Pain Clinic in Brooklyn, NY — Anyone suffering from chronic pain can now head to Spine Sports & Interventional Pain Medicine, P.C. in Brooklyn, New York for specialized pain care and injury treatment. The pain management clinic in Brooklyn, New York, is located at 186 Montague St. Brooklyn, NY 11201 which is on the 3rd floor of the building, is now accepting new patients.
The pain clinic, which is part of the MSR pain and injury network, is offering the services as an expansion of the Pain Management Center for patients Brooklyn, New York.
SANJEEV AGARWAL, MD, MS (Ortho), Physical Medicine & Rehabilitation | Brooklyn, NY
“This full service pain center in Brooklyn, NY,” says Dr. Sanjeev Agarwal, the medical director at the Spine Sports & Interventional Pain Medicine, P.C. pain center. The facility sees 100’s of patients monthly. Many of those people come from Brooklyn, Bronx, Queens, NYC and New Jersey.” he said.
“We were thrilled that Dr. Sanjeev has joined our “doctors dedicated to healing” pain physicians network,” said a representative at Musculoskeletal Resources pain and Injury. “He is specially certified in pain management and extraordinary physician. We know there is a demand for pain management in Brooklyn, NY.”
The MSR network of pain management doctors is growing throughout New York, as the local demand for pain management services and injury rehabilitation grows.
The community will be thrilled to know that Dr. Sanjeev Agarwal with Spine Sports & Interventional Pain Medicine, P.C. offers comprehensive pain management. Dr. Sanjeev Agarwal through a thorough evaluation, gets to know (the patient’s) history, see what’s worked and failed,” and from there will devise an individualized pain management treatment.
Many of the patients Dr. Sanjeev Agarwal sees suffer from back pain or neck pain (spine injury), degeneration of joints, hips and shoulders. Patients are treated utilizing effective interventional, and non surgical rehab treatments. The objective is alleviating pain from injury. Dr. Sanjeev Agarwal accepts workers compensation insurance and no fault insurance.
If you were injured in an auto accident, work injury, sports injury, get quality medical care today. For more information on Dr. Sanjeev Agarwa and Spine Sports & Interventional Pain Medicine, P.C. is available by calling 1-800-949-6100 at https://www.painandinjury.com
The US is in the midst of an opioid overdose epidemic. If you or someone you know needs help, effective treatment is available and can save lives.
“More than half the total number of people taking opioids long-term have low back pain,” the report notes.
The Centers for Disease Control and Prevention says opioid overdoses went up 30 percent between 2016 and 2017. Opioid overdoses kill around 35,000 people a year, the CDC says.
Many patients with chronic pain need some type of relief and turn to opioids for care. The wrong type of care.
Pain Doctors in New York want to relieve their patients pain. Pain does not need to be addressed by using opioids. These board certified pain specialists help patients reach effective pain resolution after trauma (Slip and fall, car accident, sports injury, work injury, etc …). Every patients situation is different and chronic pain management treatment needs to be individualized.
Lower back pain costs 3 million years of productive life every year in the U.S. — a calculation that takes into account both people affected and how long their pain keeps them out of work.
Studies show what works best to treat lower back pain: physical therapy, psychological counseling, stretching, massage and other non-invasive treatments. Rest rarely helps: all patients should be urged to stay active.
If you or someone you know needs help, effective treatment is available and can save lives. 1-800-949-6100
Resources:
Relax. You Do Have Options https://painandinjury.com/effectivetreatment/treatmentoptions/default.html
Opioid Overdoses Treated in Emergency Departments https://www.cdc.gov/vitalsigns/opioid-overdoses/index.html
CDC Guideline for Prescribing Opioids for Chronic Pain | Drug …
https://www.cdc.gov/drugoverdose/prescribing/guideline.html
ER visits for opioid overdose up 30%, CDC study finds https://www.cnn.com/2018/03/06/health/opioid-overdose-emergency-departments-cdc-study/index.html
Have you recently been injured at work, slipped or fallen, been a victim in a car accident? Are you experiencing chronic pain or discomfort in your lower back? Is your sleep interrupted, tossing and outrunning all night long? Does a poor night’s rest from back pain equal a hard day at work with aches and pain? Does your job require you to lift heavy objects?
If you answered yes to any of these questions your pain in you lower back is signaling that something is terribly wrong. Lower back pain can be caused by any number of reasons. Lower back pain is one of the most common health issues impacting Americans every year. That’s where pain management treatments can give hope to many low back pain suffers.
Causes of back pain:
lifting a heavy object
a sports injury
car crash
Most people at some point in their lives will experience some lower-back pain. Pain can range from mild to severe. Most of the time, Low Back Pain is acute (short term) and caused by overuse, injury, or poor body mechanics when lifting heavy objects.
Acute pain is usually caused by muscle strain in the lower back. If the pain is from damage to the lower back structures, such as the vertebral discs, chronic pain can develop.
Structural damage in the lower back (lumbar spine) may include: the vertebrae (bony spine), facet joints, vertebral discs, ligaments, spinal cord and peripheral nerves, and internal organs in the pelvis.
Treatment for Lower Back Pain A Phone Call Away: 1-800-949-6100
Commonly-Reported Pain Conditions
A National Institute of Health Statistics survey indicated that low back pain was the most common (27%), followed by severe headache or migraine pain (15%), neck pain (15%) and facial ache or pain (4%).
Back pain is the leading cause of disability in Americans under 45 years old. More than 26 million Americans between the ages of 20-64 experience frequent back pain.
Adults with low back pain are often in worse physical and mental health than people who do not have low back pain: 28% of adults with low back pain report limited activity due to a chronic condition, as compared to 10% of adults who do not have low back pain. Also, adults reporting low back pain were three times as likely to be in fair or poor health and more than four times as likely to experience serious psychological distress as people without low back pain.
The majority of the time, Low Back Pain is acute and resolves within four weeks. Pain symptoms can usually be treated at home with ice packs the first 48 hours, no more than 15 minutes at a time, and later heat.
Low Back Pain can be an indicator of a serious condition. Immediate medical attention is advised for severe pain, if other symptoms such as, high fever, numbness and incontinence are present; or if the pain symptoms don’t resolve within four weeks.
Seeing a pain management doctor, not just any doctor, after an injury that causes pain in your lower back is the right choice. Patients are starting to understand the advantages that can come from seeing a pain management doctor when deciding on treatment for lower back pain.
Many patients admit that they thought all doctors were the same. They never imagined that there were back pain specialists with treatments that effectively treat the discomfort of lower back pain.
Speak with a New York back pain doctor nearest you. Most of the locations offer flexible weekend and evening hours, which can accommodate your schedule.
Lower Back Pain Is More Common Than You Think.
Resources
Doctors Who Treat Back Pain! Pain and Injury in News – https://painandinjury.com/blog/2014/04/07/doctors-who-treat-back-pain/
Back pain – Symptoms and causes – Mayo Clinic – https://www.mayoclinic.org/diseases-conditions/back-pain/…causes/syc-20369906
Back Pain Facts and Statistics – American Chiropractic Association — https://www.acatoday.org/Patients/Health-Wellness…/Back-Pain-Facts-and-Statistics
Back pain in the U.S. – Statistics & Facts | Statista — https://www.statista.com/topics/4333/back-pain-in-the-us/
Low Back Pain Fact Sheet – https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet
The Rising Prevalence of Chronic Low Back Pain – NCBI – NIH — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4339077/
Back Pain | NIAMS — https://www.niams.nih.gov/health-topics/back-pain
American Academy of Pain Medicine – Get the Facts on Pain — www.painmed.org
National Centers for Health Statistics, Chartbook on Trends in the Health of Americans 2006, Special Feature: Pain.
http://www.cdc.gov/nchs/data/hus/hus06.pdf.
Multiple sclerosis (MS) is a disease in which the immune system eats away at the protective covering of nerves. MS affect the entire body. Aches in your bones, joints, and muscles. Burning pain in the feet, legs, arms, hips. Finding the right physical therapist to help someone with MS can be a challenging.
Multiple sclerosis (MS) attacks on the spine has a predilection for the cervical spinal cord (67% of cases), with preferential, eccentric involvement of the dorsal and lateral areas of the spinal cord abutting the subarachnoid space around the cord. Approximately 55 to 75% of patients with MS have spinal lesions at some point during the course of the disease.
For those with MS pain below the level of spinal cord involvement and sexual problems were the greatest complaints, even when there were motor difficulties in the limbs. Spinal cord pain is typically excruciating and often shoots down the spine or to the limb that is involved due to spinal cord damage.
MS Pain? Consider Seeing a Physiatrist?
What is a Physiatrist? Physical Medicine and Rehabilitation (PM&R) doctors, also known as physiatrists, treat medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons.
PM&R physicians are medical doctors who have completed training in the specialty of Physical Medicine and Rehabilitation (PM&R), and may be subspecialty certified in Brain Injury Medicine, MS, Spinal Cord Injury, Pain Management or any other number of neurological related conditions. The role of a Physiatrist is to intersect between all the specialists related to your condition.
Physiatrist have the ability to recommend specialists on areas such as neurology, urology, pain management, rehabilitation and more. They can easily identify areas that I might want to focus on and have excellent medical professionals to refer you to.
Physiatrists can make life changing recommendations on how to manage pain. If you find yourself frustrated that your physician is too specific to their specialty, you may want to consider seeing a Phystriast. Just reach out to your local injury and pain rehabilitation clinic. They will be able refer you to a pain specialist in MS.
“Examples of nerve pain include painful sensations in the side of the face, called trigeminal neuralgia, and a tight feeling, often around the chest, called the MS hug. Pain in the limbs is very common.”
Pain | MS Trust
https://www.mstrust.org.uk/a-z/pain
Pain doctors helping patients develop a pain management plan
The Human Nervous System
The human nervous system consists of two distinct parts: the first being the central nervous system (CNS) which refers to the brain and spinal cord together and the second is the peripheral nervous system (PNS) which refers to the cervical, thoracic, lumbar, and sacral nerve trunks leading away from the spine to the limbs.
There are three types of nerves, or neurons, in the body:
Autonomic nerves – These nerves control the involuntary or partially voluntary activities of your body, including heart rate, blood pressure, digestion, and temperature regulation.
Motor nerves – These nerves control your movements and actions by passing information from your brain and spinal cord to your muscles.
Sensory nerves – These nerves relay information from your skin and muscles back to your spinal cord and brain. The information is then processed to let you feel pain and other sensations.
Nerve pain and nerve damage can be mild. But, because nerves are essential to all you do, nerve pain and damage can seriously affect your quality of life.
Therapy For Loss of Function
Commonly experienced permanent neurological deficits resulting from TM may include severe weakness, spasticity (painful muscle stiffness or contractions), or paralysis; incontinence; and chronic pain. Such deficits can substantially interfere with a person’s ability to carry out everyday activities such as bathing, dressing, and performing household tasks.
Many forms of long-term rehabilitative therapy are available for people who have permanent disabilities resulting from TM. Rehabilitative therapy (physical therapy used to alleviate sources of chronic pain)teaches people strategies for carrying out activities in new ways in order to overcome, circumvent, or compensate for permanent disabilities.
Today, most rehabilitation programs attempt to address the emotional dimensions along with the physical problems resulting from permanent disability. Patients typically consult with a range of rehabilitation specialists, who may include physiatrists (physicians specializing in physical medicine and rehabilitation), physical therapists, occupational therapists, vocational therapists, and mental health care professionals.
Resources:
Nervous System Damage
https://my-ms.org/anatomy_nerve_damage.htm
Structure of the Nervous System:
web.mst.edu/~rhall/neuroscience/02_structure_and_pharmacology/structure.pdf
Experts usually describe pain caused by MS as musculoskeletal, paroxysmal or chronic neurogenic. Musculoskeletal pain can be due to muscular weakness, spasticity and imbalance. It is most often seen in the hips, legs and arms and particularly when muscles, tendons and ligaments remain immobile for some time. Nov 10, 2016
MS Pain | Multiple Sclerosis – MS International Federation
MS is the most common inflammatory demyelinating disease of the central nervous system (CNS) in humans. Between 50 and 100 per 100,000 Caucasians (lower in other ethnic groups) are afflicted with this disease, and women are afflicted more than men at a ratio of about 2:1. Onset usually occurs between the ages of 20 and 40 years. Clinical features of MS include alterations in vision, sensory and motor disturbances and cognitive impairment.
Pain
https://www.my-ms.org/med_symptom.htm
Pain is an under appreciated symptom of MS. Over half of MS patients complain of pain and, in a substantial fraction, the pain is described as severe, at least at times. MS-related pain can be experienced as jolts of electricity, continuous dull burning, disagreeable tingling, or raw sensations. An improved understanding of the mechanisms that produce pain of central origin has produced several successful approaches to its management, including the anticonvulsant drugs, the antidepressant drugs, or the anti-arrhythmic drugs. If these treatments are unsuccessful, some patients may respond to a comprehensive pain management program.
Spine specialists New York doctors providing non-surgical treatment plans for back pain, neck pain, from spinal cord injury. MS: Find-out The Benefits of Engaging a Physiatrist.
Spine Injury – MS: Benefits of Seeing a Physiatrist
Spinal Cord Damage & InjuryThe spinal column is made up of 33 vertebra and protects the spinal cord from injury. If these bones are broken or damaged, paralysis isn’t necessarily the result once the bones are stabilized. Therefore, a person may break his or her back or neck without suffering paralysis. It’s when the damage reaches the spinal cord that serious, long-term or permanent effects often result. The extent and region of the body affected by this damage depends upon the region of the spinal cord that is injured.The spinal column and spinal cord consist of four regions, with each region controlling a particular part of the body. These regions can be categorized even further into 31 pairs of peripheral spinal nerves. These nerve pairs extend from the spinal cord through spaces in the vertebra, connecting the spinal cord with other nerves throughout the PNS. In general, the higher the spinal cord is injured, the more severe the injury. The regions of the spine are numbered in descending order from the brain.
Cervical Region (C1 to C8)
Located in the neck, this region controls the back of the head, the neck, shoulders, arms, hands, and diaphragm
Thoracic Region (T1 to T12)
This region is located in the upper back and controls the torso and parts of the arms
Upper Lumbar (L1 to L5)
Located in the middle of the back just below the ribs. The upper lumbar region controls the hips and legs
Sacral Segments (S1 to S5)
Just below the upper lumbar region in the middle of the back. This region controls movement in the groin, toes, and some parts of the leg
Platelet Rich Plasma (PRP) is blood plasma with concentrated platelets of a patients own blood. Theses concentrated platelets contain growth factors that stimulates tissue healing and renewal.
PRP therapy is used as a treatment for conditions like arthritis, tendon injuries, and ligament injuries.
“Platelet Rich Plasma Therapy can potentially treat a range of sports and acute injuries resulting in joint, tendon and ligament pain. Soft tissue injuries are most responsive to PRP treatment. The following is a representative, non-exhaustive sample: Joint pain resulting from inflammation after an acute injury.”Jul 10, 2017
Platelet Rich Plasma (PRP) Therapy for Sports Injuries | Physio Logic …
physiologicnyc.com/platelet-rich-plasma-prp-sports-injuries/
Tendonitis (A condition in which the tissue connecting muscle to bone becomes inflamed.)
Tendon injuries (shoulder, elbow, knee, and ankle injury)
Tennis elbow (An irritation of the tissue connecting the forearm muscle to the elbow.)
Platelet-rich plasma ( PRP ) injection
The procedure usually takes about an hour and most of the time is separating the platelet-rich plasma from your blood sample. The procedure is performed with the patient awake. The PRP may be injected with a numbing agent.
The procedure is performed by drawing blood from a patient, placing it in a centrifuge (a machine with a rapidly rotating container that applies centrifugal force to its contents, typically to separate fluids of different densities.) to separate the platelets from the rest of the blood components. The concentrated Platelets are tiny blood cells are then directly injected into the injured area of tissue.
The “rich” platelets contain multiple growth factors that can stimulate new tissue growth. Some of these factors include transforming growth factor, connective tissue growth factor, epidermal growth factor, and vascular growth factor. These growth factors recruit new cells to the area to stimulate healing.
Ask About Platelet Rich Plasma Injections
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