Patients with persistent pain often think of themselves as suffering from a specific ailment, whether it’s arthritis, back pain, migraines, or something else. But anyone who has experienced pain for several months or longer also happens to be among the millions of Americans with a condition known as chronic pain.

Chronic pain is a complex condition that affects 42 million-50 million Americans. Many cases of chronic pain are related to the common conditions below.

At Advanced Pain Care MD, our multidisciplinary practice, has experts to help you manage your pain & recover.

Common Pain Conditions

Back pain can be caused by a variety of problems with any parts of the complex, interconnected network of spinal muscles, nerves, bones, discs or tendons in the lumbar spine. Typical sources of low back pain include:

The large nerve roots in the low back that go to the legs may be irritated
The smaller nerves that supply the low back may be irritated
The large paired lower back muscles (erector spinae) may be strained
The bones, ligaments or joints may be damaged
An intervertebral disc may be degenerating

An irritation or problem with any of these structures can cause lower back pain and/or pain that radiates or is referred to other parts of the body. Many lower back problems also cause back muscle spasms, which don’t sound like much but can cause severe pain and disability.

While lower back pain is extremely common, the symptoms and severity of lower back pain vary greatly. A simple lower back muscle strain might be excruciating enough to necessitate an emergency room visit, while a degenerating disc might cause only mild, intermittent discomfort.

Pain located in the neck is a common medical condition. Neck pain can come from a number of disorders and diseases and can involve any of the tissues in the neck. Examples of common conditions causing neck pain are degenerative disc disease, neck strain, neck injury such as in whiplash, a herniated disc, or a pinched nerve. Neck pain can come from common infections, such as virus infection of the throat, leading to lymph node (gland) swelling and neck pain. Neck pain can also come from rare infections, such as tuberculosis of the neck, infection of the spine bones in the neck (osteomyelitis and septic discitis), and meningitis (often accompanied by neck stiffness). Neck pain can also come from conditions directly affecting the muscles of the neck, such as fibromyalgia and polymyalgia rheumatica. Neck pain is also referred to as cervical pain.

The term sciatica describes the symptoms of leg pain—and possibly tingling, numbness or weakness—that originate in the lower back and travel through the buttock and down the large sciatic nerve in the back of the leg.

Sciatica is often characterized by one or a combination of the following symptoms:

  • Constant pain in only one side of the buttock or leg (rarely can occur in both legs)
  • Pain that is worse when sitting
  • Leg pain that is often described as burning, tingling or searing (vs. a dull ache)
  • Weakness, numbness or difficulty moving the leg or foot
  • A sharp pain that may make it difficult to stand up or to walk

Migraine is a neurological disease characterized by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms.

Typically, the headache affects one half of the head, is pulsating in nature, and lasts from two to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain is generally made worse by physical activity.[3] Up to one-third of people with migraine headaches perceive an aura: a transient visual, sensory, language, or motor disturbance which signals that the headache will soon occur.[3] Occasionally, an aura can occur with little or no headache following it.

Migraines are believed to be due to a mixture of environmental and genetic factors.[4] About two-thirds of cases run in families.[5] Changing hormone levels may also play a role, as migraines affect slightly more boys than girls before puberty, but about two to three times more women than men.[6][7] The risk of migraines usually decreases during pregnancy.[6] The exact mechanisms of migraine are not known. It is, however, believed to be a neurovascular disorder.[5] The primary theory is related to increased excitability of the cerebral cortex and abnormal control of pain neurons in the trigeminal nucleus of the brainstem.[8]

Initial recommended management is with simple pain medication such as ibuprofen and paracetamol (also known as acetaminophen) for the headache, medication for the nausea, and the avoidance of triggers.[9] Specific agents such as triptans or ergotamines may be used by those for whom simple analgesics are not effective. Caffeine may also be added to the above.[10] Globally, approximately 15% of the population is affected by migraines at some point in life.

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.

Women are much more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

While there is no cure for fibromyalgia, a variety of medications can help control symptoms. Exercise, relaxation and stress-reduction measures also may help.

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  • All Treatments

    Active Release Techniques
    Botox Injections
    IntraDiscal Electrothermal Therapy
    Intrathecal Pump Implants
    TENS Units
    Ankle Injections
    Back Surgery Prevention
    Botox for Headaches
    Caudal Steroid Injection
    Celiac Plexus Block
    Cervical Steroid Injection
    Cluneal Nerve Blocks
    Coccygeal Nerve Blocks
    Suboxone Treatment
    Continuous Catheter Nerve Block
    Epidural Steroid Injection
    Facet Joint Injections
    Failed Back Surgery Syndrome
    Post Laminectomy Syndrome
    Intercostal Nerve Blocks
    Interscalene Block
    Intra-articular Peripheral Joint Injections
    Intra-Articular Steroid Injection
    Joint Injections
    Lumbar Epidural Steroid Injection
    Lumbar Facet Block
    Lumbar Medial Branch Block
    Lumbar Spondylosis Radiofrequency Ablation
    Lysis of Adhesions
    Medial Branch Blocks
    Occipital Nerve Block
    Percutaneous Discectomy
    Peripheral Nerve Field Stimulation
    Posterior Facet Block – Rhizotomy
    Posterior Superior Iliac Spine Blocks – Ablations
    Radiofrequency Ablation
    Nerve Burn
    Sacroiliac Joint Injections
    Sciatic Nerve Block
    Selective Nerve Root Blocks
    Sphenopalatine Ganglion Block
    Spinal Cord Stimulation
    Spinal Disc Decompression
    Splanchnic Nerve Block
    Stellate Ganglion Block
    Sympathetic Nerve Blocks
    Trigger Point Injections
    Marijuana for pain
    Trochanteral Bursal Injections
    Muscle Relaxants
    Savella (milnacipran)

  • Common Conditions

    Shoulder Pain
    Back Pain
    Hip Pain
    Joint Pain
    Knee Pain
    Leg Pain
    Low Back Pain
    Abdominal Pain
    Bulging Disc Syndrome
    Carpal Tunnel Syndrome
    Chronic Fatigue Syndrome
    Chronic Pain
    Crohn’s Disease
    Degenerative Disc Disease
    Disc Herniation
    Face Pain
    Foot Pain
    Pelvic Pain
    Female Organ Pain
    Indo Motrioss Pain
    Inguinal Pain
    Hip Osteoarthritis
    Neck Pain
    Nervous System Disease
    Neuropathic Pain
    Occipital Neuralgia
    Post Herpetic Neuralgia
    Sacroiliac Joint Pain
    Tension Headaches
    Torn Meniscus
    Ulcerative Colitis
    Upper Back Pain