Fellowship Trained & Board Certified in Pain Medicine

Hours : Mon to Fri - 7:30am to 4:30pm
  Contact : 205-208-9001
 Schedule Appointment Patient Portal

All Posts Tagged: Osteoarthritis

Treat Your Osteoarthritis Knee Pain.

Osteoarthritis in the knees can cause a significant amount of pain that can affect a person’s ability to perform normal activities of daily living. As the amount of joint fluid decreases, there is less cushion from the cartilage to protect the joint. This damage in the knee can cause a great deal of pain that slowly progresses with walking, bending, and sitting or lying for long period. Staying active with regular physical activity is vital for the muscle strength in protecting the joints. Maintaining a healthy weight is important to reduce the stress placed in the joints. Continued range-of-motion exercises improve the stiffness to keep the proper movement and flexibility.

What to do when conservative measures don’t help the pain?

When the conservative measures discussed above do not keep the pain under control and the mobility continues to worsen, another option to look at is having a steroid injected into to the joint. This can decrease the inflammation enabling the joint to move with less pain. The down falls to these steroid injections are that they do not provide long lasting relief and steroids themselves have side effects with long term use. Many people can also have contraindications with steroid use for other medical problems.

Hyalgan is an FDA approved treatment of pain for osteoarthritis.

When more conservative measures have failed to provide adequate pain relief and function hylagan is a great treatment. The fluid (or protection) that is in the joint decreases with worsening arthritis. Essentially, Hyalgan is used as a replacement fluid for this loss as it adds back in the “cushion”, thereby reducing the pain. The Hyalgan can be a three-week injection series or a one-time full dose. While this is not a permanent treatment or cure, it should provide at least six months or more of moderate to significant pain relief. If the series provides six months or more of pain relief, it can be repeated. This injection series should not interact with oral medications and should not have a systemic affect. Hyalgan is a safe choice for osteoarthritis pain. Watch our video on how these injections are done and talk to your doctor today if you feel that is could be right for you. https://cahabapain.com/procedure-simulations/#vm_A_c2aaee2b

Read More

Not all arthritis is created equally.

     The term arthritis refers to inflammation in joints leading to increased pain. There are multiple types of arthritis with the most common being Osteoarthritis and Rheumatoid arthritis. While some symptoms such as joint pain and stiffness are present in both diseases, their cause, progression and treatment differ.

Osteoarthritis (OA) is commonly referred to a degenerative arthritis.

    The cause is usually secondary to wear and tear of the protective cartilage over the joint. Diagnosis can be made after review of x-rays, but is largely based on physical exam. There is currently not a cure. However, treatment is aimed at decreasing inflammation through anti-inflammatories and procedure-based interventions with steroids.

Rheumatoid Arthritis (RA) is an autoimmune disorder.

    This means the body’s own immune system attacks the joints. Diagnosis is commonly made after review of blood work that tests for a specific antibody. Multiple joints can be affected and may have associated systemic symptoms such as a muscle aches and fatigue. In addition, some patients experience signs and symptoms outside of their joints (skin, heart lungs, etc.) Treatment is similar to OA. However, other medications termed Biologics, are used to suppress the immune response and alleviate pain. Just as with OA, there is no current cure for RA. There are groups of physicians called Rheumatologists that specialize in auto-immune disorders such as Rheumatoid Arthritis and typically manage treatment.

Talk with your provider today about management of your arthritis and treatment options.

Read More