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睡眠、锻炼、饮食和情绪都发挥着作用. 解决这些因素中的每一个都是治疗你整个人的一部分, not just the direct symptoms of your pain. 它被称为生物心理社会疗法，是best365亚洲版手机版的最先进标准. 当涉及到确定可能导致你疼痛的原因时，best365手机版官方网站不想留下任何的石头. 最重要的是，best365手机版官方网站在这里支持你的康复!
best365手机版官方网站的医生团队在治疗每位患者时都有一个目标:帮助患者恢复正常的日常活动. best365手机版官方网站的best365亚洲版手机版组的医生和提供者提供个性化的治疗方案，每一个病人认识到没有两个病人是相似的, and neither is their pain. 服务范围从先进的介入疼痛管理程序和心理支持功能恢复-为慢性疼痛患者的康复计划.
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辅助服务必须由IPM提供商best365手机版官方网站，并可用于目前的IPM患者. If you are not a current patient, an appointment with an IPM Provider much be scheduled prior to being scheduled for PT, Chiro or 针灸.
IPM is dedicated to fully educating patients about various options for pain management. best365手机版官方网站希望在你的诊断和治疗上与你合作，并鼓励你更多地了解各种各样的疼痛来源, conditions we treat, services we provide and procedure options.
这种情况是颈椎的一个或多个神经根受到刺激或压迫. Because these nerves travel to the shoulders, arms and 手s, 颈椎受伤可导致这些部位出现症状. 颈椎神经根病可由颈椎的骨骼和组织的各种问题引起. 颈神经根病的常见病因是椎间盘突出, degenerative disc disease, and spinal stenosis. Symptoms may include pain, 弱点, numbness and tingling, 而且可能会因伤的程度而有所不同.
颈椎管狭窄症会影响颈部的脊神经. It’s a narrowing of the spinal canal. 那是你的脊神经穿过的空间. 在best365手机版官方网站的脊柱中，椎管保护这些神经. It keeps them free from 受伤. But with spinal stenosis, the spinal canal is too narrow, and your nerves get compressed. 椎管狭窄可因疾病或损伤而发生. Your spinal canal can be narrowed by bone spurs, a bulging disc, or thickened ligaments. Your symptoms depend on which nerves are involved, and how badly they’re compressed. Symptoms include pain, numbness or 弱点, problems with balance and coordination, and problems with your bladder or bowels.
这种情况是一个或多个椎间盘变弱, 在脊椎之间起缓冲作用的部位. 这种情况可以作为老化过程的一个自然部分发展, but it may also result from 受伤 to the back. 有些人会感到腿部疼痛、麻木或刺痛. Strong pain tends to come and go. 弯腰、扭动和坐着会使疼痛加剧. Lying down relieves pressure on the spine.
小关节突关节综合征是一种类似于关节炎的脊柱疾病，可能是背部和颈部疼痛的重要来源. 它是由脊柱骨之间的关节退行性变化引起的. 小关节突关节内的软骨会分解并发炎, 在附近的神经末梢触发疼痛信号. 药物治疗, physical therapy, joint 注射, 神经阻断, 神经消融术可以用来控制症状. 慢性症状可能需要手术来融合关节.
椎间盘突出指的是一个橡胶垫(椎间盘)的问题，它位于构成脊柱的各个骨头(椎骨)之间. 椎间盘突出可以由正常的磨损和老化引起, traumatic 受伤, and heavy lifting. 椎间盘突出压迫脊柱神经. 这会导致疼痛、麻木、虚弱和刺痛. 你可能会在臀部、腿部或脚部感到疼痛. 颈椎突出会导致脖子、肩膀、手臂和手出现问题.
This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, 臀部, 腿和脚, 腰椎的损伤会在这些区域引起症状. 坐骨神经痛可能是由腰椎的骨骼和组织的各种问题引起的. Common causes of Sciatica are herniated disks, degenerative disc disease, and spinal stenosis. Symptoms may include pain, 弱点, numbness and tingling, 而且可能会因伤的程度而有所不同.
This condition, also called “failed back surgery syndrome,” is a type of chronic pain. 这种疼痛通常发生在一些人的脊柱手术后. After a laminectomy, 缓解脊神经压力的手术, 骨头或软组织可能仍然压迫神经，疤痕组织可能形成. 症状可能包括背部手术部位的疼痛. 疼痛也可能扩散到臀部和腿部. 这种疼痛可能是尖锐的，也可能是钝痛的.
脊柱包含开放的空间，为脊髓和脊神经创造通道. 椎管狭窄是这些开口的狭窄(或侵入). This can cause a compression of the nerves. Stenosis is commonly caused by an excess growth of bone around the spinal nerves. 这种过度的骨骼生长通常是由骨关节炎引起的. Stenosis can also result from a dislocation or a fracture of the vertebral bone. Symptoms of spinal stenosis can vary depending on the location and severity of the problem. Spinal stenosis can cause pain, 弱点, numbness and tingling in the 胳膊和腿.
复杂区域疼痛综合征(c反应蛋白)是一种慢性疼痛(持续6个月以上)，通常影响一侧肢体(手臂), 腿, 手, or foot) usually after an 受伤. c反应蛋白 is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems. c反应蛋白 is characterized by prolonged or excessive pain and changes in skin color, 温度, and/or swelling in the affected area. c反应蛋白的治疗包括康复和物理治疗, 心理治疗, 药物治疗, 注射, and in some cases surgery.
Orofacial pain refers to a variety of unpleasant physical sensations involving the muscles, bones or joints of the face and mouth. 口面部疼痛的常见原因是偏头痛, Involuntary muscle spasms in the head, 下巴和颈部, complications following certain surgeries, 缺失的牙齿, excessive tooth decay or gum disease, and 受伤 to the face or jaw. Symptoms of orofacial pain include, 眼睛周围或后面的钝痛或刺痛, a nearly constant ache deep in the jaw; clicking or locking of the jaw; persistent headaches and pain while chewing, speaking or swallowing.
创伤后应激障碍(创伤后应激障碍)是一种由经历或目睹恐怖事件引发的心理best365手机版官方网站状况. Symptoms may include flashbacks, nightmares and severe anxiety, 以及对这一事件无法控制的想法. 创伤后应激障碍症状通常分为四种类型:侵入性记忆, 避免, negative changes in thinking and mood, 身体和情绪反应的变化. 症状可随时间变化或因人而异.
Knee pain can be caused by a sudden 受伤, an overuse 受伤, or by an underlying condition, such as 关节炎. Treatment will vary depending on the cause. 膝盖受伤的症状包括疼痛、肿胀和僵硬. 半月板撕裂是最常见的一种膝关节损伤. 任何导致你强力扭转或旋转膝盖的活动, 尤其是当你把全部重量都压在上面的时候, can lead to a torn meniscus. 半月板撕裂的症状包括爆裂的感觉, swelling or stiffness, and the feeling of your knee giving way.
肩膀疼痛最常见的原因之一是肌腱套损伤. 肌腱套损伤的两个主要原因是创伤和退行性变. An 受伤 to the rotator cuff, such as a tear, 会不会突然摔倒在伸出的手上. It may also develop over time due to repetitive activities that put stress on the shoulders. Rotator cuff tears may also happen due to aging, with degeneration of the tissues. 肩袖受伤的症状包括举起物体时肩膀疼痛, 当你侧身睡时肩膀疼痛, 移动手臂时发出刺耳或破裂的声音, limited ability to move your arm, and muscle 弱点.
背痛是一种非常常见的情况，可能影响所有区域或孤立于某些区域的下, 中间, 和上背部. 肌肉问题、退行性椎间盘疾病和关节炎是导致背部疼痛的常见原因. Back pain can have many symptoms, 包括腰部隐隐作痛, 刺痛，刺痛一种刺痛或刺痛，可从腿部放射到足部, 无法站直而不感到疼痛, 活动范围减小，背部屈曲能力减弱.
颈部疼痛或僵硬可由多种原因引起，包括但不限于肌肉紧张和拉伤, 受伤, 关节炎, 骨质疏松症, and fibromyalgia. 不良的姿势会导致颈部肌肉紧张和紧张, sleeping in a bad position, and jerking your 脖子 during exercise. 摔伤也常发生在颈部, lifting heavy objects, 和体育, where the muscles and ligaments of the 脖子 are forced to move outside of their normal range. Neck pain may cause numbness or tingling, muscle tightness and spasms, decreased ability to move your head, 和头痛.
Chronic pain is pain that is ongoing and usually lasts longer than six months. 这种类型的疼痛可以持续，甚至在伤害或疾病已经治愈或消失后. 疼痛信号会在神经系统中活跃数周、数月或数年. Some people suffer chronic pain even when there is no past 受伤 or apparent body damage. 慢性疼痛与神经疼痛等疾病有关, 背部疼痛, fibromyalgia pain, 癌症疼痛, 和关节炎.
大多数癌症疼痛是由肿瘤压迫骨骼、神经或身体其他器官引起的. 有时疼痛是由于癌症治疗和程序. 癌症疼痛 may be nociceptive (affecting tissue) or neuropathic (affecting the nerves). 癌症患者可能会经历颈部疼痛、背部疼痛和头痛. 最初的疼痛也可能导致肌肉抽筋，或者处于不合适的姿势，导致压力性疼痛.
An intrathecal pump relieves chronic pain. 它使用少量的药物直接应用于鞘内空间(脊髓周围的区域)，以防止疼痛信号被大脑感知. 对那些保守治疗失败，手术也不太可能有帮助的人来说，可以使用泵.
This injection procedure is performed to relieve low back and radiating 腿 pain. Steroid 药物治疗 can reduce the swelling and inflammation caused by spinal conditions. Using a fluoroscope for guidance, the physician slides the needle toward the epidural space between the L-4 and L-5 vertebra. A contrast solution is injected. The physician uses the fluoroscope to confirm the correct location of the needle tip. 在硬膜外腔注射类固醇-麻醉剂混合物, 用舒缓药物best365亚洲版手机版的神经根.
During this minimally invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your lower back. 这个过程也被称为射频根切断术. 它可以治疗药物或物理治疗无效的疼痛. 医生将电极插入套管中. 一个微弱的电震动被用来测试它的best365亚洲版手机版. 如果震动重现了疼痛但不引起任何其他肌肉效应, it is positioned correctly. 然后医生用电极加热神经. 这就破坏了它传递疼痛信号的能力. Several nerves may be treated if necessary.
这个门诊手术就是注射类固醇麻醉剂. The 药物治疗 can reduce swelling and inflammation of irritated spinal nerves. 该手术的目的是减轻下背部疼痛和从背部向腿部放射的疼痛. When the area is numb, 医生小心地将一根针插入神经根周围的椎间孔. 在针的best365亚洲版手机版被确认之后, 医生注射了类固醇麻醉剂. 这种药物浸泡受刺激的神经根. It will help alleviate the patient’s pain. 注射只需要几分钟就可以完成.
This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. 当关节突关节受伤或患病时，这些神经会受伤. 注射可以帮助你找到疼痛的根源. And it may relieve your pain for a brief time.
一种颈硬膜外类固醇注射包括麻醉剂和类固醇被注射到硬膜外空间，以减少炎症和疼痛. 当它从侧面注射时被认为是经椎间孔注射它将药物放置在炎症源附近. The injection may begin with an IV to help you relax and a local anesthetic to numb your skin. 然后医生将一根细针插入硬膜外腔. 透视, a type of X-ray, 是否用于确保正确的针头best365亚洲版手机版和染料也可能注射，以确保针头在正确的best365亚洲版手机版. Once the needle is correctly placed the physician injects the anesthetic and steroid.
腰椎交感神经阻滞是一种局部麻醉剂的注射，可以帮助缓解由复杂的区域疼痛综合征等情况引起的慢性腿部和足部疼痛, reflex sympathetic dystrophy, vascular insufficiency, 和带状疱疹. 药物被输送到沿脊柱前部的交感神经——一簇神经细胞体. The goal is to reduce pain so that you can resume normal activities and physical therapy.
这种注射过程是为了减轻骶髂关节关节炎引起的疼痛，骶髂关节位于脊柱和髋骨的交汇处. 类固醇药物可以减少关节的肿胀和炎症. 局部麻醉剂使皮肤和骶髂关节表面的所有组织麻木.
脊髓刺激(也称为SCS)使用电脉冲来减轻背部的慢性疼痛, 胳膊和腿. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS的候选者包括那些遭受神经性疼痛和保守治疗失败的人. The injection site is anesthetized. 通过硬膜外针或小切口将一根或多根绝缘导线插入脊髓周围的空间, called the epidural space. If the patient and the physician determine that the amount of pain relief is acceptable, the system may be permanently implanted. 在植入试验的最后，导线被移除. 永久植入可以在患者处于镇静或全身麻醉的情况下进行. 第一个, 通过硬膜外针或小切口将一个或多个永久性导线插入硬膜外空间的预定best365亚洲版手机版. 下一个, a small incision is created, and the implantable pulse generator (IPG) battery is positioned beneath the skin. 它最常植入臀部或腹部. 然后将引线连接到IPG电池.
Stellate Ganglion Block
A stellate ganglion nerve block is an injection that numbs branches of nerves in your 脖子. 这有助于医生发现和治疗一些与神经有关的问题. Treatment may require a series of 注射. The physician inserts a needle and carefully guides it to the nerves of the stellate ganglion. 医生通常使用一种被称为“荧光镜”的x光设备.“这显示了针头best365亚洲版手机版的视频图像. Contrast dye may be injected to help confirm that the needle is placed correctly. 下一个, the physician injects medicine. It bathes the nerves. 它可以麻痹神经，减轻炎症. 如果这些神经是疼痛的根源，药物可以减轻疼痛. 根据您的需要，注射还可以提供其他好处.
医生使用一种被称为透视镜的x射线设备将针引导到引起疼痛的椎体. 针被小心地推入硬膜外腔, which is the area surrounding the spinal cord. 注射造影剂以确认针头的best365亚洲版手机版. 医生在硬膜外腔注射类固醇-麻醉剂混合物, 用舒缓药物清洗疼痛部位. 这种混合物有助于减轻炎症和疼痛.
This outpatient procedure is designed to reduce or relieve the pain of trigger points. 这些小, 柔软的结会在肌肉或筋膜上形成, 肌肉和器官周围有弹性的结缔组织). The physician carefully inserts a needle through the skin and into the trigger point. 医生将一种混合麻醉剂注射到触发点. This causes the trigger point to relax. 如果触发点在第一次注射后没有完全放松, 医生可以调整针的best365亚洲版手机版，并进行额外的注射. 触发点注射过程只需要几分钟就可以完成.
CRFA是一种用于治疗颈部、背部和肩部疼痛的非侵入性手术. 手术过程可能会以静脉注射帮助你放松和局部麻醉来麻痹你的皮肤开始. 然后医生在小关节附近插入一根非常细的针. 荧光检查，一种x射线，被用来确保正确的针头放置. The physician then checks to make sure it is at the correct nerve by stimulating it. This may cause muscle twitching. 当针头在适当的best365亚洲版手机版时，该区域就会麻木. 然后用无线电频率能量干扰内侧分支神经, 在脊柱的多个节段中经常出现哪一个.
Coccygeal 注射 are used to treat pain around the tail bone in the lower back. 需要在这一区域注射局部麻醉剂和类固醇. 您的手术可以在X光引导下进行. 你将被要求坐在或躺在一个舒适的best365亚洲版手机版. 注射少量局部麻醉剂，使注射部位的皮肤麻木. 然后给予局部麻醉/类固醇注射. You may feel some discomfort during the injection, but this normally settles quickly.
眼动脱敏和再处理(Eye Movement Desensitization and Reprocessing，简称眼动脱敏和再处理)是一种心理疗法，可以使人们从令人不安的生活经历导致的症状和情绪困扰中痊愈. 反复的研究表明，通过使用EMDR疗法，人们可以体验到心理治疗的益处，而这种益处曾经需要数年才能有所改变. 人们普遍认为，严重的情感痛苦需要很长时间才能治愈. EMDR疗法表明，心灵实际上可以从心理创伤中痊愈，就像身体从物理创伤中恢复一样. 当你割破手时，你的身体会自动愈合伤口. If a foreign object or repeated 受伤 irritates the wound, it festers and causes pain. Once the block is removed, healing resumes. EMDR therapy demonstrates that a similar sequence of events occurs with mental processes. The brain’s information processing system naturally moves toward mental health. 如果系统被干扰事件的影响阻塞或不平衡, 情感上的创伤会溃烂，并引起强烈的痛苦. Once the block is removed, healing resumes. Using the detailed protocols and procedures learned in EMDR therapy training sessions, 临床医生帮助客户激活他们的自然愈合过程.ww
肌筋膜松解术是一种常用于治疗肌筋膜疼痛综合征的物理疗法. 肌筋膜疼痛综合征是一种由肌筋膜组织的敏感和紧绷引起的慢性疼痛疾病. 这些组织环绕并支撑着你全身的肌肉. 疼痛通常起源于肌筋膜组织中的特定点，称为“触发点”.”
评估背部和颈部疼痛需要有诊断脊柱疾病经验的医生. 检查从详细的病史和身体检查开始. 你的病史可以帮助医生了解你的背部和颈部疼痛，以及你的生活方式对疼痛的影响.
During your physical exam, your physician will try to pinpoint the source of pain. 也可以进行柔韧性和肌肉力量的简单测试. Diagnostic tests may be ordered to confirm the location and source of your pain.
Orthopedic surgery corrects problems that arise in the skeleton and its attachments, the ligaments and tendons. 它也可以处理神经系统的一些问题, 比如脊椎受伤引起的疼痛. 这些问题可能在出生时发生，也可能是由于受伤，或者是由于年龄增长. They may be acute, as in 受伤, or chronic, as in many aging-related problems.
随着麻醉技术的发展和无菌技术在外科手术中的重要性的认识, 矫形外科医生扩展了他们的角色，包括涉及骨骼和相关神经和结缔组织的手术.
术语骨科外科医生和矫形外科医生今天被交替使用，表示在矫形外科有特殊证书的医生.
许多整形外科医生坚持全科执业, 而有些人只专注于矫形术的一个方面, such as 手 surgery, joint replacements, or disorders of the spine. 矫形外科治疗急性和慢性疾病. 一些骨科医生专门从事创伤医学，可以在急诊室和创伤中心治疗创伤. 其他人发现他们的工作与整形外科医生重叠, geriatric specialists, 儿科医生, 或足病医师. 运动医学是骨科中一个快速增长的领域, 许多运动医学医生都是经过委员会认证的整形外科医生.
尾骨硬膜外注射是在尾骨(尾骨或尾骨)区域注射类固醇，以治疗慢性腰痛和腿部慢性疼痛. 疼痛专家会先用表面麻醉剂清洗并麻痹位于臀部上方的下背部区域，然后再插入一根针并向尾部注射造影剂. 对比染料在x射线图像中是可见的，疼痛专家可以准确地看到染料被输送到哪里. 最后，药物被注射到尾间隙.
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注射肉毒杆菌素是偏头痛患者的一种微创治疗选择, 痉挛状态, myofascial pain, 背部疼痛, 颈部疼痛, 或神经病变. While this injection procedure is most commonly known for its effect on wrinkles, 它也是一种非常有效的疼痛疗法，可以提供3到4个月的疼痛缓解. 这些注射剂通常含有肉毒杆菌毒素和生理盐水或局麻药的混合物. 要成功地放松紧张的肌肉，可能需要在多个部位进行5到10次注射.
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