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Conditions

Headache

Acute intractable headache

If you experience sudden onset, intractable headache, often associated with dizziness, neck pain, visual changes, nausea, confusion and described as the worst headache in your life, you may have a brain hemorrhage. Please call 911 for immediate medical attention.

Chronic daily headaches 

They are considered that affect patients 15 or more days a month, for 4 or more hours a day lasting longer than 6 months. Chronic, primary headaches are poorly understood and don’t have an identifiable cause. Chronic, non-primary daily headaches can be caused by medications, stroke, brain injury, cancer, infection, caffeine, stress, anxiety, depression, alcohol and neck pain.

Occipital neuralgia

There are two greater occipital nerves located on each side of the head at the bottom of the skull. These nerves can get pinched and patients can experience shooting, tingling, electric sensation originating from the bottom of the head to the top of the scalp.

Migraine headaches

Symptoms of migraine include throbbing and pulsating on one or both sides of the head. It is aggravated by physical activities. Patients are sensitive to light, sound and may experience nausea and vomiting.

Tension headaches

These headaches are diffuse with sensation of pressure and tightness. It is usually not aggravated by physical activities.

Neck Pain

Muscle strain

It can happen when you keep your neck in the same position for an extended period of time. Trauma can also causes neck stain. Often times, there are tender trigger points.

Nerve compression or irritation

Pain can radiate from the neck to the shoulders, down the arms to the hands. It can also associate with numbness, tingling, pins and needles, burning sensation.

Osteoarthritis

Age related degeneration causes the vertebrae to collapse or bulge. The vertebrae can overgrow and becomes osteophyte. The decrease in movement and inflammation of the small joints in the spine can cause chronic pain. Common causes of neck pain include trauma, muscle tension, strain, osteoarthritis, rheumatoid arthritis, nerve compression and cancer.

Other causes of neck pain

Cancer, rheumatoid arthritis, failed neck surgery.

Back Pain

Compression fracture

Trauma and falls can lead to compression fractures. Elderly are at higher risks because they may have osteoporosis.

Muscle strain 

Heavy lifting, unusual movements, falls may lead to muscle strain and spasms. Muscles feel tight with aching sensation. It is painful to touch. Patients are much more at risk if they are in poor physical condition.

Nerve compression or irritation

Patients describe sciatica pain as shooting, electric shocking, burning in one or both legs. In severe cases, your legs can become weak or you can have a foot drop. Similar pain can also happen in the middle of the spine radiating to the abdomen or groin.

Osteoarthritis

Osteoarthritis decreases joint spaces, forming bone spurs and can narrow space of the spinal canal and the passageways of spinal nerves.

Sacroiliitis

Sacroiliac joint is a thin joint between the sacrum and pelvic bones. Degeneration and inflammation of the joint on each side can cause pain in the buttocks.

Other causes of back pain

Cancer, rheumatoid arthritis, failed back surgery.

Shoulder Pain

Bursitis

Inflammation of the small fluid-filled sac in the shoulder joint.

Frozen shoulder

The connective tissue enclosing the joint becomes thickened and tight. The shoulder is stuck and unable to raise up. Diabetes and stroke are risk factors.

Osteoarthritis

Degeneration within the shoulder joint.

Rotator cuff tendinitis

Rotator cuff is a group of four muscles surrounding the shoulder joint. It can get inflamed after injuries, overuse, complete or partial tear.

Elbow Pain

Golfer’s elbow

It is similar to Tennis elbow, but it is located on the inside of the elbow. The motion of swinging a golf club, turning the door knob, lifting weights can aggravate the pain.

Osteoarthritis

Osteoarthritis generally happens as an age-related condition. Women are at higher risk for an unknown reason. Previous injuries, repetitive micro trauma, obesity can precipitate the process.

Osteoarthritis affects the joints in the hands, wrists, shoulders, spine, hips, knees and ankles. The cartilage between the joints deteriorates and will lead to increase friction between the bones and inflammation within the joint.

Tennis elbow

As the name implies, it can happen with repetitive motions of the arm and wrist. The pain is located on the outside part of the elbow and can spread to the forearm.

Hand and Wrist Pain

Carpal Tunnel Syndrome

Compression of the median nerve which pass through the wrist can lead to hand pain, fingers numbness and tingling sensation. Severe carpal tunnel syndrome may cause weakness and dropping objects. Pain can wake you up at night and shaking the hand can alleviate some discomfort.

Osteoarthritis

Osteoarthritis generally happens as an age-related condition. Women are at higher risk for an unknown reason. Previous injuries, repetitive micro trauma, obesity can precipitate the process.

Osteoarthritis affects the joints in the hands, wrists, shoulders, spine, hips, knees and ankles. The cartilage between the joints deteriorates and will lead to increase friction between the bones and inflammation within the joint.

Rheumatoid arthritis

Rheumatoid arthritis is different from osteoarthritis, it is an autoimmune, inflammatory disorder and can affect children and young adults. Up to half of the patients who have rheumatoid arthritis could be due to genetic factors. It affects the lining of the joints and lead to bone erosion and joint deformity. Rheumatoid arthritis can also affect organs and blood vessels. It is characterized by symmetric joint involvement, with swelling and tenderness along with systemic inflammation.

Trigger finger

Trigger finger is a condition when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. The finger feels locked and clicked while being straighten. Women and patients who have diabetes are at higher risk.

Ankle and Heel Pain

Osteoarthritis

Osteoarthritis generally happens as an age-related condition. Women are at higher risk for an unknown reason. Previous injuries, repetitive micro trauma, obesity can precipitate the process.

Osteoarthritis affects the joints in the hands, wrists, shoulders, spine, hips, knees and ankles. The cartilage between the joints deteriorates and will lead to increase friction between the bones and inflammation within the joint.

Plantar fasciitis

It is the inflammation of a thick band of tissue on the bottom of the foot. It is worse when you first wake up and start walking. Prolonged standing can also aggravate the symptom. Runners, dancers, obesity, abnormal foot mechanics can contribute to the stress on the fascia.

Hip Pain

Hip pain can be a referred pain from your low back. Hip joint pain is generally associated with groin pain and should not cause pain radiation down the leg.

Bursitis

Inflammation of the small fluid-filled sac on the side of the hip.

Osteoarthritis

Osteoarthritis generally happens as an age-related condition. Women are at higher risk for an unknown reason. Previous injuries, repetitive micro trauma, obesity can precipitate the process.

Osteoarthritis affects the joints in the hands, wrists, shoulders, spine, hips, knees and ankles. The cartilage between the joints deteriorates and will lead to increase friction between the bones and inflammation within the joint.

Knee Pain

Knee pain can originate from within the joint or the surrounding ligaments, tendons and bursae.

Osteoarthritis 

Osteoarthritis generally happens as an age-related condition. Women are at higher risk for an unknown reason. Previous injuries, repetitive micro trauma, obesity can precipitate the process.

Osteoarthritis affects the joints in the hands, wrists, shoulders, spine, hips, knees and ankles. The cartilage between the joints deteriorates and will lead to increase friction between the bones and inflammation within the joint.

Patella tendinitis

The knee cap (patella) is connected to the shin bone by this ligament. Frequent jumping can increase the risks of tendinitis. Patients will have difficulty rising from a chair or climbing stairs because of pain.

Torn meniscus

The two C-shape cartilages are located on the left and right side between the thigh and shin bones. It is an injury after a forceful twist or rotation of the knee. You may hear a popping sensation, swelling, pain and unable to straighten your knee. Torn meniscus can lead to knee instability.

Cancer Pain

Cancer is a very common reason for chronic, intractable pain. Cancer can cause physical destruction to normal tissues, compress nerves, bones and organs. Chemotherapy may cause nerve pain as a side effect.

Complex Regional Pain Syndrome (RSD)

It develops usually after trauma, stroke or surgery. Symptoms include sharp, burning, tingling pain in the upper or lower extremities. The etiology is not well understood, but it is believed it can be a dysfunctional interaction between the central and peripheral nervous systems and inappropriate inflammatory responses. Patients also have hypersensitivity to cold temperature and light touch. There may be changes in hair growth, skin color and swelling.

Diabetic neuropathy

High blood sugar can damage small nerve fibers in the body. The legs and feet are the most commonly affected. Patients complains of numbness, burning and tingling sensation that is non-shooting.

Contact us

If you have questions about what we can do to help manage your pain or would like to make an appointment, either call us now at (714) 424-9300, fax us at (714) 424-9324 or fill out the form below.

Our Locations

Fountain Valley

11160 Warner Ave, Suite 417,
Fountain Valley, CA 92708

Laguna Hills

24953 Paseo De Valencia, Suite 7A,
Laguna Hills, CA 92653