Diseases
Backache is the most common complaint of the patients who seek medical help in Pain Clinic. Many people in the world suffer from chronic pain in the lower part of the spine.
The pain in the lower part of the back is the most frequent reason of loss of labour capacity. Fortunately the backache often decreases or disappears at rest. If the pain does not decrease, the patient should consult a doctor for conservative and invasive treatment. Surgical treatment is used quite rarely.
Pain in the lower back means that the pain is localized between the lower line of the ribs and the lower line of the buttocks. Very often pain, the cause of which is in the lower back, radiating into the leg, sometimes reaching a foot. The pain may increase when you are leaning forward or, on the contrary, straightening, when sitting or walking, turning over in bed. Often, the pain is aggravating by sneezing, coughing.
Cervical radiculitis is most often manifested by pain due to irritation, inflammation or injury of the cervical spinal nerves. The pain is localized in the arm on the side of the lesion and can be sharp, stabbing, or similar to electric shock. Cervical radiculitis and cervical radiculopathy are not synonymous. Cervical radiculopathy supposes presence of objective signs of sensory and/or motor disorders. These two disorders do not exclude one another, and often occur at the same time. Cervical radiculitis is caused by irritation of the spinal nerves, while the term radiculopathy also includes neurological symptoms such as sensory and/or motor disorders. These two disorders can occur simultaneously and have the same cause, e.g., stenosis of the intervertebral foramen, protrusion of the disc, infection, displacement of the vertebrae, etc. Acute cervical radiculitis, caused by inflammation of the cervical nerves, given the disease progresses, , can result in chronic cervical radiculopathy, manifested by sensitivity disorders and a decrease in muscle strength in the hands.
The DAP pain clinic has the incredible excellence in treating pain sufferers in Baltic states.
DAP pain clinic headache unit is one of few private out patient and inpatient headache clinics in Baltic States, also it is the first headache center in the entire country to offer a complete, dedicated inpatient option. Located near the old town of Riga, our 12 – bed unit is the optimal destination for inpatient migraine and other headache treatment. At our inpatient and outpatient facility, acute and chronic pain sufferers adult or older adult patients – experience the benefits of work of headache team specialists.
Our Continuum of Care means the same doctor who treated You in our out patient unit if needed will direct Your treatments at the DAP inpatient headache clinic. You will see other doctors and caregivers, but a DAP headache unit physician will be there too, to make sure Your treatments are going well.
You have a say in what happens to you. We will make sure you know how to keep your headaches under control. Ask any question and we will take time to give You honest and professional answer you understand.
Osteoarthritis is a non-inflammatory degenerative joint lesion, usually occuring in middle and old age. It is marked by progressive destruction of the cartilage tissue of the joint and bones.
Osteoarthritis of large (hip and knee) joints often develops after 45-50 years of age.
Women suffer more often than men. Symptomatic (i.e. causing complaints) osteoarthritis affects 10-15% of people over the age of 63. Asymptomatic (not causing complaints) osteoarthritis is found by radiological imaging in 25-30% of people aged 63-69 years.
Every year many people lose their capacity for work as a result of spine diseases. Lumbar pain can appear due to many causes. In approximately 45% of cases, the source of pain in the lower back is the intervertebral disc.
Signs:
- Young age (below 45 years)
- Sudden onset
- Triggered by weight lifting
- Pain gets stronger in a sitting position, relieves in a prone position
- Pain is localized in the middle of the back
- The pain may radiate to the hip, less often – below the knees
- The pain worsens when patient straightens up from a bent position
“Trigeminal neuralgia is the worst pain in the world,” wrote Peter J. Jannetta in his monograph “Striking back!”, a layman’s guide for facial pain patients. Trigeminal neuralgia is the most common form of facial pain in people over 50 years of age. Trigeminal neuralgia is more prevalent in women than men.
Symptoms
Trigeminal neuralgia ir recognized by unilateral, sharp, shooting pain, involving one or more branches of trigeminal nerve. The pain can be triggered by ordinary stimuli, like eating, washing, shaving, teeth brushing, cold, warmth and draught. Patients’ description of the pain is very important: it must be sharp, shooting, lancinating, similar to electric shock.
Facet joint syndrome is a disease associated with degeneration and damage to facet (intervertebral) joints, manifested by local pain. Excessive in amplitude, often repeated rotation, flexion and extension of the spine can lead to degenerative changes in the intervertebral joints. Reduced height of the intervertebral discs results in increased vertical load on the facet joints, which accelerates degenerative changes in the joints. More than 50 percent of people at the age of 20-29 years have anatomical changes in the facet joints, as well as 93% of those aged 40-49 years, and 100% of people after 60 years of age. Facet joints are most often and most severely affected at the level of the 4th – 5th lumbar vertebrae and in the cervical spine. Facet joint syndrome most often develops in older people, because joints’ lesions progress with age. Degenerative changes in facet joints can occur in completely healthy people, having no complaints of back pain. There is no direct association between the radiologically diagnosed arthrosis of the facet joints and the presence and severity of pain.
Coccygodynia (CD) refers to pain localized in the area between the tailbone and the anus.
Women suffer from CD 5 times more often than men. Being overweight is also associated with an increased risk of developing CD.
Acute CD is mostly the result of trauma (usually a fall while sitting). Repetitive micro-traumatization, for example, riding a bicycle with a hard seat, engaging in bicycle sports can also cause the development of CD.
Pudendal neuralgia (PN) results from damage, irritation, or compression of the pudendal nerves.
Symptoms of PN:
1- Burning pain, often one-sided, in the perineal region
– Tingling or numbness in the buttock, vulva, perineum
Symptoms usually get worse while sitting and may subside while standing or lying down
2 – Sexual dysfunction (pain during intercourse), genital pain in women and erectile dysfunction in men
3 – Sphincter dysfunction – constipation, fecal incontinence, urination disorders
4 – Sensation of a foreign body in the anus, vagina