Morphine is in a class of medications called opiates. This class of medication ranges from weak opiates such as tramadol and codeine to much stronger opiates such as hydrocodone, oxycodone, oxymorphone, and fentanyl. A recent study from Ghent Belgium found no significant difference between placebo and 10mg of oral morphine a day in patients with rheumatoid arthritis. The only differences detected was in pain pressure thresholds in patients with Chronic Fatigue Syndrome, Fibromyalgia, and/or Rheumatoid Arthritis. The study was published in the July 19, 2017 issue of Pain Practice.
"Naloxone did not significantly affect nociceptive modulation in the healthy participants. These results suggest that temporal summation and conditioned pain modulation are not primarily mediated by opioid mechanisms," said Linda Hermans, P.T., from Ghent University in Belgium
Scoliosis is an abnormal curvature of the spine that usually occurs around the time of the growth spurt before puberty. While there are some diseases like muscular dystrophy and cerebral palsy that can cause scoliosis, in most cases, the cause is "idiopathic" or unknown. The curvature may stabilize or may progress in severity. Most cases are mild but some can be severe and require extensive surgery correction. Untreated, the severe cases can result in decreased function and possibly even compromise of the cardiac or respiratory system. Patients and parents of patients diagnosed with scoliosis have many questions regarding this condition. The following questions, summary answers, and links are meant to be a starting point to answering some of these questions. While this article is not a substitute for an evaluation by a physician or other health care provider, the information may be helpful in discussing the issues associated with your physician or surgeon.
Plantar fasciitis is like, but painful condition affecting the heels. It often is the most symptomatic with the first steps taken in the morning. It usually presents with pain around the medial or inside aspect of the calcaneus (heel bone). Often there is tenderness along the soft tissue extending from the heel to the mid-arch or beyond. In 20 to 30% of patients, the problem occurs on both sides (bilateral). (more…)
This is an inspiring story of a young man who has overcome chronic pain with the help of Boston Scientific'sspinal cord stimulator (SCS) technology. His injuries were sustained helping victims on 9/11 and later serving his country in Afghanistan. After surgeries and opioid medications failed to restore his function, state of the art neuromodulation technology has given him his life back.
All spinal cord stimulator systems are not the same. Call today to discuss options for controlling severe chronic pain. Trust experienced physicians specializing in treating difficult cases.
The SiCure™ Sacroiliac Fusion System is manufactured by Birmingham, AL based Alevio, LLC.
“SiCure has achieved higher and faster levels of implantation than we thought possible,” says Joe Robbins, CEO and Founder of Alevio.
Alevio, LLC is a privately held spinal device manufacturer founded in 2015 and is dedicated to the treatment of SI joint dysfunction. The SiCure™ Sacroiliac Fusion System is a second-generation comprehensive sacroiliac joint fusion system. The design is unique in that either lateral or posterior approach. The design of the SiCure features a "patented dual-lead helical thread design that allows harvesting and repacking of the patient’s own bone back into the screw as it advances". The benefit of this unique feature saves both O.R. time, and additional biologic material costs. This self harvesting option makes the SiCure™ unique among SI joint comprehensive systems currently on the market.
Chronic pain is a very difficult problem to manage. There are many options and approaches. Fortunately, after most surgeries to correct spinal injury or pathology, most people are able to return to an acceptable level of function and a manageable level of pain. For those who have persistent in severe pain that impacts the quality of their life including the relationships that are so valuable, there are advanced options such as spinal cord stimulator technology. (more…)
A systematic review in the Annals of Internal Medicine has reviewed 67 studies covering eight different intervention categories for chronic pain. These categories included interdisciplinary pain programs, buprenorphine assisted dose reduction, and behavioral interventions.
The study found that after dose reduction in chronic opiate therapy, there was overall improvement in reported pain severity, improvement in function, and improvement in quality of life. (more…)
The low back is also referred to as the lumbar spine. The lumbar spine is a highly complex group of structures that are designed to work as a functional unit. The components of the lumbar spine include bones, joints, intervertebral discs, nerves, ligaments, muscles ,blood vessels, the spinal cord, and nerves. These structures all work together to provide support for the upper body as well as movement and a passageway for nerves as they pass along your way to the internal organs and lower extremities. The correct functioning of the lumbar spine is integral to the overall functioning of the body. Although the lumbar spine is intricately designed, it is often injured and/or subject to various degenerative changes or diseases. (more…)
Testosterone Pellet therapy is a method of delivering bio-identical hormones by using implanted pellets placed below the skin. These pellets filled with testosterone or other hormones continuously release small quantities of bio-identical hormones in physiological doses to provide optimal therapy. "Bio-identical" means that the hormones delivered are chemically identical to the hormones produced by your own body. These pellets dissolve over time and are replaced by your health care provider every 3-4 months on average. (more…)
There are many possible causes of knee pain. You rely on your knees to support your weight and absorb the force and shock of movement throughout the day. The knee joint is a complex structure consisting of several supporting ligaments, shock absorbing cartilage, lubricating joint fluid, multiple bursa to help ligaments and tendons slide smoothly, a patella (kneecap), the femur, the tibia, and the fibula. In addition to these joint structures, there are multiple muscles, tendons, nerves, fascia, and blood vessels that work together to enable this intricately designed joint to function properly. (more…)
Moyamoya is a disease that involves the cerebral vasculature (arteries in the brain). It is progressive and results in occlusion (blockage) of the major arteries within the brain. These arteries form a structure known as the Circle of Willis. (more…)
Sciatica describes pain in the low back, hips, buttocks and down one or both legs. This pain sometimes extends all the way to the foot. Usually, however sciatica only affects one side of the body. (more…)
Jackson Neurosurgery Clinic is proud to offer the convenience of Kyphoplasy in our office.
This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine's natural shape. Some patients experience rapid pain relief after the procedure.
Before the procedure, you are anesthetized. The physician guides a needle through the skin of your back and into your fractured vertebra. A special x-ray device called a "fluoroscope" helps the physician position the needle.
A balloon device is placed through the needle and into the vertebral body. The physician carefully inflates this balloon to expand the fractured bone. When the balloon is deflated, it leaves a cavity in the middle of the vertebral body. The balloon is removed. For some patients, more than one needle and balloon may be used.
The physician injects bone cement through the needle. This cement fills the cavity. It hardens inside the vertebral body, stabilizing the fracture.
End of Procedure and Aftercare
When the procedure is complete, the needle is removed. The opening in your skin is closed. Your doctor will give you instructions to aid your recovery.
Neck pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your neck.
Osteoarthritis, also called degenerative arthritis, is a gradual breakdown of cartilage in the joints. Cartilage is a tough, flexible connective tissue that protects the ends of bones in the joints. Osteoarthritis is common in the knees because the knees bear the weight of the body. Osteoarthritis of the knee can severely impact a person's lifestyle.
If you have injured your knee, or if normal wear and tear has caused degeneration of your joint, stem cell therapy may help. It uses parts of your own blood to help repair knee damage. It may help you avoid surgery.
This nonsurgical procedure is an injection of a gel-like medication into the knee joint to supplement or replace the thick synovial fluid that cushions the joint. This treatment can help reduce the pain of arthritis.