Posts Tagged ‘Medical Condition’

January 27th, 2009 No comments
Hemant Yagnick, M.D. asked:

Chronic pain is a complex medical condition influenced by biological, physical, behavioral, environmental and social forces. Because this is true I am dedicated to and passionate about using a multidisciplinary approach, relying upon my well-rounded training and experience in the field of interventional pain medicine.

Using a multidisciplinary approach increases the chance of identifying the source of pain at its root and then developing a treatment plan from the very beginning that has the greatest potential of lessening pain and returning the patient to as normal a life as possible.

And, whenever possible, I believe the patient should receive relief from pain and become trained in coping techniques to speed up their recovery. Why would anyone want to delay the lessening of pain and improve their quality of life? That’s not rational. In fact, it is very irrational for patients and employers not to take Chronic Pain seriously and intervene as quickly as medically possible.

Consider that in the United States alone employers spend nearly $1 billion a week on wage payments and medical care for workers hurt on the job, according to the 2005 Liberty Mutual Workplace Safety Index.

A survey by the National Pain Foundation (NPF) has found that persistent pain has risen dramatically, up almost 40 percent, among full-time U.S. workers in the past 10 years. The NPF poll of more than 1,000 workers found the prevalence of chronic pain was much more common in the workplace (26 percent) in 2006 than it was in 1996 (19 percent).

Even more, almost nine out of 10 employees with chronic pain typically went to work rather than stay at home, the survey found. The vast majority — 95 percent — said their pain had to be either moderate or very severe before they stayed home from work. Forty-six percent of those employees with chronic pain said their pain often or sometimes affects their ability to perform their job.

I am the Medical Director of the Walton Pain Center, a part of the Walton Rehabilitation Health Systems of Augusta, GA, which uses a continuum of care approach to return Workman’s Comp clients or returning patients to work and to a comfortable lifestyle as well.

Walton has been a leader for many years in the conservative treatment of Chronic Pain through traditional outpatient services. Now that reputation has been elevated by reaching the same goal within two weeks through a new program recently launched by the Walton Pain Center.

The center has a demonstrable record of success using reliable interventional strategies, therapy, surgical consultations, and massage. The innovative Inpatient Pain Program adds a new dimension of achieving the same desired results but in far less time – within two weeks!

The primary goals of the new two-week comprehensive Inpatient Pain Program are to:

• Break the patient’s pain cycle

• Enhance physical function and mobility and thus increase productivity

• Improve emotional distress (depression, anxiety, diminished self esteem)

• Promote the return to pre-injury activities and/or employment

This new two-week program is designed for patients with Chronic Pain that has disrupted their professional and personal lives. The focus is on intensive pain management, under close supervision, in a structured, therapeutic and supportive environment. The pain treatment team consists of Physical and Occupational therapists, Psychologist, Nursing staff, Masseur, Dietician, Chaplain, and in-house case management.

Treatment strategies center on providing medication monitoring and conservative interventional management to insure patients are taking the most appropriate medications at the most effective dosages and other pain relieving procedures as needed. The physical/occupational therapy component is structured in such a way as to encourage the patient to take a greater role in improving their stamina and physical functioning through muscle strengthening, tone and endurance exercises.

The new two-week Inpatient Pain Program will provide more intensive and focused pain management than what is available now only through outpatient treatment.

By providing the psychological component, we speed the recovery process by ensuring that the Chronic Pain patient understands that our aim is not to eliminate pain but to lessen pain and providing coping skills needed to return to work and live a more normal, productive life.

And how important is this? Ask American employers who are paying $1 billion a week for workers hurt on the job. Returning workers to their jobs as quickly as possible and curbing reoccurring bouts with pain can produce major savings.

With reasonable per diem rates, based on the patient’s needs, this new Inpatient Pain Program is designed to provide more intensive and focused pain management than currently available through outpatient treatment only.

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life.

By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit or call 866-4-WALTON.


January 12th, 2009 No comments
P.Bhargav Kashyap asked:

Oh! Pain in the Neck?!

Neck pain, at times, can become pain in the neck’ quite literally. People who have experienced neck pain alone know how painful the neck pain can turnout to be.

Neck is one of the most flexible regions of the spine, which consists of vertebrae, seven shock absorbing discs, muscles, and vertebral ligaments to hold them in place. The uppermost cervical disc connects the top of the spinal column to the base of the skull. The spinal cord, which sends nerve impulses to every part of the body, runs through a canal in the cervical vertebrae and continues all the way down the spine.

What Causes neck pain?

Most people experience neck pain at some point in their lives. Neck pain can be acute, lasting for few hours or a few weeks, or it can be chronic. Neck pain that lasts several weeks or longer is considered chronic neck pain.

Neck pain can be caused by an activity or injury or by a medical condition. Your head and neck region is vulnerable to many different stresses. Bad posture can cause misalignment of your neck, head, and spine. Car accidents can cause whiplash. Age and wear and tear can cause arthritis. Even activities such as chewing gum and reading in bed and cause pain. How do we avoid these potential problems? And if we can’t avoid them, how can we recover as quickly as possible.

Non-specific neck pain

Many people develop a stiff and painful neck for no obvious reason. It may happen after a minor twisting injury, for example while gardening. Since the underlying cause for this type of neck pain is not fully understood hence it is called ‘non-specific neck pain’ Having non-specific neck pain does not mean that your neck is damaged. Often it happens in people whose necks would appear completely normal under an x-ray. It is the most common type of neck pain and disappears after a few days.

Activities that cause neck pain

Neck pain mostly is caused by activities that result in repeated or prolonged movements of the neck’s muscles, ligaments, tendons, bones, or joints. This can result in a strain(an overstretched or overused muscle), a sprain (injury to a ligament), a spasm of the neck muscles, or inflammation of the neck joints.

           1. Holding your head in a forward or odd position for long periods of time

               while working, reading, watching TV, or talking on the telephone.

           2. Sleeping on a pillow that is too high or too flat or doesn’t adequately 

               support your head, or sleeping on your stomach with your neck twisted

               or bent.

           3. Spending long periods of time resting your forehead on your upright fist

               or arm.

           4. Work that uses the upper body and arms, such as painting a ceiling or 

               other overhead work.

Injuries that cause neck pain

The Spine consists of interlocking bones(vertebrae) and discs that separate the vertebrae. The portion of the spine that runs through the neck is known as the cervical spine. Muscles and ligaments in the neck hold the cervical spine together. Injury to any of these structures may result in neck pain.

Minor injuries may occur from tripping or from excessive motion of the cervical spine. Severe neck injuries may occur from whiplash in an accident, falls from significant heights, direct blows to the face or the back or top of the head, sports-related injuries , a penetrating injury such as a stab wound, or pressure applied to the outside of the neck, such as strangulation.

Pain from an injury may be sudden and severe. Bruising and swelling may develop soon after the injury. Sudden (acute) injuries can result in strain and pain in the neck, dislocation of the spin, or a ruptured disc.

Medical conditions that cause neck pain 

                  1. Neck pain may be caused by or related to medical conditions such as:

                  2. Cervical Spinal Stenosis

                  3. Cervical Spondylosis

                  4. Illnesses, such as meningitis, which cause inflammation around the

                      tissues of the brain and spinal cord.

                  5.Chronic conditions such as fibromyalgia, rheumatoid arthritis, or

                     ankylosing spondylitis

Torticollis (wryneck): Torticollis is

caused by severe muscle tightness or a shortened muscle on

one side of the neck, causing the head to be tilted to one side.

Referred pain: Referred pain occurs when

a problem in one place in the body causes pain in another

place. For example, a problem with your jaw or your heart can

cause neck pain.

Infection or a tumor in the neck area.

Signs and Symptoms

Neck pain takes many forms. Signs and symptoms of neck pain may include:

           1. Pain in your neck that may be sharp or dull

           2. Stiffness in your neck

           3. Difficulty going about your daily tasks because of pain or stiffness in

               your neck

           4. Shoulder pain in addition to neck pain, in some cases

           5. Back pain in addition to neck pain, in some cases

Help yourself to prevent neck pain

Take frequent breaks: Don’t sit in one place for a long time, such as your car or at your desk.

Arrange some of the items in your office that cause inconvenience. This will force you to get up, stretch or walk around.

Maintain good neck posture:

Adjust the seat of your computer or desk chair so that your hips are slightly higher than your knees. Your head and neck will naturally follow in the correct position. While traveling in a car, airplane or train, place a small pillow or rolled towel between your neck and a head rest to keep the normal curve in your neck.

Avoid too many pillows:

Avoid sleeping with too many pillows or falling asleep in front of the television with your head on the arm of a couch.

Exercise: Treat your body to a consistent regimen of stretching and strengthening to balance your muscle groups. This protects your neck as well as helping your whole body. Walking at any pace is excellent exercise for your neck. The rotation of the spine provides a great natural workout for the neck muscles.

Eat smart and Drink water:

Good nutrition and staying well hydrated are not only important to stay healthy, but vital in the healing process.

For more Health Tips: