” Where does it hurt? “
To make sure we are able to give you a proper diagnosis on what could be causing your pain, our physicians will sit down and talk with you about where the source of your pain is and what symptoms you are feeling. Below is a chart of the areas we cover.
Abdominal pain is pain that accours in the abdominal region. The stomach, kidneys, liver, small and large intestines, the appendix, pancreas, gallbladder, spleen are all within the abdominal region. Many associate Abdominal pain with Stomach Aches or Digestive issues. However Discomfort or iregularities in any of the listed organs can cause pain that will span across the entire area.
Arm pain is often the result of injury to a nerve, damage to the cervical (neck) portion of the spine, or muscle strain. Thousands of people in America suffer from chronic arm pain. If you have chronic right or upper left arm pain, you should have it evaluated by a pain management specialist who understands spine conditions.
Joint inflammation and injuries can lead to nerve compression and trauma. A person with arm pain often experiences itching, numbness, soreness, and discomfort of the arm structures. Arm pain is often related to an injury, or occurs from overuse from everyday activities, such as writing, working with tools, playing sports, lifting, and typing.
The lower (lumbar) back region has more back pain. The vertebrae are separated by cushioning gel-filled discs, which support much of the body’s weight. The spaces between each irregular shaped bone serves as shock absorbers through the spinal column. Bands of tissues (ligaments) hold each bone in place. The tendons attach the muscles to the spinal column.
Ankylosing spondylosis is a form of progressive arthritis, which is related to chronic inflammation of the joints. This can lead to joint stiffening. The name comes from the Greek words “ankylos,” which means joint stiffening, and “spondylo,” which means vertebra. Spondylitis is spinal inflammation.
The symptoms associated with ankylosing spondylitis include back pain, reduced spinal mobility, and stiffness. This condition also can lead to persistent aching of the joints. Ankylosing spondylitis pain affects more men than women, and usually appears between the ages of 15 and 45 years.
Cancer pain shares the same pathology as non-cancer pain. Cancer pain is associated with a process called “nociception’, which involves activation of the sensory afferents by persistent stimuli. The pain from cancer is directly related to tissue injury, which is activated by primary afferent neurons (nociceptors), which are located in the skin, joints, muscle, and visceral organs.
One major type of cancer pain is spinal cord compression. This usually leads to neck and back pain from cord compression, and can also contribute to weakness of an arm or leg, as well as numbness of an extremity. This compression is treated with interventional measures, which can alleviate nerve irritation and inflammation. Another kind of pain is bone pain, which occurs when cancer spreads to the bones. External radiation is used to treat weakened bones. Radioactive medicine is given to treat affected areas of the bone and make them stronger.
Pain is an unfortunate experience for many patients. With advanced stages of cancer, 50% of patients’ report severe pain. There are usually two sources of cancer pain:
Tumor involvement – As a tumor grows in size, it can put pressure on surrounding tissues and organs. This presses on nerve endings and leads to bone pain, muscle pain, and headaches.
Response to anti-cancer treatments – Surgeries, radiation, biopsies, injections, and other procedures can lead to significant pain.
The carpal tunnel is the passageway in the wrist that connects the forearm to the middle compartment of the deep plane of the palm. The tunnel consists of bones and connective tissue. Several tendons and a nerve pass through it. The canal is narrow and when any of the nine long flexor tendons passing through it swells, the narrowing of the canal often results in nerves becoming compressed.
Chest Wall Pain
Patients may experience pain in the chest wall due to various sources. Post-Surgical scars (neuromas) may become a significant source of pain after operations. Shingles pain (post-herpetic neuralgia) may also be a source of discomfort in the chest region. With this syndrome, the pain develops either before or after the lesions have healed. Chest wall pain may also emanate from problems in the spine.
Post-thoracotomy syndrome presents as pain after surgical removal of ribs injured the underlying intercostal nerves. Pain may present as sharp, shooting pain at the surgical site but then radiates to the breastbone. Persistent pain may benefit from nerve pain blocking medications and from intercostal nerve blocks.
Post-herpetic neuralgia is caused by a reactivation of the Herpes Zoster virus at the dorsal root ganglion near the spinal nerve causing pain. Pain typically precedes any skin blisters, but the pain can often be debilitating. Spinal nerve root blocks are usually successful in alleviating pain.
Complex Regional Pain Syndrome
There are two similar forms of complex regional pain syndrome, called CRPS-I and CRPS-II. CRPS-I (previously known as reflex sympathetic dystrophy syndrome) are individuals without unconfirmed nerve injuries. CRPS-II (previously known as causalgia) are patients that have confirmed or diagnosed nerve injuries. Anyone can be diagnosed with complex regional pain syndrome and it can affect both men and women at any age. CRPS is rarely found in the elderly and children.
Signs and symptoms vary on an individual basis, but most commonly include:
Burning or throbbing pain occurring in the arm, leg, hand, or foot
The affected limb may become sensitivity to touch or cold
Swelling of the painful area
Changes in skin color, temperature, or texture
Changes in hair and nail growth
Joint stiffness, swelling and damage
Muscle spasms, weakness and loss (atrophy)
Decreased ability to move the affected body part
Complex regional pain syndrome occasionally may spread from its source to elsewhere in the body, such as the opposite limb. Signs and symptoms may persist for months to years.
A herniated disk is when the disk is pushed out of the normal anatomical position and thus results in pain and discomfort.
Disk herniation may cause headache, neck, arm, mid-back, chest wall, low back or leg pain and/or numbness. Usually patients will not need surgery for herniated disks. Either the herniated disk or leaking nucleus pulposus can cause irritation of the nerve roots passing near the disc. Disk’s may herniate through vigorous physical activities, trauma, or just spontaneously.
If you are experiencing any of the above or similar symptoms associated with a herniated disc, please don’t hesitate to Contact Our Staff immediately so we can set up an appointment for you and have our specialists evaluate your unique current health condition.
The most common types of head pain are the “primary headache disorders”, such as tension-type headaches and migraines. They have typical features; migraine for example, tends to be pulsating in character, affecting one side of the head and associated with nausea, disabling in severity, and usually lasts between 3 hours to 3 days. Rarer primary headache disorders are trigeminal neuralgia (a shooting face pain), cluster headache (severe pains that occur together in bouts), and hemicrania continua (a continuous headache on one side of the head).
Headaches may also be triggered from a disc or arthritic problem in the neck as well as inconsistent liquid (water) intake. Additionally, entrapment neuropathies of various nerves in the head and neck region may cause headaches. Examples may be Occipital and Trigeminal Neuritis.
Hip pain is one of the most common reasons to see a doctor. Although disk herniations and pinched nerves may cause referred pain into the hip, there are other causes of hip pain originating from the hip itself. Pressure over the greater trochanter (side of hip area) may cause a bursitis (inflammation of a fluid sac). Arthritis in the hip joint and tendinitis due to overused and strained muscles are additional causes of hip pain.
The causes of joint pain are varied and range, from a joints perspective, from degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints, such as bursitis.
Musculoskeletal pain a very common condition that affects the bones, muscles, ligaments, tendons, and nerves. This condition can be very acute (progressing very fast with severe symptoms) or chronic (long-lasting). Musculoskeletal pain can be localized in one area or be widespread throughout the body.
The general location of pain in the cervical (neck) region may be multifactorial and relate to muscle, nerve, bone, joint, arthritic or disc problems.
Neck pain can be a significant source of discomfort for many patients.
Patients may experience discomfort in the head, neck, and upper back area or radiating down the arms and possibly even to the hands.
Pain conditions which may resemble chronic pelvic pain include abdominal wall myofascial pain, peripheral nerve neuritis of the genitofemoral nerve, ilioinguinal nerve, iliohypogastric nerve, pudendal nerve may also mimic pelvic pain. Diagnostic nerve blocks of these nerves can be performed by an Illinois Pain Institute specialist to evaluate for pain due to a specific nerve or combination or nerves.
Before making the diagnosis of chronic pelvic pain, other treatable causes must be addressed with the help of a primary care physician, urologist and/or gynecologist. Conditions such as gastrointestinal disorders, urinary bladder processes, renal colic, endometriosis, or ovarian processes must be addressed first.
Amputation involving an upper or lower limb is a life changing event. The most common amputations are due to peripheral vascular disease, most commonly caused by diabetes mellitus. Traumatic amputations are more common in young adults.
Phantom sensation is sometimes common after surgery and usually of little consequence, but persistent phantom pain can be disabling, causing difficulty with post-surgical wound care and eventual prosthesis fitting and use.
Sciatica pain is described as radicular pain that can be sharp, radiating and can cause shooting pain from the lower back down into the leg.
Common observations of sciatic pain include:
Sciatic pain typically occurs in one leg.
Sciatica can start in the low back or buttock and radiates down the back of the thigh.
Sciatica pain is usually experienced as a sharp pain, as opposed to a throbbing or dull ache.
Words people often use to describe sciatic nerve pain include ‘burning’, ‘searing’, and ‘sharp pain’.
Sciatica pain is usually worse when standing or sitting still
The shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Two joints create shoulder movement. The acromioclavicular (AC) joint is located between the acromion and the clavicle.
The glenohumeral joint, commonly called the shoulder joint, is a ball and socket type joint that helps move the shoulder forward and backward and allows the arm to rotate. The capsule is a soft tissue envelope that encircles the glenohumeral joint that is lined by a thin, smooth synovial membrane.
The shoulder is easily injured causing shoulder pain because the ball of the upper arm is larger than the shoulder socket that holds it. To remain stable, the shoulder must be anchored by its muscles, tendons, and ligaments.
Although the shoulder is easily injured during sporting activities and manual labor, the primary source of shoulder pain appears to be the natural age-related degeneration of the surrounding soft tissues such as those found in the rotator cuff. The incidence of rotator cuff problems rises dramatically as a function of age and is generally seen among individuals who are more than 60 years old. Overuse of the shoulder can lead to more rapid age-related deterioration.
Shoulder pain may be localized or may be felt in areas around the shoulder or down the arm. Disease within the cervical spine of the neck also may generate shoulder pain that travels along nerves to the shoulder.