Top Painful Health Conditions According to the Pain Management Specialists

Pain is something we all have to live with – emotional, psychological, physical. But what are the most excruciating painful conditions that a person can go through? We consulted the top pain management doctors in San Diego and came up with a list of the top five most painful health conditions that can affect a person.


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Sacroiliac Injections By Pain Management Doctors in San Diego

What are sacroiliac injections?

Sacroiliac injections are injections of steroids or other medications directly into the sacroiliac joint by a pain management doctor in San Diego. These joints can be found on either side of the tailbone, and they connect your tailbone to your pelvis.

What is the purpose of the sacroiliac injections?

These injections are designed to reduce inflammation or swelling in or around the sacroiliac joint space. This can help to reduce pain or any residual symptoms that inflammation may cause to your joint or any surrounding structures.

How long does this process take?

The actual injections take between five and ten minutes at a San Diego pain management clinic.

What is injected?

With the sacroiliac injections a mixture of local anesthetic and steroids are injected to reduce pain and to prolong the positive effects.

Is the process painful?

The sacroiliac injections is an injection performed by a pain management doctor in San Diego through the skin and the deeper tissue which causes some pain. Before the injection takes place the skin and the deeper tissue are numbed using a local anesthetic. This helps to alleviate the discomfort felt during the procedure. Some patients will receive sedation in addition to this to make the process easier. The procedure is conducted under a local anesthetic not a general anesthetic which means that you are not “out” during the process. Some patients opt for additional sedation, as mentioned above, and the amount provided is often contingent upon the tolerance levels of the patient.

How is the process performed?

The sacroiliac injections are conducted with the patient lying on their stomach at a San Diego pain management clinic. There is often an x-ray used to determine the correct placement for the needle but thinner patients may not need this. Patients who have IV sedation will be monitored using a blood pressure cuff, EKG, and blood oxygen monitoring device. The skin where the injection will take place is cleaned using an antiseptic and then numbed using an anesthetic. The injection needle will be placed appropriately and the injection carried out. After the process is complete the needle is removed and a covering applied to the area of injection.

What can be expected after the procedure?

After the sacroiliac injections you will feel no pain or little pain, but this is due to the anesthetic. This feeling will go away after a few hours. You may feel sore at the site of the injection for a day or two. This is because of the mechanical process used to place the needle. After the third day you will begin to notice pain relief.

You should have someone else drive you home following the procedure as the injection can cause temporary leg weakness. Any patient undergoing sedation for the sacroiliac injections is required to have a ride home. Patients are advised to have a day or two to relax after the procedure and ice can be applied to the injection site.
Unless you faced complications you can return to work the following day. The most common complication felt is soreness at the injection site. The medication should bring with it lasting effects for several days to several months. If the first injection is not effective, you may return for another in two weeks.

Occipital Nerve Block Injection by Pain Doctors San Diego

What is an occipital nerve block?

An occipital nerve block is a type of injection by pain doctors San Diego using steroids or other medications around the occipital nerves which are located on the back part of the head, right above the neck.
Occipital Nerve Block San Diego

What does the occipital nerve block do?

The occipital nerve block is a type of steroid injection used to reduce swelling or inflammation of tissue around your occipital nerves. This can help to reduce pain and any other symptoms which might be caused by inflammation or irritation in your nerves or surrounding structures. In many cases, headaches in the back part of the head, including tension headaches and regular migraines can be alleviated with the use of occipital nerve block

How long does the process take?

This process takes a few minutes at a pain clinic in San Diego for the actual injection.

What is injected?

With an occipital nerve block, the injection contains a local anesthetic used to numb the pain and a steroid medication intended to allow the anesthetic to work for a longer period of time.

Does this process hurt?

Occipital nerve stimulator San DiegoThe occipital nerve block involves a large needle which is inserted by a pain doctor in San Diego into your deeper tissue. It is this which causes the most amount of pain for patients. The skin and the deeper tissue through which the occipital nerve block will be inserted are numbed though, before the procedure, using a local anesthetic. This will help to alleviate any discomfort felt during the procedure. In this case, patients do not require general anesthesia, but rather, they use the local anesthetic.

How is the process performed?

This process is performed at a pain clinic in San Diego with the patient either lying down or in the sitting position. The skin and any hair on the back of the head will be cleaned using antiseptic after which the injection itself will be performed.

What is to be expected after the occipital nerve block?

Immediately after the occipital nerve block you will feel as though your pain is entirely gone, but this is likely due to the anesthetic. This will wear off after a few hours. Once that is done, you may feel sore for a day or two, the result of the mechanical process used to insert the needle. One the third day you will begin to feel pain relief.

What can I do after the procedure?

After the occipital nerve block you should rest. Many patients are able to drive themselves home from the pain clinic San Diego but it is advised that patients remains in the resting area for several hours directly after the procedure before doing this. You might benefit from applying ice to the affected area. You are able to perform whatever activity thereafter that you can tolerate. Unless you had complications during the procedure you should be able to go back to work the day after the occipital nerve block. The most common problem immediately after is a sore feeling at the incision site.

How long will the medication last?

The medication in the occipital nerve block will begin to work after three days and the effects can last up to a few months.

Hip Pain Treatment With Pain Management San Diego

What is Hip Pain?

Hip pain involves any pain that occurs in or around the hip joint. The pain can either be felt around the hip area or in your groin, thigh or knee. Hip pain experienced on the outside of your hip, outer buttock or upper thigh may be caused by problems with ligaments, muscles, tendons as well as other soft tissues surrounding your hip joint.

What are the Causes of Hip Pain?

Pain may occur in areas within the hip joint or from structures surrounding the hip. The major cause being problems in the bones or cartilage of the hip.

The common cause of hip pain include;

  • Hip fractures. They can be a major cause of hip pain. Hip fractures are more common as pain management San Diego people age since they are more vulnerable to falls and the bones become weaker.
  • Osteonecrosis of the hip
  • Infection mostly in the bones or joints
  • Arthritis that is felt in the front part of your thigh
  • Labral tear of the hip

Pain experienced around the hip may be caused by factors such as;

  • Hamstring
  • Bursitis
  • Hip flexor strain
  • Groin strain
  • Snapping hip syndrome

What are the Symptoms of Hip Pain?

Based on the condition that causes your hip pain, you might feel discomfort in areas such as

  • Groin
  • Inside the hip joint
  • Thigh
  • Outside of the hip joint
  • Buttocks

You will discover that the pain gets worse with activities especially if you suffer from arthritis. Apart from pain, you may have reduced the range of motion.

Diagnosis of Hip Pain

Diagnosis of hip pain begins with a healthcare provider who performs a history check accompanied by physical examination and some tests. By considering the past medical history of the patient, the health care provider can suggest differential diagnosis or a list of potential causes. A physical examination helps refine the tests may be carried out to come up with a specific diagnosis.

The physical examination will focus on the hip, leg and back. The health care provider will look at the results of the findings that may help explain the complaints of the patient. The health care provider may further recommend imaging procedures such as plain X-rays, a CT scan or MRI scan of the hip and pelvis to get a clear view of the bones and joint spaces.

If your pain clinic San Diego doctor suspects that a systemic illness is the cause of hip pain, blood tests may be recommended to confirm the case.

What are the Treatment Options for Hip Pain?

Treatment of hip pain depends on the diagnosis and underlying illness that may be present. Over-the-counter pain medications such as acetaminophen [Tylenol], naproxen (Aleve), ibuprofen [Advil, Motrin], may be taken for pain control. But remember that over-the-counter medications may have some side effects therefore it is wise to ask a health provider for advice and direction.

Crutches, a walker or a cane may be quite useful in the short term once fitted to the patient’s height. Usually, the pain will go away over a few days but if pain persists, medical evaluation may be helpful.
Avoid aggressive walking or running, and strenuous activities. Resting after every activity may be helpful. Also, look for a non-weight bearing activity such as cycling or swimming to allow you maintain aerobic fitness as well as hip range motion. However, if pain persists, seek the help of your health care provider.

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.

The Role Of Physical Therapy In Treatment From Car Accident Injuries

The Role Of Physical Therapy In Treatment From Car Accident Injuries

Car accidents can cause several different types of injuries. Commonly, the back and neck are affected, especially when the car was hit from behind. These are often soft-tissue injuries, like whiplash, that can lead to chronic pain when not dealt with promptly.

In the past, soft clavicle collars were often used to help treat neck injuries. While there are times this may still be recommended, it can lead to muscle stiffness and even atrophy. Movement is generally recommended to help retain and regain muscle function. For many injuries, this includes physical therapy.

When is physical therapy likely to be prescribed?

This type of treatment is sometimes used to help ease pain and injuries that were less noticeable at first, but then either worsen or refuse to go away on their own. It is Pain Management Doctors San Diegosometimes considered as an alternative to heavier medication. It can also be part of follow-up care for surgery and other more extensive treatments.

What type of injury is it used for?

Physical therapy is often used for back and neck pain after car accidents. It can treat muscle tension and strain that accompany various types of injuries in these areas. It is also sometimes used for injuries to the limbs that involve injured tendons or ligaments. It is often part of follow-up care when immobilization from broken bones or similar injuries leads to muscle stiffness or atrophy.

Often, secondary muscle pain can develop from compensating for disabled movement from other injuries. Physical therapy is often part of preventing or treating this type of overuse injury.

What does it involve?

The early stages of physical therapy are generally low-impact. The intent is more to start with any movement at all that can be tolerated, and gradually ease up to a fuller range of what will, ideally, eventually be normal movement or as close as possible.

Stretching exercises are often a key part of improving flexibility. Resistance and strength training, including weights, are also used to restore overall function.

Pain management doctors often incorporate massage therapy into a patient’s treatment plan by management doctors to help with initial tension and stiffness. It can also be incredibly beneficial for psychological relaxation.

What effect is it supposed to have?

Ultimately, the goal is to both reduce pain and to improve movement. When used to treat acute injuries, physical therapy treatments can help prevent the development of chronic conditions and keep pain from getting worse.

When should physical therapy be done?

It is generally started soon after a car accident, within the first few days. Basic stretching exercises and other movement can be helpful to the initial healing process. However, it is also sometimes used to help alleviate chronic pain later on.

For car accident injuries that might seem relatively minor, physical therapy is a good way to help ensure a more complete recovery. It is also an important part of an overall recovery plan for more severe or extensive injuries, especially when long-term rest or immobilization is required before being able to work your way back up to normal activity, or as close as possible.

What To Know About Using Electrical Stimulation For Back Pain

What To Know About Using Electrical Stimulation For Back Pain

For severe, chronic pain that persists despite other treatment, electrical stimulation of the nervous system or muscles is sometimes helpful. A spinal cord stimulator can be implanted and used over a period of weeks or months. There are a few different methods, some of which need to be operated by a therapist, but that can commonly be used by patients at home.

When is electrical stimulation used for back pain?

Electrical stimulation is often used for failed back surgery syndrome, which is pain that surgical treatment hasn’t been able to relieve. It is used for spinal injuries and other types of nerve pain centered on the spine, affecting either the back or the legs. It is also Back Pain San Diegosometimes used to help ease muscle spasms. Often, it is used for ongoing pain that has resisted other treatments, but that does have a known cause.

How does electrical stimulation work?

First, a temporary electrode is implanted as an outpatient procedure. This is connected to a stimulator that typically can be controlled by the patient. There is a test period, where you and your doctor might try different pulse strengths and lengths of treatment to see how your pain responds.

This test period is also used to evaluate for any potential discomfort from the current or other minor side effects, such as headaches. If you respond well initially, a more permanent implant is installed. This requires another outpatient procedure that uses local anesthetic. Your doctor will help determine the best level of treatment, and give you further instructions on how to use the stimulator on an ongoing basis.

You will still need ongoing medical supervision, especially since patients sometimes build a tolerance to the current. It should be noted that this generally does not treat the underlying problem, but is considered a symptom management strategy.

What effect does it have?

This type of electrical stimulation is thought to block some of the pain messages being sent to the brain through disruption of nerve impulses. It is sometimes also thought to promote the release of endorphins, which would promote a general sense of well-being. The electrical impulses can also help muscles to relax in some cases.

Some types of electrical stimulation are thought to help build muscle mass, and therefore fight off atrophy. It can also help to increase blood circulation. Around the spine, providing higher levels of fluids and oxygen will help to promote healing.

What patients are not good candidates?

Patients with some types of pacemakers typically should not use electrical stimulation, as it can interfere with the pacemaker’s operation. Pregnant or nursing women should also avoid this.

Evaluation with your doctor, both of your history of back pain treatment and your general medical condition, will help determine whether or not you’re a good candidate. The doctor can also evaluate whether the underlying cause of your back pain might have a more beneficial direct treatment that hasn’t been tried yet. If so, this should be carried out before trying electrical stimulation for your symptoms.

What To Expect From A Pain Clinic

What To Expect From A Pain Clinic

More than 50 million Americans are living and dealing with chronic pain. Leading an active Sports Doctor San Diegoand full life may seem unachievable, but don’t give up. If the pain treatment to date has not been effective, a pain clinic may be able to help.

A pain clinic is a health care facility focusing on diagnosing and managing chronic pain. Some specialize in pain related to a certain body area or a specific diagnosis; other pain clinics are more general in their practices. Pain clinics help you to become actively involved in managing your pain and regaining control of your life, focusing on you as a total person, not just your pain.

What is Your Pain Tolerance?

Why does back pain annoy one person and yet for another it’s sheer agony putting them out of commission? That’s because each person’s pain tolerance is uniquely shaped by a number of biological and psychological factors.

What is the Role of a Pain Clinic?

Pain clinics may differ in their focus and what they offer they all share the goal of managing the pain of their patients. Pain clinics usually have numerous specialists on staff including doctors, physical therapists, psychologists, alternative therapists such as massage therapists and acupuncturists, diagnostic staff and pain management specialists. All of these people will work together to create a pain management plan for you.

Pain Management Strategies

The pain clinic will tailor your therapy to your specific circumstances, preferences and San Diego Chiropractorsneeds depending on the cause of your pain. Treatment regimes may include one or more of the following:


•    Non aspirin pain medications – OTC like Tylenol

•    NSAIDs – OTC like Naproxen, Motrin, Aleve, Advil, etc.

•    Corticosteroids – These cortisone type drugs are used for severe inflammation and require a prescription.

•    Opioids – Prescription pain medications such as Vicodin, Percocet, Hydrocodone, OxyContin, Demerol, etc.

•    Antidepressants – Can be helpful in relieving some forms of pain and are often used to promote sleep.

Many time medications aren’t adequate by themselves in treating chronic pain so medications are often combined with other techniques such as:

•    Nerve blocks – Injections of local anesthetics can block pain to a specific area.

•    Injections – Local anesthetics can be combined with corticosteroids and injected into the muscle, joint, or nerve root to relieve swelling, muscle spasm, irritation and pain.

•    Physical therapy – A physical therapist or physiatrist will prescribe an exercise program that focuses on increasing your function while decreasing your pain. This can include deep muscle massage, TENS, and ultrasound.

•    Electrical stimulation – This uses the TENS machine (transcutaneous electrical nerve stimulation), which stimulates the nerve fibers through your skin with electrical impulses.

•    Acupuncture – This is an ancient Chinese technique that inserts tiny needles at specific points to relieve your pain.

•    Relaxation techniques – Relaxation training and/or biofeedback training can help to reduce your stress and relieve your pain.
Pain Clinic San DiegoHow to Find a Good Pain Clinic

Once you decide to visit a pain clinic, you will want to do your homework as not all pain clinics offer the same services. Find out what pain therapies are offered, the credentials of the staff, the beliefs and goals of the pain clinic, and whether it develops treatment plans based on your individual needs. Choosing a pain clinic that’s a good match for you is important if you wish to see the best results.

Why Athletes Should See A Chiropractor

Why Athletes Should See A Chiropractor

Your chiropractor will look for vertebral subluxations and then fix those vertebral subluxations by making physical adjustments to your spine. The treatments your chiropractor gives you are intended to restore both your spin and nervous system so that San Diego Pain Clinicthey are functioning optimally, which maximizes your body’s performance, improves its healing ability, and can manage pain.

Anyone who participates in sports or athletic activities will find a regular visit to a chiropractor beneficial as it will keep your spinal column balanced and your nervous system optimized. What many are not aware of is that chiropractic adjustments can be very helpful in managing pain – even eliminating pain.

According to the the American Journal of Pain Management, each year more than 25 million people see a doctor because of sports/athletic injuries. Annually the cost of treatment is more than $67 billion dollars.

Athletes suffer from acute and traumatic injuries. A traumatic injury is the result of an unforeseen force, a sudden impact, or repetition. A traumatic injury can become acute if the injury does not resolve and there is ongoing pain. It’s important to listen to your body – if you are having pain, then you need to address it. Being in constant pain is not healthy Degenerative_Scoliosisand it indicates that there is still a problem that has not been addressed. When symptoms are ignored, injuries can become chronic and you can find yourself dealing with chronic pain.

There are all kinds of medications that can be used in dealing with pain and there are numerous treatments used to deal with injuries. One of the most overlooked treatments is chiropractic treatment. By regularly seeing your chiropractor your body can be kept aligned and in balance, which reduces the likelihood of injury. Once injured your chiropractor can make adjustments that can help you to recover and eliminate pain.

Your chiropractor will focus on your nervous system and on your postural biomechanics providing the optimum environment for your body to be able to heal itself. Healing must always occur within your body. However, the research confirms chiropractic treatments do assist the body’s recovery.

A small study performed in the Journal of Chiropractic Research and Clinical Investigation, examined athletic performance and chiropractic care comparing the performance outcomes of the two groups where the experimental group was given scheduled chiropractic care for 6 weeks. The training schedule was identical in both groups and researchers used standard tests of athletic ability as the outcome measure. Results were significant in the reaction time category as the control group showed less than 1% improvement while the Chiropractic group showed an 18% improvement when comparing their initial scores.

Hospital ER departments handle many different non-fatal sports injuries. Traditional doctors specialize in the repair of tendons and ligaments, fractures and dislocations, and caring for lacerations. However, most athletes leave the ER with the same degree of subluxation that they entered the ER with.
Arthritis San DiegoChiropractors do not treat patients in the same manner as traditional doctors, instead focusing on the treatment of the whole body structure rather than just the injured body part. Your chiropractor also maintains your body’s health before an injury occurs.


What It Means To Receive Chiropractic Treatment On A Personal Injury Lien

What It Means To Receive Chiropractic Treatment On A Personal Injury Lien

A personal injury lien is a process wherein healthcare providers are given the security that they will be paid for the services that they will render to the patient involved. Though this may seem simple enough to understand, there are still a lot of factors to go through in order to completely realize how personal injury liens work. Here, we will break down the different aspects that concern this setup.
Back Pain San DiegoLien is a French word that means to bond or to restrain and in other languages, it also means to bind. In law, a lien is defined as a type of security interest that can be in the form of an item of property to ensure the payment of a debt, service, or performance of an obligation. Some laws define lien as a specific type of interest that a debtor can provide and will be held onto until the debt is completed or discharged. To put it simply, a lien is a court order that is placed on one’s property in order to gratify any debt or service owed to another person.

A personal injury lien is a type of settlement that can be filed by any entity just like a healthcare provider who will pay the injured party’s bills or will have to render its services to the injured party. This kind of settlement has been getting a lot of hype lately, both positive and negative, as it affects both the injured party as well as the healthcare practitioner.
Neck Pain San DiegoReceiving Chiropractic Treatment under Personal Injury Lien

There are a lot of cases when a person who is a victim of personal injury does not have medical insurance or that his or her health insurance does not cover all types of medical bills. When an accident takes place, for example, and the victim does not have the capacity to pay the healthcare provider to get properly and completely treated, the healthcare provider may file a court order called personal injury lien in order to treat the patient without having to charge for any cost during the treatment. This personal injury lien, however, will ensure that the healthcare provider will be paid by the patient at the end of the settlement.

One of the common scenarios for personal injury lien involve automobile accident injuries wherein the patient will seek chiropractic treatment without paying any charge on the onset and during the treatment but will be under the agreement of a personal injury lien. This will ensure that the chiropractor and his services will be paid when the agreement is settled.
Pain Clinic San DiegoThis kind of setup proves to be beneficial for both the chiropractor and the injured party as they will both get the assurance of getting what is due to them as these kinds of settlements usually involve the court and by law, both parties must submit to the given procedures and agreements in order to avoid going through any consequences that come along when the agreement is contravened.