News and Articles

Lower Back Pain: Fear Of An MRI Scan

Patients who have chronic lower back pain will very often declare that they are absolutely sick of the pain and they are determined to alleviate it somehow. If the pain cannot be ‘pinpointed’ then an…
Categories : Articles, MRI scans
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Beware Miracle Cures For Sciatica

One of the most amazing things about the internet is the way that it has revolutionised information and made it accessible to all, in a way that was simply impossible a few years ago. We…
Categories : Articles, Sciatica
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When Is Cervical Facet Joint Denervation Carried Out By Radiofrequency?

Cervical facet joint denervation is a technique that is used to alleviate specific pain originating from the cervical facet joints.  These joints are extremely important, because they relate to the top and neck of the…
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Epidural Steroids Injections: Why Are They Not A Primary Treatment For Sciatica?

Epidural steroid injections are not the first option tried when a patient presents with sciatica. This can lead to some confusion. Patients may fear that the procedure is not wholly safe, after all, if it…
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Spinal Stenosis: Who Opts For Surgery?

Spinal Stenosis: Who Opts For Surgery?  Spinal stenosis arises from the spine undergoing degeneration and the result is a very painful condition where the spinal canal is narrowed and actually compressing the spinal cord as…
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What To Expect After A Nerve Root Block

What To Expect After A Nerve Root BlockPatients often feel slightly apprehensive about having a nerve root block, because they are slightly worried about the pain levels and are also apprehensive about whether or not…
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Second Opinion Service, Spinal Healthcare: Giving You Hope

Most people think that a second opinion service is something that they only need to have if they are involved in a legal dispute, or they are dissatisfied with the diagnosis that their consultant has…
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Preparing For A Caudal Epidural With Steroids As A Treatment For Sciatica

Sciatica is a painful condition that causes pain in the very bottom part of the spine, which usually then travels down to the legs. It is usually caused because the intervertebral discs within the spine has…
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Who Might Benefit From Pulsed Radiofrequency As A Nerve Root Treatment

Many people who are experiencing chronic pain have tried various treatments and options, but find that they are unable to elicit any relief.  However, there are some particular benefits from using the technique of pulsed…
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Botox: Paravertebral Botox In Refractory Back Pain

When people get back pain that is really resistant to conservative or traditional treatments, there used to be very little that could be done to bring about significant improvement, but then up pops Botox and…
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When Do People Have Cervical Facet Joint Denervation Injections?

  If you are going to have a cervical facet joint injection, to act as a way of blocking pain signals being transferred from the nerves in the cervical area then it is likely that…
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Medicolegal Services at Spinal Healthcare

Medicolegal services are often assumed to be about medical malpractice or medical negligence, but in fact there are many cases involving a personal injury claim, where the individual is suing another individual or company on…
Categories : Articles, Medicolegal
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Ischiogluteal Bursitis (Truly A Pain In The Bottom): Diagnostic Issues

Ischiogluteal bursitis is often referred to as being a classic case of a pain in the bottom.   The pain is experienced in the bottom and is often caused by having sat in the one position…
Categories : Articles, Conditions
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Functional Restoration Programmes for Lower Back Pain

The term ‘functional restoration programme’ is a very clinical terms for a programme that is actually not clinical in its nature; it is completely patient focussed! Perhaps it would be more accurate to describe the programme…
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Why Is Surgery Not A Conservative Treatment for a Prolapsed Disc?

 Why Is Surgery Not A Conservative Treatment for a Prolapsed Disc?  When someone has a prolapsed disc, which can also be referred to as a disc prolapsed, is without a shadow of doubt, a very…
Categories : Articles, Conservative Treatment
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Nerve Root Block Procedure

Nerve Root Block Procedure The term ‘nerve root block’ is one that many people find quite daunting and it sounds a very dramatic procedure. However, in reality no one need feel intimidated or anxious about having…
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Piriformis Syndrome: Avoid Self Help Stretching and Techniques

Piriformis syndrome is a painful condition that causes pain, literally in the buttocks, which then tends to transfer down the legs. It is often caused by sitting on a hard surface for too long; cycling can…
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Piriformis Syndrome: Misdiagnosis and A Positive Outcome

Piriformis syndrome is a painful condition that tends to start in the bottom (to be precise, the buttocks) but sometimes it can start in the pelvis as well, especially if there has been some kind…
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Cervical Facet Joint Injections: What Are They?

Sometimes simple procedures can have very complex names or the name of the procedure gives little indication of what the procedure actually entails. Cervical facet joint injections are actually quite straightforward and as the name…
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Having An MRI Scan For Neck Pain: Anxiety and Claustrophobia

 An MRI scan is a very routine, safe and non-invasive procedure that is simply used to diagnose certain neck conditions that will simply not show up in an X Ray or even a CT scan. So…
Categories : Articles, MRI scans
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Whiplash: What To Do And What Not To Do If You Think That You have Whiplash

Whiplash: What To Do And What Not To Do If You Think That You have WhiplashAlthough most people are familiar with the term ‘whiplash’ either because we have experienced it or we know someone who…
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Lower Back Pain and Computer Use: Beware ‘Miracle cures’

Increasingly people who work for long hours at a PC are finding that lower back pain is almost a constant companion. However, in some ways the growth or explosion of technology wil see this situation exacerbated. Laptops,…
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Preparing and Aftercare for an Epidural Steroid Injection

Preparing and Aftercare for an Epidural Steroid Injection An epidural steroid injection is a very quick and painless experience, but whenever you are undergoing a procedure such as an epidural, it is wise to be…
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Lumbar Facet Joint Blocks: Weighing Up Potential Risks

One of the absolute joys of the internet is that there is so much information around. However, to a large extent this is very much a double edged sword. Although you will be able to…
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Preparing For A Lumbar Facet Joint Block With Radiofrequency

 Despite the fact that a lumbar facet joint block using radiofrequency treatment is a very common procedure, many patients have never heard of it and there can be some trepidation about this very simple and…
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Conservative Treatments For A Prolapsed Disc: Exercise!

Anyone who is over 40 may assume that any advice about having a prolapsed disc will stress bed rest and the need to do nothing. However, the general advice now is that anyone who has…
Categories : Articles, Conservative Treatment
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Lumbar Facet Joint Blocks: Allergic Reactions and Infections Put In Context!

Lumbar Facet Joint Blocks: Allergic Reactions and Infections Put In Context!As a procedure, having a lumbar facet joint block is extremely safe. It is a procedure that is minimally invasive in the sense that surgery…
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Paravertebral Botox and Lower Back Pain

Paravertebral Botox and Lower Back PainWithin the UK, the use of Botox is still seen as an innovative and somewhat novel approach to treating pain relief.  Patients are often desperate to seek a remedy to…
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MRI Scans: Their Use and Benefits

MRI Scans: Their Use and BenefitsGenerally an MRI scan is not the first option for patients who present with lower back pain.  Often the basic root causes of pain in the lower back are nothing…
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What Is ‘Pseudo’Sciatica’?

What Is ‘Pseudo’Sciatica’?Sciatica is a very difficult condition to pinpoint exactly. It is at heart, a condition that is a symptom of the sciatic nerve being compressed, usually by a disc that has slipped or may…
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Medicolegal Services From Spinal Healthcare: Experts To Help You

Medicolegal Services From Spinal Healthcare  Spinal Healthcare is very proud of its medicolegal service and it is our expertise in terms of spinal healthcare that makes our service incredibly responsive to our patients. We care about…
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The Background To Using Pulsed Radiofrequency Treatment As A Cervical Facet Joint Denervation Procedure

The Background To Using Pulsed Radiofrequency Treatment As A Cervical Facet Joint Denervation Procedure  Often, when patients are recommended to have a pulsed radiofrequency treatment as a means of ensuring that the nerves near the…
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Frequently Asked Questions About Cervical Facet Joint Injections

Frequently Asked Questions About Cervical Facet Joint InjectionsPatients may be recommended for a cervical facet joint injection after other types of traditional or conservative treatments have not been successful. Because they are not the initial treatment…
Categories : Articles, Pending
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Caudal Epidurals For Sciatica

Caudal Epidurals For Sciatica  Sciatica, where an intervertebral disc in the lower part of the back becomes inflamed, which can then cause pain to be felt in the lower back and within the leg as…
Categories : Articles, Pending
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Second Opinion Service From Spinal Healthcare

Second Opinion Service From Spinal Healthcare  Patients are often reluctant to obtain a second opinion from a medical professional. There are concerns that the consultant who gave the first opinion will be offended or that they…
Categories : Articles, Pending
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Self Management Of Ischioglutal Bursitis

 Self Management Of Ischioglutal Bursitis   Ischioglutal bursitis is a condition that has been around for hundreds of years, since the industrial revolution, when weavers often contracted the condition after they had been sitting at…
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Treatment For Lower Back Pain Caused By Computer Use

Treatment For Lower Back Pain Caused By Computer Use   Recently there has been much information disseminated about how to avoid lower back pain that is caused by computer use. However, it is hard to implement…
Categories : Articles, Pending
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Commonly Asked Questions About Having An MRI Scan For Neck Pain

Commonly Asked Questions About Having An MRI Scan For Neck Pain  An MRI scan is often used for diagnostic purposes for people who are experiencing neck pain. Sometimes patients are slightly nervous about this procedure, which…
Categories : Articles, Pending
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Different Types of Spinal Stenosis

Different Types of Spinal Stenosis   Spinal stenosis is a painful condition which affects the spine. Generally it can develop in any region of the spine, although it is most usually found in the lumbar, central…
Categories : Articles, Pending
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Should I Be Nervous About Having A Nerve Root Block Using Pulsed Radiofrequency Treatment?

Should I Be Nervous About Having A Nerve Root Block Using Pulsed Radiofrequency Treatment?   If you are at all nervous about having a nerve root block using pulsed radiofrequency treatment, then you should rest…
Categories : Articles, Pending
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Neck Pain and Computer Use

Neck Pain and Computer Use  Anyone who uses a PC at all for any length of time is usually aware that it is a good idea to adopt proper posture, not to hunch over the…
Categories : Articles, Pending
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Botox And Piriformis Syndrome

Botox And Piriformis Syndrome   Recently the medicinal or clinical uses for Botox have received considerable media attention in the UK and Botox was, during 2009, portrayed in the media as almost being a ‘wonder…
Categories : Articles, Pending
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Piriformis Syndrome: Why A Medical Opinion Needs To Be Sought

Piriformis Syndrome: Why A Medical Opinion Needs To Be Sought   Piriformis syndrome is a condition that causes pain in the buttock area, we well as in the hip and sometimes down the back of…
Categories : Articles, Pending
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A Guide To Nerve Root Blocks

A Guide To Nerve Root Blocks  The term ‘nerve root block’ is one that many patients regard with some considerable trepidation, simply because it sounds very complex and serious. In fact this procedure is very straightforward,…
Categories : Articles, Pending
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Self Managing Piriformis Syndrome

Self Managing Piriformis Syndrome  Piriformis syndrome is named after the piriformis muscle that runs along the lower spine to the top part of the thigh bone. When the piriformis muscle puts pressure or presses on the…
Categories : Articles, Pending
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Less Common Causes of Whiplash

Less Common Causes of Whiplash   Although most of us associate whiplash injury with a road traffic accident, there are other causes of whiplash, many of which are much less known.   What Is Whiplash?…
Categories : Articles, Pending
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Epidural Steroid Injections For Sciatica: Preparation and Aftercare

https://youtu.be/7qM_gaKhrd0 The procedure of administering epidural steroid injections for people who are experiencing sciatica is an extremely safe procedure, but there are also some steps that you can take both before and after the injection,…
Categories : Articles, Pending
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After A Lumbar Facet Joint Block Has Been Carried Out

After A Lumbar Facet Joint Block Has Been Carried Out   A lumbar facet joint block is a procedure that is minimally invasive, with an injection containing a steroid and local anaesthetic being injected into…
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Lumbar Facet Joints: Radiofrequency Treatment/Denervation and After Care

Lumbar Facet Joints: Radiofrequency Treatment/Denervation and After Care   Treating the lumbar facet joints with radiofrequency is sometimes referred to as ‘lumbar facet joints denervation’ since effectively the nerves that are causing the pain will…
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Botox Versus Medication For Refractory Back Pain: Which Elicits The Most Favourable Outcomes?

Botox Versus Medication For Refractory Back Pain: Which Elicits The Most Favourable Outcomes  There has been much media coverage of the use of Botox to control pain and especially in the area of lower back…
Categories : Articles, Pending
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Diagnostic Tools for Lower Back Pain: An MRI Scan

Diagnostic Tools for Lower Back Pain: An MRI Scan   Patients who are experiencing lower back pain often find that it can be a very frustrating experience, as there is no definitive, single problem that…
Categories : Articles, Pending
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Self-Help For Sciatica

If you suspect that you have sciatica, it is important to get a medical diagnosis, rather than simply rely on ‘self-help’.  This is due to the fact that the sciatica may be caused by a…
Categories : Articles, Sciatica
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The Importance Of Physiotherapy In Treating A Disc Prolapsed

The Importance Of Physiotherapy In Treating A Disc Prolapsed   A ‘disc prolapsed’ or a ‘prolapsed disc’ is the medical phrase used to describe a slipped disc. Most people will know someone who has experienced having…
Categories : Articles, Pending
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Medicolegal Services From Spinal Healthcare

Medicolegal Services From Spinal Healthcare Increasingly the demand for medicolegal services is ever more pressing as more and more cases of litigation are being brought.  However, when requesting a medicolegal report, there are several issues…
Categories : Articles, Medicolegal
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Cervical Facet Joint Radiofrequency Denervation

Cervical Facet Joint Radiofrequency Denervation The procedure known as cervical facet joint denervation is a long term means of blocking pain that originates from the cervical facet joints.  These joints are the ones responsible for…
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An Overview of Cervical Facet Joint Injections

An Overview of Cervical Facet Joint Injections   Although cervical facet joint injections tend to be tried after other treatments have been used and have not been successful, it is an extremely useful procedure that…
Categories : Articles, Pending
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Functional Restoration Programmes For Back Pain: The Patient’s Perspective

Functional Restoration Programmes For Back Pain: The Patient’s Perspective  A functional restoration programme is very much a patient focussed programme which is aimed at reducing pain levels experienced and improving quality of life, but many…
Categories : Articles, Pending
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Spinal Healthcare: Second Opinion Service For Lower Back Pain

Spinal Healthcare: Second Opinion Service For Lower Back Pain  Lower back pain is notoriously hard to treat, since the back and spine is a very complex area and there are many conditions that are not…
Categories : Articles, Pending
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Caudal Epidurals With Steroids As A Treatment For Sciatica

Caudal Epidurals With Steroids As A Treatment For Sciatica   Caudal epidurals are not a standard option for treating sciatica, but where the pain is refractory in the sense that it will not respond to…
Categories : Articles, Pending
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Treatment of Ischioglutal Bursitis

Treatment of Ischioglutal Burstitis  Although not well known as a condition, ischioglutal burstitis is a condition that affects more people than is generally thought and it can be quite a painful condition.   The term…
Categories : Articles, Pending
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Helping Ease Lower Back Pain Caused By Computer Use

Helping Ease Lower Back Pain Caused By Computer Use   The use of computers has long since been identified as a cause of back pain, particularly at the top of the back, where the spine…
Categories : Articles, Pending
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Spinal Stenosis: Definition and Causes

Spinal Stenosis: Definition and Causes  Spinal stenosis is a very painful condition that occurs, as a rule, within the lower back. It is basically a condition that affects the spine when the spinal structure closes in…
Categories : Articles, Pending
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MRI: An Effective Diagnostic Tool For Diagnosing The Cause Of Neck Pain

MRI: An Effective Diagnostic Tool For Diagnosing The Cause Of Neck Pain   Undertaking an MRI scan can be one of the most effective tools for diagnosing neck pain. Although this is often not the first…
Categories : Articles, Pending
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Neck Pain And Computer Use: Exacerbated By Stress?

Neck Pain And Computer Use: Exacerbated By Stress?  Many people who use PCs on a regular basis may find that they develop neck pain as a direct result. Usually neck pain can be experienced where patients…
Categories : Articles, Pending
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The Benefits Of Pulsed Radiofrequency As A Nerve Root Treatment

The Benefits Of Pulsed Radiofrequency As A Nerve Root Treatment  Although radiofrequency techniques have been around for some time and nerve root blocks are also relatively widespread, not that many people are aware of the…
Categories : Articles, Pending
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Piriformis Syndrome: An Introduction

Piriformis syndrome is a little known syndrome under this name, however, the pain that it creates is very real to patients and it can cause significant levels of pain, particularly in the buttocks and then…
Categories : Articles, Pending
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Botox Injection Treatments For Piriformis Syndrome

Botox Injection Treatments For Piriformis Syndrome   Piriformis syndrome is a painful condition that occurs when the sciatic nerve is trapped or impeded by the piriformis muscle or tendon (a separate article detailing this condition…
Categories : Articles, Pending
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An Overview Of Whiplash Syndrome

An Overview Of Whiplash Syndrome  Most people are familiar with the concept of whiplash. Usually it occurs where a person has been involved in a car crash, usually with the impact being from behind, as…
Categories : Articles, Pending
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Lumbar Facet Joint RadioFrequency Treatment: An Overview

Lumbar Facet Joint Radiofrequency Treatment: An Overview Lumbar facet joint radiofrequency treatment is an option for pain consultants when conservative treatment for lumbar facet joint pain has not been successful. Conservative treatment (i.e. treatment that…
Categories : Articles, Minimally Invasive Treatment
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Sciatica: Treatment With Epidural Steroids

Sciatica: Treatment With Epidural Steroids Sciatica is a very painful condition that generally results from a nerve being pinched or even trapped in the lower back. Sciatica can often be treated with physiotherapy, the patient…
Categories : Articles, Minimally Invasive Treatment
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Treatment After A Lumber Facet Joint Block Has Been Undertaken

Treatment After A Lumbar Facet Joint Block Has Been Undertaken The term ‘lumbar facet joint block’ can seem quite frightening, but in fact it is a very safe procedure that is undertaken to significantly reduce…
Categories : Articles, Minimally Invasive Treatment
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The Use Of Paravertebral Botox in Treating Refractory Back Pain

The Use Of Paravertebral Botox in Treating Refractory Back Pain Although we commonly associate botox with beauty treatment to ensure everyone looks young, the medicinal use of botox as a method of controlling pain is…
Categories : Articles, Minimally Invasive Treatment
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Sciatica: Getting To The Root Of The Problem

Sciatica: Getting To The Root Of The Problem Anyone who has had sciatica will know how painful it can be. During the day you experience pain that can feel quite debilitating and then at night,…
Categories : Articles, Sciatica
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The Use Of MRI Scans In Diagnosing Lower Back Pain

Lower back pain can often be exceptionally difficult to diagnose.  It is often the case that a patient may be in chronic pain, but a specific diagnosis may be elusive.  This is where an MRI…
Categories : Articles, MRI scans
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The Conservative Treatment for a Prolapsed Disc

The Conservative Treatment for a Prolapsed Disc Anyone who has ever experienced a prolapsed disc will tell you that it is an exceptionally painful condition.  Indeed, if you have ever seen anyone with a prolapsed…
Categories : Articles, Conservative Treatment
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The Ethos and Philosophy Behind Spinal Healthcare's Medicolegal Services

Spinal Healthcare's Medicolegal Services: The Ethos and Philosophy Spinal Healthcare are committed to ensuring wherever possible, that clients are able to return to work and that they are able to live their lives in a…
Categories : Articles, Medicolegal
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Pain from Thoracic Facet joints and its treatment

 Thoracic Facet Joint Pain   The facet joints are the small joints located at the back of the spine that connect the vertebrae. The thoracic facet joints are those that are located at the middle…
Categories : Articles, Conditions
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Links for Piriformis Syndrome

Piriformis Syndrome Links from London Pain Consultants
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What is pain?

Pain is what the patient says it is. Pain is always subjective. “An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.”  A bridge from the…
Categories : Articles, Pain
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Spine Health Services

Spine Health offers a range of services including:Spine Assessments Spine Health offers an initial comprehensive assessment including a full history and examination.  Investigations and treatment planning is then undertaken. Spine Assessment Package Spine Health offers…
Categories : Articles, Spinal-Healthcare Services
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Vista Diagnostics

Affordable & Accessible MRI  Patient Information  The premise of our organisation is to provide you with affordable MRI. Reported scans are available daily from £250 for one region (£375 for two regions, £500 for three…
Categories : Articles, MRI scans
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Case Report 14.05.07

Case Report I reviewed a 49 year old gentleman who had a previous history of neck pain including pain and paraesthesia, particularly in the left arm, with pins and needles in the left hand.  These…
Categories : Articles, Case Reports
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Case Report 25.05.07

Case ReportA 62 year old gentleman was seen in the Pain Clinic with neck pain.  The pain started in the neck but then went down the right arm.  He got occasional pins and needles in…
Categories : Articles, Case Reports
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Low Back Pain

Low back pain is pain affecting the lower part of the back. It is described as:  Acute if it has lasted less than 6 weeks.  Sub-acute if it has lasted 6-12 weeks.  Chronic if it…
Categories : Articles, Conditions
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Safety Check for MRI Scans

Do you have a cardiac pacemaker?(Yes/No) Do you have an intracranial aneurysm clip/programmable ventriculoperitoneal shunt? (Yes/No) Have you had a cochlear implant/neurotransmitter? (Yes/No) Are you known to have renal (kidney) problems? (Yes/No) Have you had…
Categories : Articles, MRI scans
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Strategies for minimizing NSAIDs side effects

Introduction Non-steroidal anti-inflammatory drugs (NSAIDs) are a class of drugs with analgesic, antipyretic and anti-inflammatory properties. These NSAIDs are mainly used for reducing pain, fever and inflammation. There are three main categories of NSAIDs, including:…
Categories : Articles, Medication
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Piriformis Syndrome

Introduction  Piriformis Syndrome is defined as a neuromuscular disorder that occurs when the piriformis muscle compresses or irritates the sciatic nerve, the largest nerve in the body. The piriformis muscle is a narrow muscle found…
Categories : Articles, Conditions
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Spinal Stenosis

IntroductionSpinal stenosis is a medical condition characterized by the narrowing of the spinal canal that occurs when excessive growth of bone and/or tissue reduces the size of the openings in the spinal bones. The process…
Categories : Articles, Conditions
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Whiplash

DefinitionWhiplash is defined as an injury to the soft tissues of the neck, usually caused by a sudden extension and flexion of the neck, a quick movement back and forth. Research indicates that up to…
Categories : Articles, Conditions
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Exercises for lower back pain

IntroductionWhen an episode of low back pain lasts for more than six weeks, it becomes highly crucial for the patient to consider back pain exercises and physical therapy for treatment. Aims of Exercise Exercises for…
Categories : Articles, Physiotherapy
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Epidural

IntroductionAn Epidural Steroid Injection (ESI) is an anesthetic injection given into the epidural space in the spine, between the bony outer walls of the spinal canal and the membrane which covers the spinal cord. The…
Categories : Articles, Procedures
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Facet joint injections

IntroductionFacet joints are defined as the small joints located in pairs at each segment on the posterior or back of the spine. These joints are a little larger than the size of the thumb nails…
Categories : Articles, Procedures
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Kyphoplasty

What is Kyphoplasty?Kyphoplasty is a new minimally invasive technique in vertebral compression fractures. It is primarily performed for patients who suffer vertebral fracture due to diminished bone strength. Patients who benefit the most from kyphoplasty…
Categories : Articles, Procedures
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COX2 Inhibitors

IntroductionThe cyclo-oxygenase 2 (COX-2) inhibitors are a new form of non-steroidal anti-inflammatory drugs (NSAIDs) that are considered to produce fewer gastro-intestinal side effects than the older non-selective drugs. Successive data raised substantive concerns of an…
Categories : Articles, Medication
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