Pain Conditions treated:

Back and Neck Pain:

Spinal pain, most commonly at the neck and back, may be due to several causes, including:
  • Arthritis—joints of the spine (called facet joints) can become inflamed and if left untreated swell and collect calcium deposits
  • Sacroiliac joint inflammation—the sacroiliac joint, (where the pelvis joins the spine/tailbone) may become inflamed and over time if untreated collect bone spurs
  • Muscle pain—irritated muscle bands can cause painful muscle aches, spasms, or tightness
  • Vertebral body fracture—your spine is made up of bones called vertebral bodies.  These bones may fractured due to trauma, tumors, or most commonly, by osteoporosis.

Joint, Bone, and Muscle Pain:

Neuropathic Pain Syndromes:

Back Pain
Neck Pain
Cervical facet Pain
Lumbar Facet Pain 
Osteoarthritis
Arthritis
Compression Fracture
Rib Pain 
Costochondritis
Trigger Point Pain
Temporomandibular Joint Pain (TMJ)
Jaw Pain 
Complex Regional Pain Syndrome (CRPS)
Relex Sympathetic Dystrophy (RSD)
Causalgia
Phantom Limb Pain
Intercostal Neuralgia
Trigeminal Neuralgia
Post-herpetic Neuralgia
Peripheral Neuropathy
Nerve Entrapment Neuralgia
Ilioinguinal Neuralgia
Genitofemoral Neuralgia
Meralgia Parasthetica

Cancer Pain:

Visceral and Vascular Pain:

People being treated for cancer may be dealing with chronic pain issues caused by the cancer itself or the pain associated with treatment or other aspects of the illness.  We can treat cancer patients who suffer from chronic pain caused by:
  • Bone pain—when cancer spreads to the bones
  • Radiation injuries—radiation can cause scarring, burns and sores in the areas that have been treated.
  • Spinal cord compression—tumors on the spine can press on the spinal cord, causing pain, weakness or numbness in the extemities.
  • Phantom pain—when an extremity or other body part has been removed, patients can experience pain that feels as if it is coming from the missing body part.

Central Pain Syndromes:

Vascular Pain (Claudication)
Lumbar Degenerative Disc Disease
Cervical Degenerative Disc Disease
Herniated Disc Pain 
Disc Bulge Pain 
Pelvic Pain (Interstitial Cystitis)
Headache
Post-stroke Pain
Syringomyelia
Meralgia Paresthetica
Spinal Cord Injury
Genitofemoral Neuralgia

Nerve Pain:

Pain Due To Illness Or Injury:

Neuropathic Pain
Cervical Radiculopathy
Lumbar Radiculopathy
Spinal Stenosis Pain 
Lumbar Stenosis Pain 
Cervical Stenosis Pain 
Occipital Neuralgia

 
Multiple Sclerosis Related Pain
Autoimmune Diseases
Crohn's Disease
Lupus
Rheumatoid Arthritis
Shingles (Post herpetic Neuralgia (PHN))
Sickle Cell
Whiplash
Postlaminectomy Syndrome
Cancer 
Chronic Health Conditions
Ehlers-danlos Syndrome (eds)
Diabetic Peripheral Neuropathy (dpn)
Post Stroke Pain
Primary Lateral Sclerosis

Neuropathy:

Nerve damage can lead to pain.  This pain can often feel like an electrical shock, burning, pins/needles, tingling, or a numbing pain.  The pain can come and go or can be constant depending on the nature of the damage.  Some causes of nerve damage include:
  • compression
  • diabetes
  • cancer
  • virus
  • injury/trauma
  • post-surgical
  • vitamin deficiency/metabolic

Post Surgical Pain:

Ilioinguinal Neuralgia
Phantom Limb Pain
Post Thoracotomy Pain Syndrome
Post Mastectomy Pain Syndrome
Spinal Cord Injury

Mixed Pain Disorders:

Fibromyalgia
Myofascial Pain Syndrome
Cancer Pain

Fibromyalgia

Chronic Regional Pain Syndrome (CRPS)

Patients suffering from fibromyalgia can experience widespread chronic pain. The pain associated with fibromyalgia can also lead to debilitating fatigue, sleep problems, difficulty with bowel functions, as well as a variety of mood problems like cognitive dysfunction, anxiety or depression.
While the cause of Fibromyalgia is not clear, there are multiple theories including diffuse nerve irritability with lowered thresholds to start to feel pain.  While the cause of Fibromyalgia is a topic of current debate, there are studied effective treatments to help reduce the pain from this condition including a number of FDA-approved medications.
This is a chronic form of nerve-related pain that is uncommon and most often affects a leg or an arm.  This syndrome usually develops after a stroke, surgery, injury, or sometimes without an identifible injury ; the pain, however, is not in proportion to the severity of the injury (if there was an injury).  The cause of this syndrome is not understood clearly.  Patients with complex regional pain syndrome receive the most benefit from treatment when treatment is initiated as early as possible.  With early treatment, it can be possible to see improvement and in some cases even remission.

Myofascial Pain Syndrome

Lumbar Disc Herniation

With this chronic pain disorder, pressure applied on points that are sensitive in one muscle, also known as trigger points, can cause pain in other parts of the body that are seemingly unrelated.  This is known as referred pain.  This occurs most often when there has been repetitive contraction of a muscle or from stress-related muscle tension.
This can be referred to as a "slipped disc" or "herniated disc".  This condition can occur anywhere in one’s spine but most commonly occurs in the lower back.  A disc herniation occurs when there is a tear in the fibrous, outer ring of an intervertebral disc allowing the central, soft portion to then bulge outward beyond the outer rings that have been damaged. This condition is caused most commonly when there is degeneration (age related) to the annulus fibrosus. However, it is possible for it to result from lifting, trauma, and even straining.

Sciatica

This is the common term you will hear that refers to pain that radiates down the path of the sciatic nerve . This nerve starts at the lower spine and then moves down to the hips, into the buttocks, and finally down each one of the legs to the toes.  This condition often only affects one side.  The most common cause is compression or irritation of the roots of the nerve as it starts at the spine.  It can also be compressed/irritated elsewhere such as in the buttock by the piriformis muscle.  Sciatica can cause pain, inflammation and at times even a bit of numbness in the leg that is affected.

Post-Herpetic Neuralgia

This condition is a shingles complication.  Many times the shingles rash will only take a few weeks to clear up, but there are some cases where the pain lasts a bit longer once the blisters and rash disappear, and then postherpetic neuralgia occurs.  It affects the skin (highly sensitive) due to damage to nerve fibers from the virus.  The pain that is caused can be burning and severe.  Early treatmetnt within the first 3 days of seeing the rash is the best way to prevent long-term complications from shingles.

Spinal Stenosis

The spinal cord and nerves travel down the spine in a central canal, or tube.  When this canal, or tube, is narrowed or compressed, spinal stenosis occurs.  This most often occurs in the lower back and the neck. Some people with spinal stenosis will have no symptoms at all but others can have muscle weakness, pain, numbness, and even problems with the function of their bowel or bladder.  It cam be caused by a bulging disc, swollen joints in the spine (from arthritis), swollen ligaments in the spine, be present from birth, or be due to a combination of these factors.

Whatever the source of your pain, the physicians at 
Neurological Spine & Pain are ready to help