Entrapment Neuropathy…Pain By Any Other Name

Ever heard of entrapment neuropathy or carpal tunnel syndrome?

Repetitive motion disorder?

Nerve compression syndrome?

How about a “trapped nerve”?

Chances are, you’ve probably heard of at least one of these conditions.

These medical conditions are entrapment neuropathies.

Entrapment neuropathies or compression neuropathies are a type of peripheral neuropathy caused by direct pressure on one nerve.  The pressure can be caused by trauma or injury to the specific nerve, repetitive use of a specific part of the body, a cast or brace that doesn’t fit properly or just frequently sitting with your arm over the back of a chair.

If you’re experiencing[1]

–           A burning or stinging pain in one part of your body

–           Tingling

–           Numbness

–           Muscle weakness

You could be suffering from entrapment neuropathy.  To avoid permanent nerve damage, you need to see a doctor immediately, like your local NeuropathyDR® clinician, for proper diagnosis and treatment.

What Exactly Causes Entrapment Neuropathy?

You might be wondering why something as simple as sitting with your elbows on the table all the time can cause entrapment neuropathy for you but your Uncle Harry worked in a coal mine for 40 years swinging a pick axe and never had a problem with his arms, back or anything else.

Entrapment neuropathy occurs when some kind of external pressure disrupts the flow of blood through vessels that supply specific nerves.[2] This oxygen starvation can sometimes occur because of internal problems as well such as lesions, cysts or tumors or even substantial weight gain. When this happens over and over again, the nerve is starved of its oxygen supply and becomes damaged and eventually scarred.  Once this happens, it no longer functions properly.

If you have a chronic condition like diabetes[3] that already compromises your blood flow, the fact that Uncle Harry never had these issues and you do is probably more indicative of your overall physical condition than genetics.  Your body is just more susceptible to this type of injury.  You need to be more mindful of how you move and use whichever part of your body is affected.

How Can We Diagnose Entrapment Neuropathy?

The symptoms you report will vary depending upon which part of your body is affected by entrapment neuropathy.  Your condition will probably start with tingling or pain in the nerves followed by loss of sensation or numbness.  Muscle weakness will be the last to develop and usually occurs because the muscles have atrophied due to lack of use (i.e., your hand hurts so you stop using it as much).

Entrapment or compression neuropathy can usually be diagnosed based on symptoms.  Be sure you keep a good record of when and how your symptoms started.

We may  use nerve conduction studies to confirm the diagnosis and rule out the involvement of other nerves.  If entrapment neuropathy is suspected, we may then order an MRI to determine which nerve is damaged, how badly and to see if an internal issue such as a tumor or cyst is putting pressure on the nerve.

It is vitally important that you choose a health care provider with the clinical skills and experience to recognize your symptoms for what they are and distinguish them from other diseases.  Entrapment neuropathies can mimic other conditions and vice versa. The longer it takes to get the appropriate diagnosis and treatment, like the treatment protocol used exclusively by our NeuropathyDR® trained clinicians, the more likely you are to have permanent nerve damage.

Treating Entrapment Neuropathy

If we determine that an underlying medical issue is causing your entrapment neuropathy, such as a tumor, cyst, inflammation or even weight gain, steps will be taken to first treat that condition.

If a tumor or cyst is the underlying problem, surgery may be ordered to remove the growth.  If you have issues with inflammation or weight gain, we will work with you to design a weight loss program and nutrition plan to resolve either of these issues.

The nutrition counseling provided by our Doctors is part of an overall lifestyle modification plan that will help you control your weight and increase your physical activity, within your abilities, to reduce the likelihood of your entrapment neuropathy causing permanent nerve damage or recurring once your immediate problem is taken care of.

In concert with these two steps to treat your entrapment neuropathy, we often prescribe manual threrapy to assist your damaged nerve in healing and open up the flow of blood to help the nerves repair themselves.

All of these steps are integral parts of the exclusive NeuropathyDR® protocols used in our clinics designed specifically for the treatment of peripheral neuropathies, including entrapment neuropathy in all its forms.

Need An Appointment With Our Doctors?

Why not give us a call today at 781-659-7989 or log-in for a call back HERE

Chiropractic Treatment: Chronic Spine Pain After Fusion

Chronic Spine Pain After Fusion

In our practices, we see many patients with less than optimal results from spinal surgery. Although in many cases surgery can save lives and improve immediate outcomes, problems can arise in areas adjacent to the surgical site, especially after fusion of the spine, sometimes resulting in chronic spine pain for the patient.

One of our discoveries has been that applying our treatment protocols in these cases can be very helpful in controlling pain, and helping to restore better function.

We once treated a patient who is several years after cervical fusion with unrelenting interscapular pain (right between the shoulder blades). I had taken care of this gentleman before surgery many years earlier.

This patient tried numerous drugs, pain blocks, physical therapy, all without significant improvements. As I have done in lumbar spine patients on several times, we applied treatment to the affected area.

He experienced almost immediate relief with our combination manual therapy and neurostimulator application. He gets some relief with a home care unit, but returns to the office for periodic treatments.

Here is another case where applying what we have learned about treating chronic pain has really helped this gentleman live a more normal life!

Save yourself years of chronic spine pain misery.

Please call us at 781-659-7989 to schedule an evaluation!

Chiropractic Treatment for Arachnoiditis

Arachnoiditis is very much a growing problem, but awareness of arachnoiditis treatment is another problem.

This is one condition in which there is no one single good treatment, there is not a pill you could take to simply make the problem just go away. Unfortunately, it’s much more complicated.

However, these are also the types of problems that good clinicians who are experienced with the treatment approaches that we teach and advocate, will tackle and work diligently with! Meanwhile we are researching options of care, which potentially hold the most promise. Arachnoiditis treatment includes laser and applications of neurostim applied with oral and topical (skin cream) nutrients and anti-inflammatory compounds.

This does follow exactly the same pathway that Neuropathy treatment was in, 10 years ago. Now with the combination of the NDGen, various laser, light therapies, and good physical therapy, a combination of these procedures are able to get patients better results more than ever before.

Admittedly, the applications of these similar procedures for arachnoiditis patients, is in its infancy. We feel strongly however that there is good potential for better life quality and pain reduction without more drugs, injections, or invasive procedures. Time of course, coupled with good studies will tell.

But here’s what you can do now to start, talk to one of our clinicians’ who has experience with our systems and also works with me personally.

Every patient is different so unfortunately some will not be candidates for care.

But by working together we can develop more effective care plans for this unfortunately growing family of patients.

Understand that we will do our very best to help you!

Please call us to schedule a visit at 781-659-7989 today!

Functional Health: Chronic Pain Morning diet/daily plan

A winning morning routine for many chronic pain patients

If you or someone you love suffers the misery of chronic pain, you know how these can seemingly run your life.

Daily routines can make for a happier days.

And in times of acute illness or injury, they must!  But when conditions like shingles, fibromyalgia, and back pain linger, a real strategy is needed to best get control of your life.

Experience in the clinic for over 30 years tells me repeatedly that those patents with routines do far better, suffer less pain and life disruption, including depression.

So what does this Daily plan look like?

Something like this:

Get up at a set time every day. Be sure to stay well dressed and completely warm and comfortable year round. Next drink a warm beverage like coffee or tea. Use stevia instead of sugar or artificial sweeteners. Ideally, you’ll be sipping during quiet prayer or meditation, even if just for a little while. (There’s nothing wrong with longer periods either!).

Within 30 minutes of arising, eat a high protein meal. Could be a couple omega 3 eggs, or a protein shake. No bagels, toast or English muffins allowed this early!

Next, some light activity like a walk, gentle bike ride, and some stretching. It’s crucial that you stay well fed and warm to get the most pain reduction and healing benefits.

After a shower or bath, get yourself to therapy if it’s a treatment day.

If not, engage in some good self-treatment! Typically my patents use a home care kit of some type. Along with medications, this may include dietary supplements, heat packs, topical and often an electric neurostimulator. This could take up to an hour.

And then, get on to your day! Remember, a gluten and dairy free diet high in vegetables and lean protein works best for most chronic pain patients. Low carbohydrate, high quality snacks like nuts and small amounts of fruit should be consumed so your are never going more than 3 hours without refueling. Keep your life as simple and free of distraction as possible.

At the end of your day, repeat the all the great self care and stick to the diet plan above!

This has proven to be a winning morning routine for many chronic pain patients, and I hope for you too!

Please call us to schedule a visit at 781-659-7989 today!

Chiropractic Treatment: Low Back Pain and Spinal Care

A few decades ago, the chiropractic profession practiced in a relative absence of good scientific data concerning its main therapeutic tool, spinal manipulation.

The success of this profession and this treatment with patient care was empirically based. The evidence basis of spinal manipulation, however, has changed dramatically in recent years with a large number of well done clinical trials that have filled the information void.

No other back pain treatment has been subjected to such examination…when numerous clinical trials are considered together, the evidence in favor of chiropractic manipulation is overwhelming.

Analysis of the volume of research available on the topic of spinal manipulation and low back pain can be surprising to many health care providers who do not practice this specialty. The volume of research on spinal manipulation for acute low back pain is greater than for any other single treatment used for this condition. Currently, there are approximately 50 clinical trials of which about 35 are controlled randomized trials examining spinal manipulation for low back pain. This is approximately 4 to 5 times the trials that have examined the validity of NSAIDs (like Motrin, Alieve, etc) for this patient population.

The majority of the clinical trials on spinal manipulation for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

The bottom line is that spinal manipulation words to relieve low back pain!

Manipulation has consistently outperformed any other therapy, compared to ultrasound only, traction only, exercise, bedrest and medications.

In most cases, it has provided benefits with range of motion, cost-effectiveness, decrease in lost productivity, patient satisfaction and pain relief.

Undisputed Benefits of Spinal Manipulation

The evidence basis of spinal manipulation has changed dramatically in recent years with a large number of well done clinical trials filling the information void.

The majority of the clinical trials on spinal manipulation performed by chiropractors for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

If you have low back pain, then you should strongly consider spinal manipulation as a form of treatment. It is low risk, and the results are quick and often painless. As licensed chiropractors, we understand the significant value of manipulation, and can assure you of its benefits. (NSAIDS are drugs like Motrin and Alieve, to name just two).

Time to FIX the Pain and Stiff Movement!

If you are looking for pain relief, then look no further. We are here to help you.

In a few sessions, you could be experiencing pain relief, feeling significantly better and moving effortlessly. Imagine the feeling of smooth motion in all your joints, without a single restriction or stumbling block.

That’s exactly what we do for you. As your preferred chiropractor, we make every effort to present you with the fastest solutions to pain relief and improved motion, but remember, spinal manipulation is a significant part of long term supportive chiropractic care.

In fact, patients who participate in long term supportive care when studied take far less medication, do not take ambulance trips to the ER for acute back episodes, and the overall low cost to treat, and the ability to maintain work schedules is an an enormous personal and societal benefit.

Call or email us to schedule an appointment today! We look forward to assisting you with low back pain, and are always here to answer any questions. Thank you for reading, and have a wonderful day!

Please call us to schedule a knee evaluation at 781-659-7989 today!

Chiropractic Treatment: Low Back Pain and Spinal Care

A few decades ago, the chiropractic profession practiced in a relative absence of good scientific data concerning its main therapeutic tool, spinal manipulation.

The success of this profession and this treatment with patient care was empirically based. The evidence basis of spinal manipulation, however, has changed dramatically in recent years with a large number of well done clinical trials that have filled the information void.

No other back pain treatment has been subjected to such examination…when numerous clinical trials are considered together, the evidence in favor of chiropractic manipulation is overwhelming.

Analysis of the volume of research available on the topic of spinal manipulation and low back pain can be surprising to many health care providers who do not practice this specialty. The volume of research on spinal manipulation for acute low back pain is greater than for any other single treatment used for this condition.

The majority of the clinical trials on spinal manipulation for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

The bottom line is that spinal manipulation words to relieve low back pain!

Manipulation has consistently outperformed any other therapy, compared to ultrasound only, traction only, exercise, bedrest and medications.

In most cases, it has provided benefits with range of motion, cost-effectiveness, decrease in lost productivity, patient satisfaction and pain relief.

Undisputed Benefits of Spinal Manipulation

The evidence basis of spinal manipulation has changed dramatically in recent years with a large number of well done clinical trials filling the information void.

The majority of the clinical trials on spinal manipulation performed by chiropractors for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

If you have low back pain, then you should strongly consider spinal manipulation as a form of treatment. It is low risk, and the results are quick and often painless. As licensed chiropractors, we understand the significant value of manipulation, and can assure you of its benefits. (NSAIDS are drugs like Motrin and Alieve, to name just two).

Time to FIX the Pain and Stiff Movement!

If you are looking for pain relief, then look no further. We are here to help you.

Please call us to schedule an evaluation at 781-659-7989 today!

Functional Health: The Dangers of Self-Diagnosis and Treatment

Ever heard the phrase “The man who represents himself has a fool for a client?”

While that old adage is applied to the legal profession, the same can be said about patients who attempt to diagnose and treat their own illnesses and injuries. Especially when their symptoms indicate they’re dealing with something that could be serious.

The internet has made it easy for us to research our own health issues and become educated patients (which, mind you, is a very good thing), but it has also made it easy to misdiagnose and inaccurately treat those medical conditions.

That may not be dangerous with a common cold, but you could be doing your body irreparable harm by not consulting a specialist for proper diagnosis and treatment. By researching and treating on your own, you’re wasting valuable time and resources.

The delay in obtaining medical treatment could make a small problem much, much worse. Once that window for early treatment is gone, you can never get it back.  Treating on your own is an excellent example of being penny wise and pound foolish.

You Need to Seek Professional Care!

You may save a little money up front, but it’s going to cost you more in the long run when your health care provider has to play catch up and try to fix the harm done by delaying proper treatment.

Early treatment provided by a specialist familiar with your health condition will make it much easier for your body to repair itself and lessen your chance of developing further complications.

Before you try to diagnose and treat yourself, we hope you’ll consider the potential harm you could doing to your body.  And make the right choice – seek professional diagnosis and treatment.  Time is of the essence in repairing and protection your nerves.

Please take care and you can always call us at 781-659-7989 for information about our treatment centers and if you’d like to schedule and appointment!

Chiropractic Treatment: Chronic Pain Management

Unfortunately, no one medication or therapy is usually the answer once chronic pain has set in.

With narcotics, each successive dose becomes less effective than the previous, setting up the pathway for overdose and abuse.

I recently read a rather frightening statistic that stated that deaths due to narcotic medications are at an all time high.

Unfortunately, this trend will not be reversed unless different steps are taken to manage the vast numbers of chronic pain patients in the world who suffer.

We’ve spoken extensively in the past about the two most common forms of pain. Most of us are very familiar with acute pain that is the pain of a cut, bruise, or even childbirth.

Fortunately, acute pain is relatively short-lived, and not imprinted firmly upon our nervous systems.

Chronic pain however has a way of becoming deeply embedded and tripped very easily, setting up deep circuits within the brain and nervous system, which can be difficult to change.

Unfortunately, no one medication or therapy is usually the answer once chronic pain has set in. With narcotics, each successive dose becomes less effective than the previous, setting up the pathway for overdose and abuse.

The best alternative is to first jump on any new injury or illness with pain as soon as possible. It is vital with any new condition or injury to reduce pain quickly, and as much as possible with non-drug methods.

This is why seeking therapy soon after injury or onset of a condition can produce much better long-term treatment results!

This is also the time to use powerful non-drug treatment methods, including physical therapy modalities such as massage and manual therapy, and various forms of electric neurostimulation–and even laser therapy.

The most important take away from this discussion is to use every non-drug tool available as soon after the onset of injury or illness as possible.

This helps explain why our treatments can be so very powerful in helping avoid drug dependence.

In summary, anything you can learn to do to better manage your chronic pain with non-drug methods will lead to a far better long term outcome!

Please call us to schedule a visit at 781-659-7989 today!

General Health: Getting Healthy Again!

One of the biggest things we see in our work with our chronically ill patients is that once their symptoms start to subside, they are gradually able to resume more activity.

In some patients, this can be an incredible challenge after years of illness, stress, and sometimes the other side effects of treatments. But, There is good news! By applying specific timed steps, many patients do far better than they ever imagined.

Here’s 3 simple tips to make it go easier.

Start easy! We always teach our patients the importance of pacing, doing less than you think you actually can. Take extra special care of rest needs. Its’ OK, and even advisable, to rest during the day, even if you don’t nap. Trying to take on too much too soon can cause frustrating setbacks in your recovery process. Baby steps are key in this phase of your recovery.

Watch what you put into your head! Shut off the TV. Grab a good book instead, or simply meditate in a comfortable spot. Focus on health generating thoughts and mind pictures. Stress can be a hindrance to recovery, so try to find ways to reduce the stress in your life, at least for the immediate future.

Finally, enlist the help of your coaches, doctors and friends along your journey back to health. ASK for help and guidance. You don’t need to do this alone, and shouldn’t. A good support group goes a long way towards helping you on the road to recovery.

Please call us at 781-659-7989 to schedule an evaluation!

Chiropractic Treatment: Herniated Discs

If you have slipped, ruptured, or herniated discs, you can attest to the truth of the old saying that when your back hurts, your whole body hurts.

The pain can be never ending.  It’s virtually impossible to find a comfortable position, either standing or lying down.

The pain can take over your entire life and lead to

  • Depression
  • Sleeplessness
  • Fear and anxiety
  • Inability to perform normal daily activities
  • Reduced social interaction with friends and family

If you notice any of these symptoms, you should seek medical treatment.

So What Causes a Herniated Disc?

First, it helps to understand what the discs in your spine do.  The bones in your spine are separated and cushioned by small discs that act as shock absorbers.  When they function properly, they allow your spine to remain flexible.  But when they’re damaged, which is much more likely as you age, the discs can bulge or rupture.

Any number of things can cause a herniated disc – plain old fashioned wear and tear, sitting too much, or a traumatic injury from lifting too much weight and lifting it improperly.

If you sit for long periods of time and frequently experience minor back pain and chronic back tiredness you could be at great risk for developing a “wear and tear” herniated disc. Something as simple as bending over to pick up a piece of paper, a minor fall, or even a sneeze can be all it takes to cause a disc to rupture.

If your job or your lifestyle require you to do frequent heavy lifting and you lift with your back instead of your legs, you’re pretty much a herniated disc waiting to happen.  Always lift with your legs, with your spine straight to equalize the pressure on the discs to avoid serious problems.

Treatment Options

When you’re diagnosed with a herniated disc, the first goals of treatment are:

  • Pain relief – first and foremost
  • Address any weakness or numbness in your feet, legs and lower back
  • Prevention of additional injuries

Find a practitioner with extensive experience in treating herniated discs and their accompanying issues.

More than 90% of patients with herniated discs (if treated early on) will improve within 6 months without surgery.  But you need to start treatment at the first sign of problems.

For the most part, you can expect:

  • Bed rest followed by increased, prescribed and controlled activity
  • Chiropractic manipulation to get the spine back into proper alignment and take pressure off the herniated disc and nerves
  • Exercises to reduce your pain and strengthen the muscles in the back

Save yourself years of back pain misery.

 

We can work with you or your loved one to determine the best treatment for your condition.

Please call us at 781-659-7989 at to schedule a consultation today

The PPW team