NECK PAIN

Treatment for neck pain typically follows a conservative course with the employment of anti-inflammatory medications, muscle relaxants, early engagement with physical therapy, and occasional employment of a cervical collar. Physical therapy involving stretching, exercises, and traction may be recommended, along with modalities such as moist heat, ultrasound, and electrical stimulation. Generally, the prognosis is positive with improvement or resolution in days-weeks. Severe whiplash injuries can take a considerably longer period for recovery.

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ARM & LEG PAIN

Fortunately, the vast majority of leg and arm pain sufferers gain significant improvement over time with conservative care alone. In the absence of progressive worsening such as worsening weakness or numbness, the symptoms usually resolve within four-six weeks. Medications such as anti-inflammatories, muscle relaxants, and occasionally corticosteroids in combination with early stretching, exercises, and traction can be helpful in keeping the symptoms at bay until resolution occurs.

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LUMBAR SPINAL STENOIS

Conservative or non surgical treatment is often sufficient to control symptoms and remain functional. General fitness and conditioning exercises are usually sufficient including cycling, pool exercises, treadmill exercises as tolerated. Medications used are acetaminophen (maximum dose not to exceed 2000mg/day), anti- inflammatory medications, medications to help with neuropathic pain (gabapentin).

Try our home remedy exercises provided. Stop if they cause an increase in pain or symptoms. If no relief with home exercises, formal physical therapy involving therapeutic William flexion exercises, functional stabilization exercises may be of helpful.

After failure of conservative treatment, epidural steroid injections or selective nerve root blocks are commonly used in non surgical management of lumbar spinal stenosis.

Surgical treatment is needed for patients with symptomatic severe spinal stenosis who do not respond to conservative management. Surgical treatment commonly consists of spinal decompression to remove structures (lamina, bone spurs, ligamentum flavum and hypertrophied facet joints, herniated discs) causing narrowing of the spine and causing compression of spinal cord or nerve roots).

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