Expertise bolstered with insight.

LEARN MORE ABOUT THE CONDITIONS WE TREAT,
INCLUDING CAUSES AND SYMPTOMS.

Spinal
Disorders
Spinal
Disorders
Joint
Disorders
Joint
Disorders
Nervous
system
disorders
Nervous
system
disorders
Arthritis &
Rheumatology
Disorders
Arthritis &
Rheumatology
Disorders
Sports
Related
Injuries
Sports
Related
Injuries
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Other
Pain
Disorders
OTHER
Pain
Disorders
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Understanding  the patient means understanding the person.

Ensuring the best possible care goes beyond just medical procedures.  Understanding a patient's pain means getting a basic understanding of the patient's life. The causes and conditions of your issues are directly linked to the story of your life, so understanding your symptoms in context is a crucial element to helping you feel better.

The IMSK & Spine Group's method begins with a consultation and thorough examination. Years off experience have allowed our physicians keen insight into determining the exact nature of your issues, which leads to the best way to proceed with your care. The IMSK & Spine Group treats a wide range of conditions, from the most common to those that are somewhat unique. Our mission is to surpass your real health needs so that you might enjoy the greatest possible quality of living.

Learn about the conditions we treat below.

Below you will find a catalogue of conditions The IMSK & Spine Group specializes in. Please keep in mind that while we see these conditions most commonly, it is also very likely that The IMSK & Spine Group treats many conditions beyond just these shown.  Please contact us with any questions regarding your specific case.

Spinal Disorders

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Head Pain icon

Spinal Head Disorders

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Cervicogenic Headaches

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A cervicogenic headache is a condition where the sufferer experiences pain in their head even though the source of that pain is emanating from another place, such as the neck or spine.  The headache can feel very similar to other types of headaches, which is why cervicogenic headaches are easy to misinterpret without seeing your physician.

Migraine Headaches

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A migraine is an intense, throbbing headache that may be accompanied by nausea or dizziness. A migraine can last from hours to days.

Concussion

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Concussion is a serious brain injury. It happens when your brain bumps back and forth violently inside your skull. A concussion can affect the way your brain functions. It can cause permanent problems.

Post-Concussion Syndrome

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Post-Concussion Syndrome is a set of symptoms that you may have after a concussion. That's when your head is hit so hard your brain is injured. You can have a concussion even if you don't lose consciousness.

Post-Whiplash Headache

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This is a chronic headache. It can develop after a whiplash injury (a violent back-and-forth jerking of the neck).

Tension Headache

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This is a commen type of headache that can be painful and frustrating for many people. It tends to start in ine back of the head and then move forward to surround your head.
The exact cause of tension headaches is not fully understood. They were once believed to be caused by tense, contracted muscles in the neck and head. But research has shown they may be linked to a heightened sensitivity to pain and stross. This may stem from changes in brain chemicals called "neurotransmitters."

Trigeminal Neuralgia

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Trigeminal Neuralgia  chronic condition is caused by a misfiring of the trigeminal nerve. An attack causes brief episodes of extreme, shooting pain.

Occipital Neuralgia

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Occipital Neuralgis is  a distinct type of headache caused by irritation or injury of the occipital nerves. These nerves travel from the base of the skull through the scalp. This condition can result in severe pain and muscle spasms.

Spine Issues Icon

Neck, Mid-back,
and Lower Back

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Spinal Disc Disorders

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Degenerative Disc Disease

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Herniated Disc

This condition is a rupture of one of the vertebral discs in your neck. A herniated disc can allow disc material to press harmfully against the spinal nerves.

Spondylolisthesis

This condition occurs when a lumbar vertebra slips out of place: It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.

Vertebrogenic pain

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Vertebrogenic pain is a distinct type of chronic low back pain caused by damage to vertebral endplates, the tissue that covers the top and the bottom of each vertebral body and separates it from the disc. Disc degeneration, and the wear and tear that occurs with everyday living, produces stresses on the endplates that damage them, leading to inflammation and vertebrogenic pain. The basivertebral nerve (BVN), found within the vertebrae, carries pain signals from the inflamed endplates to the brain.

The disc and endplate are both part of the anterior spinal column and produce similar low back pain symptoms. However, endplate pain is associated with distinctive changes on routine MRI called Modic changes.

Patients often describe  pain in the middle of their low back that is made worse by physical activity, prolonged sitting, and bending forward or with bending and lifting.

Spinal Nerve Disorders

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Radiculopathy

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Spinal Stenosis

This problem airects the spinal nerves in your neck. It's a narroding of the spinal canal. That's the space your spinal nerves travel through. In a healthy spine, the spinal canal protects these nerves. It keeps them free from injury. But with spinal stenosis, the spinal canal is too narrow, and your nerves get compressed

Post-Laminectomy Syndrome

This condition, also called "failed back surgery sydrome." This is a type of chronic pain. It can develop in some people after spine surgery.

Facet Joint Syndrome

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This is a problem with the facet joints of the spine. These are the joints where one vertebra connects to another. They support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful.

Bone Disorders

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Compression Fractures of the Spine

This is a collapse of vertebral bone. It can affect one or more vertebrae. Compression fractures typically develop in your mid or lower back. This can change the shape of your spine.

Osteoarthritis of the Spine

This is the mos common form of arthritis. It can make your joints feel stiff and painful. It's a common condition that affects men and women. It most often affects older people.

Osteoarthritis is caused by a breakdown of cartilage. That's a tough, smooth tissue that ines the ends of your bones. It helps them glide against each other smoothly. When it breaks down, your bones can rub directly against each other. Osteoarthritis is a degenerative condition. That means it develops slowly over time.

Spondylosis

This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.

Scoliosis

This condition is an abnormal curvature of the spine. It mest often develops in early childhood, just befora a child reaches puberty.

Kyphosis

This condition is a deformity of the spine. With it, your vertebrae change from a cylindrical shape to a wedge shape. Your spine may begin to curve forward. Eventually, this gives your upper back a rounded appearance.

Muscle Disorders

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Muscle Strain of the Upper Back (Trapezius Strain)

This common injury is a stretching or tearing of the trapezius. This large muscle group spans the upper back, shoulders and neck. These muscles are occasionally nicknamed the "trap" muscles or "the traps."

Myalgias

It vou're dealing with the pain and fatigue of fibromyalgia, you know how frustrating it can be. You te tired and sore. It may be hard to think clearly. And while there's no cure for fibromyalgia, there are things you can do to get some relief.

Muscle spasms

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Other Spinal Disorders

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Coccydynia

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This condition is an inflammation of the tip of the tailbone, called the coccyx. It causes pain and tenderness between the buttocks.

Coccydynia can be caused by sitting for extended periods, childbirth, or an injury such as a fall. In many cases it can develop spontaneously, with a direct cause remaining unknowable.

Symptoms can include sensitivity or an aching sensation around the tailbone that is made worse by sitting, shooting pain in the legs, pain during bowel movements and pain during sexual intercourse.

Sacroiliatis

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This is an inflammation of one or both of your sacroiliac joints, situated where your lower spine and pelvis connect. Sacroiliitis can cause pain in your buttocks or lower back, and can extend down one or both legs. Prolonged standing or stair climbing can worsen the pain.

Joint Disorders

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Hand and Wrist Joint Disorders

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  • Basal Joint Osteoarthritis
  • Carpal Tunnel Syndrome
  • De Quervain’s Tenosynovitis
  • Flexor Tendon Injuries
  • Osteoarthritis of the Hand
  • Rheumatoid Arthritis (RA) of the Hand
  • Thumb Ulnar Collateral Ligament (UCL) Injury
  • Triangular Fibrocartilage Complex (TFCC) Tears
  • Trigger Digit
  • Wrist Sprain

Foot and Ankle Joint Disorders

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  • Accessory Navicular Problems
  • Ankle Sprains
  • Charcot’s Neuroarthropathy (CN)
  • Chronic Lateral Ankle Pain
  • High Ankle Sprain
    (Syndesmosis Ligament Injury)
  • Peroneal Tendonitis
  • Phantom Pain
  • Plantar Fasciitis
  • Shin Splints
    (Medial Tibial Stress Syndrome)
  • Morton’s Neuroma
  • Tarsal Tunnel Syndrome
  • Achilles Tendonitis

Shoulder Joint Disorders

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  • Acromioclavicular (AC) Joint Arthritis
  • Biceps Tendonitis
  • Frozen Shoulder (Adhesive Capsulitis)
  • Glenoid Labrum Tear
  • Muscle Strain of the Upper Back (Trapezius Strain)
  • Osteoarthritis of the Shoulder
  • Rheumatoid Arthritis (RA) of the Shoulder
  • Rotator Cuff Injuries; Rotator Cuff Tear
  • Shoulder Impingement Syndrome
  • Suprascapular Neuropathy
  • Weightlifter's Shoulder (Distal Clavicular Osteolysis)

Arm and Elbow Joint Disorders

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  • Biceps Tendonitis (at the Elbow)
  • Cubital Tunnel Syndrome
  • Lateral Epicondylitis (Tennis Elbow)
  • Medial Apophysitis (Little Leaguer's Elbow)
  • Medial Epicondylitis (Golfer's Elbow)
  • Osteochondritis Dissecans of the Elbow
  • Overuse Injuries of the Elbow
  • Radial Tunnel Syndrome (Entrapment of the Radial Nerve)
  • Throwing Injuries of the Elbow
  • Triceps Tendonitis
  • Ulnar Collateral Ligament Injury

Hip Joint Disorders

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  • Avascular Necrosis (Osteonecrosis) of the Hip
  • Bursitis of the Hip
    (Trochanteric Bursitis)
  • Hamstring Muscle Injuries
  • Iliotibial Band Syndrome (ITBS)
  • Inflammatory Arthritis of the Hip
  • Labral Tear of the Hip
    (Acetabular Labrum Tear)
  • Muscle Strain Injuries of the Hip
  • Muscle Strain Injuries of the Thigh
  • Osgood-Schlatter Disease
  • Osteoarthritis of the Hip
  • Sacroiliac Joint Pain
  • Transient Osteoporosis of the Hip

Knee Joint Disorders

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  • Anterior Cruciate Ligament (ACL) Injuries
  • Lateral Collateral Ligament (LCL) Injury
  • Medial Collateral Ligament (MCL) Injury
  • Meniscus Tear
  • Osteoarthritis of the Knee
  • Osteochondritis Dissecans of the Knee
  • Patellar Tendinitis
  • Patellofemoral Pain Syndrome
  • Quadriceps Tendon Tear

Nervous System Disorders

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Carpal Tunnel Syndrome

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Carpal Tunnel Syndrome occurs when there is pressure or squeezing on the wrist's median nerve. Though the condition usually occurs after repetitive activities like writing or typing, Carpal Tunnel Syndrome may also occur at night.

Symptoms include burning, tingling, itching or numbness in the palm, thumb, index finger and middle finger of the hand. In severe cases, this can lead to weakness and atrophy of the muscles in the affected hand. Such weakness or atrophy can result in difficulty maintaining one's grip or utilizing one's hand.

Tarsal Tunnel Syndrome

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Like Carpal Tunnel Syndrome, Tarsal Tunnel Syndrome is caused by pressure or squeezing on the tibial nerve in the ankle, leading to burning, tingling, itching or numbness in the foot or toes.

Peripheral Neuropathy

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Peripheral Neuropathy is a disease of the nervous system that can affect the entire body, including arms, hands, legs and feet. It can result in painful burning, numbness or tingling (pins and needles), as well as weakness and muscle atrophy. There are many causes of Peripheral Neuropathy, though Diabetes is the most common. Chemotherapy, toxin buildup and other chronic diseases may also lead to Peripheral Neuropathy.

CRPS and RSD

Complex Regional pain Syndrome (CRPS) and Reflex Sympathetic Dystrophy (RSD)

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CRPS is a severe chronic disease that can affect many parts of the body at the same time, especially the arms and the legs. Though usually a result of trauma, injury or surgery, it has manifested in some with no known cause.

Symptoms can manifest as burning, shooting pains, swelling, excessive sweating, changes in skin color and temperature and changes in hair or nails. The most severe cases involve bones becoming weak and thin, atrophied muscles and unbearable pain from movement. The disease may develop in three stages depending on the progression of the disease.

Neuropathic Pain Syndrome

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Neuropathic Pain is a type of pain that can be caused by many different sources. Likewise, it's symptoms can be varied, from burning and tingling to weakness and numbness, among other symptoms. When chronic and severe, this can become a type of syndrome that can be troubling and debilitating for the sufferer. Proper understanding of the c uases for Neuropathic Pain is arguably as essential as the treatment itself.

Post-Herpetic Neuralgia / Shingles

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Post-Herpetic Neuralgia is a complication of shingles, manifesting after other symptoms of the disease have otherwise eased. Caused by nerve cells damaged by the Chickenpox/Shingles virus, it can cause burning pain in skin and nerve fibers, which can be bad enough to interfere with sleep and appetite.

Other symptoms include sensitivity to light touches, itching and numbness, and in more extreme cases weakness or paralysis.

Arthritis & Rheumatology Disorders

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Osteoarthritis

(Degenerative Arthritis, Degenerative Joint Disease)

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Osteoarthritis is the degeneration of bones and cartilage in the joints, which can cause bones to rub together. The most commonly affected joints are the hips, knees, shoulders, ankles and fingers, though any joint in the body may be affected. Symptoms include joint pain, swelling, stiffness, decreased range of motion, cracking and weakness.

Hip Arthritis

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Hip Arthritis occurs in the pelvic joint between the hips and the legs. Symptoms include joint pain, swelling, stiffness, decreased range of motion, cracking and weakness.

Knee Arthritis

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Knee Arthritis occurs in the joint between leg bones. Symptoms include joint pain, swelling, stiffness, decreased range of motion, cracking and weakness.

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Sports Related Injuries

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Rotator Cuff Injuries

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Rotator Cuff Injuries occur in a group of four muscles that stabilize the shoulder joint (supraspinatus, infraspinatus, subscapularis, teres minor). They are caused by compression as a result of impingement, which can lead to inflamed tendons, tendonitis or partial or complete muscle tears. Pain and weakness in the shoulder while performing overhead tasks may also develop, depending on the severity of the injury.

Lateral Epicondylitis

"Tennis Elbow"

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Similar to Lateral Epucondylitis, Medial Epicondylitis can be an acute or chronic condition in which there is degeneration or inflammation in the tendons of the elbow or forearm. It results from repetitive activities such as swinging a golf club or pitching a ball. Symptoms include tenderness and soreness in the middle elbow and forearm region.

CRPS and RSD

COMPLEX REGIONAL PAIN SYNDROME (CRPS) AND REFLEX SYMPATHETIC DYSTROPHY (RSD)

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CRPS is a severe chronic disease that can affect many parts of the body at the same time, especially the arms and the legs. Though usually a result of trauma, injury or surgery, it has manifested in some with no known cause.

Symptoms can manifest as burning, shooting pains, swelling, excessive sweating, changes in skin color and temperature and changes in hair or nails. The most severe cases involve bones becoming weak and thin, atrophied muscles and unbearable pain from movement. The disease may develop in three stages depending on the progression of the disease.

Plantar Fasciitis

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Plantar Fasciitis is an inflammation of the plantar fascia, a thick and fibrous band of tissue that runs around the sole of the foot. This can cause severe foot and heel pain, which is generally most pronounced in the morning.

Hip Bursitis

Greater Trochanter Bursitis

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The bursae sac, located on the side of the hip, may become inflamed and lead to hip pain, difficulty walking and difficulty sleeping on the affected side.

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Other Pain Disorders

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Chronic Fatigue Syndrome (CFS)

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Chronic Fatigue Syndrome (CFS) is actually a complex diagnosis. Its onset most often the result of a combination of many factoirs, as opposed to a single disorder. because of this complexity, it can often be challenging exactly defining CFS.

CFS is typically considered to be a prolonged and often intense fatugue, that lasts many months with minimal or no break. Another key characteristic is how bes rest and sleep does not alleviate the fatigue. CFS will also worsen with physical or even mental exertion, and therefore interferes with daily life. Meanwhile, CFS causes a slew of interferences throughout most systems of the body, from gastrointentinal issues, mental impairment, difficulty breathing, and many other impacts.

Being intimately tied to the central nervous system, and often accompanied with pain or discomfort, CFS is a daignosis The pain Group is familiar with treating.

Complex Regional Pain Syndrome (CRPS)

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Complex Regional Pain Syndrome (CRPS) is the experience of pain on one or more extremities, typically after they have experienced a previous trauma such as surgeriesm, fractures, sprains, contusions, strains, and several others. You could imagine it as like an echo of pain occurring as thee result of previous trauma.

Typically a CRPS sufferer experiences far more pain than would be expected after the original trauma. The pain can even worsen with movement, physical conditions, or even due to heightened emotional states. The condition is troubling because it feels counterintuitive to most people; we expect pain to lessen over time, and CRPS makes the pain worsen.

Fibromyalgia

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Fibromyalgia is a disorder still being researched for better understanding of all it's source causes. Simply put, a fibromyalgia sufferer experiences pain in their muscles, tendons, and joints even without the presence of physical exertion. The discomfort can me marked with either aching or burning sensations, or both.

There are many possible causes to the onset of Fibromyalgia which makes treatment often very indvidualized. Onset can be caused by primarily or secondarily by factors ranging from the viral to the dietary to even extreme psycholigical routes, such as PTSD. Often Fibromyalgia is accompanied with other known conditioons of a patient, such as lupus. Yet while Fibromyalgia may be connected with other disorders, it is essential during treatment to not overlook it's prevalence in favor of those other conditions.

Metastatic Cancer of the Spine

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Metastatic Cancer is the result of another cancer in the body that has spread to the skeleton. Often it is experienced as exreme pain, especially at night, and certainyl exacerbated by movement. It can cause weqaknesses in bones and even fractures, as well as spread to other parts of the skeleton.

Myofascial Pain Syndrome

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Myofascial Pain Syndrome is another chronic pain disorder where pain ina muscle or joint increases over time, rather than decreasing through healing. Charicterized as a pain deep within a muscle, and a hypersensitive muscle "knots," Myofascial pain Syndrome can cause problems sleeping and affect functioning in everyday life. Sometimes linked to the onset of Fibromyalgia, Myofascial Pain Syndrome is odften soffered by those whose jobs or pastimes ionvolve have prolonged periods of repetitive contracting of a specifc muscle or muscles.

Peripheral Neuropathy

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When nerves in a specific part of the body are damaged, often a resulting disorder is a Peripheral Neuropathy. One of the most common examples is carpal tnnel syndrome, a peripheral neuropathy that occurs in the wrists and hands.

The disorder is caused by a disruption of specific nerves, such that they do not signal to or from the brain correctly. This causes loss of functional movement, impaired sensation in the area, and pain. However, peripheral neuropathies are common and there are many affective approaches to treatment.

Phantom Pain

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Phantom Pain is a curious disorder that typically occurs after the removal of a body part, such as a limb. The sufferer experiences pain in that missing bodypart, hence the name "phantom." While this may sound imaginary, it is a very real neurological event. Just because the bodypart is gone does not mean the nerves in the brain that were connected to that bodypart shut off. The disorder occurs when those nerves continue to fire, often creating a very real pain sensation, such as shooting pains, stabbing pains, burning, or other common painful sensations.Phantom pain typically occurs relatively recently after an amputation, but can sometimes be delayed in onset, occurring weeks or even months later.

Piriformis Syndrome

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The piriformis is a flat-shaped muscle in the lower back above the buttocks. if it hyper compresses, it can cause extreme pressure on the sciatic nerve, which is a large nerve in the back. The squeezing of the muscle on the nerve causes intense pain that can be localized in the lower back, but even be experienced remotely, such as tingling in the hands or feet.

This disorder can crop up due to repetitive muscular stress or even just prolonged compression, such as extended periods of sitting. The pain can resemble symptoms of other disorders, which is why diagnosis must be thorough.

Trigeminal Neuralgia (TN)

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The thick root at the base of the brain is called the trigeminal nerve. If this berve is damaged or disrupted, it can cause a disorder where even mild stimulation to the face can create an experience of extreme pain. Usually experienced even with simple, everyday tasks such as shaving, applying makeup, eating and drinking, or brushing teeth, TN can greatly affect sufferers by the way it interferes with daily life.