September 27, 2021

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3 min read

Pelvic pain is a condition that limits you from taking part in your daily activities. Therefore, lowering your production because it leads to absenteeism at work. That is why if you are experiencing pelvic pain, you are encouraged to seek medical help as early as possible. Pelvic pain in South Charleston is managed by a team of specialists who diagnose and treat pelvic pain to enable you to resume your duties quickly.

When should you see a doctor for pelvic pain?

Each woman or individual usually experiences pelvic pain differently because some have a dull or constant ache while others experience intermittent and sharp bouts of pain. Generally, pelvic pain also shows up when carrying out certain activities like urination and sexual intercourse. This pain may also be a sign of an existing problem with the organs associated with urination or reproduction. Therefore, the care specialists recommend you to seek care, especially if you begin experiencing pelvic pain accompanied by fever, worsening menstrual cramps, bloating, unusual vaginal bleeding or spotting, burning urination, diarrhea or constipation, or bloody or cloudy urine. It is also essential to note that pelvic pain is not a condition to push through or ignore. The evaluations performed by your specialist help identify the cause and help identify the proper treatment for you to provide relief to your symptoms.

What are the possible causes of pelvic pain?

In most cases, pelvic pain in women may be due to normal menstruation or ovulation. However, it can also be associated with more serious issues like uterine fibroids, ovation cysts, urinary tract infection, endometriosis, miscarriage, ectopic pregnancy, or pelvic inflammatory disease. In other cases, pelvic pain can as well be a sign of ovarian or uterine cancer.

How is pelvic pain evaluated?

What you are expected to do is give a thorough history of your family, gynecological and medical history, together with a detailed description of your present symptoms, including their intensity, duration, and frequency.  Similarly, a pelvic examination is carried out to help detect any abnormalities like scar tissues or fibroids in your uterus. Additionally, you can also undergo urine and laboratory testing performed in the house to identify any signs of infection. Sexually transmitted infections are also screened.

The care provider may also perform an in-office ultrasound to help look for scar tissues, fibroids, or an ovarian cyst that might be the cause of your pain. But if your pain does not alleviate and the above evaluations do not identify the cause, a minimally invasive diagnostic procedure may be performed to possibly remove or look for endometriosis. Endometriosis is a condition that occurs when endometrial tissue that lines your uterus develops outside your uterus.

How is pelvic pain treated?

In most cases, the treatment option recommended by your care provider depends on the underlying cause of your pelvic pain. Therefore, if you got an infection, antibiotics are usually administered. In other cases, prescription medications, hormone treatments, or minimally invasive surgery may be the option for people with concerns … Read More...

2 min read

Sciatica is one of the most common reasons for lower back pain, impacting around 40% of American adults. Marc Menkowitz, MD, and Steve Paragioudakis, MD of the Center for the Functional Restoration of the Spine, provide extensive methods to address and control sciatica in Shrewsbury, Edison, and Toms River, New Jersey. For professional care for your sciatica pain, call the nearest location or use the online booking service to set up a consultation today.

What Exactly Is Sciatica?

Sciatica is a painful ailment caused by excessive strain on your sciatic nerve. The sciatic nerve travels from your lower back through your buttocks and down your legs; it is the longest nerve in your body.

Sciatica discomfort impacts only one part of the body. Spinal stenosis, herniated discs, car injuries, and bone spurs are the most prevalent sciatica culprits.

What Are The Signs And Symptoms Of Sciatica?

Lower back discomfort, which extends into your buttocks and legs, is the most typical sign of sciatica. As time goes on, your leg discomfort could become more severe, unlike your back pain. Numbness, tingling, or muscle weakness in your feet may also occur, rendering it hard to exercise, walk, or stand.

Sitting and standing could exacerbate your discomfort, whereas lying down could offer the most relief. The severity of sciatica pain differs significantly. Some persons merely feel a vague discomfort, but others have agonizing burning sensations.

Who Is At Danger Of Developing Sciatica?

Sciatica impacts persons of all backgrounds and ages, but several causes, such as:

  • Sitting for extended periods
  •  Overweight or obesity
  •  Diabetic condition
  • Being in your forties or older

If you work in a high-stress job, you are also more prone to get sciatica. It is especially true if you have to lift and carry goods or remain in one posture for an extended period.

How Is Sciatica Identified?

Your specialist at the Center for Functional Restoration of the Spine identifies sciatica by evaluating your health records, inquiring about your symptoms, and performing a physical exam.

They also perform a nerve root tension test that involves your practitioner moving your legs in various postures to flex the sciatic nerve. If you have discomfort during this test, you most probably have sciatica.

What Is The Treatment For Sciatica?

The solution for sciatica is determined by the degree of your symptoms and their impact on your everyday life. If practicable, the Center for Functional Restoration of the Spine suggests conservative, non-invasive treatments such as physical therapy, medication, and plenty of rest.

If these therapies do not relieve your symptoms or nerve root compression triggers nerve damage, your practitioner could propose spine surgery to ease the strain on the spinal nerve roots.

Spinal decompression could be done with a less invasive approach, enabling a faster recovery. To guarantee that you acknowledge your alternatives, your surgeon explains the dangers and advantages of surgery with you.

The Center for Functional Spine Restoration concentrates on diagnosing and treating spinal problems such as sciatica pain. To explore more … Read More...

2 min read

Uterine fibroids refer to non-cancerous tissues that grow inside or outside your uterine wall. Obesity, early onset of menstrual, infertility, family history of fibroids, and late age for menopause increase the chances of developing fibroids. Some women do not experience symptoms, but they include; heavy periods, painful intercourse, frequent urination, and bloating. Most uterine fibroids in McDonough are treated with conservative measures and minimally invasive procedures, enabling you to enjoy time with family members, work with discomfort and enjoy activities you love.

Types of leiomyomas

They are determined by size and location where they grow, and they include;

  1. Submucosal fibroids. It grows in the fetal space.
  2. Intramural fibroids.  They are embedded inside the uterine wall.
  3. Subserosa fibroids. They grow outside the uterus wall.
  4. Pedunculated fibroids. They are mushroom-like and grow outside the uterus with a thin stem.

Causes of uterine fibroids

Age, vitamin D deficiency, alcoholism, birth control use, overeat red meat, and not eat enough vegetables and fruits can raise your chances of developing fibroids. However, the following are the leading causes of uterine fibroids;

  • Hormones such as estrogen and progesterone
  • Genetics
  • Growth factors such as insulin growth factor

Symptoms

Small fibroids are asymptomatic, while larger fibroids can cause you to experience the following signs;

  • Painful and excessive periods
  • Bloating
  • Frequent urination
  • Painful intercourse
  • Low back pain and infertility
  • Abdominal enlargement and constipation
  • Chronic vaginal discharge
  • Pelvic pain and pressure

Diagnosis

Your gynecologist conducts a pelvic exam and the following tests to confirm the size and location of fibroids in the uterine wall.

  1. Ultrasonography test
  2. MRI tests
  3. CT scan
  4. Hysteroscopy and sonohysteroscopy tests
  5. Laparoscopy and hysterosalpingography tests

The treatment options will depend on the size and location of fibroids, symptoms, and future fertility goals.

Medication

They target hormones that affect the menstrual cycle to treat symptoms and pelvic pressure. They include;

  • Non-steroid anti-inflammatory drugs help to relieve myoma pain.
  • Birth control such as IUDs, injections, and pills help to alleviate excessive bleeding, menstrual cramps, and spotting.
  • GnRH agonists help to shrink fibroids.
  • Elagolix is an oral therapy that helps to manage heavy perimenopausal bleeding.
  • Tranexamic acid helps ease the heavy menstrual flow.
  • Minimally invasive surgery
  • If you have severe to chronic symptoms, you may need surgery to relieve pain. These include;
  • Myomectomy. It involves taking out the fibroids and leaving healthy tissue to improve your fertility.
  • Endometrial ablation. It involves heating and freezing the fibroids to destroy and remove them to stop heavy periods.
  • Uterine fibroid embolization. It involves blocking the flow of blood to the fibroid to shrink it.
  • Hysterectomy. It involves the removal of the entire uterus to cure fibroids completely.
  • Laparoscopic or robotic myomectomy. It involves the 3D removal of fibroids from the uterus to alleviate symptoms of uterine fibroids.
  • Radiofrequency ablation. It involves destroying the fibroids and shrinking the blood vessels that feed them.

Talk to your gynecologist today

Many women experience asymptomatic and symptomatic uterine fibroids in their life. Fibroids can deprive you of good family time and prevent you from enjoying … Read More...

3 min read

A herniated disc is a common condition mainly affecting patients between the age of 35-55, and hence it is primarily associated with aging. However, several other factors contribute to the complication, and it would be good to seek medical attention as soon as you suspect signs of the disease. Medical experts such as board-certified interventional pain management physician Justin Badiyan MD, of Spine & Joint Physicians of Frisco, can diagnose your condition and help you manage it effectively. Here are some ways you can find some relief from Herniated Disc Pain:

Try Home Remedies

Depending on the severity of your symptoms, your doctor may recommend some at-home care tips to alleviate your pain. Your doctor can ask you to rest for about two days to see if the pain improves by taking some pressure off your vertebrae. You can also be advised to try cold or heat therapy to find out which works best to minimize the inflammation on your back. Whichever works for you, be sure to follow your doctor’s directions carefully to avoid irritating your skin. Also, try to resume activities gradually if you begin experiencing relief.

Try OTC Medications

Mild and moderate pain can be relieved through some over-the-counter medications. However, it would be good to have your doctor evaluate your condition to clear any urgent need for advanced treatment. You can buy some naproxen, aspirin, ibuprofen, or acetaminophen from the pharmacy or nearest stores and follow your pharmacist’s directions and read the instructions on the label carefully.

Consider Muscle Relaxers

Many patients report muscle spasms when enduring herniated discs, which heightens the nerve pain. You can talk to your doctor about any muscle spasms you might be experiencing, and your provider will probably prescribe some muscle relaxers to ease your discomfort. However, be aware of the side effects of the muscle relaxers, such as dizziness and drowsiness. Also, it would be best to take the muscle relaxers strictly as directed by your doctor.

Consider Epidural Injections

If your pain persists despite using oral medications, you might benefit from epidural injections. Discuss it with your doctor, particularly if the pain persists for over six weeks, as it might help you get some pain relief. Your doctor will inject some corticosteroid around your spinal nerves guided by an ultrasound to precisely place the injection. You might experience immediate pain relief following your injection, and also, the muscle spasms from the herniated disc may cease immediately.

Physical Therapy

You can talk to your doctor about physical therapy to learn how to minimize your pain if it persists despite you taking medications. You might also benefit from some exercises alongside taking the medicines to increase the effectiveness of your treatment. Your physical therapist can focus your activities on building your core and back strength which is critical when dealing with a herniated disc.

Surgery Can be an Option

If all the conservative treatments for herniated discs do not provide pain relief, surgery can be your best option to get … Read More...

2 min read

Many gynecological operations are now minimally invasive, thanks to advancements in medicine and science. Darin Swainston, MD, FACOG, is an expert in robotic-assisted gynecological surgery in the Summerlin and Las Vegas areas. He provides his patients with optimal comfort and ease of recovery while also improving cosmesis. Schedule a consultation with Las Vegas minimally invasive surgery specialist Dr. Swainston through mobile or book online to find out more.

What Exactly Is Robotic-Assisted Gynecological Surgery (RAGS)?

During a robotic-assisted operation, Dr. Swainston employs a video-equipped surgical robot with extraordinary accuracy to accomplish the surgery with one minimal cut instead of one enormous incision.

Regardless of the scale of the cuts, the operator could see very comprehensive, high-resolution images of the surgical site utilizing a computer or bedside console. Consequently, patients benefit from higher accuracy, a lesser danger of blood loss, and a shorter recovery period.

What Robotic-Assisted Surgical Procedures Does Dr. Darin Swainston Offer?

For optimal patient safety and comfort, Dr. Darin Swainston conducts the following robotic-assisted surgeries:

  • Myomectomy – surgical elimination of uterine fibroids
  • Hysterectomy – Elimination of the uterus and, in some cases, the cervix
  • Suspension of the uterosacral vaginal vault – Treatment of vaginal and uterine prolapse
  • Endometriosis resection – Elimination of endometriosis implants while conserving the fallopian tubes, uterus, and ovaries
  • Adhesiolysis – elimination of scar tissue surrounding reproductive organs
  • Ovarian Cystectomy – Elimination of tumors/ ovarian cysts, either entirely or partially
  • Abdominal Sacrocolpopexy – Rehabilitation of ligaments, muscles, and tissues that sustain the vaginal organs

What Are The Dangers Of Robotic-Assisted Surgeries?

The consequences of anesthesia or surgery are conceivable, and the danger varies widely depending on the technique and individual. A comprehensive review of the patient’s health history is required to eliminate probable difficulties.

Some hazards reduce with robotic-assisted surgery, such as wound infection, blood loss, pneumonia, and blood clots in the legs. Recovery also involves reduced discomfort and a shorter recovery time.

How Many Additional Consultations Are Needed?

Because of the quick recovery time following non-invasive surgery, most patients return for one or two follow-up visits at predetermined intervals after the treatment.

Who Can Have Robotic-Assisted Gynecologic Surgeries?

Patients who have a problem addressed with robotic-assisted surgery and are in good enough health to tolerate surgery are typically good candidates. In some situations, obesity or old age could exclude an individual from undergoing surgery. Nevertheless, this is not limited to robotic-assisted surgery; it extends to robotic-assisted and conventional surgical modalities.

Reviews & Testimonials

Darin Swainston, MD, FACOG, is always grateful for input from his loyal patients. To date, he has obtained 327 reviews with a rating of 4.91 out of 5 stars. To see what other patients are saying about the practice, visit the clinic’s website.

Dr. Swainston and his team offer a broad spectrum of innovative procedures and sophisticated technology to enhance and protect excellent health across every stage of a woman’s life. Explore the benefits of minimally invasive surgery by calling the office of Darin Swainston, MD, FACOG, or use the online … Read More...

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