American Pain Institute

What Causes Neck Pain?

Team — Fri, 17 Jan 2025 13:32:33 +0000

Neck pain is common, affecting millions of people worldwide. It may range from mild stiffness to sharp, debilitating pain that significantly impacts one’s quality of life. However, understanding the various causes of neck pain can help with prevention and treatment.

Muscle Tension and Strain

Muscle strain or tension is one of the most frequent causes of neck pain. When these muscles are overused, improperly used, or under a lot of unnecessary stress, they can easily begin to feel the head's weight.

Poor posture can strain the neck muscles. Spending hours in front of a screen, whether a computer, tablet, or phone, means holding your head forward. The result? Added stress on the neck and upper back, which leads to pain and stiffness. In the same way, overusing your neck muscles, especially with repetitive motions, can lead to muscle strain.

Finally, carrying around emotional stress can cause physical pain in the muscles and shoulders. It is chronic tension and it can be painful.

Accidents and Injuries

Car accidents can often lead to whiplash. This occurs when the head is suddenly forced forward and backward, leading to strain on the neck’s muscles, tendons, and ligaments. Falls and sports injuries can also lead to pain and suffering due to a compromised neck. The pain and symptoms will vary based on the specifics of the situation.

Disc Degeneration and Nerve Compression

Intervertebral discs can degenerate as you get older. This can lead to a herniated disc in which the soft disc pokes through the outer layer. When this happens, it can compress the nerves in the neck leading to pain, numbness, or tingling that makes its way down the arm.

Pinched nerves can come from a herniated disc, but that’s not all. They can also stem from bone spurs or the narrowing of the spinal canal. If you are experiencing pain, numbness, and tingling in the neck, shoulders, and arms, this could be the culprit.

Arthritis

Arthritis is a type of degeneration that can impact joints and other areas throughout the body— including the neck. Known more specifically as osteoarthritis, this leads to a deterioration in the cartilage between the vertebrae in the neck.

Stiffness, reduced range of motion, and pain are often the most common symptoms of this type.

Additional Causes of Neck Pain

There are so many different potential causes of neck pain. Some may be temporary while others may be signs of an underlying condition. For instance, neck pain can appear due to fibromyalgia, rheumatoid arthritis, meningitis, or even tumors.

Working with a professional to uncover the root cause of your neck pain is essential to ensure the proper treatment.

Get Relief From Your Neck Pain at the American Pain Institute

Find relief from your neck pain at the American Pain Institute.

Under the direction of Joshua Greenspan, MD, there are many treatment options available— including the perfect one to help you overcome the neck pain you have been carrying around. Contact us at 603-766-8500 to schedule an appointment.

Frequently Asked Questions

When should I seek medical attention for my neck pain?

Some aches and pains of the neck are minor and will disappear on their own after a few days. However, you should see a doctor if you have severe neck pain that isn’t improving, pain that occurs after an accident or injury, neck pain accompanied by a fever or nausea/vomiting, or swollen glands.

How is neck pain diagnosed?

A physical exam to assess muscle tenderness, range of motion, and posture will be done, followed by a review of medical history and symptoms. If necessary, imaging tests like X-rays, MRIs, and CT scans may be used to rule out serious issues.

The post What Causes Neck Pain? appeared first on American Pain Institute.

What Do You Do For Lower Back Pain?

Team — Mon, 18 Nov 2024 21:54:28 +0000

Lower back pain is one of the most common types of chronic pain, often stemming from things like injury, degenerative disc disease, arthritis, obesity, or muscle strain. Regardless of the cause, the good news is that there are quite a few options available when it comes to treatment.

This article explores what you can do for lower back pain to find relief.

Treating Lower Back Pain at Home

To treat lower back pain from home, there are a few things you can try, including—

Taking over-the-counter pain relievers for mild to moderate pain.
Alternating heat and ice. Do this by applying ice at first and then heat to elevate blood flow and encourage healing.
Make lifestyle adjustments, such as correcting your posture, reducing physical activity, getting quality sleep, and more.

Each of these things can help reduce pain for some.

When To Seek Professional Treatment

Unfortunately, sometimes back pain needs a little more attention than what you can give it at home. If you have tried the above ideas without success, then perhaps you need to seek professional treatment.

With the guidance of an experienced pain management doctor, you can have access to a long list of potential treatments for lower back pain, including pain medication, physical therapy, and the following:

Injections

Injections are a simple, non-invasive treatment option for ridding yourself of back pain using steroids, anti-inflammatory medications, or anesthetics. They may be used as a nerve block, targeting a specific nerve or nerve group giving them time to heal.

An epidural steroid injection is administered around the spinal cord. This is one of the most commonly used treatments for lower back pain or sciatica.

Please understand that injections are a temporary solution.

Spinal Cord Stimulation

Spinal cord stimulation involves implanting a small device near the spine. It generates electrical impulses that confuse the pain messages sent by the nerve and reduce the chance of the sensation reaching the brain.

In other words, a spinal cord stimulation device modifies nerve activity and gives you relief.

Radiofrequency Ablation

Radiofrequency ablation is a procedure that uses an electric current to heat specific areas of nerve tissue. As it does, it destroys it and eliminates the pain signal. On average the results from this treatment can last about 6 to 12 months — or longer.

It is important to note that these are just a few of the many different treatment options to help restore your functionality and improve your quality of life. Working with the right team will help you with a customized plan dedicated to your treatment needs.

Find Freedom From Back Pain at the American Pain Institute

Joshua Greenspan, MD, the pain management doctor at the American Pain Institute in Portsmouth, NH understands just how debilitating lower back pain can be. He will assess your level of pain and create a customized treatment plan to help you reclaim your life.

Frequently Asked Questions

What should you not do with lower back pain?

If you have lower back pain, you should not be doing any heavy lifting or twisting. Reduce or halt your exercise and physical activity until the inflammation subsides.

Is it better to sit or lay down to reduce lower back pain?

Lying down can often take the pressure off of the lower back and provide relief.

The post What Do You Do For Lower Back Pain? appeared first on American Pain Institute.

What Kind Of Doctor Should I See For Back Pain?

Team — Wed, 14 Aug 2024 16:11:59 +0000

Back pain can impact people of all ages for many different reasons. While it may resolve on its own with a little time, back pain that is persistent or severe can significantly reduce your overall quality of life and needs to be addressed. Knowing where to turn for help is essential for getting the right treatment – and relief – you need.

Understanding Back Pain

Back pain is very common, but how it affects each person will vary. For instance, it may be acute or chronic. It could come with a sharp pain or a dull ache. It may be on the left side, right side, center, or all over. It may be upper back or lower back. And, back pain can be caused by a long list of things, like herniated disks, sore muscles, strains and sprains, poor posture, fractures, and even certain medical conditions.

Because there are so many factors surrounding back pain, getting to the root cause and finding the proper treatment is so important for relief.

When It is Time to Seek Medical Attention

If you have been injured in an accident of any kind, you should always get checked out to confirm no serious damage has been done. But, for those who have chronic back pain they have learned to tolerate — when is it time to seek medical attention?

If your pain is severe or feels like it is getting worse
If your pain begins to radiate down your legs or through your arms
If your pain is accompanied by weakness or numbness
If your pain interferes with your daily life

You know your body best. If you feel like you should seek medical attention for your back pain, then seek it without hesitation.

How a Pain Management Doctor Can Help

Pain management doctors specialize in both diagnosing and treating pain. So, when it comes to chronic back pain, they are the best choice for getting you the relief you have been searching for.

What sets a pain management doctor apart from others?

Specialized Training. Pain management doctors specialize in treating pain. They uncover the cause of the pain and know the most effective solutions.
Personalized Care. With careful evaluation, pain management doctors can personalize treatments to meet the needs of each patient.
Treatment Options. Pain management doctors specialize in treatments that relieve pain. This may include various treatments, such as nerve block, epidural steroid injection, spinal cord stimulation, radiofrequency ablation, and more.

Additionally, these doctors focus on the patient’s ability to get through their day, participating in daily activities and improving overall quality of life. They have the skills, tools, and knowledge to transform lives.

Frequently Asked Questions about Back Pain

How do you know when back pain is serious?

If your pain does not improve in a couple of weeks or if severe back pain cannot be relieved with over-the-counter medication, see your doctor.

How can you tell if back pain is muscular or something else?

Back pain that stems from a muscle will usually be in one localized area and may only hurt when you move a certain way or are in a certain position. If you aren’t sure, talk to a medical professional.

Find Treatment for Your Back Pain

American Pain Institute in Portsmouth, NH offers patients a comprehensive list of treatments for chronic, intractable pain, including headaches, arthritic joints, reflex Sympathetic Dystrophy, and more. They also treat back pain.

With a state-of-the-art facility and customized treatment plans, you can expect to find comfort in healing and an improved overall quality of life.

To learn more about our specialists and how they can treat your back pain, contact us today at 603-766-8500 . Or, request an appointment online.

The post What Kind Of Doctor Should I See For Back Pain? appeared first on American Pain Institute.

What Doctor Should I See For Neck Pain?

Team — Fri, 28 Jun 2024 03:18:00 +0000

Neck pain is extraordinarily common with some studies reporting that as many as 1 in 3 people in the U.S. will experience neck pain in any given year. Although most of the time neck pain will resolve on its own, in other cases the pain returns, or the pain persists (chronic pain). Neck pain may be treated by various healthcare professionals ranging from General Practitioners to Physical Therapists, and Pain Management Specialists. Here’s what to know about seeing a doctor for neck pain.

Neck Pain: See Your Primary Care Physician First

If you’ve developed pain in your neck, your first visit should be to your Primary Care Physician. They will begin the process of ruling out certain conditions. After all, neck pain has many causes, and it is important to accurately diagnose whether it arises from the muscles, spine, joints, a known injury, or even significant stress.

Your doctor may palpate (touch/feel) around the neck to check for abnormalities. They may have you move your head up and down or side to side. They will also likely check your strength and reflexes in your arms and shoulders. If a pulled muscle, pinched nerve, or arthritis is suspected, they may recommend an over-the-counter pain reliever, or prescribe an anti-inflammatory medication. They may also refer you to a Physical Therapist for specialized exercises.

If your Primary Care Physician suspects a problem with the cervical spine or joints, they may order diagnostic tests including an X-ray or an MRI.

Neck Pain: How Physical Therapists Can Help

For ongoing pain in the neck, your Primary Care Physician may refer you to a Physical Therapist. Physical Therapy is an excellent treatment modality for conditions such as a stiff neck, or muscle spasms in the neck. The goals of physical therapy for your neck are often threefold:

To strengthen weak muscles
To stretch strained or rigid muscles
To improve flexibility in the neck

Physical therapy for neck pain may take time, as you relearn how to maintain good posture while standing, sitting at work, and scrolling on your phone.

When to See a Spine Surgeon for Neck Pain

If your Primary Care Physician receives results from imaging tests that show a skeletal problem in your spine, you may be referred to a Spine Specialist or Surgeon for further care. Although many skeletal issues in the upper spine do not require surgery, some spinal injuries and diseases may only be resolved through surgery.

Neck Pain: Why You’re Referred to a Pain Management Specialist

A referral to a Pain Management Specialist for neck pain only occurs when your care team has exhausted their available treatments and your neck pain persists. Pain Management Specialists have a variety of treatment options available that other medical providers do not offer.

For example, pain in your neck may be treated with any combination of physical therapy, medication, or even surgery, along with pain management treatments such as nerve blocks, trigger point injections, facet joint injections, radiofrequency ablation, epidural steroid injections, or spinal cord stimulation.

Frequently Asked Questions about Neck Pain

I work Monday-Friday. Do you offer extended hours?

Yes. To accommodate our busy patients, the American Pain Institute begins seeing patients at 7:30 am Monday - Friday.

How long should I wait before seeing a doctor for neck pain?

Neck pain is incredibly widespread, and often resolves without treatment. But if you’re experiencing neck pain with no known cause that has persisted for more than a week, it’s best to call your Primary Care Physician.

Treatment for Neck Pain at the American Pain Institute

At the American Pain Institute in Portsmouth, NH, Dr. Joshua Greenspan is a highly experienced and respected Pain Management Specialist. Known for his compassion and incredible listening skills, Dr. Greenspan has a proven track record of being able to help those suffering from chronic pain when other treatments have failed. If you’ve been referred for pain management, call 603-766-8500 or message us.

The post What Doctor Should I See For Neck Pain? appeared first on American Pain Institute.

How Do You Prevent Lower Back Pain?

Team — Mon, 29 Apr 2024 16:58:47 +0000

Lower back pain, also known as lumbar back pain, is extraordinarily common. According to the World Health Organization (WHO), lower back pain is the most common musculoskeletal condition in the world and is the number one cause of disability around the world. Unfortunately, therefore, the majority of people will experience lower back pain at some point in their lives. But, there are measures you can take to reduce the likelihood that you’ll need surgery. Read on for best practices for preventing lower back pain.

Why is Low Back Pain So Common?

Low back pain is common largely due to the anatomy of the spine. Consider that the lower back only has five vertebrae, and sustains the brunt of the body’s stress and strain. It is responsible for keeping us upright, bearing all of the weight of the upper body, and connecting the spine to the pelvis. These factors, coupled with the fact that the spine weakens as we age due to wear and tear, and degenerative conditions such as spinal stenosis, osteoarthritis, or injury, are the main reasons that people develop low back pain.

Preventing Lower Back Pain: Tips and Tricks

No one is immune from the effects of aging. Moreover, no one can predict accidents such as falls, sports injuries, or vehicular accidents. But, there are numerous things we can do to keep our backs as strong and healthy as possible for as long as possible.

Develop Strong Core Muscles

Our lower back bears a great deal of stress from lifting, and supporting the upper body. To alleviate some of the strain on the bones, muscles, joints, and tendons of the back, focus on building strong core muscles. The core muscles include the hip and trunk muscles as well as the abdominal muscles.

Maintain a Healthy Weight

Excess weight puts additional strain on the bones and muscles of the lower back. This can lead to tilting of the spine, which often contributes to lower back pain.

Sit up Straight

A hunched-over posture places additional strain on the discs of the lower back. If you tend to hunch at your computer or while looking at your phone, take periodic breaks to stand up straight and walk around.

Stretch and Then Stretch Some More

Daily stretching is underrated. Stretching keeps your muscles loose so that they are less likely to spasm and strain your joints.

Lift Carefully and Correctly

When lifting any object, be sure that you’re using your legs in conjunction with your back. Bending at the waist to lift something, particularly something heavy, is one of the leading causes of low back strain, sprain, and other injuries.

Exercise Regularly

Regular exercise doesn’t have to be strenuous. It doesn't even require a gym membership. Daily, brisk walking is all that is needed to promote good blood circulation. Sufficient blood flow is essential to prevent low back pain, as it ensures that the muscles, tendons, and ligaments get all of the nutrients and oxygen they need.

Maintain Good Overall Health

Drinking plenty of water, getting sufficient sleep, avoiding excess alcohol and all nicotine, and staying active is an excellent way to stay healthy. While anyone can suffer an injury to the back, or develop a degenerative disease, those who are in better overall health are likely to recover better and faster from pain, injury, or surgery if needed.

Frequently Asked Questions about Pain Management

Can I self-refer for pain management?

No. At the American Pain Institute, we require a physician’s referral to book your appointment.

Will insurance pay for pain management therapies?

All policies have unique exclusions and allowances. Our team is happy to file claims on your behalf. Many treatments are covered by the majority of insurance plans. Please note you will be responsible for your co-payment at the time of service and for balances that are not approved by insurance.

Treatment for Low Back Pain in New Hampshire

The good news for those suffering from low back pain is that most people will not require surgery to treat the pain. Nonsurgical pain management treatments for low back pain may include physical therapy, alternative therapies, and a variety of injections to alleviate pain. To schedule an appointment with Board-Certified Anesthesiologist and Pain Management doctor Joshua Greenspan MD, call 603-766-8500 .

The post How Do You Prevent Lower Back Pain? appeared first on American Pain Institute.

How Do You Know If You Have Fibromyalgia?

Team — Tue, 27 Feb 2024 15:54:11 +0000

Fibromyalgia can be a frustrating health condition to accurately diagnose. Unfortunately, once diagnosed it can also take time to find the proper combination of treatments that help reduce symptoms of this challenging, and painful condition. If you are experiencing certain symptoms, and various testing has eliminated other health conditions, you may receive a diagnosis of fibromyalgia.

Symptoms of Fibromyalgia

Experts still can’t pinpoint exactly what causes fibromyalgia. However, research suggests that fibromyalgia may be genetic. Genetic mutations passed down through families appear to alter the way those diagnosed with fibromyalgia experience pain. As such, there is likely both a neurological and physical component to this perplexing health condition.

Other risk factors for developing fibromyalgia include age, as it is most often diagnosed in those over the age of 40. Biological females are also roughly twice as likely to be diagnosed with fibromyalgia than biological males. Those with a history of chronic illnesses, ranging from arthritis and back pain to gastrointestinal disorders such as IBS, to depression and anxiety disorders may also be more likely to be diagnosed with fibromyalgia.

Symptoms of fibromyalgia vary widely, and it’s uncommon for two people to experience the same symptoms in the same order. Some of the many symptoms of fibromyalgia include:

Muscle tenderness and pain with no known cause
Chronic fatigue
Digestive problems (diarrhea, constipation)
Bladder control problems
Headaches or migraines
Facial and jaw pain, including TMJ disorders
Anxiety and depression
Insomnia
Memory problems (called brain fog or “fibro brain”)

Although fibromyalgia symptoms tend to go through phases of flare-ups and remission, like autoimmune diseases, it is not classified as an autoimmune disease. Instead, it is classified as a chronic disorder or a multifactorial syndrome.

Fibromyalgia Tests

There is no single test for fibromyalgia. Instead, you’ll only know if you have fibromyalgia through what’s called a differential diagnosis. This means that it will be diagnosed through a process of elimination. Your physician will rule out other possible causes of your pain and fatigue to arrive at a diagnosis of fibromyalgia. Blood tests, imaging tests, and even sleep studies may be conducted to rule out other health conditions.

Treating Fibromyalgia: What to Know

Once you’ve been diagnosed with fibromyalgia, your pain management specialist is likely to prescribe a combination of pain management treatments, to evaluate effectiveness. For example, you may be prescribed medications ranging from muscle relaxants to pain medication, sleep medication, or even antidepressants to mitigate symptoms.

You may be referred for physical therapy, occupational therapy, or massage therapy to strategically manipulate muscles, improve flexibility, and improve circulation.

Nerve block injections may be recommended to minimize acute pain in specific areas of the body. In some cases, mindful meditation and other stress-management exercises may be prescribed. Other treatments may include radiofrequency, or alternative treatments such as acupuncture.

Your pain management specialist will evaluate your responses to various treatments, discontinuing those that do not provide symptom relief, and continuing to explore other options to find the most effective treatments.

Frequently Asked Questions about Fibromyalgia

Is there a cure for fibromyalgia?

There is currently no cure for fibromyalgia. However, with proper treatment, the condition can be successfully managed by mitigating symptoms and improving your quality of life.

How can I reduce the painful symptoms of fibromyalgia at home?

Patients play an integral role in the management of fibromyalgia, and there are many ways those diagnosed with fibromyalgia can help reduce symptoms of the condition. Regular exercise, stretching, maintaining a healthy weight, getting plenty of sleep, and eating a nutritious, balanced diet can help manage pain. Limiting alcohol and caffeine may help. You should not smoke, vape, or use any form of smokeless tobacco. Deep breathing, yoga, and other stress management techniques may also help.

Pain Management for Fibromyalgia in Portsmouth, NH

If you’ve been referred for pain management after receiving a diagnosis of fibromyalgia, the American Pain Institute can help. Dr. Joshua Greenspan is a highly experienced and compassionate pain management specialist helping those with all types of chronic pain improve their quality of life through effective pain management treatments and therapies. To book an appointment or to refer a patient to the American Pain Institute, call 603-766-8500 .

The post How Do You Know If You Have Fibromyalgia? appeared first on American Pain Institute.

How Do You Get Rid Of Chronic Headaches?

Team — Tue, 19 Dec 2023 19:09:34 +0000

Occasional headaches are unfortunate, inconvenient, and disruptive for countless people worldwide. Most people will experience relief without medical intervention. However, tens of millions of people in the U.S. experience severe headaches (migraine) or suffer from chronic headaches. So, how do you get rid of chronic headaches? Here’s a look at how pain management specialists may treat chronic headaches.

Diagnosing the Type and Cause of Headaches

One of the first steps pain management experts take when treating chronic or severe headaches is to determine the type of headache and the potential cause of the headache.

Primary headaches occur independent of another medical condition. Secondary headaches occur as the result of a known health issue. Migraine, for example, is a primary headache, whereas secondary headaches may have dozens of potential causes, ranging from hypertension to nerve problems, and spinal disorders, to eye problems.

Those who suffer from chronic headaches may need to undergo various tests to rule out chronic conditions and diseases including tumors, stroke, cancer, inflammation of the brain, arteries, etc. Nerve testing may also be necessary to try to pinpoint the cause of the headaches.

Chronic Headaches: When Do Pain Management Doctors Get Involved?

Occasional headaches or migraines do not require pain management intervention. However, when headaches become chronic (defined as headaches 15 or more days per month), you may be referred to a pain management specialist for treatment.

Your pain management specialist will begin with a thorough evaluation of your medical history, including current health conditions, medications, and lifestyle. They will then begin ruling out potential causes and honing in on more likely causes.

As your pain specialist works to uncover the underlying cause of chronic headaches, they may prescribe a variety of lifestyle changes, along with prescription medications that may include anti-inflammatory medications, migraine medications known as triptans, or ergot alkaloid medications (ergotamines).

If medications and lifestyle changes reduce the frequency or severity of your headaches, no other intervention may be necessary. Those who don’t respond to conservative treatments may be candidates for injection therapy provided by a pain management physician.

How Do Pain Management Physicians Treat Chronic Headaches?

People who suffer from chronic headaches or migraines that do not respond to conservative treatments or lifestyle changes may be candidates for various non-surgical pain management treatments. Examples of these treatments include the following.

Epidural Steroid Injection

If nerve pain originating in the spine is causing chronic headaches, an epidural steroid injection may help. Epidural steroid injections reduce inflammation and irritation in the spine

Facet Joint Injection

Inflammation in the facet joints may cause headaches. Local anesthetic combined with a steroid medication may be injected to alleviate headaches.

Occipital Nerve Block

The occipital nerves run throughout the scalp. If these nerves become inflamed or injured, they may cause headaches. Occipital nerve blocks can calm irritation and inflammation, providing headache relief.

Radiofrequency Ablation

Headaches due to nerve dysfunction may respond to radiofrequency therapy providing headache relief.

Stellate Ganglion Block

Headaches due to a nerve problem in the neck may respond to a Stellate Ganglion Block, an injection administered near a group of nerves in the neck.

Trigger Point Injections

Sometimes, muscle knots deep in the muscles contract and do not release, forming a trigger point. Contracted muscles may lead to headaches. Trigger point injections can reduce headaches along with muscle pain in the body.

Get Pain Management Help for Chronic Headaches in Portsmouth, NH

Dr. Joshua Greenspan, MD is Board-Certified in Anesthesiology and Pain Management. As founder of the American Pain Institute, Dr. Greenspan provides comprehensive pain management services to patients from Portsmouth, Exeter, Hampton, and surrounding communities. To book an appointment call 603-766-8500 .

Frequently Asked Questions

Do nerve blocks hurt?

Nerve blocks use small needles, but they do require injections. Mild discomfort may be felt, but the procedure is not painful. You may experience some tenderness at the injection sight for a couple of days.

What can I do to reduce headaches on my own?

There are many changes you can make to reduce your risk of headaches. Drink plenty of water, reduce caffeine consumption, limit alcohol consumption, take all medications exactly as prescribed, get lots of sleep, and exercise regularly. Alternative therapies including mindful meditation, acupuncture, or massage therapy may also help.

The post How Do You Get Rid Of Chronic Headaches? appeared first on American Pain Institute.

Can TMJ Cause Neck Pain?

Team — Tue, 21 Nov 2023 15:04:08 +0000

Disorders of the temporomandibular joint (TMJ) may cause neck pain in up to 70% of those diagnosed with the jaw joint disorder. Likewise, a problem with the neck may cause pain in the jaw joint. Fortunately, patients suffering from mild discomfort from TMJ will find that lifestyle changes such as switching to soft foods temporarily, icing the jaw, or taking an over-the-counter anti-inflammatory medication are enough to mitigate pain. However, for others, chronic neck pain due to, or in conjunction with a disorder of the TMJ, may require treatment provided by a pain management specialist.

How are Pain in the Jaw Joint and Neck Pain Linked?

The jaw joint and the cervical spine muscles (neck) are intrinsically linked, meaning that a problem in the jaw joint will impact the neck, and vice versa. Studies point to a correlation between neck pain and disorders of the TMJ.

Consider that if any of the bones of the cervical spine are out of alignment, the pain may be felt in the jaw. Conversely, if the disk in the jaw joint is out of alignment, sensitive, painful areas may develop in the neck. Notably, disabilities in the jaw joint accompanied by neck pain have been found to affect office workers more frequently than non-office workers. Those who sit at a desk in front of a computer are more likely to suffer from both TMJ disorders and neck pain.

How Do Pain Management Physicians Treat Pain from TMJ?

Pain management physicians will always attempt to treat chronic pain with conservative, non-surgical treatments. For neck pain due to TMJ, potential treatment may include:

Prescription-strength non-steroidal anti-inflammatory drugs (NSAIDs)

Stronger than over-the-counter medications, these anti-inflammatory medications are particularly helpful for those with arthritis.

Physical therapy

Your pain management physician may refer you to a physical therapist to strengthen your neck and jaw muscles.

Muscle relaxants

Prescription medications may be prescribed for short-term relief if pain is due to clenching or grinding your teeth.

Trigger point injections (Corticosteroids or BOTOX)

Corticosteroids injected into the jaw joint can reduce the pain that radiates to the neck due to inflammation in the jaw joint. BOTOX injections can temporarily paralyze the muscles in the jaw to prevent grinding and clenching.

Ultrasound Therapy

Ultrasound therapy may help some patients get relief from tense muscles by using sound waves to promote muscle relaxation.

Transcutaneous Electrical Nerve Stimulation (TENS)

Electrical impulses may help some patients get relief from neck pain due to TMJ.

Acupuncture

As an alternative therapy, some patients find that acupuncture helps alleviate pain in the neck due to disorders in the TMJ.

It is important to note that if neck pain is due to a problem with the vertebrae or discs of the neck, a variety of other treatment modalities may be necessary, including nerve block injections, cervical traction techniques, cervical collar (neck brace), platelet-rich plasma injections, and other therapies.

Book an Appointment for Neck Pain in Portsmouth, NH

At the American Pain Institute in Portsmouth, NH, Dr. Joshua Greenspan provides expert pain management for chronic conditions. To schedule an appointment, call 603-766-8500 or send us a message.

Frequently Asked Questions

Can TMJ Be Cured?

TMJ often goes away on its own with minimal lifestyle changes. However, if you’re suffering from jaw pain and neck pain, additional therapies provided by a pain management specialist may be necessary to manage your pain.

Does Neck Pain from TMJ Require Surgery?

Rarely. In most cases, your pain management specialist, often working in conjunction with your dentist, can successfully treat the condition to alleviate pain. Surgery may be required for a traumatic injury to the jaw joint, severe dislocation in the cervical spine, or a congenital deformity of the jaw joint.

The post Can TMJ Cause Neck Pain? appeared first on American Pain Institute.

How Can Tight Muscles Result In Back Pain?

Team — Mon, 30 Oct 2023 16:58:27 +0000

If you’ve suddenly developed back pain (AKA acute back pain), a muscle sprain or strain is likely to blame. By contrast, pain that develops over time is more often the result of degenerative or inflammatory conditions, including arthritis. So, if you’re struggling with back pain seemingly out of the blue, don’t panic unless it is accompanied by fever, weakness, or swelling. Read on to learn about how even innocuous activities can lead to tight muscles and back pain.

What Causes Tight Muscles?

Tight or stiff muscles are incredibly common. Though they may result from underlying inflammatory conditions, in many cases, tight muscles develop after a period of inactivity, followed by activity. Anyone who has ever returned to the gym after time away knows that the aches and pains the following day are perfectly normal. Likewise, adding a new type of exercise to your regimen can create stiff, tight muscles.

Stiff muscles after a return to activities will typically resolve on their own in a couple of days. However, suppose you’re experiencing tight muscles after a known injury, such as twisting your ankle or falling. In that case, you should seek medical treatment to ensure you haven’t experienced a serious strain or sprain of muscles or ligaments.

But tight muscles don’t always result from strenuous activity. Sleeping in an awkward position, sitting too long at your desk, engaging in repetitive movement, failing to drink enough water, an imbalance of vitamins and nutrients, and some medications can cause stiff muscles.

Tight Muscles Throughout the Body Can Cause Back Pain

Tight muscles are the leading culprit behind the sudden onset of back pain. However, the specific muscles responsible for your back pain may be elsewhere in your body.

Hamstrings

It may seem strange, but tight hamstring muscles in the thighs can cause back pain. When muscles are tight or stiff, they contract, making them shorter. In the case of hamstrings, this can affect the alignment of your spine and pelvis leading to lumbar (lower back) pain.

Hip Flexors

When the muscles in your hip that make it possible to lift your thigh become tight, it can lead to pressure on the spine. Simple, at-home stretches recommended by your physician can often help alleviate this pain.

Rotator Cuff

If you experience tight muscles in the rotator cuff, which attach your shoulder blade to your arm, the pain may spread to the upper back.

Trapezius

Strains to the trapezius (neck muscle) are so common that they’ve been dubbed “tech neck” and “text neck.” These strains stem from repetitive strain on the neck muscles caused by leaning the neck forward to look at your phone, tablet, or computer screen. Tightness in the trapezius may spread to the upper back causing pain.

Obliques

The muscles on either side of your waist are the obliques. Frequent bending, twisting, or turning can cause tightness in the obliques that can cause back pain.

How Long Should I Wait to See a Doctor for Back Pain?

Back pain is extraordinarily common. The overwhelming majority of people will experience back pain at some point in their lives. Tight muscles often relax with time, proper hydration, and with slow, measured stretching exercises.

However, if you’re still experiencing stiffness and tightness in your back after a week or more, schedule an appointment with your physician. They may need to refer you to the appropriate specialist for treatment and pain relief.

Chronic Back Pain: Get Help from the Pain Specialists in Portsmouth, NH

The American Pain Institute in Portsmouth, New Hampshire, is a technologically advanced pain management practice serving patients from Exeter, Greenland, Hampton and surrounding communities. We specialize in innovative, non-surgical treatments for chronic pain. To schedule your appointment, call 603-766-8500 or send us a message.

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How to Tell if Back Pain is Muscular

Team — Mon, 22 May 2023 19:35:43 +0000

Experiencing back pain as an adult is relatively common. According to the Centers for Disease Control and Prevention, nearly 40% of adults in the United States will struggle with some degree of back pain during their lives. If you experience back pain, you’re not alone.

Back discomfort is so common partially because it has many potential causes. Sometimes, it’s a symptom of a muscular injury or strain. If you’re experiencing back pain, it’s possible you injured or strained the muscles in your back at some point without realizing it.

The best way to determine if your back pain is muscular is to discuss your symptoms with a professional. A doctor offering pain management services can evaluate your physical condition and determine what may be causing your discomfort. This is key to determining the proper treatment method.

In the meantime, though, asking yourself certain questions can help you better understand whether your back pain may be related to a muscular injury or similar issue.

Is My Back Pain Muscular? Questions To Ask

Questions that can reveal potentially useful information about whether your back pain is muscular include:

When did the pain begin? Did you start noticing symptoms after lifting a heavy object, playing a sport, or engaging in a similar form of strenuous physical activity?
How does the pain feel? Is it sharp or dull?
Does the pain become more noticeable when you move? How about when you apply pressure to the area?
Do you experience any other symptoms accompanying your pain, such as spasms or stiffness?

There’s a strong possibility your back pain is muscular if you answered yes to many or most of these. Your next step should be to schedule an appointment with a doctor with the qualifications necessary to provide an official diagnosis.

Answering these questions on your own ahead of time can help you prepare for your appointment. The more thoroughly and accurately you can describe the nature of your pain and when it started, the easier it may be for a doctor to assess what may have caused it.

Ways to Alleviate Muscular Back Pain

There are various ways you may reduce muscular back discomfort. They include the following:

Getting proper rest and limiting physical activities that may require the use or movement of the affected area whenever possible.
Applying heating pads or ice to the affected area. Heat may relax your muscles, while cold can minimize inflammation.
Using over-the-counter pain medication. Be sure you fully understand how to do so safely, as even some OTC medications have the potential to cause harm when taken improperly.
Seeing a physical therapist to address the underlying injury.

It’s also wise to identify any lifestyle factors that may have contributed to your injury. For example, if you don’t maintain a healthy posture throughout the day, you may be more prone to the types of injuries that can result in muscular back pain. You might also be more vulnerable to such injuries if you don’t maintain a healthy weight. Addressing such issues may not totally eliminate pain you’re already experiencing, but it can guard against future back discomfort.

Your job might also require you to perform physical activities that can lead to muscular back injuries. Going forward, be sure to take steps to prevent such injuries at work. For instance, if you need to lift heavy objects, do so with help from your coworkers or from safe tools designed for this purpose.

Most importantly, listen to the advice of your doctor after they examine you. This is essential. A medical professional who understands the various causes of muscular back pain may provide you with the ideal treatment plan for your needs, helping you overcome your current injury and avoid future harm.

Contact a Pain Management Specialist

At the American Pain Institute, a doctor is available to diagnose the cause of your back pain and recommend a treatment plan tailored to your needs. Depending on the circumstances, it may even be possible to treat your back pain without surgery. Learn more about how we can help by contacting us online or calling us at 603-766-8500 to schedule an appointment.

The post How to Tell if Back Pain is Muscular appeared first on American Pain Institute.