Pain Management

Zapping Chronic Tendon Pain

Patients suffering from debilitating tennis elbow, heel pain, and other chronic tendon injuries often face an unpleasant last resort when they fail drug therapy and rehab-the knife. But now, doctors at The Cleveland Clinic have developed a shocking new way to relieve their pain. Extracorporeal shock wave therapy (ESWT) is a non-surgical procedure that replaces the scalpel with powerful acoustic waves. The exact mechanism remains unclear, but its believed that the sound waves destroy…
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Ask Dr. Marks: 03/04

Ive started to feel a little unsteady on my feet, and have nearly fallen several times in the past month. What could be causing this? There are many causes for feeling unsteady. The two most common are musculoskeletal and neurological conditions. Joint stiffness and muscle weakness secondary to osteoarthritis can cause unsteadiness. When a hip or a knee lacks the range of motion necessary to make the moment-to-moment adjustments required in walking, the sensation is…
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Men And Women: The Pain Paradox

The unique ways in which men and women perceive pain may soon lead to gender-specific treatments.
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Traveling And Arthritis

How to make summer vacationing less taxing, more relaxing.
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Exit Strategies…And More

Three gadgets to help you get into and out of your car, plus one to help you fill er up.
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Goodbye Gout

Imagine waking up in the middle of the night with your big toe throbbing fiercely-as if someone had poked it with a hot iron. Chances are you have gout. Acute gout attacks are unmistakable, says Dr. Brian Mandell, education program director of rheumatology and immunologic disease at The Cleveland Clinic. They are excruciating episodes usually involving a joint in the lower extremities and are characterized by redness, swelling, extreme pain, and skin sensitivity. …
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Ask Dr. Marks: 06/04

Which is better for relieving lower back pain-a heating pad or a cold pack? It depends on whether the pain is acute or chronic and your individual preference. There are, however, some general recommendations that you should consider. If the pain is acute, such as that experienced after lifting a heavy object, ice may be more beneficial than heat. Ice reduces the amount of inflammation that the injured muscles suffer, and it can relieve muscle spasms.…
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Ask Dr. Marks: 07/04

Im 74 and still play competitive tennis. Several years ago I was diagnosed with osteoarthritis in my hip. While Im not experiencing a great deal of pain, my mobility is less each year. Is there any type of hip replacement that would allow me to continue playing tennis? I generally discourage my patients from playing competitive singles tennis after a total hip replacement, although they may continue to play doubles. The general population of patients with…
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Fellow Travelers: Depression And Arthritis

More than a century ago, the American philosopher William James described depression as a muling, puling, mumbling mood…an attitude of unhappiness that fastens and perpetuates the trouble which occasioned it. For countless arthritis patients, the trouble that occasions their depression is the constant, seemingly unendurable joint and muscle pain characteristic of the disorder. …
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If The Shoe Fits….

Proper shoes can help you get your day off on the right foot.
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Non-Surgery Options For Knee OA

There are a multitude of things you can do to manage your knee arthritis and, hopefully, reduce the likelihood that youll need joint replacement down the road. Most of these steps are fairly well known-from losing weight, to regular stretching and exercise, to finding the right medications to manage your pain. But what is not […]
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