The Centers for Disease Control recently issued new recommendations for prescribing opioids for chronic pain, in order to address the opioid epidemic that our country is now facing. At Spine & Nerve, our approach is consistent with the CDC’s guidelines for opioids. The opiate epidemic is a very serious problem, and the care providers at Spine & Nerve Diagnostic Center continue to follow an ever-evolving “best practices” approach that incorporates an integrated, multi-disciplinary pain management plan. Our approach to the treatment of chronic pain includes cognitive behavioral therapy, physical therapy, biofeedback, exercise and other alternative, non-opioid methods of pain relief. […]
An estimated 116 million adults experience chronic pain, according to a report published by the Institute of Medicine of the National Academies, and treatment is all too often “delayed, inaccessible, or inadequate…” according to committee chair Dr. Philip Pizzo of the Stanford University School of Medicine, who co-authored the report. The Academies’ report, Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research acknowledges that pain is more than just a physical symptom, and is not always resolved by curing the underlying disease. Chronic pain –defined as pain lasting longer than 12 weeks—is individual and “a disease […]
Fibromyalgia is a condition which in the past has been a diagnosis of exclusion. This meant that a person was only diagnosed with the condition after all other possible causes of pain were ruled out. In the 1990’s, the American College of Rheumatology (ACR) made the diagnosis of fibromyalgia more clear cut. The ACR’s definition involved assessing an individual who has widespread chronic pain for tender points. 18 specific tender points in the body were described by the ACR. If an individual had 13 out of 18 tender points, then they would meet the criteria for fibromyalgia. Recently the diagnosis […]
Many people come to our office with complaints of numbness and tingling or pain in their feet. Most people simply want to know what’s may be causing their symptoms. Some people have been told that it may be coming from their back. Others have been told that it may be a circulation problem or symptoms of diabetes. While all these conditions are possible causes of numbness, tingling or pain, an often overlooked but common cause of these symptoms is Tarsal Tunnel Syndrome (TTS). TTS is basically the equivalent of carpal tunnel syndrome of the foot and ankle. TTS is a […]
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