Sacroiliac Joint Pain

The sacroiliac joint (SI joint) is that the joint bridging rock bottom section of the spine (sacrum) to the bones of the pelvis. These joints support the higher body after we are standing. After time, the SI joint will develop arthritis and become painful, significantly once walking and climb stairs.

Symptoms

Pain originating within the sacroiliac joint is mostly within the lower back, buttocks and thighs.

Where is that the sacroiliac joint?

The sacroiliac joint connects the last section of the spine to the sacrum and to the pelvis. The integrity of the sacroiliac joint depends on robust ligaments that case and cover the joint, each the front and back. These ligaments compress and stabilize the joint, keeping it along and limiting its’ motion.

How the sacroiliac joint causes lower back pain?

The ligaments that case the sacroiliac joint could also be stretched owing to injury or degenerate owing to age, permitting the joint to possess excessive motion. This excessive motion could inflame and disrupt the joint and stimulate the nerves causing pain. The pressure on the joint caused by excessive weight is additionally a possible reason for pain.

Your physician may seek advice from sacroiliac joint pain by alternative terms like sacroiliitis, SI joint degeneration, SI joint inflammation, SI joint syndrome, SI joint disruption and SI joint strain/sprain.

How do the symptoms of sacroiliac joint pain present?

The most common symptom of sacroiliac joint disorders is pain within the lower back, buttock and generally within the same facet leg. this could gift as sciatica like symptoms (leg pain, burning, numbness, and tingling) that mimic lumbar disc or radicular low back pain, pain that radiates down into the legs. most often it radiates to the buttock and thigh.

Causes of sacroiliac joint disorders

Causes of sacroiliac joint disorders are often split into 5 categories:

• Traumatic (lifting, fall, accident)

• Biomechanical (leg length discrepancy, previous lumbar fusion)

• secretion (pregnancy / childbirth)

• Inflammatory joint illness (sacroiliitis) related to a generalized unhealthy condition

• Degeneration (age connected wear and tear)

Diagnosing sacroiliac joint pain

In order to diagnose the sacroiliac joint because the pain generator, your physician can usually begin with a history and a physical examination. throughout the physical examination, your physician could try and verify if the sacroiliac joint is that the reason behind pain through movement of the joint. If this joint movement recreates the pain, the SI joint could also be the reason for the pain.

Your physician may use X-rays, CT-scan or mri to assist diagnose the sacroiliac joint. it's additionally necessary to recollect that quite one condition (like a disc problem) will co-exist with sacroiliac joint disorders. this implies that even within the sacroiliac problem is addressed , pain should still be gift within the space. Your doctor should discuss this with you.

Finally, your physician could request sacroiliac joint injections as a diagnostic assay. Sacroiliac joint injections involve injecting a numbing medication into the sacroiliac joint. If the injection alleviates your symptoms, then your sacroiliac joint could also be the seemingly supply of your pain.

These injections aren't tired the office however are tired a fluoroscopic suite. The response to the injection could last for hours, days or weeks and depends on the illness process. what's hunted for may be a temporary resolution of your pain grievance that brought you to the doctor. This temporary resolution needs to be dramatic at seventieth pain relief or additional.

Treatments

Treatment could involve physiotherapy and SI joint injections to manage the pain. For patients who aren't any longer responding to conservative care, an SI joint fusion is also steered as a minimally invasive surgical choice.

We're Minimally Invasive at Lone-Star State Back Institute in Dallas-Fort price

Our surgeons usually use robotics, intraoperative CT imaging systems, and computer-assisted navigation that help us specifically address the supply of a patient’s neck or back pain while not touching healthy tissue or unrelated components of the spine. As a result, our patients experience:

• Faster recovery times
• Reduced risk of complications
• Faster come back to figure, sports, and different hobbies

We take the time to totally review a patient’s medical history, imaging results, and diagnostic tests before we have a tendency to advocate surgical treatment. Before several surgeries, a nine-doctor, peer-review committee can meet to guage the projected treatment arrange, therefore a patient can receive multiple skilled opinions while not having to severally visit varied surgeons. However, in several cases we discover that surgery isn’t necessary to deal with neck and back pain, which conservative, non-surgical treatments like physical therapy will yield helpful results. In fact, fewer than ten percent of our patients ever need surgery to expertise pain relief.

BOOK AN APPOINTMENT WITH DR. MIKHAIL KOGAN

or visit at NYpainsolutions.com 

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Pain, Pain Go Away Don’t Come Any Single Day - NYpainsolutions

Pain, Pain Go Away Don’t Come Any Single Day

Acute back pain comes on suddenly but improves over time; chronic pain worsens and can last months. If you don't feel better after three to four days, see your primary care physician. She may refer you to a neurologist or a neuro­surgeon if the pain is nerve related; an orthopedist, osteopath, or chiropractor for musculoskeletal problems; a rheumatologist for joint problems; or a physical therapist or physiatrist for rehabilitation exercises. Back specialists typically recommend one or more of the following strategies:

Treatment: Chiropractic care restores mobility by manipulating joints and the spine; it often incorporates massage.

Best for: Acute back pain; not for those with nerve impairment or herniated disks

Treatment: Therapeutic, Swedish, or sports massage uses pressure to stretch and stimulate blood circulation to muscles, ligaments, and tendons.

Best for: Chronic low-back pain

Treatment: Acupuncture may block pain signals and/or release endorphins.

Best for: Chronic low-back pain

Treatment: Cognitive behavioral therapy teaches mind-body techniques to help manage chronic pain.

Best for: Chronic back pain

Treatment: Muscle relaxants provide short-term pain relief from severe muscle spasms.

Best for: Acute low-back pain

Treatment: Exercise, such as yoga, stretching, or strength training, improves mobility.

Best for: Acute and chronic low-back pain

Back Pain Solutions

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launch of our newly designed website

We are very excited to announce the launch of our newly designed website. Visit us at our web address http://www.nypainsolutions.com/ The site’s homepage features bright colors and an uncluttered design.We wanted to make the new website faster, easier to navigate, and more user-friendly.

As a health adviser, it’s important for us to make information regarding ‪#‎Pain‬ ‪#‎Treatment‬ Procedures, ‪#‎sciatica‬ treatment and anesthesiology easily accessible to our current and prospective clients.
We endeavor to provide our clients with the most accurate, up-to-date information and share our knowledge and expertise in the field of health.

Our clients are always our first priority and we plan for it to stay that way.
You’ll find our new site is divided into five main sections: About Doctors, Patient Education Libraries, Pain Treatment Procedures, Book an Appointment for pain Treatment and Contact details.Our clients could easily navigate our site and locate the information they need.

Our Education section provides in-depth detail on Patient Education Libraries. 

In ‪#‎Spine‬ ‪#‎Glossary‬, you’ll find links to our Glossary section. You can browse through this section to find the information on the keyword you want.
Here you can also request for ‪#‎Appointment‬ process through ‪#‎ZocDoc‬, Safe and secure. In the About us section, you can read our doctors overview and specialization and view our locations. WE can be contacted through our Contact Us section.

Thanks,
NYpainsolutions

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What is an Anesthesiologist?

What is an anesthesiologist? What training is involved?
An anesthesiologist is a doctor (MD or DO) who practices anesthesia. Anesthesiologists are physicians specializing in perioperative care, development of an anesthetic plan, and the administration of anesthetics. He or she has finished college, then medical school (four years), then an internship (one year) followed by a residency in anesthesia (three years). Some anesthesiologists pursue additional years of training (a fellowship).

Who are the HSS anesthesiologists?
Please see our staff listing.
Most of the HSS anesthesiologists have completed fellowship in fields such as regional anesthesia, pediatric anesthesia, critical care medicine, cardiothoracic anesthesia, chronic pain, and anesthesia research.

What do anesthesiologists do?
This may involve general anesthesia (“putting the patient to sleep”), sedation (intravenous medications to make the patient calm and/or unaware) or regional anesthesia (injections of local anesthetic near nerves to “numb up” the part of the body being operated on (i.e. nerve blocks or spinal/epidural injections)).
Many types of orthopedic operations are well suited to regional anesthesia, most often with sedation as well. HSS specializes in regional anesthesia.
Administration of anesthesia involves first talking with the patient to establish a plan for the anesthesia, as well as making sure that the patient is ready for the operation. The first priority is getting the patient safely through the procedure. If the patient is sick and could be made healthier, then the operation may be postponed or canceled (to allow “optimization” of the patient’s medical condition). This reduces the potential risk to which a patient may be exposed.
In addition to getting through the operation safely, the anesthesiologist tries to reduce pain after the operation. This may involve intravenous pain medications, but in many cases at HSS pain relief will involve placing local anesthetic near nerves.
At HSS, the anesthesiologists also run the recovery room (providing care for patients immediately after the surgery), see patients on the Acute Pain Service (so as to help manage the postoperative pain) and we also manage very ill patients who require critical care. Some anesthesiologists at HSS practice chronic pain management. Some HSS anesthesiologists also act as administrators for the Hospital and/or the Anesthesiology Department.

Why should you, as a patient, care about anesthesia?
Your anesthesiologist allows you to undergo surgery safely and comfortably. Anesthesiologists use specialized techniques during surgery to accomplish this. For example, the method of controlled lowering of the blood pressure during hip surgery reduces bleeding and the need for transfusions.
Good pain management is obviously desirable from the patients’ perspective. Good pain management also helps patients perform physical therapy and leads to better surgical outcomes after many orthopedic procedures. Good pain management may reduce the rate of heart attacks and other postoperative complications.

Can’t the anesthesiologist just do the injection (or put the patient to sleep) and then leave?
No. That would be unsafe. The anesthesiologist, or someone working with him or her (a resident, a fellow, or a nurse anesthetist) must remain with the patient. This is needed so that the patient status can be monitored (heart rate, blood pressure, breathing, level of awareness during sedation), and changes made as needed (so as to prevent or manage major problems that could arise during the surgery).

for more information please click here Dr. Mikhail Kogan

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Sciatica Home Remedies for Pain Relief

Pain from sciatica typically limits one's activities. Here are some home treatments for sciatica:

• Do not bend, lift, or sit in a soft, low chair; the pain can get worse.

• Unless somebody is allergic or mustn't take them for different reasons (if somebody takes a blood thinner like coumadin, for example), over-the-counter pain medicines like analgesic (Tylenol), aspirin (Bufferin or bayer Aspirin), or other (Advil, Motrin IB) can most likely facilitate ease the pain.

• Try a cold pack to see if it helps the pain. If somebody does not have a cold pack, use a large bag of frozen vegetables; it makes a good first aid cold pack. Or have somebody massage the sore areas in a exceedingly|in a very} triangular pattern with an ice cube. The person ought to move the ice cube if the skin gets too cold (this could melt many ice cubes).

• After the cold massages, try alternating with heat from an electrical heating pad to envision if it helps the pain. (Do stay awake with a heating pad on the back. It may cause a nasty burn.)

• If somebody does not have an electrical heating pad, place a face towel underneath hot water, wring it out, and place it on the back. Some physiotherapy consultants believe that moist heat penetrates a lot of deeply and provides higher relief of pain. (Do not use wet packs with an electrical heating pad as a result of electrical shock could result.)

• The affected individual could feel higher lying on his or her back on a firm surface with a pillow underneath his or her knees. another choice is lying on one's aspect with a pillow between the knees to stay the back straight. Also, one may notice that a recliner chair is useful.

• Take it easy, however don't consist bed for extended than two days as a result of this has been shown to really worsen the condition. Do activities one is in a position to tolerate, and don't expect to feel higher long. If somebody is stricken by neuralgy, the doctor can virtually actually dictate or provide medication for the pain. If the pain is severe, the affected individual might have robust medication like a narcotic (Codeine, Vicodin, morphine) for relief.

For more details please visit  Sciatica Pain Relief

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Back Pain Treatment - NYpainsolutions

Given the prevalence of back pain, you would think we'd have treatment for it down pat. Not even close. "The challenge is that you can't see injuries to tendons, ligaments, and muscles the way you can bone fractures and herniated disks," Despite diagnostic advances, doctors can't pinpoint an exact cause for as many as 85 percent of back problems, which makes them tricky to treat. Spinal manipulation, for example, is controversial -- some docs say it does more harm than good -- but it's the only remedy that got me off the couch and back on my bike. "Chiropractic care is not without concerns; then again, neither is traditional medicine, particularly when you're dealing with a problem like back pain, which has no easy, one-size-fits-all fix,"

Even exercise, which a majority of experts agree is one of the best ways to maintain a healthy back and chase away aches and pains, can be problematic. "When you're sedentary, the muscles supporting the spine get weaker, and you're more prone to injury," Dr. says. But "exercising with improper form -- rounding the back when doing dead lifts or arching it during ab work -- can place unwanted stress on the spine".

If you fall into the 80 percent of the population that regularly suffers from back pain, take heart: One-third of aches due to a strain or a sprain improve in a week without medical intervention (the remainder may take up to eight weeks). But unless you do some spine tuning -- strengthening your back through exercise and fostering healthier habits with our advice here -- your odds of a recurrence within six months are about one in three, Dr. says. Keep your back in tip-top shape by avoiding these seven spinal sins.

For more details please visit NYpainsolutions.com

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Common Back Pain Causes

It began as a twinge. Then the pain began to radiate down my back when I biked. teasing became dangerous once it hurt to show my head; don't attempt cycling with impaired neck quality. however I saw no reason to switch my fitness routine. I pedaled. I kickboxed. I raised weights. And once regarding 3 weeks, I paid the value. One sleepless night, pain that felt sort of a knife in my back stapled me to the couch.

Whether you are a week­end human, an elite athlete, or somewhere in between, there is a sturdy probability that eventually you will take care of back pain, too. Here's why: Everyday activities that you simply do stupidly, slithering on a try of shoes, crawl into bed in the dead of night -- will build or break your spine health. Most aches square measure caused by strains (injured muscles or tendons) or sprains (damage to the robust animal tissue, or ligaments, situated wherever your vertebrae connect with joints). These injuries square measure usually brought on by over­use, a replacement activity, excessive lifting, or an accident. different times, a compressed (aka pinched) nerve, like in a very herniated disk, is guilty for the ache.

For more details please visit nypainsolutions.com

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Back Pain Solutions in New York Queens

The back is an complex structure of bones, muscles, and different tissues that form the posterior a part of the body’s trunk, from the neck to the pelvis. The centerpiece is that the spinal column, that not only supports the higher body’s weight however homes and protects the spinal cord — the delicate systema nervosum structure that carries signals that management the body’s movements and convey its sensations. Stacked on high of 1 another are quite thirty bones — the vertebrae — that kind the back, conjointly referred to as the spine. every of those bones contains a circular hole that, once stacked in register with all the others, creates a channel that surrounds the spinal cord. The spinal cord descends from the bottom of the brain and extends within the adult to merely below the skeletal structure. little nerves ("roots") enter and emerge from the spinal column through spaces between the vertebrae. as a result of the bones of the spinal column continue growing long when the spinal column reaches its full length in babyhood, the nerve roots to the lower back and legs extend several inches down the back before exiting. this large bundle of nerve roots was dubbed by early anatomists because the complex body part equina, or horse’s tail. The areas between the vertebrae are maintained by spherical, spongy pads of animal tissue referred to as bone discs that afford flexibility within the lower back and act very similar to shock absorbers throughout the back to cushion the bones because the body moves. Bands of tissue referred to as ligaments and tendons hold the vertebrae in place and fix the muscles to the spinal column.

For complete details you can visit www.nypainsolutions.com or click here Back Pain Solutions

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Back Pain Risk factors

Back Pain Risk factors

Back pain have not only old people, even kids and youths. although excess weight, lack of exercise and improper lifting are typically blame for back pain, analysis watching these possible risk factors hasn't yet provided any clear-cut answers.

One group that does seem to have a bigger risk of back pain are people with certain psychological issues, like depression and anxiety, though the reasons why there is an increased risk are not known.

For more details please visit here www.nypainsolutions.com

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Symptoms of Back Pain

Symptoms of Back Pain include:

•     Muscle ache
•     Shooting or stabbing pain
•     Pain that radiates down your leg
•     limited flexibility or range of motion of the back
•     Inability to stand up straight

When to see a doctor

Most back pain step by step improves with home treatment and self-care. though the pain may take many weeks to disappear fully, you must notice some improvement within the primary seventy two hours of self-care. If not, see your doctor.

In rare cases, back pain will signal a serious medical problem. request immediate care if your back pain:

•     Causes new bowel or bladder problems
•     Is related to pain or throbbing (pulsation) within the abdomen, or fever
•     Follows a fall, blow to your back or different injury

Contact a doctor if your back pain:

•     Is constant or intense, especially at night or when you lie down
•     Spreads down one or both legs, especially if the pain extends below the knee
•     Causes weakness, numbness or tingling in one or both legs
•     Is accompanied by unexplained weight loss
•     Occurs with swelling or redness on your back

Also, see your doctor if you start having back pain for the primary time after age 50, or if you have a history of cancer, osteoporosis, steroid use, or drug or alcohol abuse.

For more details please visit here www.nypainsolutions.com

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Endoscopic-Discectomy Treatment in Queens New York

Many patients who are suffering with serious discomfort related to the spine and back, for all such patients, specialists have many new treatments and Endoscopic Discectomy is one within the list. it's true that this treatment uses the whole technology to its advantage, however sadly, it's not the answer to all or any the conditions that cause back pain, say specialists.

In easier language, we can say that it primarily depends upon the interaction of malady with the surrounding structures and the type of complaint that's bothering the patient's health, that more determines if he's the candidate for this advance procedure or no.

During the endoscopic laser Spine Treatment, the medical experts remove the herniated material and try to achieve back the earlier access to the damaged disc. Moreover, they conjointly cauterize the disc so no any leakage of disc material happens within the body. wherever the normal discectomy needed the surgeons to form a large size incision (5-6 inch) to achieve access to the broken disc, the new to make discectomy is performed with latest technology and the incision that's currently created by the surgeons is concerning the scale of a token. it's through this gap that the sawbones insert a operating tube within the patient's body to simply insert and manipulate the special tools and perform the desired operation. This surgery is performed with associate degree medical instrument, a little video camera that displays the live video on a screen through that the sawbones is ready to find the broken disc and treat it.

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