Make Pain a Thing of the Past – Health and Wellness – Physician Partners of America

What Is The Anti-Inflammatory Diet — and How Can It Help with Pain Relief?

No matter what kind of pain you deal with, inflammation plays a role. From arthritis to lower back pain to knee injuries, inflammation is a process that impacts not only how your body interprets pain, but how severe it feels. Although inflammation is actually a natural healing response, out-of-control chronic inflammation can be a major contributor to pain and discomfort.  

Many people who are dealing with chronic pain and inflammation are surprised to find out that improving their diet can be a very effective step for long-term relief. An anti-inflammatory diet is an approach to nutrition designed to curb harmful inflammation and promote healthy nerve function. If you want to learn more about this exciting and beneficial way to eat, Physician Partners of America is happy to share this helpful overview. 

 

Anti-Inflammatory Diet Explained

An anti-inflammatory diet, or low inflammation diet, is any diet that reduces foods that have been shown to increase chronic inflammation and maximize foods with evidence of anti-inflammatory properties. There are many individual diet plans that are labeled as anti-inflammatory, such as the Mediterranean diet, but any diet that minimizes inflammation and balances overall good nutrition can be an anti-inflammatory diet. 

 

Can It Really Help with Pain Relief?

An anti-inflammatory diet may not be able to cure or fully heal the underlying causes of pain, but by reducing certain markers of inflammation and increasing overall health, it can potentially help with symptoms.

When the body is under attack or injured, the immune system triggers the inflammatory process, which uses cells to help fight off germs and heal the body. If inflammation continues even when there is no longer a specific problem or the body is past a certain healing threshold, it can start to become harmful to the body and contribute to chronic pain. This form of chronic inflammation has been linked to diseases including Alzheimer’s, Diabetes, heart disease, and arthritis. 

Doctors and researchers have begun to discover that a significant contributor to chronic inflammation may be the foods we eat. According to research, certain foods have been shown to increase inflammation, including many of the processed, high sugar, and fried foods that are common in the modern Western diet. In contrast, diets that reduce inflammatory foods and increase anti-inflammatory options, such as the Mediterranean Diet, are associated with a number of health benefits. This can include increased life expectancy, reduced risk of chronic disease and better quality of life. 

 

What Are the Best Anti-Inflammatory Foods?

The foundation of most anti-inflammatory diets is to eat plenty of fruits and vegetables combined with healthy, unsaturated fats and omega 3 fatty acids. These natural foods are high in antioxidants and polyphenols that help the body fight off inflammatory agents such as free radicals. Additionally, unsaturated fats help promote cardiovascular health and good blood flow. 

Foods that should be the basis of any anti-inflammatory diet include:

  • Leafy greens like spinach, chard or kale
  • Tomatoes
  • Avocadoes
  • Fruits, particularly blueberries, strawberries, cherries and citrus
  • Nuts, such as walnuts, almonds and even peanuts
  • Olives and olive oil
  • Fatty fish, such as salmon or tuna
  • Green tea and moderate amounts of coffee

Combining a diet that emphasizes these powerful anti-inflammatories with healthy staples such as whole grain oats, brown rice and lean protein like chicken can potentially help with a wide range of health concerns, including chronic pain. 

 

What Foods Should I Avoid?

On the other end of the spectrum, anti-inflammatory diets should significantly limit or even avoid foods that increase inflammation. This includes foods that promote free radicals and other oxidizers, such as fried foods, red meat and sugar, as well as foods that can decrease cardiovascular health, such as saturated fats and salt. Most anti-inflammatory diet plans will advise people to stay away from: 

  • Refined grains and carbohydrates, such as white bread and pasta
  • Red and processed meat, including steak, hamburger, and hot dogs
  • Fried foods and fast foods, such as french fries 
  • High sodium foods, including most packaged dinners and canned soups
  • High sugar foods and beverages, especially soda
  • Margarine and shortening

While it can be ok to have some of these foods as an occasional treat, anyone dealing with chronic pain and inflammation should try to avoid them as regular parts of their diet. 

 

How an Anti-Inflammatory Diet Fits With Your Broader Pain Management Plan

A healthy diet plan and good nutritional habits can be a key part of a holistic pain relief program. While eating a consistent anti-inflammatory diet may not be able to reverse the aging process, arthritis or age-related spine conditions, it can improve overall health and create an environment in the body that is more responsive to other pain management measures such as physical therapy, injections or therapeutic massage. When starting any new diet, speak to your physician or treatment team about developing the best personalized plan for your condition and lifestyle. 

The caring and dedicated team at PPOA is committed to helping anyone living with pain overcome their symptoms and improve their quality of life. We can help develop a holistic plan that works to combine your healthy lifestyle choices like diet and exercise with comprehensive treatments such as interventional pain management. 

Contact us today to start your pain relief journey. 

 

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Got Hip Pain? Take These Steps for Lasting Relief

As the joints that connect the upper and lower body and enable most of your basic movements, the hips carry a heavy load. That’s why it’s not a big surprise that the hips are prone to a wide range of injuries and age-related conditions that can hamper your mobility and cause significant pain. Whether you want to work in the yard, get in a round of golf, or even just sit peacefully and read a book, hip pain can be a major obstacle to your quality of life. 

Although there are a wide range of causes for hip pain, there are some common steps to finding the long-term relief you deserve. To help, we’re happy to share this basic guide to get anyone started on their pain relief journey. 

 

Understanding the basics of hip pain

The hips are ball and socket joints that connect the pelvis to both of the legs. There is a complex arrangement of muscles, tendons, ligaments and other connective tissue that stabilize the hips and enable movement and flexibility in the hips. However, because the hips are under such a high level of stress and pressure every day, they are at a risk for developing potentially painful conditions and injuries, including:

  • Arthritis
  • Bursitis
  • Tendonitis
  • Osteoporosis
  • Nerve compression

Hip pain itself can be caused by direct injuries like strains, sprains, and tendonitis. In some cases, like arthritis or bursitis, pain is related to inflammation and stiffness causing aches and pains. In other situations, the source of pain can be harder to identify. This is why it is so important to receive a diagnosis from a medical professional. 

 

Step One: Diagnose the Cause of Your Hip Pain

To receive the right treatment for hip pain, it is critical to find the correct cause. For hip pain, this can be notoriously difficult to diagnose, and sometimes there can be multiple problems occurring at once. Doctors typically take the following steps to diagnose hip pain: 

  • Review medical history
  • Ask questions about symptoms and how they are affecting your life
  • Perform a full physical examination, including specific movement tests
  • Order diagnostic tests, including X-ray, MRI, CT scan, and nerve blocks

There are some conditions that cause hip pain, or pain that feels like hip pain, that actually originate in other locations, including the sacroiliac joint or even the lumbar spine. This is why receiving a precise diagnosis for your condition is critical. 

 

Step Two: Pursue Conservative Treatment Options

For many patients, the next step in hip pain relief is to explore conservative therapies, including: 

  • Over-the-counter nonsteroidal anti-inflammatory medication, such as naproxen (Aleve) or ibuprofen (Motrin)
  • Alternating a heating pad with a cold pack for 15-20 minutes at a time 
  • Performing gentle stretches and at-home physical therapy exercises with the guidance of a professional or physician

For injuries that can heal, initial conservative treatment can help to reduce pain and increase function while the condition improves. For age-related, degenerative conditions, conservative therapies can improve comfort and mobility to the best possible degree. 

 

Step Three: Make Healthy Lifestyle Adjustments

Another key step in overcoming hip pain is to practice a healthy lifestyle. While the following steps don’t directly cure or address hip pain, they can all play a role in reducing stress on the hip, decreasing inflammation, strengthening supporting muscles, and improving the flow of healing nutrients to the area. Commonly recommended steps by physicians to address hip pain include: 

  • Drinking enough water
  • Eating an anti-inflammatory diet 
  • Focusing on weight management to take pressure off the hips
  • Improving your posture 
  • Getting plenty of rest as needed

The right steps may be different depending on your specific situation, but by working with your treatment team and committing to a healthy lifestyle, you can make significant steps in overcoming hip pain.  

 

Step Four: Explore Interventional Pain Management

For hip pain that does not respond to basic conservative measures and persists despite taking steps toward a hip-healthy lifestyle, interventional pain management may be able to offer significant relief to patients. Interventional pain management takes a multidisciplinary approach to identifying the sources of pain and creating an individualized, holistic treatment plan. Specific interventional pain management therapies can include: 

  • Anti-inflammatory injections
  • Infusions
  • Nerve blocks
  • Physical therapy
  • Therapeutic massage

Once again, effective interventional pain management is about finding the right treatment or treatments for your specific condition and diagnosis. Finding a provider or clinic who can understand your needs and work with you is essential. 

 

Step Five: Know When to Consider Surgery

Surgery is generally a last-resort treatment for most cases of hip pain. Candidates for surgery generally suffer from severe and debilitating chronic hip pain that has not responded to all nonsurgical therapies. If surgery does become an option, it is critical to receive a correct diagnosis for the source of your hip pain. A thorough evaluation and diagnostic testing, including steps like nerve blocks, can ensure that any orthopedic procedure will truly address the underlying sources of pain and hip dysfunction. 

To help with recovery, minimally invasive procedures have been developed that reduce the size of the surgical incision and the damage to surrounding soft tissue. Anyone considering hip surgery should talk to their surgeon about the possibility of minimally invasive hip procedures. 

 

Learn More About Your Options for Relief

The caring and dedicated team at Physician Partners of America (PPOA) treats hip pain very seriously and can help people dealing with a wide range of injuries and conditions create a personalized treatment plan for relief. If you have explored basic treatments and lifestyle changes without finding the relief you deserve, reach out to your local clinic today to learn more about how PPOA can help you. 

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Exploring Natural Migraine Remedies

Anyone who experiences migraines on a regular basis knows it can be some of the worst, most disruptive pain a person can experience. The throbbing pain, vision problems, and nausea can make it hard to do anything from getting through a day of work to spending time with your family. Chronic migraines can even get in the way of a good night’s sleep, making it that much more likely for them to recur during the day. 

If you’ve reached a dead end with over-the-counter or prescription medication for your migraine relief, you may be wondering if natural and alternative treatments can help. We’re sharing this helpful overview of some of the most common natural migraine remedies as well as other forms of pain management that can help.

 

Understanding Migraines

Migraines are severe headaches that generally cause a throbbing or pulsing pain. They often affect one side of the head only, although they can sometimes affect both sides. Migraines are often accompanied by a range of symptoms, including sensitivity to light and sound, nausea, and vomiting.

The exact causes of migraines are not fully understood by doctors and medical researchers. Some evidence suggests they may be related to changes in the brain and interactions with the nervous system and blood vessels. Patients report common triggers that can cause a migraine, including stress, changes in sleep, hormonal changes, certain foods or drinks. Additionally, environmental factors such as bright lights or loud noises can bring on migraines for many sufferers.

 

10 Common Natural Migraine Remedies

The most common migraine treatments are over-the-counter medications and prescription medications. Although these can be effective, many people seeking migraine relief turn to a combination of natural remedies that can help to decrease the risk of triggering migraines, and soothe symptoms when they do happen. Natural remedies for migraines can range from basic lifestyle changes to alternative therapies, including these popular options: 

1. Water

Dehydration is one of the most common triggers for headaches, including migraines. By drinking enough water throughout the day, you significantly increase the chances of preventing the development of migraines. Additionally, if you do feel a migraine coming on, drinking water is one of the first steps you should take. 

2. Proper Nutrition

Eating a healthy diet and regular meals every day is another key preventative measure that migraine sufferers can and should take. Not only is skipping meals reported as one of the biggest contributors to migraines, but the foods you eat can make a difference too. For example, many preservatives such as nitrates and nitrites, and flavor enhancers such as monosodium glutamate have been shown to trigger migraines. 

3. Limiting Stress 

Another completely natural approach for preventing and managing migraines is to recognize and address stressful situations in your daily life that can lead to headaches. Although there is no way to completely avoid stress in your life, being able to recognize the triggers and respond with positive and relaxing behaviors such as deep breathing or closing your eyes for a few seconds can make a difference. 

4. Good Sleep Hygiene

There is evidence that sleep disorders like insomnia and migraines may be closely linked. Not only can missing sleep make you more likely to get a migraine, but getting more sleep and better sleep can be another measure of prevention. Sleep hygiene is the practice of building and maintaining good habits to prepare for sleep. This includes turning off lights and screens before bed, doing calming and relaxing activities, limiting food and caffeine in the hours before bed, and sleeping on a supportive and comfortable mattress and pillow. 

5. Magnesium 

Along with consistent and healthy nutrition, there is some evidence that certain supplements may help with both the prevention and treatment of migraines. According to the American Migraine Foundation, studies have shown that magnesium deficiency in the brain is associated with migraines, and supplementing with 400-600 mg of oral magnesium citrate daily is recommended for migraine prevention. 

6. Coenzyme Q10

Also known as CoQ10, Coenzyme Q10 is a natural compound that is linked to generating energy in our cells. Although we make this enzyme naturally in our bodies, our ability to do so declines with age. In addition to other benefits, it has been shown to reduce low energy levels in brain cells that may be associated with migraines. Studies have shown that supplementing with CoQ10 has been associated with reduced migraine frequency and severity. 

7. Ginger

Ginger extract has been widely studied for its health benefits largely due to its properties as an anti-inflammatory. According to research, these properties also include an ability to help prevent and lessen pain and nausea associated with migraines. 

8. Yoga and Other Forms of Exercise

By improving blood flow and even helping with nerve function, exercise in general is associated with helping patients who are dealing with all kinds of pain, including migraine headaches. One form of exercise that is particularly effective is yoga. By combining deep breathing, poses that help you focus on posture and core strength, and low impact cardiovascular movements, yoga can address many of the risk factors for migraines. 

9. Acupuncture

Acupuncture has been growing in popularity as an alternative pain management therapy, and there is a growing body of research to support this popularity. Many chronic migraine sufferers have reported positive results from regular acupuncture sessions. According to one review of clinical trials, 59% of migraine sufferers who undergo at least six months of acupuncture reported a 50% decrease in migraine frequency. 

10. Therapeutic Massage

By relaxing tense muscles and improving blood flow to the brain, therapeutic massage can remove some of the primary triggers for many people dealing with migraines. When undergoing a therapeutic massage, always schedule sessions with a licensed professional. It is also critical to stay hydrated before and after receiving a massage.

 

Taking the Next Step in Migraine Relief

At Physician Partners of America (PPOA), we have worked with many people dealing with chronic migraines. Our caring and dedicated team can work to understand your specific symptoms and help create a personalized, individualized treatment plan that fits your life. Effective treatment plans very often include a combination of lifestyle changes, natural remedies, and interventional pain management.  

Migraines do not need to control your life, contact PPOA to start your pain relief journey today. 

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Opioid Alternatives: Four Non-Pharmaceutical Pain Management Treatments

Chronic pain is a serious problem that affects millions of people each year in the United States alone. What’s worse, one of the most popular treatments for chronic pain — prescription opioids — has become its own unique health problem. According to the CDC, as many as 25% of people receiving prescription opioid therapy struggle with addiction, increasing the risk of misuse, overdose and even death. 

Fortunately, for people dealing with chronic pain, there are many options for managing pain without the need for prescription painkillers. From lifestyle changes to interventional pain management, exploring the full range of non-pharmaceutical therapies can help anyone overcome debilitating symptoms and get their life back. 

 

What Causes Chronic Pain?

Chronic pain describes any persistent and painful symptoms that last for an extended period of time. Exact time frames can vary, but many doctors describe chronic pain as lasting longer than three months or recurring multiple times within at least a one year period. 

There are wide range of underlying causes for chronic pain, including:

  • Degenerative conditions, such as arthritis or degenerative disc disease
  • Spine conditions, such as herniated discs
  • Neuropathy caused by diseases such as diabetes
  • Cancer pain 
  • Injuries, such as torn ligaments or muscle strains
  • Headaches or migraines
  • Chronic conditions such as fibromyalgia

In some cases, doctors may not be able to identify the exact cause of pain or successfully treat the underlying condition, leading to symptoms becoming long-term and debilitating. One of the first steps in successfully treating chronic pain is to receive a clear diagnosis for the causes. 

 

Try these non-pharmaceutical pain management treatments

Although the first impulse when dealing with pain may be to reach for the pills, whether prescription or over-the-counter, there are many other effective methods for addressing chronic pain. 

 

1. Lifestyle Steps: Anti-inflammatory Diet and Regular Exercise

Although changing your diet and getting more exercise may not magically cure chronic pain, many patients are surprised at how much of a positive impact they can have. For example, committing to an anti-inflammatory diet that reduces processed sugars and grains and emphasizes unsaturated fats and pain-reducing ingredients such as turmeric can have a tangible effect on how the body processes and interprets pain signals.  

Exercise also has potential pain management benefits, including improving blood flow, nerve function and muscle performance. Even just 20 to 30 minutes a day of a low-impact exercise such as walking can help people better deal with pain according to studies. 

 

2. Physical Therapy

Although you may associate it with recovering from an accident or surgical procedure, physical therapy can help with many more conditions, including chronic pain. Physical therapists can perform a detailed assessment of movement and posture to help patients understand how certain activities and positions may be contributing to pain. 

Through active and passive techniques, including manual therapies and strengthening exercises, therapists can isolate and relieve areas that are sources of pain. Strengthening exercises can help to stabilize the body and take pressure off of compressed nerves, while manual therapies can help to break up bundles of painful tissue and improve nerve function. 

 

3. Interventional Pain Management

Interventional pain management is a multidisciplinary approach to treating chronic pain that can include a broad range of non-pharmaceutical techniques. It is often used in conjunction with physical therapy and is based on a thorough medical evaluation. Specific pain management interventions can include:

The right techniques can vary on a case by case basis depending on the underlying cause of chronic pain. Often, the most effective plans consist of a combination of lifestyle changes, physical therapy, and interventional pain management. 

 

4. Minimally Invasive Surgery 

Although surgery is typically seen as a last-resort treatment for chronic pain, and may not be able to treat every condition, it can be highly effective for patients who are candidates and have exhausted other options. For example, people dealing with chronic back pain may be able to benefit from minimally invasive, outpatient spine surgery that relieves pressure on spinal nerves by carefully removing displaced disc material or a bone spur. Compared to traditional approaches, minimally invasive techniques can be associated with a shorter and less painful recovery while helping patients achieve long-term pain relief. 

 

Reach Out to Physician Partners of America for Pain Management Options

Physician Partners of America is committed to personalized, compassionate care to help anyone get their life back from pain. We work with patients one-on-one to ensure they get long-lasting relief through the right combination of treatment. If you have been experiencing pain with little to no relief, contact us today to find a pain management specialist who can help you thrive.

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Five Signs of Herniated Disc Pain No One Should Ignore

Each year, herniated discs affect millions of Americans — so if you’re dealing with this condition, you are not alone. Although they do not always cause symptoms, herniated disc pain can affect nearly every part of your life, from your job, to family time, to your favorite hobbies. 

With herniated disc pain, it may be tempting to hope for the best and see if it improves over time. But because herniated discs are typically degenerative conditions that worsen with age, untreated symptoms have a much higher chance of becoming debilitating. 

To help you decide if it’s time to take the next step in tackling your herniated disc pain, we’re sharing five signs and symptoms of this condition that no one should ignore.   

 

What Is a Herniated Disc?

A herniated disc is a condition where the center of a spinal disc protrudes out from a small tear in the tougher outer layer. These flexible discs are made to cushion the vertebrae in the spine, absorbing shock and allowing us to bend and flex. A combination of age and everyday wear can cause the discs to dry out and lose their elasticity, causing cracks in the outer layer. 

Pressure from everyday movements, heavy lifting or injuries can cause these cracks to become tears and for the softer inner layer to get pushed out — resulting in a herniated disc. Herniated discs are not always painful, and they can sometimes go undiagnosed for years. But if herniated disc material irritates or compresses surrounding nerve tissue, it can cause a number of painful symptoms. 

 

These Five Signs of Herniated Disc Pain Require Care and Attention

If you are experiencing any of these common signs of herniated disc pain, you should take action with proactive treatment:

 

1. Localized Pain

Herniated discs are most common in the upper spine and the lower spine, because these discs withstand more pressure. This is why for many people the first sign of a herniated disc is either localized neck pain or back pain. Localized herniated disc pain is often described as a burning sensation, but symptoms can vary and worsen with movement and position. 

 

2. Shooting Pain

Because of their position in the spine, herniated discs have a high risk of irritating or compressing nerves in the spinal cord as well as nerve roots that are extending out of the spinal column. When this happens it can result in pain that shoots out into the body. 

A herniated disc in the upper spine, or cervical spine, can cause pain in the shoulder and arm in addition to the neck. A herniated disc in the lower spine, or lumbar spine, can cause shooting pains into the buttocks, hips, legs and even feet. This set of symptoms is commonly known as sciatica. 

Shooting pain and other radiating symptoms we’ll discuss below will usually occur on one side of the body or the other when it is caused by a herniated disc. 

 

3. Tingling and Numbness in the Extremities

Another form of herniated disc pain related to nerve compression is tingling in the upper or lower extremities. This is often described as a “pins and needles” sensation and it can be accompanied by bouts of numbness in the area as well. The location of these sensations is once again related to the location of the herniated disc. For example, lumbar herniated disc can cause tingling and numbness in the lower extremities and a cervical herniated disc can affect the upper extremities. 

This is very often a sign of progression of a herniated disc and could be a sign of the development of long-term nerve damage. 

 

4. Muscle Weakness

Because the spinal nerves deliver both sensation and motor information to the muscles, nerve compression by a herniated disc can also result in muscle weakness. Common locations include the arms for cervical herniated discs and the legs for lumbar herniated discs. This can affect posture, grip and can make it harder to stand up and sit down.

 

5. Mobility Problems and Limping

In some of the most advanced cases, herniated disc pain can cause issues including foot drop and limping that can make it difficult to accomplish nearly any basic task. In the lumbar spine, this is usually the result of severe compression and eventual damage to the sciatic nerve. This long nerve branches from the lower spine and travels all the way down to the feet, with limping and mobility problems being signs of the most advanced cases. 

 

Learn More About Treatment Options for Herniated Disc Pain

If herniated disc pain is affecting your life, don’t accept that you’ll just have to live with the pain. When left untreated, herniated disc pain can worsen over time, eventually resulting in nerve damage and mobility problems that can seriously lower your quality of life. By taking a proactive approach to herniated disc treatment, you can give yourself the best chance of successfully managing symptoms on a long-term basis. 

Physician Partners of America takes a personalized and holistic approach to herniated disc pain treatment. From interventional pain management to minimally invasive spine surgery, our expert team can help you develop an effective care plan for every stage of your treatment journey. 

Contact us today and let us show you how you can live pain free. 

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Phantom Knee Pain: Symptoms, Causes, and Treatments

Losing a limb is a life-altering and traumatic event, and many who have gone through this are horrified to find that they still feel pain where their limb used to be. Sensation in a missing limb after amputation is a common experience for amputee patients.

 

What is phantom knee pain?

Phantom knee pain is the perception of some form of discomfort or sensation in a knee that is no longer there due to amputation or surgery. This phenomenon is not well understood by researchers, but is experienced by a vast majority of amputees in the United States.

There are two types of phantom knee pain: residual limb pain (RLP) and phantom sensations. RLP refers to pain that originates from the site of the amputation. This pain is usually experienced less often as the amputation site heals. Phantom knee sensations refer to pain or discomfort in a limb that no longer exists.

 

Symptoms of phantom knee pain

When someone experiences phantom knee pain, that sensation is completely real to them despite the knee no longer being attached to their body. This can be an enraging experience that perplexes both the person suffering and their physicians. 

Phantom sensations usually begin immediately following the loss of the knee and anyone who has had an amputation is at risk of developing them.

Common sensations of phantom knee pain

Phantom sensations can include various forms of pain and discomfort. These symptoms may be fleeting or last for long periods of time.

These are the most common phantom knee pain sensations:

  • Aching
  • Burning
  • Throbbing
  • Itching or tingling
  • Clamping or pinching

 

Risk factors for phantom limb pain

Between 80-95% of amputation patients report experiencing some form of phantom limb sensations. Some risk factors can increase the possibility of triggering phantom knee pain.

Angina

Angina is a condition in which blood flow to the heart is restricted, resulting in chest pain. People with angina describe the feeling as tightness, pressure, and heaviness in their chest.

Shingles

Painful rashes that develop on one side of the face or body are called shingles. In the days leading up to the onset of shingles, people may feel itching or tingling in the area where the rash will appear.

Stress

Anxiety, depression, and stressful situations can all increase the chances that an amputee patient feels phantom sensations where their knee was. 

 

Causes of phantom knee pain

The exact causes of phantom knee sensations are unclear, but doctors have a better understanding of why patients may feel residual limb pain.

Nerve damage

Nerve damage can cause a person to have pain at the site of their amputation. Nerve entrapment happens when there is pressure on a nerve. This can occur if something is pressed or wrapped incorrectly during the amputation surgery.

Improper healing after surgery

When the surgery site heals improperly, patients may feel pain during the healing process and after healing is complete. Too much scar tissue and pressed nerves can contribute to residual limb pain.

 

Diagnosis of phantom knee pain

Accurate diagnosis of the cause of residual and phantom knee pain is important. Examinations and procedures physicians will perform to better understand your sensations include:

Physical exams

During a physical exam, your doctor will inspect the amputation site for signs of sores, infection, or masses. 

Diagnostic Technology Testing

CT scans, MRIs, and ultrasounds may be used to get a more detailed view of your surgery site. This will also allow doctors to rule out other causes of pain, such as bone abnormalities and infection.

Additionally, Electromyograms (EMG) and Nerve Conduction Studies (NCS), which check on how a patient’s muscles and nerves are functioning. The results from this test will help a pain specialist diagnose the severity of a patient’s condition, and accurately map the appropriate treatment options.

Blood tests

Blood tests are used to screen for other possible causes of pain.

 

Treatment options for phantom knee pain

Treatment for residual limb sensations requires treating the underlying cause of pain at the amputation site. For phantom knee pain, treatment may involve a combination of therapy and medication.

Cognitive behavioral therapy

Cognitive behavioral therapy (CBT) is a type of psychological treatment used to improve the quality of life for certain individuals. CBT addresses unhelpful thought patterns and poor behavior patterns and teaches better coping skills.

Mirror Therapy

Mirror therapy is proven to reduce phantom knee pain in about a month. During mirror therapy, a knee amputee sits in front of a mirror during a phantom pain flare. The person makes movements and watches their limbs to stimulate positive sensations in the brain. Mirror therapy is more successful with single-limb amputees than with those who have lost both knees.

Medications

Certain medications are commonly prescribed to people suffering from phantom knee pain. 

Nerve Stimulation

Nerve stimulation therapies are emerging as a way to manage phantom knee pain and avoid taking medication. Electrical currents, implanted electrodes, and biofeedback are all used to prevent pain that stems from damaged nerves.

 

Frequently Asked Questions

Is phantom knee pain the same as residual knee pain?

Phantom knee pain and residual knee pain are two different sensations that are experienced by amputees. Phantom knee pain is a sensation in a knee that no longer exists. Residual knee pain is pain at the site of the amputation.

Does exercise help phantom knee pain?

Exercise might alleviate anxiety and depression for those suffering from phantom knee pain. Exercises that are performed in front of a mirror may be especially effective at helping relieve some phantom knee sensations.

Is phantom pain psychological?

Phantom pain is a completely legitimate pain response initiated by the brain. Psychological elements may trigger phantom pain or make it worse and certain psychological therapies have proven to be effective at preventing phantom sensations from occurring again.

What part of the brain controls phantom pain?

The sensorimotor cortex is the part of the brain most often blamed for causing phantom limb pain. This part of the brain is involved with the execution of body movements, and is in charge of maintaining joint homeostasis. 

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Why Does My Tooth Hurt When I Shake My Head?

Toothaches and headaches seem to be two of the most maddening types of pain, and unfortunately for some people, they go hand-in-hand. If you experience tooth pain during exercise, when you sneeze, when you shake your head, and during other sudden movements, you are not alone.

A painful feeling at the site of a tooth during activity could be caused by several different underlying conditions. Symptoms of tooth pain might present themselves in ways that are similar to other ailments. We outline what those symptoms look like and their possible causes below.

 

Symptoms Experienced Alongside Toothaches

A toothache is a pain that occurs in or around a tooth. Experiencing a toothache can be painful and disrupt your focus and day-to-day activities. 

These are some of the other symptoms that can occur alongside tooth pain:

Coughing

Not only can coughing cause sharp flashes of pain in your tooth, but prolonged episodes can lead to headaches. 

Runny nose

Sinus issues caused by tooth abscesses and bacteria can cause a constant runny nose.

Headache

Pain that throbs in both the head and tooth simultaneously is a frequent symptom experienced alongside a toothache. 

Nasal blockage

Nasal blockage, or experiencing a stuffy nose, happens when a toothache is caused by an infection. The sinuses can be clogged on one or both sides and can cause a metallic or musty smell.

 

Possible Causes of Tooth Pain When Shaking My Head

Tooth pain is often caused by an underlying condition or infection that needs to be treated separately from a dentistry environment. 

The following are possible causes of toothache that is felt during motion:

Sinus Infection

Sinus inflammation is one of the most common illnesses related to tooth pain. Pain in the upper back teeth is a frequent symptom associated with sinusitis. This is because the sinuses are spaces in the skull connected to the nasal cavity. When the tissues in those spaces become inflamed, pain travels down through the nose to the mouth.

Gum Disease

Gum disease, periodontitis, or gingivitis all can cause tooth pain. Serious gum infections can break down the bone that supports the teeth and damage the soft tissue surrounding them. Gum disease is usually the result of poor oral hygiene and can be identified by the swollen, bright red, and tender gums around the tooth that is experiencing pain.

Bruxism

Bruxism is the term used to describe the grinding or clenching of teeth. This often occurs when a person is asleep or unconsciously during the day. When bruxism is frequent enough, it can cause jaw disorders, headaches, teeth damage, and other issues.

TMJ Disorder

The temporomandibular joint is what connects the jawbone to the skull. TMJ disorder, or TMD, causes pain at this joint and in the muscles around it during jaw movement. Usually, TMJ pain is temporary, but it can be uncomfortable. TMJ disorder is known for pain that extends up to the ear and causes discomfort while chewing.

 

Diagnosis of Tooth Pain When Shaking the Head

Difference between sinus pressure and a toothache

The pressure associated with sinusitis can cause toothaches, but tooth pain can also occur separately from sinus infections. 

If you have tooth pain, you should first be screened by a dentist before seeking additional medical advice. Dental causes of toothaches include cavities, gum disease, and other infections in the mouth.

Are there tests to check for sinusitis?

Your dentist may decide that your tooth pain is the result of a sinus infection. Sinus headaches are common symptoms of sinusitis that may require treatment to improve.

These are the ways physicians may screen you for sinusitis:

Nasal endoscopy

Nasal endoscopies are procedures that examine the inside of the nasal and sinus passages. An endoscope is a thin, flexible tube with a tiny camera and light at its end. Physicians guide the endoscope through your sinus passages and take photos of the area.

During a nasal endoscopy, doctors are looking for bleeding or swelling of nasal tissue, growths, polyps, and certain types of fluid.

Computed tomography (CT)

CT scans allow for fast, painless, noninvasive, and accurate imaging of the sinuses. This screening test is one of the safest means of studying the sinuses and would prevent irritating the area more.

Radiologists perform these exams using a CT examination table. CT scans reveal fluid, thickened membranes, and the presence of inflammation within the sinus passages.

Allergy testing

Allergies are a common cause of chronic sinusitis. Allergy skin tests are quick ways to detect possible allergens that are irritating your sinuses. Ruling out allergies is one way to move toward finding the cause of frequent sinus toothaches.

 

When to seek medical attention for tooth pain

If a dental cause for a toothache has been ruled out, it’s time to consult with a physician. Our pain management specialists use trigger point therapeutic injections to alleviate referred pain from muscles that travels to your head or mouth. 

Contact us today to find a specialist near you.

 

Frequently Asked Questions

Is tooth pain when shaking the head a serious issue?

Tooth pain when shaking the head is commonly associated with sinus inflammation and pressure. It is not usually a serious issue, but can be a frequent nuisance in your daily life.

Can I treat tooth pain when shaking my head at home?

If your tooth pain is caused by a sinus infection, take steps to relieve sinus pressure such as resting, staying hydrated, using a warm compress on your nose and forehead, and rinsing nasal passages with a neti pot.

How can I prevent tooth pain when shaking my head?

If your tooth pain is caused by clenching the jaw or TMJ disorder, you will need to address those conditions in order to prevent the pain from coming back. Other preventable causes of tooth pain from shaking your head include sinus infections, gum disease, and untreated cavities.

Can tooth pain be tied to a serious medical condition?

Tooth pain is usually not tied to a serious medical condition, but it’s important to be properly screened for all potential causes of tooth pain before ruling anything out. Dentists can help with the initial screening, but physicians and certain examinations such as a CT scan may be required for more in-depth testing.

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How to Fix Lumbar Hyperlordosis: Causes, Symptoms, and Treatments

Lordosis is a term that refers to an inward curving of the part of the spine that is just above the buttocks, called the lumbar spine. Many people have a small degree of lordosis, and this is considered normal. When the curving is more extreme, it’s called hyperlordosis. Hyperlordosis can lead to unpleasant sensations in the lower back and surrounding areas. 

 

How is Lordosis Different from Hyperlordosis?

Lordosis refers to the natural inward curve of the spine. Hyperlordosis is used to describe an excessive C-shaped curve in the lumbar spine.

 

What Causes Lumbar Hyperlordosis?

Certain lifestyle habits, hereditary traits, and health conditions can increase the risk of developing lumbar hyperlordosis. 

These are some of the most common causes of lumbar hyperlordosis:

Incorrect Posture

Maintaining a poor form of posture can actually cause your spine to change its shape over time. Examples of incorrect posture are hunched shoulders, holding the neck too far forward, and an uneven pelvis. Each of these forms of posture can gradually lead to lordosis and other back pain issues.

Poor Form When Lifting Heavy Objects

Improperly lifting heavy objects places strain on the back muscles and spine. Over time, muscles will tighten to respond to the strain and may pull at your spine, affecting its structure.

Obesity

Excessive weight can cause people to lean backward to compensate for balance. This shift in the center of gravity places stress on the spine and back muscles.

Osteoporosis

Osteoporosis is the process of bones losing their density as a person ages. When the spine bones become thin or brittle, it can cause the spine’s structure to become unstable. In time, this can cause lasting damage to the spine’s shape and structure.

Discitis

Discitis is inflammation of the intervertebral discs of the spine. Discitis is often caused by an infection of the discs following surgery or trauma and can trigger the onset of irregular lordosis.

Pregnancy

Similar to the effects obesity has on the spine, pregnancy shifts a person’s center of balance due to the extra weight in the abdomen. Usually, hyperlordosis caused by pregnancy resolves itself after the baby is born.

 

Symptoms of Lumbar Hyperlordosis

  • A visible C-shape in the lower back accompanied by an outward protruding of the buttocks
  • Lower back pain
  • Tingling in the legs
  • Lack of mobility with certain forms of movement
  • Muscle spasms
  • Issues with bladder control

 

Diagnosis of Lumbar Hyperlordosis

X-ray of Spine

Usually, an x-ray of the spine is all that is needed to confirm hyperlordosis in a patient. X-ray imaging is also often used to monitor lordosis as it changes over time.

 

Prevention of Lumbar Hyperlordosis

Maintaining a healthy diet, using proper form while lifting objects, and being conscious of your posture are all ways to prevent lumbar lordosis from developing an abnormal shape.

Certain exercises can help increase lumbar muscle strength which may relieve some lower back pain. These include:

  • Situps
  • Superman lifts
  • Arm and leg raises
  • Squats
  • Reverse planks
  • Forearm planks
  • Side planks

 

Treatment of Irregular Lumbar Lordosis

If you have frequent lower back pain and have noticed a space between your lumbar spine and the floor when laying down, you probably are wondering how to fix lumbar lordosis. The following are some recommended treatments for lordosis pain.

OTC Pain Medications

Pain can usually be managed using over-the-counter medications such as acetaminophen or ibuprofen. This form of treatment is recommended when discomfort from lordosis is occasional rather than chronic.

Physical Therapy

Physical therapy is used to help strengthen the muscles around the lumbar spine which increases its flexibility and range of motion.

Ergonomic Considerations

Better posture habits can help retrain the spine back to its natural shape. Using a standing desk will strengthen muscles in the lower back and thighs and should alleviate some pain. 

Back Brace

Some back braces are developed specifically to help straighten a curved back. If you seek a back brace for your lumbar lordosis, choose one that supports both the thoracic and lumbar spine and limits the forward motion of the back. Back braces also encourage proper posture and should, in time, lessen back pain.

Surgery

In extreme cases, minimally invasive corrections may be required to treat hyperlordosis. Laser spine surgery is used to stabilize the bones of the spine and to correct nerve problems associated with lordosis. 

Spinal Fusions

Before agreeing to surgical intervention, it may be worth considering a less invasive spinal stabilization technique known as spinal fusion. Spinal fusion allows the bones of the spine to heal together and restores stability. 

Our physicians are experts at addressing lumbar pain using minimally-invasive techniques. We use spinal fusions to treat many conditions including degenerative disc disease, spinal stenosis, herniated discs, and spinal cord compression. 

 

Frequently Asked Questions

Can lumbar hyperlordosis be fixed with exercises?

The pain associated with lumbar lordosis may be alleviated by engaging in exercises that strengthen the muscles around the lumbar spine. Over time, hyperlordosis may resolve itself as your strength and balance improve.

How long does it take for lumbar hyperlordosis to be fixed?

Depending on the treatment you choose, fixing lumbar lordosis could take a while. For example, if your lordosis is caused by obesity, it will take time to lose the weight needed to realign your spine. Surgery and minimally-invasive treatments may have shorter timelines.

Is physical therapy essential for fixing lumbar lordosis?

Physical therapy is an essential way to relieve some pain from lumbar lordosis. Physical therapy will also help prevent lordosis from reoccurring.

Will I end up needing surgery to fix lumbar hyperlordosis?

Usually, lumbar lordosis can be resolved with less invasive techniques, but surgery may be required in more extreme cases.

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Knee Bursitis: Causes, Symptoms, and Treatments

Bursae are small, fluid-filled sacs that cushion the bones, tendons, and muscles around all joints in the body. When bursae become inflamed, it’s called bursitis.

If you are experiencing knee pain and you are not sure what the cause is, it’s worth gaining some understanding of knee bursitis. If you have any chronic pain, it’s important to know the different conditions that could be causing it and the symptoms associated with each one.

 

What Causes Bursitis Knee Pain?

Repetitive motion is the most common cause of bursitis in the joints. Knee bursitis is especially common because motion is almost unavoidable if you take frequent walks, do a job that requires kneeling, or are a runner.

Overuse or Repetitive Knee Movement

Certain occupations, hobbies, and activities require repetitive motion that adds pressure to the bursae in the knee. Examples of these include:

  • Cleaning, especially scrubbing floors.
  • Running
  • Childcare that requires leaning down and picking children up frequently
  • Laying carpet or roof tiles
  • Gardening
  • Painting
  • Playing a drum set

Anyone engaging in these activities could potentially develop knee bursitis, but the risk is higher for older individuals.

Previous Knee Injury or Trauma

If you have previously experienced an injury of the knee or its surrounding muscles, or have been through some form of physical trauma that impacted your knee, you may have a higher risk of developing knee bursitis.

Pre-Existing Knee Conditions

Certain pre-existing knee conditions and medical situations increase your risk of knee bursitis. These include rheumatoid arthritis, diabetes, and gout. Being overweight can also increase your risk due to the added pressure on your knee.

 

Bursitis Knee Symptoms

If you have bursitis in your knee, you may notice these symptoms:

Swelling

The knee may swell, be tender to the touch, and appear red.

Stiffness

Achiness or stiffness of the knee is a common symptom of bursitis that makes it difficult to walk or stand for extended periods of time.

Trouble Bending Knee

Swelling and stiffness can make it harder to bend the knee during activities.

 

Diagnosis of Knee Bursitis

If your knee pain is disabling, preventing you from moving, or is paired with excessive swelling, it may be time to seek a medical diagnosis. Knee bursitis can be screened for during physical exams, using certain imaging tests, and in lab tests.

Physical Exams

During a physical exam, physicians will take a look at both knees and compare their conditions. They may then gently press on all areas of the affected knee, looking for warmth and swelling, and attempting to identify the exact location of the pain. Doctors may also carefully move your leg, bending and straightening at the knee in order to determine your range of motion and reaction to movement.

Imaging Tests

Imaging tests may not identify bursitis exclusively, but will help your physician rule out other possible conditions and injuries that could be causing your knee pain. X-rays, MRIs, and ultrasounds can all be used to detect certain conditions in the bones and surrounding tissue of the knee.

Lab Tests

Your physician may extract a sample of fluid from the bursa around your knee if they suspect that your pain is caused by infection or gout. This is done by inserting a needle into the area with pain and draining some fluid. Draining fluid around the knee could also be used as a treatment for knee bursitis.

 

How to Prevent Bursitis Knee Pain?

The following measures can help to prevent bursitis knee pain in the future:

Warm-Up Before Exercise

Proper warm-ups before exercising or activities that require repetitive knee movement can help prepare your body for the increase in pressure. Easing into new sports or forms of physical activity can gradually increase the pressure your knees can withstand. Always take breaks when you feel like the pain is beginning to mount.

Improve Posture for Workouts

The correct form, posture, and use of equipment can make all the difference in preventing knee bursitis. Positioning the body properly is important during both workouts and daily activities. Knee pads can be used to provide cushion on the knee joint and shoes should always fit well, provide support, and be tied snugly.

 

Treatment of Bursitis Knee Pain

Bursitis of the knee could potentially improve on its own with time and rest, but treatment can be used for pain management in the meantime.

Physical Therapy

Physical therapy will help improve knee flexibility and strengthen the muscles around the knee. Knee bursitis has the potential to recur, and physical therapy could help with preventing that from happening.

Medications

If the bursitis is caused by an infection of the fluid in or around the bursae, antibiotic treatment may be necessary. Over-the-counter anti-inflammatory pain meds could also help temporarily alleviate knee pain.

Potential Surgery

Surgery could be recommended if your bursitis recurs and doesn’t respond to other forms of treatment. Less invasive treatments should be attempted before surgery is considered. 

Minimally-invasive procedures include:

  • Corticosteroid injections
  • Aspiration of bursae

Our physicians are specialists in minimally-invasive procedures. We create specialized pain management plans for knee bursitis and other sources of knee pain. Find a doctor near you to have your knee pain assessed.

 

Frequently Asked Questions

How long does it take to recover from bursitis?

With the right forms of treatment and preventative care, knee bursitis symptoms should go away within a month.

Can bursitis be prevented?

Bursitis can be prevented by warming up before exercising and maintaining proper form during activities. Physical therapy can prevent bursitis from returning if you have had it already.

Can bursitis in the knee lead to a bigger infection?

When a bursa becomes infected and inflamed, septic bursitis occurs. This is usually caused by a cut or scrape on the skin near the knee and will need to be treated with antibiotics.

Are there any home remedies for bursitis?

Icing, warm compresses, rest, and eating anti-inflammatory foods are all ways you can alleviate some of the symptoms of your knee bursitis.

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Knee Pain From Hiking: The Best Prevention and Treatment Options

Spending time in the great outdoors can benefit both your mental and physical well-being. But if hiking is your passion, you may be familiar with the toll it can have on your body. 

Knee pain after hiking downhill is a common ailment for hikers that can prevent them from spending time on the trail. The good news is that knee pain after hiking can be treated and there are steps you can take to avoid it from occurring in the future.

 

Causes of Knee Pain While Hiking

According to Harvard Medical School, when a hiker walks on level ground, they are putting force on their knee joints at about 1.5 times their body weight. At an incline, the pressure is almost two to three times their body weight! 

This added strain can lead to minor or extreme pain on your knees. Here are some of the most common causes of knee pain experienced on the trail or after hiking:

Bursitis

Bursitis occurs when the fluid-filled sacs that cushion the bones, tendons, and muscles near the knee become inflamed. Repetitive motion while hiking can lead to bursitis, which is often felt as achiness or stiffness in the knee. The knee may hurt more during motion or when you press on it and it may appear red and swollen.

Knee Tendinitis

Tendinitis in the knee, called patellar tendinitis, is an injury of the tendon that connects the kneecap to your shinbone. Patellar tendinitis is often called “jumper’s knee,” and is frequently experienced by hikers who traverse rough, uneven, and rocky terrain. 

Knee tendinitis is felt as pain between the kneecap and shin bone right at the start of the hike and immediately after finishing. Eventually, the pain will worsen and be felt throughout the hike.

Meniscus Tear

A torn meniscus is one of the most commonly encountered hiking knee injuries. You can tear your meniscus on intense hikes during which you forcefully twist or rotate your knee, especially when putting your full weight on it. This is often experienced by hikers who are jumping from rock to rock, especially when going downhill.

Meniscus tears may make it difficult to fully extend your knee and will cause pain, swelling, and stiffness. These symptoms may take a day to develop after the injury occurs and you might also feel a popping sensation or like your knee is giving away during physical activity.

Iliotibial Band Syndrome

Iliotibial band syndrome (ITBS) occurs when the tendon on the outside of your leg that goes from the top of your pelvic bone down to your knee becomes swollen. Frequent hiking can make you more prone to ITBS and trail running increases your risk of developing this condition.

Feeling a pop, click, or snap on the outside of your knee could be a sign that you’ve developed ITBS. Your knee can appear red and feel warm to the touch, especially on the outside of the knee.

Knee Osteoarthritis

Osteoarthritis of the knee occurs when the cartilage cushion between joints wears away. This causes the bones of the knee to rub against each other and absorb shock less efficiently. Knee osteoarthritis occurs most commonly in people over the age of 45, but it can occur in younger people too.

Poor Hiking Techniques

Poor hiking techniques, especially when descending a trail, can increase the risk of developing a knee injury or condition.

 

Preventing Knee Pain When Hiking

You can take several steps to prevent knee pain from developing or recurring when hiking. It’s important to maintain proper form while on the trail, especially during a steep descent. Hikers should lean forward instead of back to maintain a center of gravity that is low and over their legs. 

Here are other steps to take to prevent knee pain when hiking:

Properly Prepare Your Gear

Wear hiking footwear that is not worn out and has properly tied shoelaces (i.e. tight enough that they feel secure, but aren’t restricting blood flow). Packs shouldn’t be too heavy and you should tighten your hip belt and shoulder straps to minimize pack movement while hiking.

Use Trekking Poles

Trekking poles should be lengthened correctly so you are not disrupting your center of gravity.

Stretch for Warm Up and Cool Down

Stretches and exercises that warm up and cool down the muscles surrounding your knee will help prevent overextension and strain.

Drink Lots of Water

Staying hydrated is important for maintaining lubrication around the knee joint.

Treating Knee Pain When Hiking

It’s time to consider treating knee pain after hiking downhill when taking preventative steps isn’t enough. The following treatments can help make time spent on the trail and recovery after hiking more pleasant:

 

When to Seek Medical Help for Knee Pain from Hiking?

When over-the-counter pain medications or icing stop being enough pain treatment, it may be time to consider something more intentional. Our providers use innovative pain management methods that pinpoint the source of your knee pain after hiking.

We offer a wide range of minimally-invasive procedures with a whole-person approach that is personalized for every patient.

 

Frequently Asked Questions

How can I reduce the risk of knee pain while hiking?

You can reduce the risk of knee pain while hiking by using equipment correctly, maintaining proper form, and stretching before and after each hike.

What are the best exercises for preventing knee pain while hiking?

Exercises and physical therapy focused on strengthening the muscles around the knee will help in knee pain prevention.

What should I do if my knee pain from hiking doesn’t go away after resting?

If your knee pain persists after resting, it may be a sign of a more serious condition that requires specialized treatment. Physical therapy, OTC medications, and icing may help alleviate some knee pain. Other knee pain from hiking may require a pain management plan or procedure from a physician.

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