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    Chronic Pain

September 12, 2018

Back Pain, what is it?

What Causes Back pain

Back pain can be divided into non-radicular pain and radiculopathy. Radiculopathy occurs when there is irritation in the nerve root, causing neurologic symptoms, such as numbness and tingling. Disk herniation and foraminal stenosis are the most common causes of radiculopathy. Non-radicular back pain is most commonly caused by injury to the spinal muscles or ligaments, degenerative spinal disease, or a herniated disk. Spondylosis, or spinal degeneration, occurs when the intervertebral disc undergoes degenerative changes, causing the disc to fail at cushioning the vertebrae. There is an association between intervertebral disc space narrowing and lumbar spine pain. The space between the vertebrae becomes narrow, resulting in compression and irritation of the nerves. There is a weak association between low back pain and facet osteoarthritis, which has been considered as a primary reason for compression of spine nerve roots as they exit the intervertebral foramen.

Back pain can also be due to referred pain from another source. Referred pain occurs when pain is felt at a location different from the source of the pain. An abdominal aortic aneurysm and urethral colic can both result in pain felt in the back.

Back pain is a common symptom that could manifest along the delicate tissues of the backbone, such as the muscles, nerves, bones, and joints. Internal structures such as glands, pancreas and the aorta, may cause referred pain in the back. When treating back pain, health care professionals often attempt to achieve a decrease in the level of the individual’s back pain so as to reestablish their ability to function in everyday activities, to help them manage symptoms and also to evaluate the effects of therapy choices. The objective is to manage back pain with rehabilitation for long-term pain relief.

 

Back Pain Non-Medical Treatment:        

 

Back pain is generally treated with non-pharmacological therapy first, as it typically resolves without the use of medication. Superficial heat and massage, acupuncture, and spinal manipulation therapy may be recommended.

  • Heat therapy is useful for back spasms or other conditions. A review concluded that heat therapy can reduce symptoms of acute and sub-acute low-back pain.

 

  • Regular activity and gentle stretching exercises is encouraged in uncomplicated back pain and is associated with better long-term outcomes. Physical therapy to strengthen the muscles in the abdomen and around the spine may also be recommended. These exercises are associated with better patient satisfaction, although it has not been shown to provide functional improvement. However, one study found that exercise is effective for chronic back pain, but not for acute pain. If used, they should be performed under supervision of a licensed health professional.

 

 

  • Massage therapy may give short-term pain relief, but not functional improvement, for those with acute lower back pain. It may also give short-term pain relief and functional improvement for those with long-term (chronic) and sub-acute lower back pain, but this benefit does not appear to be sustained after 6 months of treatment. There does not appear to be any serious adverse effects associated with massage.

 

  • Acupuncture may provide some relief for back pain. However, further research with stronger evidence needs to be done.

 

  • Spinal manipulation treatments. After a complete examination a personalized clinical treatment program is put together & implemented. Your treatment is monitored so your program can be updated so you receive the maximum benefit.

      is a widely-used method of treating back pain, although there is no evidence of long-term benefits.

At Clinicube we offer these After a complete examination a personalized clinical treatment program is put together & implemented. Your treatment is monitored so your       program can be updated so you receive the maximum benefit.

 

 

 

June 4, 2018

Biceps tendinitis, What is it ?

Biceps tendinitis

Biceps tendinitis is an inflammation or irritation of the long head of the biceps tendon, which connects the biceps muscle to the labrum in the shoulder. The biceps muscle is located in the front of the upper arm, and it has two tendons that attach it to the shoulder. The short head, which is almost never injured, attaches to the coracoid, which is a bone in front of the shoulder. The long head attaches to the labrum at the top glenoid (shoulder socket).

There are many potential causes of biceps tendinitis. Most are due to overuse as can happen with repetitive overhead motions, such as throwing a baseball. Therefore, this injury is not uncommon in baseball players, especially in pitchers, because of the repetitive strain on the shoulder from years of the same overhead motions. Studies on the function of the biceps have been done, and it likely plays a role resisting the torsional forces as the shoulder rotates extremely quickly during the throwing motion.

In pitchers, biceps tendinitis may manifest itself as pain, although sometimes the symptoms are more vague (e.g., difficulty warming up, decreased velocity on one’s fastball, loss of control, and earlier fatiguing). To properly diagnose bicep tendinitis, a physical exam is performed, and an MRI or ultrasound is usually done to confirm the diagnosis.

Biceps tendinitis is first treated nonsurgically with rest, ice, anti-inflammatory medications, physical therapy and possibly a steroid injection. Even when successful, non-operative treatment can sometimes take four to six weeks, depending on the degree of injury to the biceps. There are cases in which surgery is necessary, but this is not likely on the table yet for Kershaw.

Given that the pitcher Kershaw for th LA Dodgers was an un-Kershaw-like 1-4 on the season, it is possible that the biceps was affecting him over his last few starts.

To make matters worse for the Dodgers, this is only one of the many injuries that they are enduring early this season. Hyun-Jin Ryu tore a groin muscle and will not return until after the All-Star break. Also, Corey Seager underwent season-ending Tommy John Surgery.

As you can see with these baseball injuries most are treated nonsurgically. So, always try physical therapy first, If that doesn’t work then you can always go the surgery route.

September 28, 2017

All About Patellar Tendonitis

Knee Pain:

The knee is one of the most vital tendon systems of our body. For athletes, especially those engaged in team sports, the health and well-being of their knee is so important. Their careers are dependent on how long their knees stay injury-free.
In sports, like volleyball and basketball which involve a lot of jumping, the knees are exposed to a myriad of injuries. One of them is patellar tendonitis, commonly known as jumper’s knee.
As its name suggests, jumper’s knee comes from “jumping”. Basketball and volleyball athletes are at risk of suffering from patellar tendonitis. When players dash and go for fast breaks, leap for rebounds and block spikes, dive for loose balls, the knee is always under duress and stress. As a result of all that activity, the patella tendon below the knee cap develops patella tendonitis.
The following are some of the symptoms that you are suffering from jumper’s knee or patellar tendonitis:
1. Gradual increase of pain in the knee with increase in level of activity
2. Patella Tendon feels tender
3. Stiffness in the tendon during morning
4. Pain gets worse whenever you jump, land, run
Jumper’s knee/patellar tendonitis can go beyond just knee pain. Additional stress on the tendon will do further damage and might lead to the whole knee being damaged for life. Athletes with severe jumper’s knee will not only be able to play at peak levels, and may have to refrain from playing again.
To treat jumper’s knee, we have the following advice:
1. Rest your injured knees and refrain from activities that would cause further stress to it.
2. Apply cold compress to the swelling and then warm compress after the swelling is reduced.
3. Always do warm-ups before any activity. Do these warm-up exercises to increase the strength of your knee.
4. Consult a professional therapist on stretching exercises, those which are specifically for the knees.
Do not let jumper’s knee end your athletic career end early, or make you stop playing the game you always loved. Visit Launchfit™ by Clinicube®and we will teach you how to overcome patellar tendonitis!
March 17, 2017

FDA Warns of Percocet, Opioid Drug Mix-Up

The FDA has issued a warning that tablets, pills, and caplets of Percocet and eight other opioid products may have been mixed up and wrongly packaged as another.

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March 17, 2017

Popular Painkillers Linked to Increased Heart Risks

A review of previous studies has found that non-steroidal anti-inflammatory drugs such dicolfenac, ibuprofen, and naproxyn can increase users’ risk for heart attack or stroke by a third, depending on the drug taken and the size of the dose.

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March 17, 2017

People Discount Pain in Those They Dislike: Study

According to a new study in the medical journal Pain, people are more likely to underestimate a person’s pain intensity and to be slightly less sympathetic to that person’s pain if he or she is not considered “likeable.”

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March 17, 2017

NSAIDs May Boost Miscarriage Risk

According to a new study, women who take non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen during the first few months of their pregnancy may have a higher risk of suffering a miscarriage.

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March 17, 2017

Chronic Pain, Smoking Linked in Women: Study

Researchers at the University of Kentucky have found that women who smoke are more likely to experience chronic pain than those who don’t smoke.

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July 1, 2013

Chronic Stress Can Lead to Disease

When we experience an episode of acute stress– a traffic accident, for example – our adrenal glands get a message to release the hormone cortisol, otherwise known as the stress hormone. Cortisol temporarily suppresses the immune system and adds glucose (sugar) to the bloodstream in seconds, giving our bodies optimum power to get through the dangerous or frightening episode.

But when we experience chronic stress – say, caring for a relative with Alzheimer’s or working in a pressured profession – we’ve got low levels of cortisol coursing through our blood all the time. As explained in the European Journal of Immunology, constant low levels of cortisol destroy normal regulation of the immune system, putting stressed-out people at risk of autoimmune disorders.

Chronic Stress Suppresses The Immune System

Chronic stress causes a breakdown in the normal regulation of the immune system. That can lead to autoimmune diseases where we produce antibodies that destroy our own tissues. Some of these 80 diseases include multiple sclerosis, rheumatoid arthritis and Type 1 diabetes.

Because not everyone reacts to stress in the same way, a blood test to measure the effect of cortisol on immune-system functioning would provide a valuable tool for preventing an autoimmune disease from developing. If someone is in danger of any type of chronic stress, we may not know when they’re at a point of immune system damage and this can help people pay attention to it and reduce stress before they get sick.

Exercise and Nutrition Essential For Stress Management

Exercise, proper nutrition and stress management are essential to keep psychological stress from causing physical illness. For people who already suffer an autoimmune disease, the same blood test would help determine appropriate doses of the synthetic cortisol (steroids) generally prescribed to people with these diseases.

Wellness Care

Launchfit™ by Clinicube®for Chiropractic & Decompression NYC provides drug free treatments to help reduce pain and stress. Strongly advocated on sites like http://drugguardians.com, this center has proven its worth. Healthy lifestyle, good nutrition, and keeping our bodies aligned in conjunction with stress relieving techniques can greatly reduce the risk for autoimmune disorders. Be aware of your stressors and take good care of your body. Chiropractic care can be your answer!

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