Degenerative spinal disc disease
Degenerative spinal disc disease refers to back or neck pain caused by injury or the natural wearing down of the rubbery discs between our vertebra that allow us to comfortably bend and twist the back. After the age of 40, most of us will have some disc degeneration but may not experience pain. For many though it can low-level chronic pain and also cause weakness, numbness or shooting pains down the arms and legs.
Low back pain with or without leg pain
Pain in the lower back, with or without pain that travels down the buttocks, legs and feet, is a common concern with most of us experiencing at least one episode in our lifetime. Low back pain, often known as lumbago, is not a specific disease but rather a symptom. It often results from an injury or poor posture, but severe or persistent pain may point towards a medical condition such as osteoarthritis or fibromyalgia.
Medically unexplained back and leg pain
Although back and leg pain may be a sign of a serious underlying medical condition, for many patients that have been suffering from low-level, persistent pain affecting the back and lower joints, they have often received no specific diagnosis. For these patients, Dr Ivanova-Stoilova has often been able to diagnose complex musculoskeletal and nerve-related pain which could then be well managed with special medication, injections, rehabilitation.
Joint pain after trauma, inflammation and degenerative disease
Joint pain is the most common presentation of arthritis. The most common cause is wearing out of cartilage, the rubbery substance that protects our joints, and is known as osteoarthritis. Post-traumatic arthritis is another common form of osteoarthritis and occurs when there has been physical injury to the joint. Virtually any joint in the body can be affected by pain, although the knees, hips, back and shoulders are most common areas to be affected. Pain can vary from mild discomfort to debilitating and chronic pain that has a significant impact on quality of life.
Whiplash is commonly caused by rear-end car crashes but can result from any sudden movement back and forth of the head. Typically, it describes neck pain as a result to trauma to the intervertebral joints, ligaments, muscles and nerves. Headaches and neck stiffness, muscle soreness, pain in the shoulders and in the lower back are also common symptoms. Although symptoms usually subside within a few weeks, some patients continue to develop symptoms over many months and years.
Patients with a cancer diagnosis will have different pain syndromes related to both their disease and the cancer treatment they are receiving. Cancer pain, in particular, can be short-lived or long-lasting, mild or severe and can affect many organs and systems in the body. It is important that cancer patients are reassured that their pain can be controlled and managed.
Male and female pelvic pain
Pain that is located in the lower abdomen or pelvis can affect both men and women. For many female patients, chronic pelvic pain follows a regular cycle and is often linked to hormonal causes. Men can experience chronic pain in the groin, bladder, perineum or genitals and they may suffer pain when urinating or ejaculating. Correct diagnosis is essential for effective treatment and common causes include endometriosis, IBS, painful bladder syndrome and MSK conditions.
Pain in pregnancy
Many women experience lower back pain during pregnancy due to the softening and stretching ligaments. Pelvic pain can also develop during pregnancy and this is sometimes called pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD). This is caused by stiffness or uneven movement of your pelvic joint. However, there are a number of different treatments that can be safely used during pregnancy to manage any pain you’re experiencing.
Head and facial pain
Occasional head and facial pain, due to headaches, sinus infections or tooth pain, are common and usually short-lived. However, ongoing and severe episodes of craniofacial pain could be a sign of an underlying condition. This includes migraines, Trigeminal neuralgia, Occipital neuralgia, Temporomandibular joint pain and facial neuropathic pain. With the correct diagnosis and an individualised treatment plan, your head and face pain can be effectively managed and improved.
Complex regional pain syndrome
Complex Regional Pain Syndrome or CRPS is a chronic pain condition following trauma to the bone or soft tissue. Typically, pain is out of proportion to the initial injury and can spread to other areas of the body. Patients often feel an intense ‘burning’ pain along with skin sensitivity, joint stiffness, muscle spasms and weakness and motor disability. There is no specific cure for CRPS, but treatment focuses on relieving painful symptoms.