Reflex Sympathetic Dystrophy (RSD) Treatment With Pain Doctor San Diego

Reflex Sympathetic Dystrophy (RSD) Treatment With Pain Doctor San Diego

What is Reflex Sympathetic Dystrophy (RSD)?

Reflex sympathetic dystrophy (RSD) is a condition that is characterized by a group of typical symptoms, including pain, tenderness, as well as a swelling associated with varying degrees of warmth and coolness, shiny skin, sweating, flushing, and discoloration. Reflex sympathetic dystrophy (RSD) is also referred to as, the shoulder-hand syndrome or complex regional pain syndrome. It is a term used to describe a form of Complex Regional Pain Syndrome (CRPS). There are two types of CRPS, Type I and II. Both of these conditions result in chronic pain; however, the main cause of pain is much different. Type I CRPS (Complex Regional Pain Syndrome), is initiated by an injury in the tissue where there is no nerve injury, while Type II CRPS refers to the incidences where a high-velocity impact such as that from a bullet wound is associated with nerve injury.

What are the Causes of Reflex Sympathetic Dystrophy (RSD)/CPRS?

Pain Clinics San DiegoThe major cause of RSD is not known, but the condition is known to occur as a result of malfunctioning of the sympathetic nervous system. The theories behind this include irritation and abnormal excitation of the nervous tissue, resulting to abnormal impulses alongside the nerves that affects the blood vessels and the skin. In most cases, RSD comes after a trauma attack, therefore, some of the conditions that may trigger RSD include; fractures, sprain, damage to the blood vessels or nerves, surgery and certain brain injuries.

What are the Symptoms of RSD/CPRS?

The onset of RSD symptoms may range from rapid to gradual as the condition does not display all the features. There are three stages of RSD together with their symptoms. These are;
Acute Stage: This occurs from three to six months. The patients will experience symptoms such as flushing, sweating, pain, burning sensation, swelling, blanching, and tenderness.
Dystrophic stage occurs from three to six months. The patients experience early skin changes of shiny and contracture with persistent pain.

Atrophic: may be long-lasting. The patient experience loss of motion and function of the part involved (hand or foot) and thinning of the fatty layers under your skin.

How is RSD Diagnosed?

Pain Medication Management San DeigoRSD is diagnosed as per the clinical features seen previously. Sometimes studying images (x-ray, MRI) or nerve conduction tests may be useful. The diagnosis process will be carried out by a San Diego pain clinic. Blood tests may be recommended by a pain doctor San Diego according to the signs and symptoms. Nuclear bone scanning may be used in this process. It will help show characteristic uptake patterns. Overall, diagnosis is thought to help prevent progression of the syndrome.

Is there Treatment for RSD?

Well, there may be no cure for this condition but there is a treatment for such. The objective of the treatment by a pain doctor in San Diego is to help relieve painful symptoms so that the patient can resume their normal activities. Response to treatment of RSD is successful in the earlier stages as compared to the later stages.
The most appropriate treatment include;
• Use of cool and moist applications to the affected areas
• Physical therapy that includes gradual exercises helps relieve contractures
• Medication for pain and inflammation
• Other treatments options include amitriptyline, pregabalin, and clonidine.
• For persistent symptoms, prednisone (cortisone) may be used but in high dosage.
• Treatments such as surgically interrupting the nerves of the nervous system may be used to ease pain.

Remember to keep your pain doctor in San Diego informed of any new symptoms and progress so that they can establish a proper treatment program for you. To learn more about RSD, schedule an appointment with your San Diego pain clinic today.

Trigeminal Neuralgia Diagnosed By Pain Management Doctors In San Diego

What is Trigeminal Neuralgia?

Trigeminal Neuralgia is a chronic pain condition or inflammation of the trigeminal nerve that causes facial pain. This condition is referred to as tic douloureux since the intense pain can cause patients to contort their face into a grimace causing the head to move away from the pain, a condition called a tic.
Trigeminal nerve sends impulses of pain, touch, pressure and temperature directly to the brain from areas such as the face, gums, jaw, forehead and around the eyes. The pain caused by trigeminal neuralgia is quite intense and may occur in few hours, minutes or seconds. The outcome can be months or years of attack but in some patients it can be fully controlled.

Trigeminal Neuralgia have been known to affect people of any age, but it is more common in people older than 60 years old. The effects are seen in the right side of the face five times more than the left side.

What Causes Trigeminal Neuralgia?

Headache treatment San DiegoIn the vast majority of the common cases, trigeminal neuralgia is caused by compression of the main nerve to the brain, trigeminal nerve. This nerve is the largest in the skull. This compression is caused by a nearby blood vessel pressing on the main nerve inside the skull.

What are the Symptoms of Trigeminal Neuralgia?

Trigeminal Neuralgia is characterized by a sudden, sharp, electric-like, or stabbing pain that may last for several seconds. The pain mostly occurs on the face and around the eyes, lips, nose, scalp and forehead. These symptoms can be transferred from one person to another by brushing the teeth, touching the face, putting on make-up, swallowing or even feeling just a slight breeze.

Being one of the most painful disorders, the pain is felt on one side of the jaw or cheek though different people experience pain at different times on both sides. The attack result to a sharp pain that may be repeated one after the other. This pain may come and go throughout the day lasting for days, weeks or months. The disorder may be seen to disappear for months or years. It is more frequent in women than men and in rare cases does it affect younger than 50 years of age.

How is Trigeminal Neuralgia Diagnosed?

In diagnosing this condition, your pain management doctor in San Diego will first take a history of the situation and perform a physical examination which should be normal. The main area of test is muscle weakness and presence of corneal reflex controlled by V1. V3 is in control of chewing, and there should be no existence of muscle weakness. When the cornea is touched, the eye should blink in response. The two discoveries must be normal if not, the treatment for trigeminal nerve should begin.

Some pain management doctors in San Diego may order for a Magnetic Resonance Imaging (MRI) to help in the diagnosis of other conditions that may cause trigeminal neuralgia. This disorder is diagnosed based on the description of the patient’s symptoms.

How can Trigeminal Neuralgia Be Treated?

Trigeminal Neuralgia is a long term condition. It can be managed through treatment to some degree. The first treatment to be administered by a pain clinic San Diego should be with an anticonvulsant medication (mostly used to treat epilepsy) called carbamazepine. This medication should be taken several times in a day, with an increase of the dose over the course of few days or weeks so that the medication can build up in your bloodstream.

Migraine Treatment San DiegoTrigeminal neuralgia can also be treated with antiseizure drugs including Neurontin (gabapentin) or Tegretol (carbamazepine). Other medication like Depakote and Klonopin may also be quite effective when used in combination with other drugs to achieve pain relief.

If the treatments turn out to be ineffective, neurosurgical procedures are available to relieve pressure on the nerves and also reduce the amount of sensitivity on the nerves. Some patients have shown successive or reduced pain with the help of medical therapies such as chiropractic treatment, acupuncture adjustments as well self-hypnosis.
Well, these treatment options will help you achieve the very best when relieving pain caused by trigeminal neuralgia. To learn more about them, contact a pain clinic San Diego today.

Top Knee Arthritis Treatment at San Diego Pain Clinic

Top Knee Arthritis Treatment In San Diego Pain Clinic

Arthritis is a known cause of knee pain. Arthritis is defined as an inflammation of one or more joints. The most common symptoms related to arthritis are pain, stiffness and swelling. There are various types of arthritis that can affect the knee joint; however, treatment may vary depending on the condition that causes these symptoms.
The most common is Osteoarthritis also known as wear and tear arthritis or degenerative joint disease. It is involves continuous wearing away of the cartilage in the joint. Once the cartilage is completely worn away, the bone become exposed, and the knee become very swollen and quite painful. This condition affects people as they age. The most common one being those who are overweight. Also, knee arthritis is said to be genetic meaning that it can be passed down the family tree.
Some other factors that may lead to knee arthritis include; torn cartilage, injuries to the knee as well as fractures to the bone around the joint.

What are the Symptoms of Knee Arthritis?

Symptoms of arthritis to progress gradually as the condition worsens but the conditions may become even worse due to minor injury or overuse. Some patients may experience prolonged episodes of mild systems, accompanied by sudden changes that may increase the severity of their symptoms. Generally, the pain develops gradually over time. Other common symptoms of knee arthritis are;
• Joints become stiff and swollen and the person experiences difficulty bending and straightening the knees.
• Vigorous activity may cause severe pain
• Severe pain may cause a feeling of weakness in the knee.
• Loose cartilage fragments and other tissues can interfere with the smooth motion of the joints.
• People with arthritis may experience increased joint pain with a rainy weather.

What are the Causes of Knee Arthritis?

There is no proven cause of knee arthritis specially Osteoarthritis. Though, studies have shown that aging and women are prone to being diagnosed with arthritis. The risk factors associated with knee arthritis include;
• Genetic where arthritis runs in the family
• Obesity
• Severe trauma which involves fractures and removal of the supporting cartilages of the knee.

What Tests show you have Knee Arthritis?

Pain Doctors San DiegoKnee arthritis can be diagnosed by a San Diego pain clinic by use of X-ray which can be taken with the patient standing up where it diagnoses the condition with great accuracy. The pain doctors San Diego will also need to take a thorough history when performing a physical examination.

What are the Treatment Options for Arthritis?

Treatment of arthritis should start with the basic steps at a San Diego pain clinic and proceed to the more severe and invasive state even to an extent of surgery. For those patients with mild arthritis, the arthritis can be managed with simple things like an ice rest-activity or joint injections.
When it comes to surgery cases, there are two kinds of joint replacement surgeries:
• Partial knee replacement
• Total knee replacement surgery can be done using a minimally invasive quadriceps sparing approach that helps to shorten the recovery and decrease the pain after surgery.
Other treatment that works well with knee arthritis include;
Weight Loss, physical therapy, walking aids, activity modification, anti-inflammatory medication as well as cortisone injections.
To learn more about treating knee arthritis, contact a pain doctors San Diego today.