Category: Uncategorized

08
Mar

Tennis Elbow

Tennis elbow is a painful condition of the elbow that occurs due to repetitive motion of the arm and hand. The tendons involved attach to the outer or lateral part of the elbow. With recurrent injury, the tendons become chronically damaged. We typically refer to this as a tendinopathy. Contrary to popular belief, people who play tennis are not the only ones who develop this condition. It is often seen in individuals who do manual labor such as construction, carpentry, and factory work. We even see this in people who work on computers and in the restaurant industry. MRI and ultrasound can help assess the scope of injury. Traditional treatments include anti-inflammatory medications, ice, rest, and physical therapy. Symptoms can still persist despite these therapies. In the office, we find that prolotherapy and platelet rich plasma work very well. Drying needling and cold laser can also be effective treatments

28
Feb

Neuropathy

Peripheral neuropathy can occur when nerves get damaged. More often than not, one experiences burning, numbness, and tingling. Over time, various part of the peripheral nervous system can be affected. Patients may have an impairment in balance which can lead to frequent falls. If the autonomic nervous system is damaged, patients often experience dizziness, changes in heart rate, as well as bowel and bladder issues. Overall, Diabetes appears to be the most common cause. Control of blood sugar is very important in treating this type of neuropathy. Other causes may include B vitamin Deficiencies, alcohol consumption, exposure to toxins, lupus and other autoimmune disease, cancer, liver and kidney disease, chemotherapy, and blood disorders.

A complete neurological examination and diagnostic testing is necessary for optimal treatment. Medication can provide symptomatic relief when needed.

22
Feb

Stroke

Stroke is one of the leading causes of disability and death in this country. It can result in permanent disability in about 2/3 of cases. What is a stroke? It happens when there is reduced blood flow and oxygen to the brain. This can occur from a clot or hemorrhage. Warning signs may include trouble speaking, weakness on one side of the body, dizziness, changes in vision, severe headache, and trouble walking. Stroke is a medical emergency which requires prompt attention. When patients are able to get to the hospital fast enough, a medication can be given to break up the clot and minimize long term disability. The longer you wait, the greater the damage. Don’t delay treatment!

14
Feb

Trigeminal Neuralgia

Facial pain commonly is caused by a condition called trigeminal neuralgia. This is a condition where one of the nerves in the face, that supplies sensation, becomes irritated. Patient commonly feel intermittent sharp, lancinating pain. At times, brushing ones teeth or touching the face can set the pain off. More often than not, older patients typically present to the office. However, I have seen this condition in younger patients as well typically after some dental work. The cause of the nerve impairment is variable but may be caused by contact of a blood vessel with the nerve, possible tumor, multiple sclerosis, and dental work. Treatment can be done successfully with medication most of the time. Accupuncture can also provide some relief. Surgical decompression is the last resort.

09
Feb

Back Pain

Back pain is one of biggest reasons patients go to the doctor. People will commonly miss work and it is the leading cause of disability worldwide. Fortunately, for most, the symptoms will resolve on their own in a few weeks. But for many, the symptoms can be a lifelong disabling condition. Typical causes of back pain include muscular strain, arthritis, disc herniations, and ligamentous laxity. A painful electric-like sensation can occur at times signaling a “pinched nerve”. Others may have intermittent symptoms which may be dull and achy. Physically active and sedentary individuals can both develop back pain. Office workers commonly have this condition. Many of these patients will have poor core strength and shortening of muscles. Ligamentous laxity also develops over time. Rest and medications are usually the first line of treatment. When someone does not get better, physical therapy and accupunture can provide great benefit. An MRI and nerve study may be required to assess for radiculopathy. More invasive treatment can be done if necessary such as injections with corticosteroids. We find that prolotherapy and PRP can significantly reduce disability and be curative in many cases.

08
Feb

Migraines

Headaches can be caused by a wide variety of conditions. One of the more common causes of headaches is migraine. Typically, one feels intense pain with nausea as well as sensitivity to light or noise. These headaches may have prodrome or aura prior to their onset. Patients may complain of visual disturbances, dizziness, numbness and even focal weakness. Triggers for migraines variable but may include stress, menstrual cycle, certain food, and smells. When symptoms are severe, most people will take an over the counter medication such as tyelenol or ibuprofen. These medications may or may not relieve the symptoms. The relief may only be short-lived as well. A preventive medication may be necessary if the headaches are frequent. Seeing a neurologist at this point makes a lot of sense. A thorough evaluation and appropriate medical and non-medical treatment can provide tremendous relief.

Please call our office today at 973-928-3288.

07
Feb

Concussion

When people think of concussions, they have a tendency to think of sports-related injuries. Nowadays, we hear a great deal about it due to what we have seen happen in the NFL. Although, it’s quite common to see this issue in the sports arena, we also see it frequently in other areas such as car accidents, construction sites, falls at work, and even injuries sustained in the house. Some people even tell me that they injured themselves because “I have always been clumsy”. Regardless of what caused the trauma, most patients suffer from memory problems, headaches, dizziness, mental fogginess, and neck pain. For most people, symptoms will resolve after a few weeks. For others, symptoms may continue to linger. Repeated head trauma can lead to a condition called chronic traumatic encephalopathy which causes significant cognitive and psychiatric issues. It is very important to have a formal evaluation which includes a comprehensive physical examination. At times, further evaluation with appropriate imaging and other diagnostic modalities are necessary. If the injury is sports related, athletes will likely need to sit out for a period of time before they can resume play. They should be monitored during this time. The road to recovery can be difficult but there are ways to optimize recovery. 12648975-magnetic-resonance-image-MRI-of-the-brain-Stock-Photo-scan

Please call our office today at 973-928-3288.

 

06
Feb

Tremors

Do Your Hands Shake?

Shaking of the hands or other body parts can occur for a variety different reasons. Common reasons may simply be consumption of caffeinated beverages, anxiety, or side effects to medications. At other times, tremors can be caused by more serious issues such hyperthyroidism, seizures, liver, and kidney dysfunction. Essential tremor is also very common condition seen in the office. Most people notice this when they are trying to do something with their hands such as holding a newspaper or glass of water. This tremor can also spread to other areas of the body as well. Fortunately, most patient’s respond well to medications.

When it comes to tremors, people often worry about Parkinson’s. This is neurodegenerative disorder that is not curable but definitely treatable. Patient’s with this disorder can have other symptoms such sleep disturbances and difficulty with balance. Not sure of what’s causing you to shake? Please call our office at 973-928-3288 for an evaluation.

10
Apr

Have you ever been told that you snore?

Have you ever been told that you snore? Are you sleepy and tired during the day? Do you have a dry mouth and/or a headache in the morning? Are you suffering from a poor memory?  These may be signs of sleep apnea. Sleep apnea may be obvious when you hear your partner gasp for breathe at night, but this is not the case in many instances. It often goes undiagnosed in many people for years.

In sleep apnea your airway collapses when you breathe in which, in turn, deprives your body of oxygen and causes your heart rate and blood pressure to increase. The consequences of sleep apnea include a significant increase in stroke, heart attack, high blood pressure, diabetes mellitus, poor memory/confusion, depression and even increased risk of cancer.  Because of this, treatment becomes very important.

There are a variety of options for treatment which include the following:  continuous positive airway pressure (CPAP), oral appliance, positional therapy, weight loss, and surgery. To see which option is right for you, make an appointment with our office for a consultation.