Pain Topics

Back and Neck Pain

Many patients who come to my office with back and/or neck pain have been misdiagnosed and improperly or under treated.  Some of the most common causes of back and neck pain are as follows:  muscular irritation or tightness, bulging or herniated discs, pinch nerves, osteoarthritis, disc disease or narrowing, fibromyositis/fibromyalgia, spinal stenosis, ligament or tendon inflammation, abnormal body mechanics and postural problems.  In many cases there is more than one cause.  This can cause many doctors to become confused and misdiagnose and improperly treat patients.

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Joint Pain (Arthritis)

Joint pain can occur in the shoulders, elbows, wrists, fingers, hips, knees, ankles, feet and jaws.  The most common causes are as follows:  inflammation of the tendons and ligaments, arthritis or other bone abnormality, muscular irritation, cartilage tearing or thinning and abnormal body mechanics.

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Headaches

The causes of headaches are often misdiagnosed by primary care physicians and even neurologists.  In most cases medical testing, especially MRI or CT scans of the head and brain are negative.  Some patients have a primary headache disorder, such as migraines or cluster headaches.  However, the most common cause of headaches is pain referred from the neck area, and occasionally the jaw, even if there is not neck or jaw pain.

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Numbness, Tingling, and Other Uncomfortable Sensations

These unusual and uncomfortable sensations typically involve the arms, legs, joints, hands, feet and even the neck, back and face.  These symptoms often confuse doctors and many of the patients that I see with these sensations are improperly diagnosed.  The most common causes of these sensations are pinched or irritated nerves.

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Pain After Treatment or Surgery

In many cases the reason for failed treatment is misdiagnosis.  A thorough neurological and musculoskeletal examination is essential to correctly diagnose the pain problem.

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Social Factors and Pain

Some of my patients tell me how pain affects their personal lives.  Some of the most frequent complaints are as follows:  increased family tension, difficulty in performing work activities, weight gain and reduced sexual activity.

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