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I’m new to Delaware and want some information on your practice (continued). |
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From consultation to treatment, MASPP offers both non-surgical and surgical procedures for a range of conditions, including: arthritis, back pain, cancer pain, carpal tunnel syndrome, compression fractures, disc herniations, facet syndrome, facial pain, fibromyalgia, headaches, interstitial cystitis, neck pain, osteoarthritis, osteoporosis , peripheral neuropathy, radiculopathy, RSD, sacroiliac joint syndrome, sciatica, spasticity, sports injuries, stenosis, TMJ syndrome, and trigeminal neuralgia. We also offer additional services onsite, including: diagnostic imaging, chiropractic care, physical therapy, sleep lab, and an outpatient surgery center, among other services. MASPP is a chosen provider for a number of medical insurances and accepts CareCredit®. |
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October 20, 2009
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I’m new to Delaware and want some information on your practice. |
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Mid Atlantic Spine and Pain Physicians is a comprehensive pain management practice treating a full spectrum of spine-and pain-related disorders while delivering world-class, patient-focused care. With easily-accessible locations in Delaware and Maryland, our practice is staffed with a team of top-rated, board-certified physicians, chiropractors, and licensed practitioners providing individualized treatment for patients in a very compassionate and caring setting with a supportive team approach. We pride ourselves on providing the right diagnose and the right treatment plan right from the start on your road to recovery. I’ll provide more information next issue. |
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October 6, 2009
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My brother had a TruFuse for his facet disease. Tell me about this procedure. |
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TruFUSE® is a low risk, minimally invasive surgical procedure used to treat patients suffering from back pain due to a diseased facet joint. Facet joint disorders are among the most common of recurrent disabling, low back problems causing serious symptoms, including long term disability. TruFUSE addresses the pain by using cork-shaped dowels made of human bone, called allografts, to stop the painful spinal facet joints from moving. It fills a large void between traditional non-surgical pain management and major surgery. This technique also reduces time off of work, recovery time, and rehabilitation. |
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September 22, 2009
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Are there different types of urinary incontinence? |
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Yes, several. “Stress Incontinence” is most common in women, causing small urine amounts to leak during physical movement. “Urge Incontinence” causes large amounts to leak at unexpected times, including during sleep or after drinking. A symptom of “Functional Incontinence” is not being able to reach a toilet in time because of physical disability or obstacles. “Overflow Incontinence” causes urine to leak due to the bladder being full and never empty. “Transient Incontinence” causes urine to temporary leak due to a medical condition or infection. “Mixed Incontinence” is a combination, most often stress and urge incontinences together. |
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September 8, 2009
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Are there different types of urinary incontinence? |
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Yes, several. “Stress Incontinence” is most common in women, causing small urine amounts to leak during physical movement. “Urge Incontinence” causes large amounts to leak at unexpected times, including during sleep or after drinking. A symptom of “Functional Incontinence” is not being able to reach a toilet in time because of physical disability or obstacles. “Overflow Incontinence” causes urine to leak due to the bladder being full and never empty. “Transient Incontinence” causes urine to temporary leak due to a medical condition or infection. “Mixed Incontinence” is a combination, most often stress and urge incontinences together. |
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August 18, 2009
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What is urinary incontinence? What causes it? |
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When you’re not able to hold your urine until you can get to a bathroom, you have what’s called urinary incontinence. More than 13 million Americans experience loss of bladder control. There are many causes including infection, medications, weak muscles, a blockage, nerve injury, birth defects, strokes, complications from surgery, physical problems associated with aging, or chronic diseases like diabetes, multiple sclerosis, and Parkinson’s disease. Both women and men can have trouble, however, women suffer twice as often as men due to problems with the muscles that help to hold or release urine. |
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August 11, 2009
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Is there a good exercise for over 60-year-old males? |
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Exercising is important at every age. Over 60, you want to try to get in 30 minutes of exercise a day to since your metabolism is slowing down in addition to lessening your chances of developing diabetes and heart disease. The best exercise routine should combine stretching, strength training, and cardio. Stretching promotes flexibility, makes movement easier, and decreases risk of muscle injury. Strength training promotes muscle strength and builds your bones. Cardio provides many benefits, including increases metabolism, reduces stress, risk of heart disease and some types of cancer. Consult with your physician before starting a new program. |
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July 28, 2009
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I heard you on the radio last Saturday morning. Any plans to broadcast daily? |
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Great to learn you heard our new radio show! “Pain Talk” recently began broadcasting on Saturday mornings on WILM 1450 AM. Response and feedback to the program has been excellent and very positive. Because of this, we have added an encore presentation of Saturday shows on Sundays, 7 a.m. on WDOV 1410 AM. Now we cover the entire state of Delaware and hopefully reach all those suffering with pain to provide some insight on pain and pain treatments. Visit our website to submit a question to be answered on-air. |
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July 14, 2009
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What is kyphoplasty and how can it help me? |
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Kyphoplasty is a minimally invasive, medical procedure developed by orthopedist Mark A. Reiley, M.D. to stop the pain from spinal compression fractures caused by osteoporosis, a condition that weakens the bone. It is ideally performed within eight weeks of when the bone fracture occurs and is designed to stop the pain caused by the fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture. As of January 31, 2008, over 393,000 patients and 460,000 fractures worldwide were treated with kyphoplasty. |
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June 30, 2009
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I read you are a founding member of ASCTA. Where does medicine stand with stem cells? |
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This past May, the American Stem Cell Therapy Association (ASCTA) announced the world’s first clinical guidelines to allow U.S. doctors to safely begin using a patient’s own stem cells to treat disease. The ASCTA is a physician-run organization dedicated to establishing best-practice lab and clinical guidelines for adult stem cell use and was formed in response to the FDA’s position that a patient’s own stem cells are considered drugs and should be regulated. Mid Atlantic Spine and Pain Physicians will soon begin using stem cell therapy for treating patients with pain. |
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June 16, 2009
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A few years ago, I remember you hosted a morning radio show. It was very informative. Any thoughts to bringing it back? |
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Actually, yes. We are in the final stages of developing a new weekly radio program called “Pain Talk” that will air at 6:30 on Saturday mornings starting this weekend, June 27th on 1450 WILM news radio. Topics of discussion will be innovative and include: stem cell and regenerative therapies, same day spine surgery procedures, Reflex Sympathetic Dystrophy and Spasticity treatments, cancer pain management, migraine headache remedies, and other ground-breaking as well as conventional treatments for chronic pain. |
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June 2, 2009
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I heard you do Peripheral Nerve Stimulations. How does this stop pain? |
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Peripheral Nerve Stimulation is a minimally-invasive procedure that is revolutionizing the way pain physicians treat patients suffering from chronic nerve-related pain. During this interventional treatment, electrodes are inserted by the peripheral nerves, delivering low-level electrical impulses that interfere with the chronic pain perception from traveling from the nerve to the brain. The pain sensation is greatly reduced, if not diminished altogether, in most patients with certain painful conditions. A trial with a temporary device is performed before the permanent device is placed. The patient controls the stimulator and its intensity. |
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May 19, 2009
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Spinal cord stimulation is recommended for dad’s radiculopathy. Is it safe? |
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Yes. Spinal cord stimulation (SCS) has been used for controlling and relieving intractable back and leg pain for more than 30 years. The SCS system stimulates the dorsal column of the spinal cord by tiny electrical impulses from small electrical wires placed on the spinal cord. SCS typically consists of one or two wires with a number of electrodes and a pulse generator or battery. The wire carries the electrical stimulation from the pulse generator or battery to the posterior column of the spinal cord. The end result is pain relief. |
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May 5, 2009
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What is osteomyelitis and how is it diagnosed? |
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Osteomyelitis is a rare infection that develops in the bones of the spine. The infection forms in the bone after bacteria or fungi travels through the bloodstream or spreads from nearby affected tissue. It also develops if trauma exposes the bone directly to germs. Symptoms include back pain, weight loss, and fever. Osteomyelitis is detected through blood tests and x-rays. Aggressive treatment is needed to prevent the infection from spreading and to save the bone. Antibiotics are prescribed and surgery may be needed. This condition may also be treated with a brace. |
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April 21, 2009
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My nephew was diagnosed with discitis. What is it? |
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Discitis, also known as inflammation of the disc or disc space infection, is a rare condition that occurs in adults but more often in children. The cause of discitis is unknown. Studies show a bacterial or viral infection develops in the intervertebral disc space. Severe back pain is the main symptom, causing lack of mobility in adults and refusal to move in children. A MRI can confirm the diagnosis. Treatment is antibiotics and a back brace or a cast to limit mobility. If untreated, an abscess may develop which may require surgery to remove. |
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April 7, 2009
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What is fibromyalgia? |
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Fibromyalgia is a very common chronic condition that causes pain, stiffness, and tenderness in muscles, tendons, and joints. Pain is usually widespread, involving both sides of the body and typically affecting the neck, buttocks, shoulders, arms, the upper back, and the chest. Other characteristics include restless sleep, awakening feeling tired, fatigue, anxiety, depression, and disturbances in bowel function. The disease predominantly affects women between the ages of 35 and 55. While fibromyalgia can develop independently or occur with another disease such as rheumatoid arthritis, the root of the cause remains an unknown. |
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March 24, 2009
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What are the symptoms of rheumatoid arthritis? |
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Symptoms of rheumatoid arthritis often develop slowly over a period of weeks to months; affecting the hands, wrists, elbows, feet, ankles, knees, or neck. Stiffness, pain and swollenness in more than three sets of joints and on both sides of the body or are common early symptoms along with fatigue. Oftentimes bumps, known as nodules, develop in pressure points. Additional symptoms can occur including weight loss, low-grade, fatigue, and numbness or tingling in the hands. Since symptoms of rheumatoid arthritis can simulate other conditions symptoms, check with your physician for a proper diagnosis. |
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March 10, 2009
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What are the difference between osteoarthritis and rheumatoid arthritis? |
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Osteoarthritis, also known as degenerative joint disease, is the most common type of arthritis and occurs when joint cartilage breaks down in a joint. The diminishing of cartilage causes bones to rub against another, inflicting pain and inflammation. Pain medication, steroid injections and physical therapy are common treatment. Rheumatoid arthritis is a chronic, inflammatory type of arthritis and is the most disabling type of arthritis. The lining of the joint of multiple joints are affected, but body organs can also be affected. Pain medication and steroid injections are common treatment. |
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February 24, 2009
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What is Interstitial Cystitis? |
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Interstitial Cystitis is a chronic inflammatory condition of the bladder wall of unknown etiology. While strikes any age, race or gender, women are most commonly afflicted, with more than 700,000 cases in the U.S. Common symptoms include urinary frequency, urgency, and pain. The frequency of urination can be astonishing and disabling in severe cases (up to 60x in a 24-hour period). Urgency can be associated with pain, pressure, and/or spasms. Pain is often located in the pelvis, bladder, urethral, or vaginal areas. After diagnosing, treatment includes diet, nutritional supplements, oral medications, physical therapy, bladder instillation techniques and surgery. |
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February 10, 2009
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Osteoporosis – Treatment |
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Kyphoplasty is a minimally invasive procedure that restores vertebral body height, provides fracture stability and reduces pain associated with vertebral compression fractures. The procedure involves placing a balloon catheter through a needle introducer into the vertebral fracture, inflating of the balloon, and injecting cement into the cavity. The indications for kyphoplasty include an osteoporotic or malignant spinal compression fracture, persistent back pain, progressive vertebral collapse, spinal deformity and a correct diagnosis from imaging studies. Clinical studies have demonstrated that kyphoplasty is a highly effective treatment for compression fractures and provides correction of spinal deformities with significant pain relief, improved quality of life and increased physical function. |
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January 27, 2009
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Osteoporosis – Complications |
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Vertebral compression fractures are the most common complication of osteoporosis. There are approximately 700,000 vertebral compression fractures per year in the U.S. that result in spinal deformity, acute/chronic pain, disability, and reduced vital respiratory capacity. Vertebral compression fractures lead to decreased physical function, restricted activities of daily living, sleep disturbances, early satiety, psychological disturbances, and reduced pulmonary function. Subsequent risk of additional vertebral fractures increased after the first fracture. Women with a vertebral fracture have a higher mortality rate adjusted for age. Patients with vertebral fractures are also likely have COPD and pneumonia complications. I’ll discuss treatment next issue. |
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January 13, 2009
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