What is Chronic Pain?
Ongoing or recurrent pain lasting beyond the usual course of acute illness or injury or more than three to six months, and which adversely affects the individual’s well-being.
Select the area where you are experiencing pain to learn how we can help.
Nova Spine & Pain Centers treat a vast array of different types of pain. Dr. Shaikh and his expert staff cover a wide range of subspecialties, and have the latest tools to be able to help patients pursue pain management therapy as a way to achieve relief and effective control of pain. We work closely with practitioners of supplemental and/or alternative therapies to ensure that our patients receive all-encompassing care when it comes to their pain.
We work closely with practitioners of supplemental and/or alternative therapies to ensure that our patients receive all-encompassing care when it comes to their pain.
A bulging disc is a condition in which the disc bulges outside the space it normally occupies in the vertebrae. This protrusion, or bulge, can put pressure on the surrounding nerve roots, which can lead to pain that radiates down the back and/or other areas of the body depending on the location of the bulging disc.
Degenerative Disc Disease
Degenerative disc disease describes the symptoms of pain and possibly radiating weakness or numbness stemming from a degenerated disc in the spine. Contrary to what some may think when hearing this diagnosis, degenerative disc disease is not a progressive, threatening disease. The name simply means that the symptoms, if untreated, could become worse over time and with age.
Facet Joint Disorder
Facet joint syndrome is pain at the joint between two vertebrae in the spine. Another term for facet joint syndrome is osteoarthritis. The facet joints are the joints in the spine that make the back flexible and enable a person to bend and twist. Facet joint disorders can often be mistaken for herniated or bulging discs, and are almost always recurrent if left untreated.
A herniated disc occurs when some of the soft interior slips out through a crack in the spinal disc’s wall. Most commonly, this occurs in the back, but it can also happen in the vertebrae of the neck. When the soft tissue between the vertebrae escapes, it can cause disruption of nearby nerves and result in severe pain.
Spinal cord compression, caused by nerve entrapment, can occur anywhere from your neck (cervical spine) down to your lower back (lumbar spine). It occurs when a nerve becomes trapped in the vertebrae due to spinal compression. Symptoms include numbness, pain and weakness.
Nerve Root Impringement
Nerve root impingement refers to the impinging of a spinal nerve at its outlet. Anything that narrows the outlet space, called the foramen, leaves the existing nerve with less space in which to exist. This can be caused simply from wear and tear and/or age. Impingement of a nerve can be very painful and uncomfortable if left to persist.
Sciatica might be a symptom of a pinched nerve affecting one or more of the lower spinal nerves. The nerve might be pinched inside or outside the spinal canal as it passes into the leg, causing severe shooting pains that can making sitting or standing very difficult.
Spinal stenosis is a narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine to your extremities. Spinal stenosis occurs most often in the lower back and the neck, and can grow worse over time if untreated or ignored.
Spondylitis (or spondyloarthritis) is an umbrella term for chronic inflammatory diseases involving both the joints and the entheses (sites where the ligaments and tendons attach to the bones). They include ankylosing spondylitis, psoriatic arthritis, reactive arthritis and joint problems (i.e., enteropathic arthritis) linked to inflammatory bowel disease, such as ulcerative colitis or Crohn’s.
Spondyloarthropathy is an umbrella term and refers to any joint disease of the vertebral column and is a class or category of diseases rather than a single, specific entity and is typically used to refer to arthritis and degenerative changes found at multiple areas of the spine. Once a patient has multiple problems listed above they are said to have spondyloarthropathy of the spine.
Chronic Pain Conditions
Bursitis/Tendonitis of the Shoulder
A common cause of shoulder pain and stiffness, tendonitis and bursitis of the shoulder are due to inflammation in a particular area of the shoulder joint. The rotator cuff is a group of muscles and tendons that hold the shoulder in place within the socket. When these tendons become inflamed, it can cause pain and stiffness throughout the shoulder, called tendonitis. Similarly, the subacromial bursa is a layer that protects the tendons under the bones in the shoulder. When the bursa swells, it causes pain similar to shoulder tendonitis. The two conditions often occur at the same time, causing progressively worsening shoulder pain and stiffness.
Lateral Epicondylitis (Tennis Elbow)
Lateral epicondylitis, better known as tennis elbow, is a condition that stems from overuse of the hand, forearm and arm muscles. Consistent overuse can develop into elbow pain that can be debilitating in severe cases. Injury related to tennis elbow usually occurs in the tendons and ligaments of the forearm that are attached to the outside of the bony section of the elbow, also known as the lateral epicondyle.
Medial Epicondylitis (Golfer’s Elbow)
Medial epicondylitis, or golfer’s elbow, is a condition that causes pain in the inner elbow from overuse of the arm, forearm and hand muscles. Much like tennis elbow, golfer’s elbow occurs when the tendons and ligaments attached to the elbow become injured. The difference lies in that the injury occurs on the bony part of the inner elbow, known as the medial epicondyle.
Myofascial Pain Syndrome
Myofascial pain syndrome is a chronic pain disorder. In myofascial pain syndrome, pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of the body. This is called referred pain. Myofascial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used for jobs or hobbies, or by stress-related muscle tension.
Neuropathic pain is a chronic pain condition that is often related to tissue damage. Nerve fibers themselves are usually damaged, malfunctioning or injured in relation to this condition. Neuropathic pain is typically accompanied by shooting or burning pain, along with tingling and/or numbness.
Osteoarthritis of the Shoulder
Osteoarthritis of the shoulder is typically characterized by a gradual onset of pain. It is a degenerative disease, and causes cartilage between the shoulder joints to break down. Bone spurs or abnormalities can also form in the shoulder, causing pain and discomfort throughout the arm in day-to-day activity.
Rotator Cuff Tear
The rotator cuff is a large group of muscles and tendons that hold the shoulder in place inside the socket joint. Whether a tear in the rotator cuff is acute, degenerative or major, it can cause a great amount of pain and discomfort. Common symptoms to address are pain when resting (especially when lying on the injured shoulder), discomfort in daily activities and motions such as reaching above the head and increasing pain throughout the shoulder over time.
Shooting Impingements or Pain
Lower Extremity Conditions
Osteoarthritis of the Knees and Hips
Trochanteric Bursitis of the Hip
Trochanteric bursitis of the hip is inflammation of the bursa, which is a small, cushioning sac located where tendons pass over areas of bone around the joints. The bursa lies over the prominent bone on the side of the hip, or femur. Common symptoms can include:
- Pain and swelling occurring over the side of the hip
- Referred pain that travels down the outside thigh and may continue down to the knee
- Pain when sleeping on one’s side, especially the affected hip
- Pain when getting up from a deep chair or after prolonged sitting (e.g., in a car)
- Pain when climbing stairs
- Pain when sitting with the legs crossed
- Increased pain when walking, cycling or standing for long periods of time