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We spoke with people about chronic pain Management because we know just a little bit about chronic pain.
There is a question that really surprised us. It goes like this.
Are these chronic pain patients suffered pain? and how do you know?
We did not realize that chronic pain has polarized views.
Chronic Pain is invisible and hard to tell or diagnose. Under the doubtful eyes of the critics,
chronic pain patients who are in pain, are really not in pain, everything is in the head.
Who are they to judge chronic pain patients, but reality there are lots of people who believe that
chronic pain is not a real disease, who believe that chronic pain patients are losers, who convince themselves
that they have chronic pain.
On the other hand, chronic pain patients live with the stigma, who went underground to avoid the critics.
Until chronic pain patients stand up for themselves, they will be treated as third class citizens.
History tells us that racial and gender discriminations were once very bad, until somebody stood up and
demonstrated that enough is enough.
We think chronic pain patients need to learn from history.
And to the judgemental critical persons, we know these people had failed in the past, as losers, because
we can see them fat, obese, smokers, cannot lose weight or gamblers etc….
In another word, the judgemental critical people are losers also, they just point finger at other people, when
the other three fingers are pointing at themselves. They want to use a little bit of stress release by criticize others.
They can serve themselves better by criticizing their own behaviors.
Why do I gain weight? Why do I fail to put down my cigarettes? Why do I fail in my personal ventures? instead of why these person or that person complain about pain.
In conclusion, we want the judgemental critical people to look inside themselves first, until you are perfect don’t
assume that chronic pain patients do not have pain. And, we want chronic pain patients get out of your own shell, deal
with it with dignity, nobody will speak for you. You need to learn history about discrimination and defense yourself.
Many adults are suffered pain in a motor vehicle accident (MVA). In a rear end accident, drivers have shocked very fast and unprepared to protect the neck.
Whiplash injuries are one of the most common ailments sustained in motor-related incidents. Rear-end collisions are usually the culprit, but this injury to the cervical spine can also be caused by headbanging, as in Shaken Baby Syndrome; collisions involving bicycles or motorcycles, and in falls.
Pain caused by whiplash is hard to identify, normal skin still intact around the neck, just a fast stretch in the spinal cord around the neck.
In collisions, the mechanism of injury starts when the body is thrown forward, and the movement causes the person’s neck to hyperextend and snap back into a position of flexion. This type of injury is very common, and may happen to anyone on any given day. Automotive companies widely install air bags into their cars nowadays to counter the body from being thrown forward and prevent these types of injuries form occurring.
Most of the time, a person who has sustained a whiplash injury doesn’t know he has one until after 6-12 hours, or even after a few days.
Clinically, whiplash injury presents as follows:
Pain and tenderness in the neck which may radiate or extend to the jaw or shoulders, the pain worsening 1-2 days after the incident
Decreased range of motion in the neck, making it difficult for the person to turn his head in any direction
Headache and dizziness accompanied with blurring of vision
Low back pain
Retropharyngeal swelling (swelling in the back of the throat) and dysphagia (difficulty in swallowing)
Hyperactive reflexes on the legs and arms, suggestive of damage to the spinal cord
For health workers, it is essential that they consider serious injury immediately following road accidents. The immediate use of cervical collars right in the scene of collision will immobilize the neck and prevent other injuries to the spine. To rule out other possible causes of neck pain, the following diagnostic procedures are performed:
X-ray of the spine
CT myelography, in cases where MRI is contraindicated or deemed intolerable by the patient
While whiplash injuries may seem common and not all that serious compared to other motor-related injuries, considerable neurological damage may be involved in some cases. In a whiplash injury, pain will be the most immediate problem to deal with. Typically, the pain will be chronic in nature. It is vital to treat the injury using not only one but a combination of interventions to curb the pain. Pharmacologic treatments will include NSAIDs (non-steroidal anti-inflammatory drugs) and muscle relaxants.
The pain being long-term, it will be beneficial to employ non-pharmacologic treatments. Ice packs, along with intermittent heat and cold application will reduce the swelling and muscle tension in the neck and shoulders. Physical therapy and the use of ROM (range of motion) exercises will be helpful.
For all of these to work, the patient has to work closely with his physician and employ the assistance of his family. This type of injury to the soft tissues may take 3-6 months to fully heal, sometimes even longer, causing the patient to spend time away from work and refrain from performing any sport and other heavy activities. Sometimes these restrictions in activity and losses in income will cause some amount of depression on the part of the patient, and this is when support from the patient’s family will be most beneficial.
Lastly, the onus is on the patient to get past the physical pain and regain control of his life and resume his activities of daily living. Patience and actually cooperating with the treatment and rehabilitative regimen prescribed by his physician will count for a lot in the patient’s progress in dealing with constant physical pain.
At Pain Management A Pain and Wellness Center, doctors starts with major physical exam, reveiw MRI reports, chief complaints, history of illness, doctors discusses side effects, addresses patient’s concerns and advises the proper treatments. If you would like an appointment, please call Now 727 548-1111.
Pain and wellness clinic doctors treat shoulder pain with care and use the best medical method. Phone 727 548-1111
Download “Your First Visit” Package: My First Visit
Pain in the shoulder can affect you more than you think. Your shoulder comes into contact with a lot of things, as well as moves your upper extremities and keeps them in place. A lot of activities involve a lot of arm-moving, so pain in the shoulders can disrupt your life.
Shoulder pain can be attributed to a lot of causes, namely:
Instability of the shoulder
Rupture of the biceps tendon
Calcific Tendonitis, etc.
You should take lots of rest for the muscles having time to heal themselves. Rest time is very important and you need to respect your time.
Don’t listen to others, they don’t have time to care for you. You are the best person to know about your pain, it is your personal pain and suffer.
You should know when to consult your physician. These signs that accompany your shoulder pain must warrant a visit to the doctor:
Difficulty raising your arms
Inability to hold an object using one or both hands
Swelling and pain
Warmth and redness around a joint
Pain that affects your ability to concentrate on even the most mundane of activities
Pain that disrupts sleep
*If the pain in the shoulder is confined on the left side and travels down the left arm and is accompanied by chest pain and difficulty in breathing, it is most probably cardiac in origin. Be alarmed and know that this could be heart attack. Seek medical help immediately.
In determining the cause of your pain, your physician will examine you to determine the location of pain, the range of motion you can achieve, and the extent of injury. He will also order the following diagnostic tests:
X-ray of the affected area
Arthrogram-this will involve the use of an iodine-based dye. It will be injected into the joint while being visualized in an x-ray. If you have allergies to seafood, please speak up.
Since the causes of shoulder pain vary greatly, the thrust of treatment varies as well.
However, typical measures for combating shoulder pain orthopedic in nature are as follows:
Immobilization- it is only common sense to rest an injured part. It will prevent pain and prevent further injury. Immobilization will require splinting, or use of casts, if there is considerable fracture involved.
Physical therapy and/or occupational therapy- these interventions will program a routine for you to regain mobility and flexibility on the injured part
Intermittent heat and cold application- again, this is a common measure used to decrease inflammation and ease pain. Ice packs are applied in the first 48 hours after injury to combat swelling, then heat application follows to ease the pain and increase circulation to the area of injury.
Medications- NSAIDS or non-steroidal anti-inflammatory drugs are the mainstays in the pharmacologic treatment of orthopedic pain. Caution in its use is advisable, as is can cause gastrointestinal erosion. Be prudent and eat first before taking a pill.
Steroid injections-steroids combat any inflammation, but as of late its use has been a matter of debate. Its use has been under fire recently.
Lastly, employ assistance from your significant others. If there is work that needs lifting or raising, ask for outside help. Healing from orthopedic injuries really do take a lot of time and abrupt return to normal activities will only lengthen your recovery. Gradually increase your activities and use clear judgment. If it still hurts, don’t use it.
(c) 2012 all rights reserved by Pain and Wellness Center of Pinellas Park. 727 548-1111
If you have a visit to a pain management office, the commonly asked questions?
how long will the visit take? you can consider this as an anatomy of a doctor office visit.
we try to explain the process, the flow chart of a normal office visit. We hope that this will ease you, provide some sooth calm feelings.
we tell you the good reasons and the time for you to prepare. We hope that you understand and reduce your unnecessary stress. First priority, you are in pain, you need relaxation, and not stress.
the quick answer: it depends, it varies from office to office, it varies from day to day, etc.
At Pain and Wellness Center, the most common procedures are by appointment only. People call in to take appointment, normally we try to answer in the first two phone rings.
The next few questions are: Why do you need pain management?
Do you have a referral from a family practice physician?
How long have you been in Pain?
Do you have an MRI? If you don’t know what is an MRI, then probably you need to know a lot more.
Do you have a history of pain? Because we only treat mostly chronic pain.
Do you have a pharmacy history copy of your medicine?
We are concern about time in this article, so all this take about ten minutes minimum. Average about ten to fifteen (15) minutes.
After the appointment setting, the first visit at the office.
Normally in this first visit, the office assistant educates regarding how to keep your medicine safe, tells about random urine screening, agreement to see only one physician, consent agreement.
the visitor fills out about contact, personal issue with regards to pain.
It depends on the visitor and the pace of the visitor’s work and writing, normally, it takes about thirty to forty minutes to fill out the twelve or thirteen page of documentation. this is the initial visit, there is no paperwork for the return visit.
The medical assistant verifies the MRI with the imaging company, also the medical assistant makes copy of the driver license and additional identification, check with other offices, research state and county laws, pharmacy history, witness the agreements.
There are many risks involved with removing part of the stomach.
With 73 percent of the country overweight or obese, people are taking drastic measures to lose weight, and gastric bypass surgery is becoming more and more common. Bariatric surgery is a last resort for those having trouble losing weight. It involves taking out a part of the stomach so the body gets fuller faster. There are many risks involved because it changes the anatomy of the body. Although many lose a lot of weight from the surgery, some continue to overeat, re-stretching the stomach and causing even more problems.
Who should get bariatric surgery?
According to the Mayo Clinic only those with a Body Mass Index (BMI) of 40 or higher should even begin to consider weight loss surgery. Those with a BMI of 35 to 39 may have the option of weight loss surgery only if they suffer from one or more obesity-related illnesses like diabetes or heart disease. However, bariatric surgery is not an easy fix. It is a last resort that results in the possibility of nutrient deficiency and the need to follow a very strict diet.
Risk of bariatric surgery
Like all major surgeries, gastric bypass has several possible complications that can include bleeding, infection and an anesthetic reaction. In addition to standard complications, this surgery might result in nutrient deficiencies, dehydration, gallstones, extreme indigestion, hypoglycemia and internal bleeding stomach ulcers.
Some rare, but unpleasant side effects include shrinking of the opening between the small intestine and stomach, which requires corrective surgery. Another side effects is dumping syndrome, which is when contents from the stomach move thru the small intestines too quickly, causing nausea, vomiting and profuse sweating..
Bariatric surgery is only recommended for those who are severely obese. In general, there is a higher risk in surgery among people who are morbidly obese than people who are not. Older patients have the highest mortality rate. Patients ages 65 and older recovering from bariatric surgery have a 7 percent mortality rate within their first three months of leaving the hospital. After 75, the rate increases to about 20 percent.
Pain and Wellness center in Pinellas park is a medical clinic treats chronic pain and medical weight loss by licensed physicians.
At Pain and Wellness Center, Pinellas Park, FLorida, besides specialize in Pain Management and Weight Loss, we strive to research on Pain history,
why do we have pain, and why some people are so lucky that they have no Pain at all. Is if fair?
Our address: 8800 49th st. N. Pinellas Park, FL 33782
Drug Addicts, you come to the wrong place. Don’t waste your time. Please use your own judgement.
A Brief History of Pain
Did Greek mythology and Ancient Cultures Understand Pain Treatment Better than our culture?
The Greek goddess of vengeance, Poene, was sent to punish the mortal fools who had enraged the divine gods. Poene also gave us our word “pain,” a fact not lost on people who suffer from bodily torment so brutal it feels like divine vengeance.
Many historic cultures believed pain and disease were punishment for human folly. They tried to soothe angry gods with rituals like young girl offerings and scapegoats, sacrificial animals that transported the sins of people out into the wilderness.
Ancient people commonly practice Psychic, ritual and magic acts to discard bodily pain. People understand visible pain in an accidents such as bruises and cuts, but did not reason about internal pain.
In some cultures, rattles, gongs and other devices were believed to frighten painful devils out of a person’s body. Indian healers sucked on pain pipes held against a person’s skin to “pull” out pain or illness.
Like You Need a Hole in the Head
Many ancient doctors apparently figured their patients needed a hole in the head. Hundreds of skulls with small holes that have partially healed over have been found worldwide, but especially in Incan archaeological sites in South America.
“A lot of cultures would cut holes to let the pain out,” Cope said. Even Hippocrates, the ancient Greek physician considered the father of Western medicine, wrote about the practice, called trepanation.
Hippocrates also heard about the pain-relieving benefits of willow bark and leaves from earlier cultures, and he prescribed chewing willow leaves to women in childbirth.
His prescription was not without merit — willow trees, members of the plant genus Salix, contain a form of salicylic acid, the active ingredient in aspirin.
I Eel Your Pain
Other medical practices from the ancient world have been updated for use by modern physicians.
“The Egyptians used to take electric eels out of the Nile and lay them over the wounds of patients,” said Dr. Carol A. Warfield, professor of anesthesiology at Harvard Medical School.
Though using electric eels to ease pain sounds crude, even dangerous, a similar technique is used today to relieve pain. Transcutaneous electrical nerve stimulation, or TENS, is a popular treatment for lower back pain and arthritis aches.
“We do it in a much more controlled fashion,” said Warfield.
We serve our area of Pinellas, Clearwater, Largo, Pinellas Par, St. Petersburg, Tampa, Lakeland, Palm Harbor, Safety Harbor, Dunedin, the beaches, Redington Shores, GulfPort, Saint Petersburg and Hillsborough patients.
Where are we located: Our address is 8800 49th St. North, Suite 101 our website: APainAndWellnessCenter.com
Pinellas Park, FL 33782
Our phone : 727 548-1111 Fax 727 361-1477
Office Hours: Monday thru Friday 9- 5 PM Saturday 9- 3PM
Our service: We treat chronic pain conditions with medical physicians. Our physicians understand pain,
How does pain affect patient’s life? Pain is like fingerprint, it is similar with everybody, but it is unique to everybody.
Pain Management Doctors in Pinellas continually strives to be your top choice in the Tampa Bay area, providing pain treatment for: Back Pain, Neck Pain, Chronic Pain, Sciatic Pain,
Cancer Pain, Fribromyalgia (FS), Myofascial Pain, Lower back pain,
Musculo-skeletal Pain, Migraine headache, Arthritis Knee, Neck / Shoulder Pain, Joint Pain. Together, we help YOU regain your life.
Our mission is to help people with chronic pain find ways to understand and to live a regular life.
Our features benefit our patients:
1) Short wait time for our patients (15-25 minutes average)
2) the most affordable cost per visit.
We provide educational information for Pain Management individuals to understand the symptoms and treatments of anything that inflicts pain. Please consult your physician before making any medical decisions.
Serving Areas: Seminole, St. Petersburg, Largo, Dunedin, Madeira Beach, St. Pete Beach, Tampa, Clearwater, Palm Harbor, Holiday, Riverview, Lakeland, Sarasota, Bellair, Redington, Treasure Island, Gulfport, Safety Harbor.
Office phone: (727) 548-1111
Office Fax: 727 361-1477
Address: 8800 49th St. N #101, Pinellas Park, FL 33782
Please read new Florida laws for Pain Management, everybody needs to understand the critical rules for Pain Management physicians and offices.
Analgesic: A medication or treatment that relieves pain.
Ankylosing spondylitis: A rheumatic disease that causes arthritis of the spine and sacroiliac joints and, at times, inflammation of the eyes and heart valves.
Antibodies: Special proteins produced by the body’s immune system that help fight and destroy viruses, bacteria, and other foreign substances (antigens) that invade the body. Occasionally, abnormal antibodies develop that can attack a part of the body and cause autoimmune disease. These abnormal antibodies are called autoantibodies.
Antigen: A foreign substance that stimulates an immune response.
Arthrography: An X-ray procedure that provides a detailed image of the joint when air or a contrast substance is injected into the joint space.
Arthroscopy: A procedure performed with an arthroscope (a small, flexible tube that transmits the image of the inside of a joint to a video monitor). Arthroscopy is used for diagnosis as well as treatment of some types of joint injury. The arthroscope is inserted through a small incision in the skin near the affected joint.
Aspiration: A procedure using a needle to remove body fluids for testing or as a treatment.
Bursa: (plural: bursae) A small sac of tissue located between bone and other moving structures such as muscles, skin, or tendons. The bursa contains a lubricating fluid that allows smooth gliding between these structures.
Bursitis: A condition involving inflammation of a bursa or bursae.
Cartilage: A resilient tissue that covers and cushions the ends of the bones and absorbs shock
Collagen: The main structural protein of skin, bones, tendons, cartilage, and connective tissue.
Connective tissue: The supporting framework of the body and its internal organs. Computed tomography (CT or CAT): A diagnostic technique that uses a computer and an X-ray machine to take a series of images that can be transformed into a clear and detailed image of a joint.
Corticosteroids: Powerful drugs similar to the hormones the body makes to fight inflammation. Glucocorticoids is a more precise term.
DMARDs: An acronym for disease-modifying antirheumatic drugs.
Fibromyalgia: A chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas of the neck, spine, shoulders, and hips called “tender points.”
Fibrous capsule: A tough wrapping of tendons and ligaments that surrounds the joint.
Flare or flare-up: A worsening of symptoms and pain in those with chronic disease.
Glucocorticoids: These powerful drugs are similar to the hormones the body makes to fight inflammation. Cortisone and prednisone are the best known. They are also called corticosteroids, but glucocorticoids is a more precise term. Gout: A type of arthritis resulting from deposits of needle-like crystals of uric acid in the connective tissue, joint spaces, or both.
Homocysteine: An amino acid associated with heart disease and stroke. People with lupus often have high levels of homocysteine.
Hydrotherapy: Therapy that takes place in water.
Hyaluronan: The synthetic version of hyaluronic acid.
Hyaluronic acid: A substance in synovial fluid that lines the joints and acts as a shock absorber.
Hyperuricemia: High blood levels of uric acid, which can cause gout.
Infectious arthritis: Forms of arthritis caused by infectious agents, such as bacteria or viruses.
Inflammation: A typical reaction of tissue to injury or disease. It is marked by four signs: swelling, redness, heat, and pain.
Joint: The place where two or more bones are joined. Most joints are composed of cartilage, joint space, fibrous capsule, synovium, and ligaments.
Joint space: The area enclosed within the fibrous capsule and synovium.
Juvenile arthritis: A term used to refer to the types of arthritis that affect children. Juvenile rheumatoid arthritis is the most common type.
Ligaments: Stretchy bands of cord-like tissues that connect bone to bone.
Lupus: A type of immune disorder known as an autoimmune disease that can lead to inflammation of and damage to joints, skin, kidneys, heart, lungs, blood vessels, and brain.
Lyme disease: A bacterial infection spread by tick bites. Untreated, arthritis is sometimes a prominent symptom.
Magnetic resonance imaging (MRI): A diagnostic technique that provides high-quality cross-sectional images of a structure of the body without X-rays or other radiation.
Malar: A butterfly-shaped rash across the bridge of the nose and cheeks seen in those with lupus.
Manipulation: A treatment by which health professionals use their hands to help restore normal movement to stiff joints.
Mg/dl: Milligrams per deciliter, a unit of measurement denoting the proportion of solids in a liquid medium.
Microwave therapy: A type of deep heat therapy in which electromagnetic waves pass between electrodes placed on the patient’s skin. This therapy creates heat that increases blood flow and relieves muscle and joint pain.
Mobilization therapies: A group of treatments that include traction, massage, and manipulation. When performed by a trained professional, these methods can help control a patient’s pain and increase joint and muscle motion.
NSAIDs: Nonsteroidal anti-inflammatory drugs, a group of medications, including aspirin, ibuprofen, and related drugs, used to reduce inflammation that causes joint pain, stiffness, and swelling.
Osteoporosis: A disease that causes bones to lose density and become brittle. It is connected with heredity, and more common in older women and those who take glucocorticoids.
Osteoarthritis: A type of arthritis that causes the cartilage in the joints to fray and wear. In extreme cases, the cartilage may wear away completely.
Polymyalgia rheumatica: A rheumatic disease that involves tendons, muscles, ligaments, and tissues around the joints. Pain, aching, and morning stiffness in the neck, shoulders, lower back, and hips characterize the disease. It is sometimes the first sign of giant cell arteritis (a disease of the arteries characterized by inflammation, weakness, weight loss, and fever).
Polymyositis: A rheumatic disease that causes weakness and inflammation of muscles.
Psoriatic arthritis: Joint inflammation that occurs in about 5% to 10% of people with psoriasis (a common skin disorder).
Reactive arthritis: A form of arthritis that develops after an infection involving the lower urinary tract, bowel, or other organs.
Remission: A period when a chronic illness, such as arthritis, is quiet and there are no or few signs of disease.
Rheumatic: A term referring to a disorder or condition that causes pain or stiffness in the joints, muscles, or bone.
Rheumatoid arthritis: An inflammatory disease of the synovium, or lining of the joint, that results in pain, stiffness, swelling, deformity, and loss of function in the joints.
Rheumatoid factor: An antibody found in the bloodstream of some people with rheumatoid arthritis.
Rheumatologist: A doctor who specializes in diagnosing and treating disorders that affect the joints, muscles, tendons, ligaments, and bones.
Risk factor: Something that increases a person’s chance of developing a disease, such as age, gender, ethnicity, and family history.
Scleroderma: A disease of the connective tissues and blood vessels that leads to hardening of the skin. Scleroderma can also damage internal organs such as the kidneys, lungs, heart, or gastrointestinal tract.
Synovial fluid: Fluid released into movable joints by surrounding membranes. The fluid lubricates the joint and reduces friction.
Synovium: A thin membrane that lines a joint and releases a fluid that allows the joint to move easily.
Tendinitis: Inflammation of tendons caused by overuse, injury, or related rheumatic conditions.
Tendon: Tough, fibrous cords of tissue that connect muscle to bone. Transcutaneous: Through the skin.
Ultrasound: A treatment that uses sound waves to provide deep heat and relieve pain.