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What causes back pain? Your back is a complex structure made up of bones, joints, discs, ligaments, muscles, and nerves. Any small problem within this intricate structure can make even the simplest movements painful or uncomfortable. Common causes of back pain include:
Muscle strain is a common cause of neck pain that often comes from spending a lot of time hunched over your computer or phone. You also can develop chronic neck pain from a misalignment in your lower back that causes your cervical spine to compensate and shift off-center. Whiplash, which is caused by a forceful movement that makes your head rebound and compresses your neck and spine, is a common cause of trauma-related neck pain. Whiplash also may injure the surrounding tissues, leading to stiffness and restricted mobility.
Each of your intervertebral discs is comprised of two parts. The tough exterior, or the annulus fibrosus, gives the rubbery cushion a complete range of motion. The disc’s spongy interior, or its nucleus pulposus, helps it function as an effective shock absorber.
Sciatica often starts as discomfort or pain in your lower back, but it can easily become the kind of debilitating pain that radiates down one of your legs. Sciatica is usually the result of something compressing the sciatic nerve where it’s rooted to your spine. Common causes of sciatic nerve impingement and pain include:
Healthy joints allow your body to move smoothly, easily, and with a full range of motion. Although the complex nature of your joints makes them incredibly and reliably functional, their inherent complexity also makes them prone to injury and the kind of degenerative conditions that come from ongoing wear and tear.
Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. Frequent headaches can affect relationships and employment.
An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. Medicines are delivered to the epidural space, which is a fat-filled area between the bone and the protective sac of the spinal nerves. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities and a physical therapy program.
A facet joint injection is a relatively simple, straightforward procedure, and is usually performed in an office based procedure suite or in an ambulatory surgical center. As with many spinal injections, facet joint injections are best performed using fluoroscopy (live X-ray) for guidance to properly target and place the needle (and to help avoid nerve injury or other injury).
Rhizotomy is a surgical procedure to sever nerve roots in the spinal cord. The procedure effectively relieves chronic back pain and muscle spasms. For spinal joint pain, a facet rhizotomy may provide lasting low back pain relief by disabling the sensory nerve at the facet joint.
A sympathetic nerve block is believed by many pain health care providers to be an effective method for controlling chronic pain. However, there is not a great deal of medical evidence to show whether these blocks are actually helpful. This therapy targets the sympathetic nervous system, a series of nerves that spread out from your spine to your body to help control several involuntary body functions, or body functions that you have no control over. These include blood flow, digestion, and sweating.
Spinal cord stimulation therapy masks pain signals before they reach the brain. A small device, similar to a pacemaker, delivers electrical pulses to the spinal cord. It helps people better manage their chronic pain and reduce their use of opioid medications. It may be an option if you suffer chronic back, leg or arm pain and have not found relief with other therapies.
An intrathecal pump is a medical device used to deliver (via an intrathecal catheter) medications directly into the space between the spinal cord and the protective sheath surrounding the spinal cord. Medications such as baclofen, bupivacaine, clonidine, morphine, or ziconotide may be delivered in this manner to minimize the side effects often associated with the higher doses used in oral or intravenous delivery of these drugs.
During viscosupplementation treatment for arthritis, your healthcare provider injects hyaluronic acid into your joint. This thick fluid may help reduce pain and swelling in your arthritic joint (most commonly, your knee). The bones that make up your joints usually have a cap of cartilage on their ends.
Regenerative injection therapy (RIT) is a treatment for chronic pain caused by unhealed injuries around: Regenerative injection therapy, or treatment, mainly treats joint and chronic pain, in addition to muscle injuries. Treatments involve the injection of a natural solution, some including your own plasma, into the affected muscle tissue.
Treatments for varicose veins and venous insufficiency have become less invasive over the last decade. A number of different procedures are now possible most involving local anaesthetic or requiring no anaesthetic at all. Rather than remove all the faulty veins, which was done in traditional surgery, the newer techniques
A diagnosis of a blown ACL, and torn meniscus meant surgery for me in 2014. The tissue was trimmed but it did little to alleviate the pain and swelling. In April of 2018 I decided to try stem cell therapy. One injection into my knee took away the pain and swelling within a few days. No down time, no physical therapy and back to enjoying life! I am living proof that it really works. Thank you so much for this medical miracle.
Patricia
The staff are very nice and professional. If your like me with headaches, Dr. Kim can help you.
Debbie L.
Yes! I definitely give Dr. Kim 5 stars! Dr. Kim is certainly one of the most caring Drs. I've known. He took the time to listen and value all my concerns. Dr. Kim was precise and very careful with all my needed and needle procedures as well. His staff members are all very gracious, friendly and most helpful.
Sue K.
Their office is impeccable just like their service. I would also like to add, that safety is their number one priority when it comes to Covid-19. They provide telephone and via facetime appts. You actually get to speak w Dr. Kim. I can honestly say Dr. Kim and his wonderful staff work together as a team. Thank you all for caring about my wellness and for giving me such great care.
Raquel M.
Dr. Kim is an honest and knowledgeable person with a sense of compassion. You won't find a better doctor in pain management. Using multiple methods to control pain whilst minimizing any potential associated risks; he's your man.
What went well:
Appointment scheduling
Office environment
Staff friendliness
Appointment wasn't rushed
Listened & answered questions
Explained conditions well
Trusted the provider's decisions
Marvin 9/2020
Dr. Kim is a terrific doctor, professional and well rounded. He showed a genuine interest in my chief complaints and went out of his way to get my WC to approve my medications and treatments. After a few months under his care, he decreased my pain, swelling, and numbness of my hand.
Leidy
This Doctor is very nice and patient. Wait time is not long at all. The staff is very nice. Dr. Kim is so nice and listens to you. I have had several injections, Dr Kim makes you feel at ease and is gentle not much pain getting the injections.
Nate
Dr. James Kim is wonderful, he listens to your concerns and where the pain is and he works to find a solution. His staff is fantastic and you won't be disappointed. He is a Dr. that really cares about the people.
Debi
Takes the time to listen and not and a hurry to finish with you.
David
I had severe knee pain but I didn’t want surgery. I decided to try a regenerative injection with PRP. One injection into my knee took away the pain and swelling within a few days. No down time, no physical therapy and back to enjoying life! I am living proof that it really works. Thank you so much for this medical miracle.
Catherine
Dr. Kim and staff have been outstanding since I came here the first time for an epidural for my neck. This time it was my back that needed some pain relief and I got it quick and not so much painful just kind of surprising how nerves react to being touched by a needle. I felt it down to my ankle. I almost kicked the doc. Hahaha
Mike P Chula Vista,CA
I Began seeing Dr.Kim when my previous Doctor retired and ended his practice. AFter bouncing around several physicians, I was fortunate to have found Dr. Kim. As a clinician he lsiten to my converns about prvious ecxperienced issues and deligently worked with me to find a welle executive pain management treatment. Dr. Kim is well versed in modern pain treatments and willing to explore alternatives when I expressed a desire to stay away from Opiates. Many doctors do not listen to patient concerns about certain medications as they are hoping to use what is being sold to them by pharmaceutical companies and their representatives. Dr. Kim openly discussed the pros and cons with me, listened to my desires and through careful experimentation developed a very successful program for me, requiring minimum medications and maximum relief. His continued monitoring was evidenced by his familiarity with me and my history during every visit. He takes the time to review his notes and previous discussions, offering a variety of options. He listens, has a good sense of humor and take a "no nonsense" approach to dealing with the issues that often present with dealing with chronic issues and insurance companies either modifying your medications or denying coverage based on their opinions. This practice is common and used by insurance to reduce their costs, while Dr. Kim has the ability to defend his opinion (and your treatment) by responding to the insurance companies "diagnosis" with the proper response to have them step back and let him be the doctor. Dr. Kim has been an excellent physician and his practice offers several locations in the southern california area, allowing patients to visit his satellite offices where it's most convient for them. He dows not over-book patients, and while there will always be delays (some patients require additional time) Dr. Kim always makes sure he knows you're waiting and will explain the delay or even multi-task while ensuring all of the patients receive the best possible exam and care.
Anonymous
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What is Spinal Stenosis?
Spinal stenosis is a thinning of the canal of spinal cord in the lumbar area (lower back). This usually occurs when bone or tissue, or both, grows in the openings in the bones of the spine. This growth can compress and irritate nerves leaving the spinal cord. The result can be neck pain, numbness, or weakness, most often in the legs, feet, lower back, and buttocks.
Minimally Invasive Procedures: Epidural Injections, Facet Blocks, Rhizotomies
Minimally Invasive Procedures: Epidural Injections, Facet Blocks, Rhizotomies
Workers Compensation Is Your Right
The workers compensation law states very clearly that if you have been injured at work, because of work, or even due to the negligence of the other, then you are liable for compensation. At any given point in time, it is important to keep all concerned parties informed.
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