Metal-on-metal hip resurfacing is offered as an alternative to traditional THA for the young and active adult with advanced osteoarthritis. However, patients undergoing hip resurfacing may be predisposed to persistent groin pain due to insufficient head/neck offset, an uncovered acetabular component, or both. We therefore determined the incidence of groin...

Article Last Updated: Jul 9, 2007
Contents: Introduction Pathophysiology Types of Pain Evolutionary Mechanisms in Chronic LBP History, Physical Examination, and Causes Diagnostic Strategies Medical Care Therapeutic Spinal Interventional Techniques Physical Therapy, Surgery, and Other Care Multimedia References
Author: Anthony H Wheeler, MD, Pain and Orthopedic Neurology, Charlotte, North Carolina
Synonyms and...

Fragility vertebral fractures often are associated with chronic back pain controlled by analgesic compounds. Capacitive coupling electrical stimulation is a type of electrical stimulation technology approved by the US FDA to noninvasively enhance fracture repair and spinal fusion. These uses suggest it would be a possible treatment for patients with...

Coccyx pain (tailbone pain) can frustrate patients and significantly impair quality of life, but relief is possible. Coccyx pain was first documented in 1588, and the term coccygodynia was coined by Simpson in 1859.1 Currently, the term coccydynia is used somewhat more commonly than coccygodynia. The 2 terms are interchangeable and...

The Zion Pain Management Center (ZPMC) is designed and equipped to offer a full spectrum of both diagnostic and therapeutic procedures for the treatment of pain. Dedicated to providing modern, compassionate care to patients suffering from acute or chronic pain.
Dr. Dale Stott, a double board certified physician in anesthesiology and...

Synonyms and related keywords: spondylosis, neck pain, low back pain, lower back pain, LBP, DDD, degenerative disc disease, back pain, cervical disk pain, thoracic disk pain, lumbar disk pain, spinal degeneration, spinal pain
Authors: Stephen Kishner, MD, Residency Program Director, Professor of Clinical Medicine, Department of Medicine, Section of Physical...

Psychologic status is associated with poor outcome after knee arthroplasty yet little is known about which specific psychologic disorders or pain-related beliefs contribute to poor outcome. To enhance the therapeutic effect of a psychologic intervention, the specific disorders or pain-related beliefs that contributed to poor outcome should be identified. We...

Psychosocial Factors May Predict Persistent Pain After Orthopaedic Trauma Psychosocial factors strongly predicted persistent pain, pain-related work disability, and pain severity 6 months after non-life-threatening acute orthopaedic trauma. Clinical Review, June 2010
June 2, 2010 — Psychosocial factors may predict persistent pain after non–life-threatening acute orthopaedic trauma, according to the results of a...

Dr. Steven Richeimer is a Board Certified Fellowship Trained Anesthesiologist & Pain Management Physician in Los Angeles, CA who treats back pain, neck pain and chronic pain. Additionally, Dr. Richeimer is Board Certified in Psychiatry by the American Board of Psychiatry & Neurology.

Dr. Richeimer is the former director of the UC Davis Pain Center...

Reflex sympathetic dystrophy syndrome (RSDS) has been recognized since the Civil War when it was called causalgia, a name chosen to describe intense, burning extremity pain after an injury. Since then, RSDS has had a number of name changes. Bonica coined the term reflex sympathetic dystrophy in 1953. The American...

Mid Atlantic Spine and Pain Physicians (MASPP) is the most comprehensive pain practice in the U.S. treating a full spectrum of spine and pain related disorders while delivering world-class, patient-focused care. With locations in Delaware and Maryland, this preeminent pain practice is staffed with a team of top-rated, board certified...

In patients with inflammatory arthropathy, orthopedic surgery -- especially joint replacement - has a major impact on pain but less of an effect on other aspects of health, according to a study from Norway. "Improvement in the measures of physical functioning was generally smaller than in measures of pain," the researchers...

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #66, 10:35 AM The Aberdeen Colles-Fracture Brace: An Alternative Treatment for Colles Fracture: A Prospective Randomized Multicenter Study Nezar S. Tumia, FRCS 1 ; Douglas Wardlaw, FRCS 1 ; Jeffrey P. Hallett, FRCS 2 ; Robert...

Author: Satishchandra Kale, MD, FRCS 2005
Reflex sympathetic dystrophy (RSD) is a condition that is often described under various synonyms that point to its incompletely understood etiology. In 1864, Weir Mitchell coined the term causalgia to designate severe pain following nerve injury. In 1900, Sudeck described regional demineralization accompanying posttraumatic pain....

Clinical presentation of osteoarthritis (OA) is dominated by pain during joint use and at rest. OA pain is caused by aberrant functioning of a pathologically altered nervous system with key mechanistic drivers from peripheral nerves and central pain pathways. This review focuses on symptomatic pain therapy exemplified by molecular targets...

Dr. Spight is a Board Certified Physiatrist and Interventional Pain Management Physician in Plymouth, MN who treats back pain, neck pain and chronic pain. Dr. Spight received his Doctor of Osteopathy degree in 1999 from Nova Southeastern University in Fort Lauderdale, Florida. He served a four-year physical medicine and rehabilitation residency at Wayne State University-Detroit...

OBJECTIVE: To evaluate the association between weather (barometric pressure, precipitation and temperature) and pain among individuals with osteoarthritis (OA) (n=154) at the following sites: neck, hand, shoulder, knee and foot. METHODS: This prospective study evaluated men and women, aged 49-90 yr, participating in a community-based, osteoarthritis exercise study (June 1998-January...

Conclusions. MRI degenerative findings were modestly, but clearly associated with reporting of severe upper or mid back pain, with the association being somewhat less clear for back pain frequency and absent for 1-year prevalence of pain regardless of severity or frequency. The findings suggest a greater role for structural, degenerative...

Sareta Coubarous, is a practicing physiatrist of Mid Atlantic Spine and Pain Physicians (MASPP), a multi-specialty, pain management group practice. She holds medical licenses in the State of Delaware, State of Maryland, the State of New Jersey, and the State of Pennsylvania. In addition to a practicing pain management, Dr....

Renato Vesga, M.D. is a practicing physiatrist of Mid Atlantic Spine and Pain Physicians (MASPP), a multi-specialty, pain management group practice. He is board certified and holds medical licenses in the State of Delaware and the State of Maryland. In addition to a practicing pain management, Dr. Vesga provides clinical...

Minimum detectable and minimal clinically important changes for pain in patients with nonspecific neck pain Francisco M Kovacs , Victor Abraira , Ana Royuela , Josep Corcoll , Luis Alegre , Miquel Tomas , Maria Antonia Mir , Alejandra Cano , Alfonso Muriel , Javier Zamora , Maria Teresa Gil del...

Frank J.E. Falco, M.D. is an innovative pioneer and widely-recognized expert in the field of pain medicine and spinal disorders. Board certified and licensed in several states, he is founder, CEO and a principal of Mid Atlantic Spine and Pain Physicians (MASPP), a multi-specialty, pain management group practice.
 
Dr. Falco...

Jie Zhu, M.D.is a principal and practicing physiatrist of Mid Atlantic Spine and Pain Physicians (MASPP), a multi-specialty, pain management group practice. He is board certified and holds medical licenses in the State of Delaware, State of Maryland, and the State of Pennsylvania. In addition to a practicing pain management,...

Hardware removal halts the majority of postoperative foot and ankle pain
Patients’ reconstructions fared best if pain decreased after elective hardware removal. By Susan M Rapp ORTHOPEDICS TODAY 2009; 29:34
Many orthopedists offer hardware removal to patients undergoing foot and ankle reconstructive or trauma surgery, but patients frequently do not take advantage of it....

Conclusions The overall spontaneous fibromyalgia (FM) pain pattern can be reproduced by mechanical stimulation of active myofascial trigger points (MTPs) located in different muscles, suggesting that fibromyalgia pain is largely composed of pain arising from muscle pain and spasm. Targeting active MTPs and related perpetuating factors may be an important strategy...