Jordan Sudberg Pain Management

Pain Management
Pain Management
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Last updated on August 21st, 2023 at 06:46 pm

Things to be aware of regarding the management of pain

Jordan Sudberg treatment for pain may be easy or complex based on the root of the pain. One example of pain that is usually less complicated could be nerve root irritation caused by an injured disc that causes discomfort radiating down the leg. This type of condition can be treated with an epidural injection of steroids and physical therapy. However, sometimes the pain will not disappear. This may require an array of techniques and abilities to relieve the pain. The techniques and skills include:

  • Interventional procedures
  • Management of medication
  • Chiropractic or physical therapy
  • Support and psychological counselling
  • Other alternative treatments, such as acupuncture and acupressure;
  • Referral to other specialists in medicine

All these abilities are essential as pain can be a part of numerous aspects of a person’s everyday life.

Two types of pain include nociceptive and neuropathic pain.

Pain…Oh, What a Pain!

Medical Author: Jordan Sudberg

It is a painful sensation in animals. It is caused by an actual or apparent injury to tissues in the body and causes emotional and physical reactions. The perception of pain is likely to have evolved to safeguard our bodies from harm by forcing us to do certain things and avoid other actions. It could be described as an averter, a guardian or a nuisance. In this post, I’ll review the most fundamental aspects of pain.

All of us experience some degree of pain, but to lesser or greater levels at different times. According to research, pain is the primary reason patients seek medical attention. However, everyone responds to a particular pain trigger uniquely. The intensity of the reaction to pain stimuli is primarily subjective, meaning that the intensity of the pain can be most precisely determined by the person experiencing the pain and not by others who observe.

Our perception of pain may differ in different situations and even in response to a similar stimulus. For instance, athletes competing might not feel the injury to their tissue from an injury or cut until after the event has ended. It is possible to feel greater or lesser pain based on our mood, our sleep patterns, food intake, or other activities.

What is the best way Jordan Sudberg guides pain treatment?

According to Jordan Sudberg, pain treatment is based on the nature of the pain and its duration, the intensity of the pain, aggravating or relieving conditions, and the structure that causes the pain.

For the structure to cause pain, it has to be able to supply nerves and be prone to injury; any stimulation to the structure must result in discomfort. The premise behind most treatments for pain is that there’s one specific part of the body that is surrounded by sensory nerves responsible for the pain. The role of pain management is in determining the root of the issue and then determining the best treatment.

  • The fluoroscopy technique is an X-ray-guided method of viewing.
  • The fluoroscopy procedure is commonly used to assist the doctor in accurately pinpointing the injection so that the medication gets to the right spot and only to the appropriate spot.
  • Ultrasound can also be employed to detect structures as well as guide injections.

What are the primary kinds of pain?

There are a variety of sources of pain. One method to separate the causes of pain would be to separate them into two categories: nociceptive and neuropathy. How pain is treated varies mainly depending on what kind of pain it is.

Nociceptive pain

The most common causes of nociceptive pain include the possibility of a fracture or cut bone. Injuries or tissue damage cause signals that travel through peripheral nerves and then to the brain through the spinal cord. Signals for pain are modulated through the channels. That’s how you can recognize a problem.

Neuropathic pain

Neuropathic pain is pain caused by disease or damage that can affect the nervous system. There is often no apparent reason for the pain, which may occur without warning. The most common causes of this discomfort are shingles and diabetic peripheral neuropathy. It may occur when nerves are cut or damaged by an injury like a stroke.

Treatment for pain that is not inflammatory and nociceptive

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The majority of back, leg and arm pains are non-nociceptive pain. Nociceptive pain is divided into two parts: bodily and radicular.

Radicular discomfort: Radicular pain is caused by irritation of nerve roots, such as disc herniation. It runs down the arm or leg to the area of the nerve, which is derived out of the nerve roots to the level of the spinal cord. The most common symptom associated with radicular pain is radiculopathy. It is characterized by weakness and numbness. It can also cause tingling or loss of reflexes in the nerve distribution.

Somatic pain: pain refers to only being present in the back of the thighs. The issue that both patients and doctors face when they suffer from back pain is that once an individual visits the doctor and has an accurate medical history as well as a physical exam as well as the proper imaging studies (for instance, X-rays or MRIs and CT scans), Jordan Sudberg can only give a specific diagnosis in a small percentage of times. The reason for the majority of back pain is not known or classified as an idiopathic condition. Three back structures most often responsible for back discomfort are the facet joints, the discs, and the sacroiliac Joint. Facet joints are the tiniest joints between the vertebrae in the rear. They offer stability and limit the bend you can back or bend back. The discs are “shock absorbers” that are found between each of the bone-like building blocks (vertebrae) that make up the vertebrae. The sacroiliac joint is located in the buttocks utilized in normal walking. It assists in transferring burdens from the upper body to the legs.

Fluoroscopically (x-ray) directed injections are a great way to identify the location from which the pain is coming. After the pain is diagnosed correctly, it can be treated effectively.

The treatment for Neuropathic pain and the cure

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The term “neuropathic pain” refers to:

  • The complex Regional chronic pain syndrome (CRPS) is also known as reflex sympathetic dystrophy
  • Sympathetically controlled pain
  • Fibromyalgia;
  • Interstitial cystitis and
  • Irritable bowel syndrome.

Treatment for neuropathy pain

The variety of neuropathic pains can be challenging to manage. However, with a thorough diagnosis and usually a mixture of therapies, There is a high possibility of reducing the pain and returning function.

The use of medicines is a significant component in the treatment of neuropathy-related pain. They function in influencing the way that the pain information is handled through the body. The majority of pain information is taken away by your central nerve system, typically in the area of the spinal cord. For instance, if you are in the chair, the peripheral nerves transmit the reaction to the pressure created between your body and the chair through your nerve system. However, as this information has no function, it gets removed from your spinal cord. A variety of medications used to combat neuropathic pain work by filtering the process. The kinds of medicines utilized to treat neuropathic pain are antidepressants that affect the levels of serotonin and norepinephrine. There are also antiseizure drugs which affect different neurotransmitters like GABA and glycine.

The most effective method for treating neuropathic pain is a spinal cord stimulator. It provides tiny amounts of electric energy directly to the spine. The stimulation prevents unwanted pain signals from being transferred into the brain. It also triggers an itch in the painful area, which conceals the pain.

What are the other causes and treatment options for discomfort?

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The other causes of pain are:

  • headaches,
  • facial pain on the face,
  • peripheral nerve pain
  • coccydynia,
  • compression fractures,
  • post-herpetic neuralgia,
  • myofasciitis,
  • torticollis,
  • piriformis syndrome,
  • plantar fasciitis
  • The lateral epicondylitis and
  • Pain from cancer.

Pain in the face and headaches as well as trigeminal neuralgia.

Headaches can significantly cause pain and loss of productivity at work. Depending on the specific kind of headache, many effective remedies are available for headaches that persist, such as medications, biofeedback, injections and implants. Botox can also be a helpful way of efficiently and safely treating headaches.

Atypical facial discomfort can be debilitating. It is often addressed with injections into the local neural tissue (such as the sphenopalatine-related ganglion).

Trigeminal neuralgia, also known as Douloureux tic, is a condition that often causes intense, chronic shooting pains in the face.

Peripheral nerve pain

The pain of peripheral nerves, also called neuropathy, can be debilitating. It is often responsive to simple treatments, like trigger point injections using anaesthetic medications or cryoablation (an office-based procedure that involves freezing nerves). The most common causes of peripheral nerve pain are:

  • Intercostal neuralgia and ilioinguinal neuroma.
  • Hypogastric neuroma.
  • Lateral femoral cutaneous nerve embroilment.
  • Interdigital neuroma and entrapments of nerves that are related to it.


Coccydynia is a familiar ache in the region of the coccyx or tailbone. It could be the result of injury or may develop without reason. The first treatment is usually gentle, using oral pain relief medications (analgesics). Most of the time, pain is triggered within the part that is part of our nervous system that is out of our control (involuntary or the autonomic nervous system) and may respond to either a local or regional anaesthetic injection to the nerve’s head known as Ganglion Impar, which is situated below the coccyx. Or through medically eliminating (ablating) it. Ganglion Impar usually uses radiofrequency.

Fractures from compression

Compression fractures of bone bones (vertebral bodies) are common among those who are elderly because of osteoporosis, which is the loss of calcium in bone. When calcium levels decrease bone, it becomes weak and may fracture. Like all fractures, compressive fractures can cause pain. As with all fractures, they are treated with stabilization, which is, in this instance, using cement injections into the bone through vertebroplasty or Kyphoplasty. Vertebroplasty is a successful method to relieve the pain caused by compression fractures. Kyphoplasty utilizes balloons to restore the height of the vertebral body.

Post-herpetic neuralgia

The condition known as Postherpetic Neuralgia (PHN) is a painful illness that occurs following an episode of shingles. When we are children, it is common to be affected by chickenpox which is caused by the Herpes Zoster virus. Our immune system regulates the virus. However, it is in a dormant condition within the spinal nerves. As we age or suffer from stress or illness, the virus may come back and attack the infected nerve and the skin adjacent to it. In the subsequent attack, our body detects it as Herpes Zoster virus and contains the pain to a particular area along the course that one nerve. Patients may develop typical blisters that usually are healed. However, sometimes it is the case that they may not heal. Herpes Zoster virus damages the nerve, which causes ongoing nerve pain that lasts long even after the skin blisters caused by the shingles have healed.

The most effective method to treat post-herpetic nerve pain is to address it before it develops. Treatments like Acyclovir (Zovirax) or steroids and injections, such as sympathetic injections, can stop the progression of PHN. When pain is present, the injections and local anaesthetics medication [duloxetine (Cymbalta) and amitriptyline (Elavil Endep)and topical patches or pain medication are all beneficial.

Myofasciitis and Torticollis

Myofasciitis (pain in the muscles, whether in the back or neck) often responds to traditional physical therapy (for instance, massage or exercises). If the pain continues, trigger point injections could be employed. If trigger point injections offer temporary relief, then Botox injections could assist. Botox is a botulinum toxin that can help relax muscles for six months and provide long-term relief from discomfort. It is a secure, effective solution to what would otherwise be a challenging, persistent problem.

Torticollis is a spasm that affects the neck muscles, which causes the patient to keep their neck in a slant or tilt towards the other side. Botox is approved to treat this condition.

Piriformis Syndrome

The piriformis muscles run from the hip and connect to the sacrum (tailbone). It is crucial because the sciatic nerve runs through it. Piriformis syndrome refers to a form of spasm that occurs in the piriformis muscle. If the muscle enters a spasm, it may press on its sciatic nerve creating discomfort across the leg. Piriformis syndrome usually responds with physical therapy. If pain persists, it is possible to treat it with local anaesthetics and/or injecting steroids may help. If the pain is still present, it is possible to inject Botox or Myobloc, both of which are botulinum toxins, into the muscle and could provide quick and safe treatment.

Plantar fasciitis and epicondylitis lateral

The condition of plantar fasciitis (heel pain) and lateral epicondylitis (tennis elbow) are two commonly-reported issues with pain. Treatment begins with conservative options, including rest, non-steroidal anti-inflammatory medications, injectors of steroids, over-the-counter pain medication, physical therapy, and for heel pain, shoe inserts.

If the pain persists for longer than 6 months, the Extracorporeal Shockwave Treatment is a safe FDA-approved treatment. Extracorporeal shockwave therapy does not recommend for women who are pregnant or having children, any person who has a pacemaker, who is taking anticoagulants or with a history of bleeding issues.

Pain from cancer

The cause of pain in cancer is numerous causes, such as cancer itself, the compression of a nerve or another body part, fractures or even cancer treatment. There are a variety of methods to treat numerous pains caused by cancer, such as injections and medicines. Mainly, surgical treatment of damaged nerve tissues (ablative treatments) or the application of pumps that are surgically implanted in the body to pump pain medications into the subarachnoid area can be utilized. Pumps for pain provide medication specifically targeted at pain receptors on the cord of the spinal column. The benefit to cancer patients is continuous pain management with fewer side consequences.

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