FROM OUR EXPERTS
With co-pays, deductibles, and bills to pay, it seems like everyone is in a pinch lately. And although medications are effective at reducing pain in a pinch, I would like to focus on some other products that help control the vise-grip of pain. To effectivley manage your pain, you can't just rely on medications; that would be like building a house with just a hammer.
One of my favorite tools against aching, all-over pain is the zero-gravity chair. In fact, I cried when I tried it because for the first time my pain melted down a couple notches. Time and time again, patients try the zero-gravity chair in my office and fall in love.
The key is your body's position that minimizes the effects of gravity. Your back is parallel to the floor and the hips are bent with the knees supported above your chest. It is the same position the astronauts are in before blast off. No ordinary recliner will do because the hips and knees must be bent to place the knees above the che...
Neuropathy - distal median nerve
Pain in the wrist or hand that wakes you up at night
May be severe Pain may be felt in other areas, for example in the upper arm (this is called referred pain)
Sensation changes in the thumb and pointer (index), middle, and part of the ring fingers, such as:
Weakness of the hand that causes you to:
Drop things Have difficulty grasping objects
Signs and tests
Your doctor will examine your wrist and ask questions about your medical history. The examination may show decreased sensation in the thumb side of the hand. This is called the "radial" side. There may be weakness of the thumb and difficulty using it to pinch.
Tests that reveal distal median nerve dysfunction may include:
Nerve conduction tests
Tests are ...
More and more studies show that controlling patients' pain and getting them moving after a total knee replacement (TKR) gives the best results. Doctors are looking for ways to do this. Managing patient's pain in the first 24 hours after surgery seems to be an important key. Better pain control is gained by giving the patient general anesthesia along with a local nerve block at the time of surgery. One of the nerves often blocked is the femoral nerve, which forms from nerve roots in the low back and runs down the front of the thigh. Blocks are also done to the sciatic nerve. The sciatic nerve is a major nerve that goes down the back of the thigh to the lower leg and foot. This study compared a femoral nerve block alone to a "double block" of the femoral nerve and the sciatic nerve. Pain levels and amount of opiate used were measured every four hours for the first 24 hours. The authors found that patients receiving the double blocks used less pain medication after TKR than those getting ju...
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