecap (patella), or the ligaments and cartilage (meniscus) of the knee. Knee pain can be aggravated by exercise, affected by the surrounding muscles and their movements, and be triggered by other problems (such as a foot injury). Knee pain can affect people of all ages, and home remedies can be helpful unless it becomes severe.
Musculoskeletal pain

Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute (having a rapid onset with severe symptoms) or chronic (long-lasting). Musculoskeletal pain can be localized in one area, or widespread.
Shoulder pain

Also called: Shoulder joint pain|Shoulder blade pain|Chronic shoulder pain Shoulder pain may arise from the shoulder joint itself or from any of the many surrounding muscles, ligaments or tendons. Shoulder pain that comes from the joint usually worsens with activities or movement of your arm or shoulder. Various diseases and conditions affecting structures in your chest or abdomen, such as heart disease or gallbladder disease, also can cause shoulder pain. Shoulder pain that arises from another structure is called referred pain. Referred shoulder pain usually doesn't worsen when you move your shoulder.
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