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Author: Advanced Pain Care

By Jennifer Falzone, PT Since starting our Advanced Physical Therapy practice in November 2022, our team (of two!) has been excited to welcome new patients into APC for all their physical therapy needs. We service all populations, from pain to orthopedic to neuro to rheumatology, and I have to say, the moment I started working with APC, I felt the integrative, collaborative approach that makes me feel confident that we can all make good decisions for our patients as a collective of pain care specialists working as a team. The Patient Experience at Advanced Pain Care The key that many patients are starting

By Advanced Pain Care Complex Regional Pain Syndrome (CRPS) is a condition where you have pain in your upper and lower extremities (arms, legs, hands, and feet). Doctors do not quite know the cause of this condition. Still, most believe it is usually caused by an injury to the peripheral (nerves outside the brain and spinal cord) and central nervous systems (CNS) (consisting primarily of the brain and spinal cord nerves).   According to studies, tissue trauma due to injuries may stimulate the immune system to release inflammatory chemicals into the affected area. According to other research, the cause may be to impair

By Ryan Jacobs M.D. Migraines are a type of headache that presents in a series of stages. There is a prodrome stage which is usually characterized by fatigue, nausea, and sensitivity to light and sound. During this phase, you could also experience neck stiffness or sleep problems.  In some individuals, you could also experience the aura stage. The aura stage is characterized by numbness and tingling in various parts of the body and vision changes. Most people, if not all, migraine sufferers will experience the headache stage, characterized by throbbing, pulsating, debilitating pain around the head, along with nausea, vomiting, and sensitivity

By Dr. Sam Pegram Rheumatoid Arthritis (RA) is unlike osteoarthritis, which the latter is a result of mechanical wear and tear on your joints. Instead, Rheumatoid Arthritis is a chronic auto-immune disease characterized by the infiltration of inflammatory cells into the joint capsules. Those cells release enzymes that reduce the overall cartilage and primarily affect the smaller joints in your body, such as your wrists and hands.  Rheumatoid arthritis can spread to bigger joints in your body, like your elbows, ankles, and knees, but it typically doesn’t attack the largest joints in your body, like the ones in your back, for example.

By Rey Ximenes MD Eastern medicine is simply a term the western world has coined. Still, it typically refers to traditional medicine practices that derive from the rest of the world that look at the totality of the body, mind, and spirit rather than focus on a particular aspect of the body that is ailing.  Even in Australia, the Indigenous population has their own form of traditional medicine they use, which is a combination of healing practices and herbs to heal the body.  The great part about Eastern medicine is its holistic view. Where Western medicine has a reductionist approach to healing, Eastern

By Matt Sage, PharmD  As with most medications, you can take too much acetaminophen (Tylenol) or NSAIDs, non-steroidal anti-inflammatory drugs, such as Aspirin or Ibuprofen. With any drugs, taking more does not actually make the drug more effective and may result in severe side effects on your body or even result in death.  Even if they are both over-the-counter drugs, you should still consult your doctor or pharmacist to understand the recommended dosage for each drug. The dosage may vary based on your age, weight, and how much you have already taken throughout the day. You also want to ensure you are

By Advanced Pain Care At every stage of your pregnancy, it is normal to feel some pain or discomfort with hormonal changes and the growth of the baby in your uterus. “Normal” pains usually materialize as back, pelvic, and even ligament pain.  Though these might be considered “normal,” it doesn’t mean that any pain should be overlooked. You should always talk to your OBGYN when you are feeling any type of pain, even if you think that pain is “typical.” Some pains are considered dangerous, even if they appear in “typical” ways or in those three areas.  A lot of home remedies can

By Allen Dennis M.D., M.S. and John Gavurnik  Post-amputation pain is very common and can be quite a difficult chronic pain to manage, given you are managing pain for a limb that no longer exists. When a limb has been amputated, the peripheral nerves that have been severed can continue producing additional impulses to the spinal cord. This produces a “phantom” pain that can be debilitating and disrupt a “normal” quality of life, in addition to the challenge of managing the loss of a limb.  At APC, we see phantom limb pain as a unique disease process that deserves extra care. Our

By Bradley Wisler M.D. Currently, there is a lot of debate around what is considered Fibromyalgia, its causes, and its derivation. With the growing research, we do know that it is a very real condition and not one that is made up or an overreaction. It is not linked to people with brain disorders or necessarily those who have psychological disorders. However, if you do suffer from anxiety or depression, you are more likely to develop fibromyalgia.  It tends to affect more women than men and usually starts in middle age, with an increased likelihood of getting it as you get older.