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Fibromyalgia: The Challenges of Diagnosis

Fibromyalgia: The Challenges of Diagnosis

Fibromyalgia (FM) is a chronic condition where the diagnosis is made by elimination since there are no specific lab tests for diagnosis. In the past, we’ve discussed the different types of FM, the lack of good diagnostic tests, many management recommendations derived from interviews with FM patients, and more.One of the many causes of FM [..]

Carpal Tunnel Syndrome: Prevention

Carpal Tunnel Syndrome: Prevention

People who spend a lot of time performing activities that require a high level of force or repetition, or use vibrating tools are at risk of developing carpal tunnel syndrome (CTS). Other activities such as driving, playing musical instruments, knitting, using a sander, screw drivers, air wrenches, waitress work, or assembling small parts are also [..]

The Neck & Shoulder Pain Relationship

The Neck & Shoulder Pain Relationship

Given the close anatomical proximity between the neck and shoulder, it’s no wonder the two are intimately related. With our hectic lifestyles that include driving, hunching over computers and electronic devices, and talking on the phone (not to mention stress arising from multiple sources), sometimes it seems like the muscles in the neck, upper back, [..]

Whiplash Injuries Review and Update on Facet Joint Trauma

Whiplash Injuries Review and Update on Facet Joint Trauma

For 34 years, my academic and clinical interests have primarily centered around whiplash trauma, its understanding and management. I have often heard that the pathology for both acute and chronic whiplash pain are unknown and undiagnosable. It is commonplace to label the pathology of whiplash syndrome as unknown, self limiting, psychometric, secondary gain, biosocial, etc. [..]

Osteoarthritis: Another Look

Osteoarthritis: Another Look

Our government (United States of America) collects and owns what experts consider to be reputable biomedical healthcare literature. This literature is catalogued in a library that is physically located in Bethesda, Maryland. The name of the library is The National Library of Medicine. The biomedical journals of the entire world can be found in our National Library [..]

Carpal Tunnel Syndrome and Sleeping

Carpal Tunnel Syndrome and Sleeping

Have you ever woken up in the middle of the night and noticed your hand sleeping to the point where you had to get out of bed and shake or flick your fingers to alleviate the numbness? If the numbness was primarily on the thumb-side half of your hand, it may have been carpal tunnel [..]

Headaches, Neck Pain, and Concussion

Headaches, Neck Pain, and Concussion

A concussion is "traumatic brain injury" (TBI) where the brain is "jarred" and literally bruises as a result of some sort of trauma. What causes a concussion? Causation is usually from some sort of trauma either by being hit by a moving object (like a ball), from hitting the head during a fall, and even [..]

The Whiplash Syndrome

The Whiplash Syndrome

The term "whiplash" was coined by Dr. Harold Crowe in 1928 during an interview on car collision-related neck injuries but he reportedly "…regretted it later." The term "whiplash" quickly became a household word and relates to a sudden movement of the head producing a neck sprain. It is now accepted that not only forward/backward movements [..]

Fibromyalgia: "Why Won't The Pain Stop?"

Fibromyalgia: "Why Won't The Pain Stop?"

Fibromyalgia (FM) is a chronic condition that does not limit itself to just one area but rather, it manifests as a generalized, whole body condition where basically, everything hurts. The diagnosis is typically made by exclusion or by eliminating all other possible conditions as there is no single blood test for FM and unless other [..]

Low Back Pain & Adolescent Idiopathic Scoliosis

Low Back Pain & Adolescent Idiopathic Scoliosis

Scoliosis is a curvature of the spine that gives it either a "C" or an "S" shape when looking at the person from behind. I’m sure you’ve noticed when you’re at a beach, at a swimming pool, or walking in an airport, some people have a high shoulder, walk with a bit of a limp [..]

MORE Whiplash Facts

MORE Whiplash Facts

Last month, we discussed 10 facts about whiplash in attempt to dispel some of the myths about this topic. Due to the amount of information available, we couldn’t cover them all. So, here are 10 more interesting facts about whiplash: Much has been published on the association between ongoing whiplash symptoms and litigation. There is [..]

Carpal Tunnel Syndrome: What is it Again?

Carpal Tunnel Syndrome: What is it Again?

Carpal Tunnel Syndrome (CTS) is a condition that results from pressure applied to the median nerve on the palm side of the wrist that causes numbness, tingling, weakness, and/or muscle damage affecting the thumb side of the hand and fingers, including the thumb, index, 3rd, and thumb side of the 4th finger. There is literally [..]