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Is Scoliosis Painful and What’s the Best Pain Management?

April 26, 2012 , , , , , , ,
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There are multiple different types of scoliosis that a person can have. There are congenital varieties where an individual is born with a problem that leads to scoliosis. Those types are typically not painful but can cause a significant scoliosis problem and needs to be addressed an early age.

When a person has adolescent idiopathic scoliosis, it is fairly common and it is unclear as to why it occurs. People used to think that adolescents with this type of scoliosis do not have pain and if they did then it could mean something worse such as a tumor. Studies that have looked at the incidence of pain in adolescent idiopathi scoliosis have actually shown that up to 25% of those individuals can deal with some pain as a result of the scoliosis. It does not necessarily indicate something worse than the scoliosis itself. Pain management treatment with physical therapy, chiropractic treatment, and potentially interventional pain management Jacksonville can assist with pain reduction (it won’t change the progression of scoliosis though).

The people who have the worst pain with scoliosis are those suffering from adult degenerative scoliosis. This may be a result of significant arthritis and degeneration starting in adulthood, or it may be an exacerbation of the residual from adolescent idiopathic scoliosis when a person moves through the adult years. Studies have shown that if a person has a scoliosis curve greater than 40° moving into adulthood then it will typically get worse about 1 to 2° per year. After a few decades this can be a fairly impressive amount and the patient may have significant pain associated, necessitating treatment at one of the pain clinics in Orlando .

Adult degenerative scoliosis comes from an asymmetric arthritis problem in the thoracic and lumbar spine. People get arthritis in the facets and degeneration of the intervertebral disc as they age, and it is unfortunately not always a symmetric problem. Some joints deteriorate much more rapidly on one side of the spine than the other and it can lead to a curvature. Individuals may end up with impingement problems of the rib cage, or may end up leaning forward dramatically due to a problem called kyphosis.

Usually what patients experience with significant degenerative scoliosis is a combination of mid and low back pain along with pain in the buttocks, hips, thighs and legs called spinal stenosis pain.

If an individual has asymmetric degenerative scoliosis, the concave side of the curve often has nerves getting pinched as the bones move closer together.

Because of this, the problem gets compounded as biomechanically at a certain point where things  go downhill pretty rapidly. The best treatments for degenerative scoliosis are nonoperative and include such things as medication management, interventional pain management Miami treatments such as epidural injections for spinal stenosis, facet injections, radiofrequency ablation, along with physical therapy and chiropractic treatment to straighten up the muscles around the spine for pain relief.

If you’re suffering from significant arthritis and degenerative scoliosis, pain management can help you avoid surgery and get back to living a more functional life. A fusion surgery can be extremely successful, but the risks of complications are over 70% and may be significant.

The Florida Pain Network connects those in pain with pain relievers throughout the state. This includes pain management doctors in Florida,  pain clinics, chiropractors, and physical therapy clinics. The website has geographically targeted results which displays those clinics closest to your location, or simply call 877-877-8556 today.


Treatment Options for Sciatica from Florida Pain Network

April 15, 2012 , , , , , , , , ,
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What are the best ways of treating sciatica? Sciatica results from a nerve being pinched in the low back leading to pain that goes down a person’s leg. The pain is often burning and searing and may be incapacitating.

At any one point in time, approximately 1% of America is suffering from sciatica. The vast majority of the time, sciatica can be treated without surgery. Here are the best options for those treatments.

One treatment that used to be very common is bed rest. A number of studies have shown that bed rest is actually not a good idea, and staying down for less than 24 hours is best. Anything longer than that may lead to muscle atrophy and prolonged pain rather than pain relief. So the conclusion from the studies was for individuals to try and be as active as possible while dealing with the pain.

Over-the-counter pain medications such as Tylenol and anti-inflammatories such as ibuprofen products can help a lot. For acute pain from sciatica that is severe, narcotics over a short term can be very beneficial. This may include Vicodin or something of that sort along with muscle relaxers like Valium. Obviously these are prescription medications and one will need to see a primary care doctor or pain management physician such as at an Orlando pain clinic for them.

Another medication that can help a lot is a Medrol dose pack. This is a five day course of prednisone by mouth which is a large anti-inflammatory medication. This also needs a prescription and should only be done once every few years. There are some risks associated with this and it should typically not be taken in association with anti-inflammatory medication because there is a risk of ulcers. Make sure to take an H2 blocker to prevent this problem.  The medication lasts for 5 days and is an impressive method for pain relief, but it usually only lasts for a couple weeks.

Chiropractic treatment can be very helpful when dealing with sciatica. This may also include spinal decompression therapy which can help relieve the pain from the pinched nerve substantially. Another treatment that the chiropractor Orlando will often do is electrical stimulation which can decrease muscle spasms and relieve pain. Physical therapy may help with a lot of the stretching and strengthening exercises for the discomfort as well and a tens unit can be prescribed which provides a small  electrical stimulation which can raise endorphin levels, decreased muscle spasms, and change the way the brain perceives the pain signals so it’s not so bad.

The next level of treatment is interventional pain management. Pain management doctors in Florida perform epidural steroid injections every day. This involves administering steroid medication around the area of the pinched nerve which bathes the inflamed nerve roots and decreases the associated pain. This may be done at a Palm Beach pain management clinic.

An epidural steroid injection may relieve the sciatica pain on the first shot, or it may take a serious of multiple injections to achieve adequate pain relief. These injections should not be done more than a few times over a six-week period. They can be repeated every few months and are performed as an outpatient procedure. Studies have shown that epidural steroid injections are effective for sciatica over 75 to 85 percent of the time.

These treatments represent the best available for treating sciatica. If the patient has muscle weakness or increasing neurologic deficit of some sort, then surgery becomes indicated. Also if pain persists for more than 6 to 8 weeks, surgery may be indicated as well.

If you are experiencing sciatica and need pain management Jacksonville FL or anyhwere else in the state, the Florida Pain Network can help. The Network lists pain management clinics around the state, chiropractors, and physical therapy practices. The site is geographically targeted and lists the practices closest to you. Individuals may also call 877 877 8556 for assistance.


Florida Pain Network Makes Pain Management Connections

April 4, 2012 , , , , , , , ,
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The Florida Pain Network recently debuted throughout the state. The Network makes connections of individuals in pain to pain management doctors in Florida, chiropractors and physical therapy practices.

The website is geographically targeted. Simply plug in your city or zip code, and the practices closest to you will pop up. Such as if you are seeking a chiropractor Miami, simply put in your zip code on the Miami chiropractor page. If you are looking for pain management Miami, you would go to the Miami pain  management page and do the same thing.

Here’s a description of the Network.

If people have difficulty on the site, they can simply call (877) 877-8556 for assistance.


Florida Pain Network Connecting You With Best Pain Relievers

March 10, 2012 , , , , , , , ,
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The Florida Pain Network welcomes you! The Network connects those in pain with the best pain relievers Florida has to offer. Whether you need Florida pain clinics, pain management doctors in Florida, chiropractors or Physical Therapy clinics, they are available. David Greene, founder and CEO, recognized the need to help suffering individuals find help.

“Pain is now an epidemic, and people should not feel embarrassed to seek pain management. With over 100 million Americans dealing with a pain problem, it is normal to have pain. But it is not normal to have to live with it out of fear of being labeled a ‘drug seeker’,” said Greene.

The site features education, an active blog, and geographically targeted listings to help patients with medical providers who are close by. For instance, if a patient needs pain management Fort Myers, simply go to the Fort Myers drop down off of the pain management tab and plug in your zip code. Or if a patient needs a Boca Raton chiropractor, simply go to the Boca Raton drop down off the chiropractor tab and put in zip code. Voila! The results pop up right away.

Watch an overview from the premier Florida Pain Management connection – the Florida Pain Network:


What to look for in pain clinics in Florida

March 2, 2012 , , , , , ,
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Trying to find the best Florida pain clinics to help with your pain management can be a trying experience. Over one third of the United States suffers from either acute or chronic pain on an annual basis, and the time may come when the services of a pain management doctors in Florida becomes necessary.

Due to a few bad apples in the world of pain management, there is a stereotypical view that has formed regarding pain clinics in Florida.

This is unfortunate and unfounded as by and large well over 90% of Florida pain clinics are truly looking out for the patient and doing the right thing in treating chronic pain. This includes the following:

1. Treating each patient individually and not in a production line setting. There’s nothing worse than experiencing pain and at the same time feeling as if you are in a cattle line being treated with a narcotic prescription and no individualized consideration. Respectable pain clinics take the time to listen to the patient’s problem and individualize  treatment that is in the best interest of getting pain relief.

2. Comprehensive treatment options. Simply offering narcotic prescriptions to every patient who comes in for pain management is typically not the optimal way to deal with chronic pain. For instance, a patient who has post laminectomy syndrome may not do extremely well with narcotic treatment. This becomes a form of a peripheral neuropathy and may actually do well with non-narcotic medications or potentially a spinal cord stimulator. Florida pain management clinics who have doctors trained in interventional pain management will be able to help their patients more effectively. This may include epidural injections, facet blocks, local injections into joints, etc.

3. Incorporating treatments in addition to narcotics. This was mentioned above, but what is being referred to here is the physical therapy and potentially chiropractic treatment or other options besides narcotics and shots. They can work beautifully and do have their place, but it is also great to have additional options to help reduce the need for narcotics and also provide stretching and strengthening to the affected painful areas.

4. Board certification or fellowship training. In this day and age of medical specialization, it is best if the pain clinic has doctors who have either been certified by some sort of a board or done a fellowship in pain management. This at least gives the assurance that additional training has been received in pain management and that there is a baseline level of competency that is present. Now there are definite exceptions to this rule, and there are plenty of doctors who have excellent pain management skills and are neither board-certified nor fellowship trained. But it is something to at least consider and to look for when you are considering having someone stick a needle around your spinal column at a Florida pain clinic.

Keep in mind that pain clinics in Florida by and large are doing the right thing by patients. A select few have tainted the profession in his undeserving manner so please keep an open mind if you do need to see one of these clinics and doctors.


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