September 27, 2021

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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...

2 min read

ACL damage is among the most common knee injuries. If left unmanaged, this condition can sideline most people. Athletes and non-athletes alike are vulnerable to this painful condition. If you seek treatment for Bayonne ACL tear, contact James Lee, Jr., MD. Alongside his team, the doctor understands the complex components of the knee joint. He has unmatched skill and experience in handling knee complications so that you can resume your regular activities. Book your appointment online or by phone today if you encounter problems in your knee for effective treatment.

What is the ACL?

ACL stands for the anterior cruciate ligament. Your knees comprise three bones that form the hinge joint: the tibia, kneecap, and femur.

The thighbone is the femur. Ligaments refer to tough, fibrous tissues that connect bones and keep the joint together. They work to stabilize the leg so that it can bend and maintain flexibility without the knee separating. The ACL runs diagonally down the middle of the knee, beneath the patella (kneecap). The principal purpose of this ligament is to keep the tibia from pulling ahead of the femur and stabilize the knee, preventing it from rotating.

How Does the ACL Tear?

Sports and exercise are the most common causes of ACL injuries. Cutting, whereby you suddenly slow down and change direction, is a common cause of tear in athletes. When a basketball player tries to pass the ball and change direction quickly, they may cause an ACL tear by pivoting from the knee instead of the foot.

Other causes of ACL tear include:

  • Jumping
  • A blow to the knee
  • Sudden stopping

Partially or fully severing the ACL is a possibility. Overextension, which weakens the tissue, is the cause of injury for specific individuals. Dr. Lee evaluates the knee to see how much damage the ACL has sustained.

Symptoms of an ACL Tear

ACL symptoms vary depending on the intensity of the injury. Some common indications include:

  • Swelling
  • Pain
  • A popping sensation
  • Giving in of the knee
  • Poor range of motion

If you seek to avoid any potential damage, every knee injury should be treated by a doctor. An ACL tear can appear as a result of damage to another region of the knee as well. Because the joint has so many aspects, any knee pain should alert you to schedule an appointment with Dr. Lee.

What is the treatment for an ACL tear?

In most cases, reconstructive surgery is required after a ligament injury. Dr. Lee will examine the joint’s damage and develop a treatment plan that includes the following:

  • Physical therapy
  • Rest
  • Surgery where necessary

Other Services

Besides ACL tear, Dr. Lee and his team further specialize in numerous top-notch treatments, including:

  • Rotator cuff
  • Platelet-rich plasma (PRP0
  • Sports medicine
  • Direct anterior hip replacement
  • Shoulder replacement
  • Knee pain
  • Arthroscopic knee surgery
  • Hip replacement
  • Hip pain

Bottom Line

Irrespective of being an active athlete or not, you can suffer an ACL tear. As such, it is imperative to partner with an outstanding provider for … 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

Good health is critical in our lives; it’s the most invaluable gift you would ever ask for in your existence. It enhances full work performance, hence allowing you to achieve your daily activities goals. Good health also boosts your moods and happiness, encouraging a happy and fulfilling life.

Dr. Juan Borja in Delray Beach commits to providing comprehensive health care services to patients of all ages. At Delray Medical & Dental, Dr. Borja offers effective care for all your dental and primary care services. To enhance and maintain your good health, contact Delray Medical & Dental to book your appointment.

Some of the services available at Delray Medical & Dental include:

Primary care

Primary care involves medical techniques to enhance your health care and ensure your overall wellness.

Primary care at Delray Medical & Dental involves:

·       Managed care involves diagnosing and treating chronic health conditions such as diabetes and high blood pressure.

·       Allergy testing. Many individuals suffer from allergies, with about 50 million people in the US. The Delray Medical & Dental team offers allergy testing to identify the cause of your issue and provide relief.

·       Immigration exams are physical exams to prove you are in good health before migrating to another country. It is part of the immigration process.

·       Geriatrics. Usually, you are at a higher risk of developing health issues as you get older. The most common chronic conditions with older people include diabetes, high blood pressure, arthritis, and heart disease.

Dental care

Dr. Borja and the team at Delray Medical also offer dental care services to enhance your dental and overall health. Some of the dental care services available include:

·       Fillings provide an easy solution to preserve your teeth. It stops tooth decay, preventing the tooth from destruction. Usually, your provider removes the affected tissue and then plugs the cavity with a filling.

·       Crowns are tooth-like caps placed over the teeth to protect after treatment for damage. It feels and looks like your natural tooth, hence enhances tooth functions and support.

·       Same-day dental care. Delray Medical & Dental understands that some dental issues cannot wait the set time for appointments. Hence, they allow you to get dental care whenever you need them.

·       Dental implants replace missing or severely damaged teeth.

·       A root canal is a dental treatment that treats the infected part without having to remove the tooth.

Podiatry

It is a medical field that deals with the treatment of foot and ankle health conditions, including:

·       Bunions

·       Ankle sprains

·       Flat feet

·       Hammertoes

·       Heel spurs

The expert team at Delray Medical offers podiatry treatments to patients of all ages.

Behavioral health

Behavioral health provides solutions on how to deal with issues such … Read More...

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