Rapid Pain Management Service

Your Health is the Top Priority

Take time to meet with the doctor, team, and our wellness network to help you achieve your wellness goals. To fully understand the nature of your health, we recommend that you identify symptoms and see treatment options using our service.

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  • Back Pain ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
  • Hip Pain ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
  • Knee Pain ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯
  • Leg Pain ⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯⎯

Definition of Symptoms

Neck Pain

Neck pain can be due to a strain from poor posture or osteoarthritis. It is often not an indication of a more serious issue. Seek medical care if your neck pain is followed by numbness or loss of strength in your arms or hands or if you have extreme pain radiating into your shoulder or down your arm.

Possible diseases

  • Nerve compression
  • Worn joints
  • Rheumatoid arthritis

Nerve compression

Herniated discs or bone spurs in the vertebrae of your neck can press on the nerves diverging out from the spinal cord. It occurs when the soft tissue in the discs between your joints comes out. It’s typically caused by wearing away.

Symptoms differ significantly, depending on the site of the herniated disc and the size of the herniation.

  • If the herniated disc is not pressing on a nerve, you may experience a low backache or no discomfort at all.
  • If it is pressing on a nerve, there may be discomfort, numbness, or feebleness in the area of the body to which the nerve travels.

Fortunately, the majority of herniated discs do not need any surgical procedure. With time, the indications of sciatica/radiculopathy recover in about 9 out of 10 individuals.

Worn joints

Just like the other body joints, the joints in your neck tend to weaken with aging. Due to osteoarthritis, the cushions (cartilage) between your bones (vertebrae) deteriorate. Your body then creates bone outgrowths that affect joint motion and cause discomfort.

Osteoarthritis is caused by the deterioration of the cartilage in the joints. This makes the cartilage split and become fragile. Symptoms may include:

  • swelling around the affected area
  • redness of the skin and an increase in its temperature
  • limitation of movement along with inflammation and pain.

If medication and exercise are not helpful, surgery to repair, strengthen, or replace damaged joints may also be considered.

Rheumatoid arthritis

It is an autoimmune condition that can impact any joint in the body. It can cause severe pain and debility, as well as inflammation.

Unlike the deterioration caused by osteoarthritis, rheumatoid arthritis disturbs the lining of your joints, causing an agonizing inflammation that can ultimately result in bone loss and joint irregularity.

Common symptoms are:

  • Tender, warm, inflamed joints
  • Joint rigidity that is usually worse in the mornings and after dormancy
  • Lassitude, fever, and loss of appetite

Seek medical assistance if you have persistent pain and inflammation in your joints.

Definition of Symptoms

Shoulder Pain Shoulder pain can appear at any age. Short-term or constant, strong or weak, sharp or aching, it is the result of a banal overload or signaling a life-threatening condition. When pain occurs, it is important to consult a specialist promptly to identify their cause and take the necessary measures. Possible Diseases
  • Arthritis
  • Arthrosis
  • Bursitis
  • Capsulitis
  • Avascular necrosis
  • Tendonitis
  • Osteochondrosis of the cervical spine
  • Ligamentous calcification
  • Brachial neuritis and brachial plexitis
  • Trauma

Arthritis

It is one of the most common causes of shoulder pain. The disease is associated with the development of an active inflammatory process in the shoulder joint, which is accompanied by:

  • severe pain syndrome;
  • fever and swelling of the affected area;
  • redness of the skin over the sore joint.

Pathology occurs against the background of trauma, infectious diseases, hypothermia, high physical activity, allergic and autoimmune reactions. Depending on the duration and severity of symptoms, it can be acute or chronic.

Despite the varied manifestations, some symptoms of arthritis always appear. Regardless of what caused the illness, the patient observes:

  • swelling around the affected joint
  • redness of the skin and an increase in its temperature,
  • limitation of movement in the joint, accompanied by crunching and pain.

It is necessary to contact a specialist to confirm the diagnosis and start treatment.

Arthrosis

Arthrosis is a type of arthritis that’s instigated by usual wear and tear on your joints and cartilage. Cartilage is the slippery tissue that conceals the ends of your bones and supports your joint movement.

Over time, your cartilage can weaken and may even dissolve completely. This results in bone-to-bone contact in your joints and causes:

  • Discomfort
  • Stiffness
  • Puffiness

Arthrosis can impact any joint in your body. It’s most likely to affect the joints of your hands, neck, knees, and hips. As your age increases, you become more vulnerable to developing arthrosis.

It is necessary to contact a specialist to confirm the diagnosis and start treatment.

Bursitis

Bursitis is swelling or irritation of bursa sacs that are present all over your body. They’re filled with fluid that helps reduce friction between tissues such as bone, muscle, tendons, and skin.

Bursitis is common around key joints like:

  • Shoulder
  • Elbow
  • Hip
  • Knee

The most common indication is pain that might build up gradually or be abrupt and severe, particularly if you have calcium deposits in the region. Your joint might also be:

  • Stiff
  • Swollen
  • Red

Call your doctor if you have:

  • Fever (over 102)
  • Inflammation, redness, and warmth in the area
  • General illness or more than one area that hurts
  • Trouble moving the joint

Capsulitis

Also called frozen shoulder, capsulitis is a condition characterized by stiffness and pain in your shoulder joint. You are more vulnerable to developing capsulitis if you're recovering from a medical illness or procedure that stops you from moving your arm.

Capsulitis usually develops gradually, and in three phases. Each phase can last several months.

  • Freezing phase - Any movement of your shoulder causes pain, and your shoulder's range of motion starts to become restricted.
  • Frozen phase - Pain may begin to reduce during this stage but your shoulder becomes stiffer.
  • Thawing phase - The range of motion in your shoulder begins to recover.

For some individuals, the pain aggravates at night, sometimes disturbing sleep.

Treatment for capsulitis involves:

  • Range-of-motion exercises
  • Corticosteroids
  • Numbing medicines injected into the joint capsule
  • Arthroscopic surgery (to loosen the joint capsule)

Avascular necrosis

Also called osteonecrosis, avascular necrosis occurs when your bone tissue dies because of a deficiency of blood supply. It can result in tiny breaks in the bone and the bone's ultimate breakdown. A broken bone or displaced joint can disturb the blood flow to the bone section.

This disease is also associated with:

  • long-term use of high-dose steroid medicines
  • excessive alcohol consumption

You may not have any indications in the early stages but as the condition deteriorates, your affected joint might hurt only when you put weight on it.

Sooner or later, you might feel the pain even when you're lying down.

Seek instantaneous medical attention if you think you have a broken bone or a dislocated joint.

Tendonitis

Tendonitis is swelling or irritation of a tendon, which is the thick fibrous cords that attach muscle to bone. You may feel:

  • pain
  • sensitivity just outside a joint
  • mild swelling

While tendonitis can happen in any of your tendons, it is most common around your:

  • shoulders
  • elbows
  • wrists
  • knees
  • heels

Most cases of tendonitis can be effectively cured with:

  • rest
  • physical therapy
  • medicines to decrease pain

If tendonitis is severe and results in the falling-out of a tendon, you may need surgery.

Osteochondrosis of the cervical spine

Osteochondrosis causes a change in the intervertebral disc and adjacent bone due to wear and tear. The intervertebral discs are immovable, fibrous rings between the discrete vertebra in the spine and act as shock absorbers for impacts.

When excess strain is applied on these discs, osseous outgrowths develop which can cause:  

  • Restricted mobility of the spine
  • Stubborn, intractable back pain
  • Neck pain that can emit from the cervical spine, down the arms, and into the fingertips
  • Lower back pain that also radiates into the buttocks or legs

If you experience involuntary discharge of urine or stool, contact a doctor instantly.

Ligamentous calcification

Also called calcific tendonitis, or ligamentous calcification refers to the accumulation of calcium salts in a tendon. It typically occurs because of:

  • Injury
  • Trauma
  • Stress

Symptoms include:

  • Swelling
  • Restricted movement of the joint
  • Discomfort in the shoulder that radiates down the side of the arm
  • Discomfort when lifting the arm above your head
  • Discomfort when sleeping on the affected side
  • The onset of pain that is unconnected to shoulder position or activity

Surgery can take out the calcium deposit, however, it doesn’t address the reason why calcium builds up in the tendon. Prolotherapy removes that reason and also resolves the pain.

Brachial neuritis and brachial plexitis

It’s a condition described by the acute start of shoulder pain followed by feebleness and/or sensory loss of the shoulder and/or upper extremity.

Common symptoms include:

  • Extreme pain in the upper arm or shoulder
  • Discomfort typically affecting just one side of the body
  • Discomfort transitioning to weakness, flaccidity, or paralysis in the muscles of the affected arm or shoulder
  • Lack of muscle control in the shoulder or arm

Research suggests that using corticosteroids in the early stages may reduce pain and weakness recovery time. However, physiotherapeutic rehabilitation, including kinesiotherapy, transcutaneous electrical nerve stimulation, deep dermal therapy, cryotherapy, and/or functional electric stimulation, is quite effective in decreasing pain and weakness.

Trauma

Injuries or trauma are the most common cause of shoulder pain. An acute injury may happen from:

  • fall on a stretched out arm
  • a direct blow to the shoulder
  • unusual twisting or bending of the shoulder

Shoulder problems can be minor or serious. Symptoms include:

  • Abrupt and severe pain
  • Bruising and inflammation soon after the injury
  • Numbness and tingling
  • Feebleness
  • Variations in temperature or color
  • Variations in your range of motion

Treatment for a shoulder injury may include first aid measures, physical therapy, medicine, and, in some cases, surgery.

Definition of Symptoms

Back Pain

Back pain is one of the most common causes people go to the medic or miss work, and it is an important cause of disability globally. Back pain can range from a muscle throbbing to a shooting, burning, or acute sensation. Also, the pain may radiate down your leg or deteriorate with bending, twisting, lifting, standing, or walking.

Possible diseases

  • Herniated or slipped discs
  • Spinal stenosis
  • Spondylolisthesis
  • Inflammation and Sacroiliitis
  • Strain

Herniated or slipped discs

It occurs when the soft tissue in the discs between your joints comes out. It’s usually caused by wear and tear. Herniated discs can cause pain in your lower back or hip because the nerves there are pressed.

Symptoms differ significantly, depending on the site of the herniated disc and the size of the herniation.

  • If the herniated disc is not pressing on a nerve, you may experience a low backache or no discomfort at all.
  • If it is pressing on a nerve, there may be ache, numbness, or feebleness in the area of the body to which the nerve travels.

Fortunately, the majority of herniated discs do not need surgery. With time, the indications of sciatica/radiculopathy improve in around 9 out of 10 individuals.

Spinal stenosis

It is a tapering of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis happens most often in the lower back and the neck.

Some individuals with spinal stenosis may not have indications. Others may experience:

  • Discomfort
  • Stinging
  • Numbness
  • Muscle feebleness

Spinal stenosis is most commonly instigated by wear-and-tear variations in the spine related to osteoarthritis. In severe cases of spinal stenosis, medics may suggest surgery to create extra space for the spinal cord or nerves.

Spondylolisthesis

It occurs when a bone in the spine slips forward and out of place, normally in the lower back. The worsening form of this situation is arthritis, which deteriorates the joints and ligaments keeping the spine aligned. It can cause a disc to go forward over a vertebra.

Common symptoms are:

  • Muscle contractions in the hamstring (muscles in the back of the thighs)
  • Back rigidity
  • Trouble walking or standing for long periods
  • Discomfort when bending over
  • Numbness, feebleness, or stinging in the foot

Treatment depends on the grade of the slippage, your signs, age, and overall wellbeing. Your doctor will discuss treatment alternatives with you. You may require medicine, physical therapy, or a surgical procedure.

Inflammation and Sacroiliitis

The sacroiliac joint lies where your spine and pelvis converge. It doesn’t move much, but it’s significant because it moves the weight of the upper body to the lower body.

Inflammation and wear and tear of the joint cartilage can occur:

  • after an injury
  • due to arthritis
  • due to infection
  • due to pregnancy

The pain can be aggravated by:

  • Extended standing
  • Bearing more weight on one leg than the other
  • Stair climbing
  • Running
  • Taking large steps

As with other situations that cause chronic pain, sacroiliitis can bring about depression and sleeplessness. Treatment might involve physical therapy and medications.

Strain

Back pain usually shoots from strain, stiffness, or wound. Common reasons for back pain are:

  • stressed muscles or tendons
  • a muscle contraction
  • muscle stiffness
  • injured discs
  • wounds, fractures, or falls

Activities that can bring about strains or tremors include:

  • lifting something incorrectly
  • lifting something that is heavyweight
  • making an unexpected and uncomfortable movement

Symptoms include:

  • Dull, sore low back pain
  • Increased pain with movement
  • Ache that is localized in the lower back
  • Rigidity, difficulty walking or standing
  • Local soreness and swelling

The majority of patients will recover with controlled physical activity, physical therapy, non-addictive non-steroidal anti-inflammatory drugs, and muscle relaxants.

Surgical intervention is needed if a patient doesn’t improve with conventional therapy and has undeniable indications (sciatica) associated with a mechanical ailment (herniated disk).

 

Definition of Symptoms

Hip Pain

Hip pain is a common problem that can be triggered by a wide range of complications. The exact location of your hip pain can offer valuable signs about the fundamental cause. Problems within the hip joint itself often result in ache on the inside of your hip or your groin. Hip pain on the exterior of your hip, upper thigh, or outer buttock is typically instigated by complications with muscles, ligaments, tendons, and other soft tissues that surround your hip joint.

Possible Diseases

  • Hip dysplasia
  • Osteoarthritis
  • Hip fracture
  • Hip labral tear
  • Paget’s disease of bone

Hip dysplasia

Hip dysplasia is the medical terminology for a hip socket that doesn’t fully cover the ball portion of the upper thighbone. This causes the hip joint to become partly or totally displaced. Most individuals with hip dysplasia are born with the ailment.

Symptoms vary by age group.

  • In babies, one leg may be longer than the other, resulting in limping
  • In adolescents and young adults, hip dysplasia can cause excruciating problems such as osteoarthritis or a hip labral tear. This may result in activity-related groin pain.
  • The patient may also experience a feeling of shakiness in the hip.

In older children and young adults, surgery may be required to move the bones into the correct positions for smooth joint movement.

Osteoarthritis

Deterioration of cartilage in the joints causes osteoarthritis. This makes the cartilage split and become breakable. Sometimes, pieces of the cartilage detach in the hip joint.

Once the cartilage deteriorates enough, it fails to cushion the hip bones, causing discomfort and swelling.

Symptoms may include:

  • swelling around the affected area
  • redness of the skin and an increase in its temperature
  • limitation of movement along with inflammation and pain.

The key treatments for osteoarthritis are:

  • lifestyle changes – like keeping a healthy weight and working out often
  • medicine – to let go of your pain
  • supportive treatments – to help make daily activities stress-free

If other treatments are not working, surgery to repair, support, or change damaged joints may also be considered.

Hip fracture

A hip fracture is grave damage, with problems that can be dangerous. The hazard of hip fracture increases with aging.

It becomes riskier because:

  • bones tend to deteriorate with aging (osteoporosis)
  • many medicines, poor vision, and balance difficulties also make the elderly more likely to fall, which is one of the most common reasons for hip fracture.

Indications of a hip fracture include:

  • Incapability to get up from a fall or to walk
  • Extreme pain in your hip or groin
  • Incapability to put weight on your leg on the side of your wounded hip
  • Bruising and inflammation in and around your hip area
  • Shorter leg on the side of your wounded hip
  • External bending of your leg on the side of your wounded hip

A hip fracture almost always needs surgical reparation or replacement, which is followed by physical therapy.

Hip labral tear

It involves the ring of cartilage (labrum) that follows the external rim of your hip joint socket.

Players who partake in sports like ice hockey, soccer, beach ball, golf, and dance have more risk of developing hip labral tears. Structural irregularities of the hip also can result in a hip labral tear.

Many hip labral tears cause no symptoms. Some individuals, however, have one or more of the following:

  • Ache in your hip or groin, often worsened by extended periods of standing, sitting, or walking
  • A locking, clicking or catching feeling in your hip joint
  • Rigidity or restricted range of motion in your hip joint

Seek medical attention if symptoms aggravate or don’t recover within 6 weeks.

Paget’s disease of bone

It disturbs your body’s normal recovering process, in which new bone tissue progressively substitutes old bone tissue. Over time, bones can become brittle and distorted. The pelvis, skull, spine, and legs are most commonly impacted.

Indications, if any, will depend on the injured part of your body. When in the pelvis, it can cause hip pain.

Talk to your doctor if you have:

  • Soreness in your bones and joints
  • Burning and weakness in an extremity
  • Bone irregularities
  • Inexplicable hearing loss, particularly if it’s only on one side

 

Definition of Symptoms

Knee Pain

Knee pain is a common issue for many reasons, from acute injuries to problems of medical conditions. It can be restricted to a particular area of the knee or be radiated throughout the knee. It is often accompanied by physical restrictions. A detailed physical examination will usually create the diagnosis of knee pain.

Possible diseases

  • Acute injury
  • Rheumatoid arthritis
  • Gout
  • Septic arthritis
  • Patellar tendonitis
  • Osteoarthritis

Acute injury

The most problem that causes knee pain is an acute injury. It may include:

  • broken bone,
  • fractures
  • dislocation
  • torn tendon, or
  • meniscal tear

Symptoms often include:

  • difficulty bearing weight or walking due to instability of the knee
  • limping due to discomfort
  • difficulty walking up or down steps due to ligament damage (sprain),
  • locking of the knee (unable to bend the knee)

All acute injuries need immediate medical attention. Many knee fractures require significant force, and a thorough examination is performed to detect other injuries.

Rheumatoid Arthritis

It is an autoimmune condition that can impact any joint in the body. It can cause severe pain and debility, as well as inflammation.

Unlike the deterioration caused by osteoarthritis, rheumatoid arthritis disturbs the lining of your joints, causing an agonizing inflammation that can ultimately result in bone loss and joint irregularity.

Common symptoms are:

  • Tender, warm, inflamed joints
  • Joint rigidity that is usually worse in the mornings and after dormancy
  • Lassitude, fever, and loss of appetite

Seek medical assistance if you have persistent pain and inflammation in your knee joints.

Gout

Gout is a form of arthritis that is most commonly found in the big toe, though it can also affect the knee. It tends to flare up and is extremely agonizing during acute episodes. When there is no flare-up, the knee can be pain-free.

The symptoms of gout almost always occur suddenly, and often at night. They include:

  • Intense joint pain
  • Lingering discomfort
  • Inflammation and redness
  • Limited range of motion

If you experience sudden, intense pain in a joint, call your doctor. Gout that goes untreated can lead to worsening pain and joint damage.

Seek medical care immediately if you have a fever and a joint is hot and inflamed, which can be a sign of infection.

Septic arthritis

With septic arthritis (also called infectious arthritis), the knee joint can become infected. It can come from germs that travel through your bloodstream from another part of your body. This leads to:

  • pain,
  • swelling, and
  •  

You may also experience loosening of the joints, which causes pain while moving the joint or while putting weight on the joint. Typically, the pain goes away when at rest. In extreme cases, the joint may become dislocated.

This condition requires antibiotics and drainage treatments as soon as possible. If you have an artificial joint, see your doctor if you experience pain while using the joint.

Patellar tendonitis

It is an inflammation of the tendons connecting the kneecap (patella) to the shinbone (the bone of the lower leg). It is a chronic condition often found in individuals repeating the same motion during exercise (such as runners and cyclists).

Pain is the first symptom of patellar tendinitis, usually between your kneecap and where the tendon attaches to your shinbone (tibia).

Initially, you may only feel pain in your knee as you begin a physical activity or just after an intense workout. Over time, the pain worsens and starts to interfere with playing your sport. Ultimately, the pain inhibits your daily movements such as climbing stairs or rising from a chair.

Call your doctor if your pain:

  • Continues or worsens
  • Interferes with your ability to perform routine daily activities
  • Is associated with swelling or redness about the joint

Osteoarthritis

Deterioration of cartilage in the joints causes osteoarthritis. This makes the cartilage split and become breakable. Sometimes, pieces of the cartilage detach in the hip joint.

Once the cartilage deteriorates enough, it fails to cushion the hip bones, causing discomfort and swelling.

Symptoms may include:

  • swelling around the affected area
  • redness of the skin and an increase in its temperature
  • limitation of movement along with inflammation and pain.

The key treatments for osteoarthritis are:

  • lifestyle changes – like keeping a healthy weight and working out often
  • medicine – to let go of your pain
  • supportive treatments – to help make daily activities stress-free

If other treatments are not working, surgery to repair, support, or change damaged joints may also be considered.

 

Definition of Symptoms

Leg Pain

Most leg pain results from wear and tear, overuse, or wounds in joints or bones or muscles, ligaments, tendons, or other soft tissues. Some kinds of leg pain can be traced to issues in your lower spine. Leg pain can also be caused by blood clots, varicose veins, or poor circulation.

Possible diseases

  • Peripheral Artery Disease (PAD)
  • Deep Vein Thrombosis (DVT)
  • Peripheral Neuropathy
  • Spinal Stenosis
  • Sciatica
  • Arthritis
  • Varicose Veins

Peripheral Artery Disease (PAD)

With this condition, your limbs, normally your legs, don’t get sufficient blood. It typically occurs since your arteries have constricted. Your legs may feel:

  • weak or numb
  • twinge when you walk
  • cold and be a strange color

Some individuals can manage PAD with habit changes, such as quitting smoking. If that doesn’t work, your medic might give you medication to treat the problem or assist with the pain. However, some individuals require surgery.

Deep Vein Thrombosis (DVT)

This is a blood clot in a vein, typically in your thigh or lower leg. It doesn’t always cause indications, but you might have:

  • discomfort,
  • inflammation in your leg,
  • the leg may feel warm and red

Call your doctor immediately if you notice any of these. DVT can result in a grave ailment called a pulmonary embolism, when the clot breaks off and goes to your lungs. Your consultant can give you medication to keep clots from creating, developing, or breaking off.

Peripheral Neuropathy

This occurs when there’s an injury to the nerves in your body that communicate messages to and from your brain. The most common reason is diabetes, but other health circumstances, medications, wounds, or infections can cause it.

If it disturbs the nerves in your legs, they might feel:

  • prickly or stinging
  • numb or weak

Your consultant will treat the ailment that’s instigating it and give you medication for discomfort if you need it.

Spinal Stenosis

This disorder occurs when the spaces within the bones in your spine get constricted. That puts stress on the nerves in the region and can cause:

  • discomfort
  • stinging
  • numbness
  • feebleness in your legs
  • problem with balance

See your medic immediately if you have any of these indications. Medicine can ease the ache, and physical therapy can aid, too. If these don’t work, you might need a surgical procedure.

Sciatica

This is leg pain that comes from a pinched nerve in your lower spine. It can vary from a bad spasm to a strong shooting ache that makes it difficult to stand or even sit. You might feel it due to a:

  • slipped or herniated disk
  • slipped vertebra
  • seizure of your buttock muscles
  • spinal stenosis

Your medic might suggest over-the-counter pain medicines or physical therapy. If you have a more grave situation, you might need a surgical procedure.

Arthritis

The disease is associated with the development of an active inflammatory process in the joint, which is accompanied by:

  • severe pain syndrome;
  • fever and swelling of the affected area;
  • redness of the skin over the sore joint.

Despite the varied manifestations, some symptoms of arthritis always appear. Regardless of what caused the illness, the patient observes:

  • swelling around the affected joint
  • redness of the skin and an increase in its temperature,
  • limitation of movement in the joint, accompanied by crunching and pain.

It is necessary to contact a specialist to confirm the diagnosis and start treatment.

Varicose Veins

When veins have to work harder to get blood back to your heart, they swell and look warped, blue, or dark purple. They can make your legs feel:

  • heavy
  • tingle
  • thump, or

You’re more probable to have them as you age, or if you’re bulky, expecting, or stand or sit for long stretches.

Losing weight, working out, or wearing compression stockings may benefit. If they don’t, talk with your consultant about other treatment alternatives.

Identify the affected area

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