Neck pain can have many sources. This Spine-Health article discusses some of the more common forms of neck pain. We’ve summarized them below.
Pain that radiates down the arm
If you experience neck pain moving down your arm and possibly into your hands with symptoms of numbness, burning or tingling, this could indicate a cervical herniated disc or foraminal stenosis, resulting in a pinched nerve. Non-surgical treatment, such as physical therapy and medication, is often successful.
Neck pain related to certain activities or positions
If your neck pain is present only during certain activities or when holding your head in certain positions, this could indicate cervical foraminal stenosis. Non-surgical treatment is often effective, but severe and/or prolonged pain may require surgery.
Arm Pain with Lack of Coordination
Arm pain combined with reduced motor skills in the arms and legs is often caused by cervical spinal stenosis with myelopathy, which stems from a cervical herniated disc or degenerative changes in the joints that can cause pressure on the spinal cord. These symptoms often develop slowly over time. Treatment often requires surgery to decompress the spinal canal.
Is neck pain interfering with your life? Our spine center and pain management specialists can help determine both the cause and, most importantly, the most appropriate treatment for you. For more information on the comprehensive services offered by Blue Ridge Orthopaedic & Spine Center please contact our specialists @ 540.347.9220 (Warrenton location) or 703.743.2814 (Gainesville location) to get started on the path to less pain. Visit www.broava.com.
Sciatica Nerve Pain describes symptoms of leg pain and may include tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve. This Spine-Health article discusses some of the most common signs of a sciatica nerve.
- Constant pain in only one side of the buttock or leg (rarely occurs in both legs)
- Pain that worsens when sitting
- Burning or tingling down the leg (vs. a dull ache)
- Weakness, numbness or difficulty moving the leg or foot
- A constant pain on one side of the rear
- A sharp pain that may make it difficult to stand up or to walk
Is sciatica nerve pain interfering with your life? Our spine center, physical therapy, and pain management specialists can help determine both the cause and, most importantly, the most appropriate treatment for you. Contact us today @ 540.347.9220 or visit www.broava.com to get started on the path to less pain.
What exactly is a pinched nerve? A pinched nerve occurs when one or more of our nerves are affected due to pressure surrounding tissues such as bones, cartilage, muscles, or tendons.
Results of a Pinched Nerve
- Sharp or burning pain
- Difficulty controlling specific muscles
- Muscle weakness
A pinched nerve can transpire several places in the body. Here are a few tips to try –
- Analgesic medications – Aspirin, or anti-inflammatory, (ibuprofen) can control the pain.
- Ice – Ice is an anti-inflammatory. It will also relieve pain. Most often we turn to heat to ease the pain however, this can cause further inflammation and more pain!
- Physical Therapy – Ice therapy combined with gentle stretching can help relax the affected area.
- Injections – A localized steroid injection may reduce swelling and inflammation around the pinched nerve. This is done on an outpatient basis by a physician.
Please see your doctor if the signs and symptoms of a pinched nerve last for more than a few days and don’t improve with conservative treatments as listed above. Depending on your condition, surgery may be required.
The physicians, pain medicine specialists, and physical therapists of Blue Ridge Orthopaedic & Spine Center can help. Our goal is to get you back to good health. Please contact us today @ 540.347.9220 to schedule an appointment or visit www.broava.com for more information on the comprehensive services we offer.
Blue Ridge Orthopaedic and Spine Center Offers Comprehensive Care for Patients throughout Northern Virginia.
Whether you need to be seen for an ankle sprain, a shoulder injury, or a complicated spinal procedure, we are here for you. Our goal is to treat each and every patient with the highest standard of care and help you achieve the most desirable outcome.
Founded in 1975, our team comprises of physicians, physician assistants, physical therapists, occupational therapists, nurses, registered dietitians, massage therapists, and other health care professionals with a single goal: get you back to good health!
To schedule an appointment –
Warrenton Office- 540.347.9220
Gainesville Office-703.743.2814 or visit our website @ www.broava.com for more information on the services we offer.
You are probably asking yourself what in the world is compartment syndrome? Compartment syndrome is a painful condition that occurs when pressure within the muscles builds to dangerous levels. This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells.
Compartment syndrome develops when swelling or bleeding occurs within a compartment. Because the fascia does not stretch, this can cause increased pressure on the capillaries, nerves, and muscles in the compartment. Blood flow to muscle and nerve cells is disrupted. Without a steady supply of oxygen and nutrients, nerve and muscle cells can be damaged.
Compartment syndrome most often occurs in the anterior (front) compartment of the lower leg (calf). It can also occur in other compartments in the leg, as well as in the arms, hands, feet, and buttocks.
Compartment syndrome can be either acute or chronic.
Acute compartment syndrome is a medical emergency. It is usually caused by a severe injury. Without treatment, it can lead to permanent muscle damage.
- If pressure is not relieved quickly, permanent disability and tissue death may result. This does not usually happen in chronic (exertional) compartment syndrome.
- Acute compartment syndrome usually develops after a severe injury, such as a car accident or a broken bone. Rarely, it develops after a relatively minor injury. Conditions that may bring on acute compartment syndrome include:
- A badly bruised muscle. This type of injury can occur when a motorcycle falls on the leg of the rider, or a football player is hit in the leg with another player’s helmet.
- Reestablished blood flow after blocked circulation. This may occur after a surgeon repairs a damaged blood vessel that has been blocked for several hours. A blood vessel can also be blocked during sleep. Lying for too long in a position that blocks a blood vessel, then moving or waking up can cause this condition. Most healthy people will naturally move when blood flow to a limb is blocked during sleep. The development of compartment syndrome in this manner usually occurs in people who are neurologically compromised. This can happen after severe intoxication with alcohol or other drugs.
- Crush injuries.
- Anabolic steroid use. Taking steroids is a possible factor in compartment syndrome.
- Constricting bandages. Casts and tight bandages may lead to compartment syndrome. If symptoms of compartment syndrome develop, remove or loosen any constricting bandages. If you have a cast, contact your doctor immediately.
- The classic sign of acute compartment syndrome is pain, especially when the muscle within the compartment is stretched.
- The pain is more intense than what would be expected from the injury itself. Using or stretching the involved muscles increases the pain.
- There may also be tingling or burning sensations (paresthesias) in the skin.
- The muscle may feel tight or full.
- Numbness or paralysis is a sign of late compartment syndrome. They usually indicate permanent tissue injury.
- Acute compartment syndrome is a surgical emergency. There is no effective nonsurgical treatment. Your doctor will make an incision and cut open the skin and fascia covering the affected compartment. This procedure is called a fasciotomy.
Sometimes, the swelling can be severe enough that the skin incision cannot be closed immediately. The incision is surgically repaired when swelling subsides. Sometimes a skin graft is used.
Chronic compartment syndrome, also known as exertional compartment syndrome, is usually not a medical emergency. It is most often caused by athletic exertion.
- The pain and swelling of chronic compartment syndrome is caused by exercise. Athletes who participate in activities with repetitive motions, such as running, biking, or swimming, are more likely to develop chronic compartment syndrome. This is usually relieved by discontinuing the exercise, and is usually not dangerous.
- Chronic compartment syndrome causes pain or cramping during exercise. This pain subsides when activity stops. It most often occurs in the leg. Symptoms may also include:
- Difficulty moving the foot
- Visible muscle bulging
- Nonsurgical treatment. Physical therapy, orthotics (inserts for shoes), and anti-inflammatory medicines are sometimes suggested. They have had questionable results for relieving symptoms.
Your symptoms may subside if you avoid the activity that caused the condition. Cross-training with low-impact activities may be an option. Some athletes have symptoms that are worse on certain surfaces (concrete vs. running track, or artificial turf vs. grass). Symptoms may be relieved by switching surfaces.
Surgical treatment. If conservative measures fail, surgery may be an option. Similar to the surgery for acute compartment syndrome, the operation is designed to open the fascia so that there is more room for the muscles to swell.
Usually, the skin incision for chronic compartment syndrome is shorter than the incision for acute compartment syndrome. Also, this surgery is typically an elective procedure — not an emergency.
If you are interested in learning more about compartment syndrome please contact our specialist’s at (540) 347-9220 or visit www.broava.com for more information. Blue Ridge Orthopaedic and Spine Center offers comprehensive musculoskeletal care to our patients. We are the ONLY center in the region, to offer complete orthopaedic care for all orthopaedic injuries and treatments.