Among the most common conditions requiring pain relief and management are:
The neck is made up of many different structures. Cervical ligaments (like thick rubber bands) provide stability to the spine. The muscles allow for support and motion. The neck has a significant amount of motion and supports the weight of the head. However, because it is less protected than the rest of the spine, the neck can be vulnerable to injury and disorders that produce pain and restrict motion.
Low back pain is extremely common. Almost every person will have at least one episode of low back pain at some time in his or her life. The pain can vary from severe and chronic to mild and short lived. For most people, it will resolve within a few weeks. However, in 30% of patients, this back pain may be a sign of something serious.
Spinal stenosis (or narrowing) is a common condition that occurs when the small spinal canal that contains the nerve roots and spinal cord becomes restricted. This narrowing can squeeze the nerves and the spinal cord causing lower back and leg pain. In general, spinal narrowing is caused by crowding within a limited space, such as thickened tissue or bone growing into the canal or surrounding disc has protruded, resulting in narrowing of the canal space. This results in a "pinching" of the spinal cord and/or nerve roots.
Many Singaporean adults have some type of arthritis. It is a major cause of lost work time and serious disability for many people. While the most common type of arthritis is commonly associated with aging, sometimes it can afflict younger patients who are engaged in high impact sports or work.
Fibromyalgia is an intolerance to stress and pain that probably has genetic causes.
Chronic pain and stress includes winding of the central nervous system resulting in generalised nerve inflation and muscle spasm.
Individuals with MPS develop either localized or generalized muscular pain with stiffness or tightness. These areas of intense tenderness are due to shortening and contraction of injured muscle fibers and will often experience referred pain. In the first instance, one might feel "knots" or spasms in the area of muscle injury. Referred pain, however, occurs in areas of the body remote from the origin of the problem. For example, you might feel pain shooting down the leg to the calf from a "trigger point" in the buttocks or low back.
The number 2 killer of Singaporeans is cancer. While treatment for cancer (chemotherapy, radiation and hormonal therapy) has been improving rapidly through the years, many patients still die from cancer every year – and many of them suffer greatly from cancer pain. For many, the most frightening part of having cancer is the threat of pain. At Singapore PainCare Center, we help our cancer patients with difficult and refractory pain, improving their quality of life and restoring dignity to them in their time of need. While the oncologist focus on treating and curing the cancer, patients can be confident that pain is treatable and manageable.
Frozen shoulder, or adhesive capsulitis, is a condition that causes restriction of motion in the shoulder joint. The cause of a frozen shoulder is not well understood, but it often occurs for no known reason. Frozen shoulder causes the capsule surrounding the shoulder joint to contract and form scar tissue. Often it occurs in patients around 50 years of age, hence the Chinese term “50 year shoulder”.
Arthritis is a disease that causes pain and loss of movement of the joints. The word arthritis literally means joint inflammation. Dealing with pain can be the hardest part of having arthritis or a related condition but one can learn to manage it and its impact on one’s life. The first step is to find out which type of arthritis or condition it is because that will help determine the treatment.
Rheumatism is a popular term for chronic pain conditions but is an indefinite vague term for a variety of disorders marked by inflammation, degeneration, or metabolic derangement of connective tissue structures (especially joints and related structures), with pain, stiffness, or limitation of motion. It includes many disorders as arthritis, osteoarthritis, bursitis, and sciatica.
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