This section contains the description of the most common types of pain, together with their symptoms, which can be treated in Aliviam pain clinic.
-Lower back pain
-Headache and migraine
-Herniated disc pain
-Lumbar spinal stenosis
-Tendinitis and muscle injuries
Lower back pain
It is a profound or mislocalised pain between the12th rib and the iliac crest, often radiating down the gluteus, groin, hip, thigh and knee. It is quite common and in most cases it resolves spontaneously within 15 days. It is known by the inexact nomenclature “non-specific low back pain”. Pain comes from the swelling or injury of one of the structures of the complex lumbar spine system: muscles, ligaments, facet joints, intervertebral discs, sacroiliac joint or nerves.
Sharp neck pain which can radiate into the trapezius muscle, shoulders and shoulder girdle, and also into the face and head, causing headaches. In the majority of cases it goes away spontaneously and symptoms do not usually persist for more than two weeks. Cervicalgia is mainly caused by swelling or injury of facet joints and, to a lesser extent, by intervertebral disc disease.
Headache and migraine
Headache is a broad term that encompasses many different things. Certain types of headaches derive from osteoarthritic degeneration of the cervical spine, while others are triggered and prolonged by nerve structures located in the cranial fissures. In these specific cases minimally invasive techniques can help relieve migraine pain without medication overuse.
Herniated disc pain
As we age, intervertebral discs, as any other body tissue, lose their flexibility and become more prone to tearing or rupturing. This age-related process is called disc degeneration. Its first symptoms are loss of the disc water content and nucleus dehydration, which can lead to disc protrusion in the epidural zone, annulus fibrosus fissures with disc content loss, or real tearing or herniation. The mechanical disc compression on adjacent spinal nerves may cause pain along the upper limbs, in case of cervical injury, or lower limbs, if there is a lumbar injury. Inner disc fluid may occasionally trigger spinal nerves inflammation, causing burning and pain.
Lumbar spinal stenosis
The degeneration of intervertebral discs, facet joints or yellow ligaments, or the spondylolisthesis may a cause a sharp pain in our legs when walking or standing up straight. This pain disappears in rest position, but it is a quite self-limiting condition; in the late stages it may even impede walking ability. A significant percentage of adult population suffers from lumbar spinal stenosis. Surgery is the definite treatment, although there are many non-surgical techniques to relieve pain.
By definition, fibromyalgia is a condition characterized by an increased sensitivity to pain stimuli and low pain threshold. Stimuli which are painless for the majority usually cause pain to people suffering from fibromyalgia. Pain usually affects the whole body, and it is triggered by a slight pressure or appears spontaneously. Fibromyalgia may be also associated to other common conditions such as irritable bowel syndrome, anxiety, depression, fatigue, insomnia or disturbed sleep, thyroid alterations and urinary tract infections. People with fibromyalgia may as well feel pain derived from other injuries, as the rest of population do, which hinders diagnosis since separating and distinguishing both conditions gets more difficult.
Pelvic pain may stem from certain pathologies associated to the reproductive organs both in men and women, but it is not exclusively related to them. It may also affect the colon, rectum and bladder. Pelvic pain management is complex and, when the cause of pain cannot be tackled, procedures aim at relieving it.
Osteoarthrosis is the most common articular disease and one of the main causes of disability in the elderly. Our body has many joints, and thus this condition is very frequent. Knees, hips, hands and spine are frequently affected by arthrosis, which causes inflammation, pain and functional limitations.
Most conditions which present with facial pain are self-limiting and resolve without sequels. Sometimes, as in trigeminal neuralgia or certain types of headache or migraine, pain causes disability due to its location, leading to a chronic suffering usually accompanied by depression and isolation.
Tendinitis and muscle injuries
Despite the cliché that only athletes may suffer from these conditions, they are quite common among general population for two main reasons: population ageing and increasing participation in physical activity in all ages. Besides, these injuries may also occur at work due to overload or repetitive trauma.