At Caldwell Therapy Center, we have six therapists who have undergone extensive training and are Certified Kinesio Taping Practitioners (CKTP)™. The tape is used in therapy to relax overused muscles and in rehabilitation to facilitate underused muscles. For more information on Kinesio Taping, please call Caldwell Therapy Center at (973) 575-7576. In severe cases, complications like abscess formation is caused, forming pus filled fluids on the lymph nodes. Your doctor will physically examine the lymph nodes on the affected area to check its size and texture. A selective nerve root block provides important information to your physician and is not a primary treatment. The membrane that covers the spinal cord and nerve roots in your spine is called the dura membrane.
The selective nerve root block (SNRB) is a procedure that anesthetizes an individual nerve root, either within the neck (‘cervical’), or in the back (‘thoracic’ or ‘lumbar’), thought to be responsible for the patient’s pain.
Back Pain is often multifactorial and difficult to diagnose because the symptoms overlap considerably with those of other degenerative disorders of the spine. Patients with pain from nerve root irritation often have an anatomic cause, which is usually the result of a nearby structure pushing on, or impinging on the nerve, causing irritation of that nerve. The most common causes of this are either a disc abnormality or an adjacent bone spur, either of which, when in close proximity to the nerve, can irritate it and cause pain in the distribution of that nerve.
If there is irritation of a nerve in the back or neck, it may cause symptoms of pain, and usually this pain is in the distribution of that particular nerve, referred to as radicular pain. These patients should have recent imaging studies (CT or MRI scan), which in many instances help to identify the cause of pain.
The procedure is explained to the patient, questions are answered and informed consent is obtained. The patient is placed prone (stomach down) for lumbar or thoracic injections, or supine (face up) for cervical injection on the fluoroscopic table, and the area is sterilely cleansed with povidone-iodine (Betadine) and alcohol.
The exact level is located with the fluoroscope, and the skin overlying this area is anesthetized (numbed) with lidocaine. A needle is sterilely advanced along the nerve root sleeve, which typically elicits a mild degree of radicular pain in the distribution of that nerve.
Typically, as small amount of water-soluble contrast (dye) is injected to confirm proper needle tip position. Once this is confirmed, a mixture of anesthetic (lidocaine or bupivacaine) and anti-inflammatory medication (steroid) is injected. Immediately after the procedure, you will get up and walk around and try to imitate something that would normally bring about your usual pain. Although you may feel much better immediately after the injection (due to the numbing medicine), there is a possibility your pain may return within a few hours.
Increased localized back pain, neck pain, arm pain or leg pain can be expected from several days to several weeks and rarely several months.
December 17, 2014 by Ram Leave a Comment Deep vein thrombosis is the formation of blood clot called thrombus in one of the deep veins of your body.
In rare cases a condition called pulmonary embolism occurs when the blood clot breaks off traveling towards the lungs or heart thus blocking the normal blood flow. This condition also develops when the persona€™s blood has the tendency to coagulate faster than normal rate. Surgery, injury or trauma to the veins of your legs can interrupt normal blood flow leading to formation of blood clots. Your doctor will observe the leg condition taking a closer look on the calf muscles, ankle and foot.
The ultimate aim of the treatment for deep vein thrombosis is to stop the blood clot to grow big and travel further and to prevent further clot formation. For more severe cases, clot-busters are given intravenously to break the big sized blood clots. In case you are detected with deep vein thrombosis, follow the instructions of your doctor in taking medications. Symptoms of peripheral edema include swelling of the affected area(s), which causes the surrounding skin to "tighten." The swelling from peripheral edema is gravity-dependent (it will increase or decrease with changes in body position). In the case of pulmonary edema, there is often no evidence of fluid retention or noticeable swelling on examination of the patient's extremities.
Lymphedema is the swelling of one or more of the legs and arms caused by poor function of the lymphatic system.

Read What Your Physician is Reading on Medscape Congestive Heart Failure and Pulmonary Edema »Congestive heart failure (CHF) is an imbalance in pump function in which the heart fails to adequately maintain the circulation of blood. The wave pattern found on the tape's adhesive has a lifting effect on the skin which can reduce swelling and inflammation by improving circulation and reduce pain by taking pressure off pain receptors. Its main function is to identify and destroy germs and other infection causing microorganisms. It can be caused due to ear infection, upper respiratory tract infection, common cold, flu, gingivitis, mouth ulcers, mouth sores and mononucleosis. If this abscess occurs on vital organ like heart or kidney it can cause significant damage. It serves to prove which nerve is causing your pain by placing temporary numbing medicine over the nerve root of concern.
Not all patients will have an identifiable cause for the pain on imaging, but all should have radicular symptoms.  Electrodiagnostic studies such as EMG are useful in distinguishing peripheral neuropathy, entrapment and radiculopathy. It is important for us to know whether the pain elicited is similar to the patient’s pain (concordant response), or dissimilar (discordant response). You will then report the percentage of pain relief and record the relief you experience during the next week. If you are an insulin dependent diabetic, do not change your normal eating pattern prior to the procedure. There is a rare risk of permanent injury to nerve tissue with weakness or loss of sensation.  There is also a rare risk of complication from anesthesia used to make you feel more comfortable during the procedure. But the same blood clot may develop inside the veins due to prolonged sitting hours or inactivity. For some people, it can cause sharp pain in the legs causing swelling on the ankle or foot.
Deep vein thrombosis (as the name suggests) is the condition when blood clot develops on the deep veins and not on the superficial veins. Smoking, prolonged use of contraceptive pills, genetic predisposition, certain types of blood cancer and polycythemia vera can cause hyper-coagulability. If your job involves sitting for extended hours like that of driving or flying you are prone to develop this problem due to poor exercise to your calf muscles.
For example, if a person is lying on their back (supine), the swelling will not appear in the legs, but will appear in the area around the sacrum. The elastic properties can also be utilized in a mechanical fashion to limit or encourage a specific motion at a joint.
In addition infections like tonsillitis, tuberculosis, skin infection and sexually transmitted diseases can also cause swollen lymph nodes. Prolonged use of epilepsy medicines and immunization for typhoid can also cause swollen lymph nodes. Unattended bacterial infection can lead to sepsis, involving the entire bloodstream causing life threatening conditions.
Further he may order for liver node biopsy for detecting the type of virus that has caused swelling. You can take pain relievers like ibuprofen or motrin and acetaminophen for reducing inflammation. These nerve roots may become inflamed and painful due to irritation, for example, from a damaged disc or a bony spur.
If your main pain improves after the injection then that nerve is most likely causing your pain.
Nerves travel through the epidural space before they form the nerves that travel down your arms, along your ribs and into your legs. In other words, if we inject a medication within the suspected nerve root sleeve and the pain improves, we are fairly confident that this nerve root is responsible for the pain; conversely, if we inject a medication and the pain is no better, this implies that this nerve root is likely not responsible for the pain. You may be referred to a physical therapist immediately afterwards while the numbing medicine is still working.
People whose job involves sitting for long periods are prone to develop deep vein thrombosis.
Some of the symptoms of pulmonary embolism are rapid pulse rate, excess of sweating, chest pain, shortness of breath and feeling dizzy. Immobility due to prolonged hospitalization, extended hours of travel (flight or train), surgery (which can make you immobile temporarily), delayed pregnancy and obesity can cause deep vein thrombosis. Sudden injury or trauma to the vein like bruises on the leg, fracture can cause deep vein thrombosis. Long hospitalization or condition of paralysis can make your leg immobile causing this problem.

Heart problem, using of contraceptive pills for long, using pacemaker in vein, being overweight and smoking can induce this problem. These drugs are called anticoagulants which would reduce the chance of blood clot formation.
Filters are inserted surgically into one of the large veins permanently which would prevent clot formation and also prevent blood clots to travel to the lungs.
In case you are taking warfarin, you need to check the dosage of vitamin K in your diet since it can affect the effective functioning of this medicine.
Individuals who are taking blood thinners should immediately consult doctor if they have excess bleeding from any wound or injury. The skin over the swollen area appears tight and shiny, and often when pressure is applied to the area with a finger, an indentation appears. Some of the areas like groin, armpit, neck, ears and the back of the head gets swollen and can be felt with fingers. If the swollen lymph nodes are caused due to autoimmune disorder then medications are given for treating lupus or arthritis. These nerve roots may become inflamed, for example, due to irritation from a damaged disc or contact with the bony structure of the spine.
If the doctor prescribes physical therapy, it is very important that you continue with the physical therapy program. In rare cases DVT may develop into complications like pulmonary embolism affecting the lungs. Sometimes the area becomes tender and warm to touch and the skin may lose its original color turning into pale color. If you experience any of the above symptoms, you need to visit your doctor without any delay. Blood circulation may get affected due to poor contraction of calf muscles which may cause deep vein thrombosis. Blood culture is to be done for detecting the level of D dimer (a substance that dissolves clot). It would also help in further development of fresh blood clots apart from reducing the size of existing clot.
Monitor your weight and blood pressure and wear compression stockings to prevent blood clots. Some of the signs related to swollen lymph nodes are tender nodes, and inflammation of lymph nodes. If required you have to undergo imaging studies like X-ray (chest) and CT scan for ruling out tumors.
A selective epidural injection places anti-inflammatory medicine over the nerve root and into the epidural space to decrease inflammation of the nerve roots therefore reducing your pain. But the problem occurs when the blood clot travels down and moves towards your heart affecting blood circulation. For some people venography test is done in which dye like material is injected into the vein of your foot and monitored for clots.
One-size-fits-most.*Please note that the stock photo may differ from the actual product model listed above. But it is necessary for you to follow the instructions of your doctor once you start taking these drugs to avoid unwanted side effects. For less severe cases like superficial thrombophlebitis warm compression is useful in addition to taking pain relievers like ibuprofen. In addition, the affected person can have runny nose, fever, sore throat and upper respiratory tract infection. You will have to do periodic blood tests for determining the time interval for blood clot formation. If you are on Coumadin, Heparin, Plavix or any other blood thinners (including Aspirin), or the diabetic medication Glucophage you must notify this office so the timing of these medications can be explained. You may return to your normal activities the day after the procedure, including returning to work.

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