Spinal Pain Specialists Orange County California
Orange County Pain Management
Pain Management in Orange County
Spinal Pain
AFSHIN GERAYLI, M.D.

AFSHIN GERAYLI, M.D.
 
 
Pain Conditions

Common Spine related pain syndromes (including Neck and Back pain) treated at our Orange County medical facilities.

Providing help for Back pain in Orange County, we are specialists in medical conditions that treat back pain problem. We offer services for neck pain in Orange County. Both back pain conditions and neck pain condition are listed and described below.

Sciatica

The term "sciatica" is commonly used to describe pain traveling in the distribution of the sciatic nerve. Sciatica is a symptom caused by compression of one of the nerve roots that make up the sciatic nerve. This compression is often caused by a lumbar disc herniation or bulge, which may put pressure or even displace the nerve root.

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Facet Syndrome

Facet joints are small joints, which attach adjacent vertebral bodies together and help with range of motion of the spine in the neck and back. Like any joint they have a fluid in them called synovial fluid. With Chronic pressure, degeneration or trauma, arthritis may develop in these joints, which can be a source of back pain.

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Disc Herniation

Each vertebral disc is composed of a tough outer layer of cartilage and a more elastic central area. As we age, these discs degenerate and become thinner and weaker. Extra pressure from a fall or from heavy lifting can cause cracks in the outer layers of the discs, allowing the central mass to squeeze out. This kind of rupture can put pressure on the spinal cord or the nerves that branch from it. Herniated discs in the lumbar or sacral regions can put pressure on the sciatic nerve causing pain and discomfort.

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Degenerative Disc Disease

Degenerative Disc Disease (DDD) is a gradual process that may compromise the spine. Although DDD is relatively common, its effects are usually not severe enough to warrant medical attention unless it begins to cause back pain. Degenerated discs may also be prone to disc herniation. As the thickness of a disc decreases during the degenerative process, exiting nerve roots may become compromised which could lead to sciatic type pain.

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Spondylolisthesis

Degenerative changes in the spine are often referred to those that cause the loss of normal structure and/or function. Degenerative Spondylolisthesis (DS) is a disorder that causes the forward motion (slip) of one vertebral body over the one below. The term Spondylolisthesis is formed from two Greek words; spondylo meaning vertebra and olisthesis meaning to slide on an incline. DS is most common in the lumbar spine (L4-L5) and may cause low back pain.

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Sacroiliac Joint Pain

The sacroiliac (SI) joint is a strong, weight bearing synovial joint between the ilium and sacrum bones of the pelvis. The bones are held in place and allowed limited movements by a system of sacroiliac ligaments. Relaxation of this and other joints and ligaments is important during pregnancy. Like any other joint, the SI joint can develop inflammation by trauma or chronic asymmetric pressure on the joint. Pain from the SI joint can be in the low back/buttock area and may radiate into the legs as well.

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Post Herpetic Neuralgia

Shingles, or herpes zoster, is caused by the chickenpox virus that remains in the nerve roots of all persons who had chickenpox and can come out in your body again years later to cause illness.

Shingles is more common after the age of 50 and the risk increases with advancing age. Shingles causes numbness, itching or severe pain followed by clusters of blister-like lesions in a strip-like pattern on one side of your body. The pain can persist for weeks, months or years after the rash heals and is then known as post-herpetic neuralgia.

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Complex Regional Pain Syndrome (RSD)

Complex Regional Pain Syndrome (CRPS) is a chronic pain syndrome with two forms. CRPS 1 currently replaces the term "reflex sympathetic dystrophy syndrome". It is a chronic nerve disorder that occurs most often in the arms or legs after a minor or major injury.

CRPS 1 is associated with severe pain; changes in the nails, bone, and skin; and an increased sensitivity to touch in the affected limb. CRPS 2 replaces the term causalgia, and results from an identified injury to the nerve.

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Occipital Neuralgia

Occipital Neuralgia is pain located in the cervical (neck) and posterior (back) regions of the head (these are the occipital areas). This pain may or may not extend or radiate into the sides of the head ultimately, into the facial and frontal regions. Occipital neuralgia is really two separate disorders with similar symptoms: lesser occipital nerve neuralgia and greater occipital neuralgia. This disorder often occurs after a whiplash injury, a blow to the back of the head, or an injury that produces a twisting of the head.

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Diabetic Neuropathy

Of the 16 million Americans with diabetes, 25% develop foot related problems related to the disease. This is primarily due to a condition called neuropathy. Diabetic Neuropathy is a complication of diabetes that affects the nerves. The most common type of diabetic neuropathy is called peripheral neuropathy and affects the peripheral nerves. Peripheral nerves are the nerves that go out from the brain and spinal cord to the muscles, skin, internal organs, and glands. Peripheral neuropathy impairs proper functioning of these sensory and motor nerves. The most common symptoms of neuropathy include numbness and loss of feeling, usually in the feet and hands.

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Cancer Pain

The optimal management of cancer pain continues to be a challenge throughout the world despite nearly two decades of emphasis on the need for more aggressive and effective treatments. The clinician’s problem is first to find the cause of the pain and then to initiate individualized treatments. Critical to this process is the analysis, by objective measures, of the outcomes of therapies with the ultimate goal of patient comfort.

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Fibromyalgia

According to the diagnostic criteria for Fibromyalgia Syndrome (FMS) published by the 1990 American College of Rheumatology (ACR).

Fibromyalgia patients must have:
Widespread pain in all four quadrants of their body for a minimum of three months. At least 11 of the 18 specific tender points.

Although the above criteria, created for research purposes, focuses on tender point count, a recent consensus of 35 FMS experts has determined that a person does not need to have the required 11 tender points to be diagnosed and treated for FMS.

Many people who have less than 11 of the required tender points may still be diagnosed with FMS as long as they have widespread pain and many of the common symptoms associated with FMS.

Commonly associated symptoms include:
• Fatigue
• Sleep disorder (or sleep that is unrefreshing)
• Jaw pain (TMJ dysfunction)
• Post-exertion malaise and muscle pain
• Numbness and tingling
• Skin sensitivities
• Morning stiffness
• Irritable bowel
• Chronic headaches (tension type or migraines)
• Cognitive or memory impairment
• Menstrual cramping and PMS
• Dizziness or impaired coordination

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Myofascial Pain Syndrome

Myofascial Pain Syndrome may be related to work when the identified active trigger point is present in the region injured in a direct traumatic incident or repetitive muscular strain and where there is continuous medical evidence and reporting.

Myofascial Pain Syndrome has been associated with a variety of factors which can occur at work or during leisure activities. Development of active trigger points can be associated with mechanical, physical, and psychological stressors, as well as socioeconomic factors. 23 Mechanical and physical stressors such as over-stretching, and direct trauma, are of sudden onset. Gradual onset follows overuse, repetitive strain or abnormal assumed postures. Psychological stressors include depression, tension from anxiety and secondary gain.

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Post-Mastectomy

A mastectomy is the surgical removal of the entire breast, usually to treat serious breast disease, such as breast cancer. Spinal Pain Specialists offer numerous treatment programs to aid in the pain management of this procedure.

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Additional Spinal Pain Management Resources

SpineUniverse

 

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IDD therapy in orange county - IDD therapy for neck and back pain our orange county idd therapy for pain relief. Significant disc bulge reduction removes pressure off the spinal nerves and drastically reduces pain and disability.


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SpinalCARE Pain Treatment Center
24953 Paseo de Valencia
Suite 14C
Laguna Hills
CA 92653
Tel: (949) 855-7560
Fax: (949) 855-7590
Mission Hills Pain Treatment Center
25982 Pala
Suite 280
Mission Viejo
CA 92691
Tel: (949) 297-3838
Fax: (949) 297-3839
 
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