Conditions Treated

What are the causes of Arthritis?

Arthritis may be caused by:

• old injury
• wear and tear of a joint
• age (OA is most common in adults over age 50)
• obesity
• autoimmune disorders
• genes or family history
• muscle weakness

The type of arthritis determines the cause. Osteoarthritis develops as a result of an old injury or wear and tear over time. Rheumatoid arthritis, lupus, and scleroderma are diseases caused by the body’s immune system attacking its own tissues. Gout is caused by crystal buildup in the joints. Some types of arthritis can be traced back to genes. Ankylosing spondylitis is more common in people who have the genetic marker HLA-B27. The cause of some other types of arthritis is unknown.

How is arthritis diagnosed?

Our clinic will take your medical history and perform a physical examination on you. Tests may also be performed. These include blood tests like:

• Antinuclear antibody (ANA) test. This checks antibody levels in the blood.
• Complete blood count (CBC). This checks if your white blood cell, red blood cell, and platelet levels are normal.
• Creatinine. This test checks for kidney disease.
• Sedimentation rate. This test can find inflammation.
• Hematocrit. This test measures the number of red blood cells.
• RF (rheumatoid factor) and CCP (cyclic citrullinated peptide) antibody tests. These can help diagnose rheumatoid arthritis. They can also assess how severe the disease is.
• White blood cell count. This checks the level of white blood cells in your blood.
• Uric acid. This helps diagnose gout

Call us today to schedule a diagnosis for effective arthritis pain relief in our clinic closest to you.

How is arthritis treated?

Treatment options will vary according to your symptoms, age, and overall health. Additionally, it is determined by the type of arthritis and the severity of the condition. With our care expert’s assistance, each individual receives a customized treatment plan.

Our team can provide arthritis treatment services such as:

• Orthopedist/orthopedic surgeon
• Rheumatologist
• Physiatrist
• Primary care doctor (family medicine or internal medicine)
• Rehabilitation nurse
• Dietitian
• Physical therapist
• Occupational therapist
• Social worker
• Psychologist or psychiatrist
• Recreational therapist
• Vocational therapist

When should I call my healthcare provider?

Contact us if your symptoms worsen or if you develop new ones.

What causes back and neck pain?

Even with today’s technology, pinpointing the exact source of back and neck pain remains a challenge. All or some of the following may be to blame for back and neck pain:

• Incorrect use, such as repetitive or heavy lifting, overuse, or excessive activity
• Bruises, wounds, or sprains
• Stress on the muscles and ligaments that support your spine or the effects of aging can lead to vertebral degeneration.
• Infection
• Tumors and bone spurs are examples of malignant development.
• Increased weight on your spine and disc pressure caused by obesity.
• A lack of muscle mass
• Tension in the muscles
• Strain vs. strain
• Torn ligaments and muscles
• Arthritis and other debilitating joint conditions
• Smoking
• Pinched nerve and protruding or ruptured (slipped) disk
• Compression fractures with osteoporosis
• Your vertebrae and bones may have congenital abnormalities that were present at birth
• Aortic aneurysm, for example, is a type of abdominal ailment
• Old trauma or injury

At what point should I contact my doctor?

If you are experiencing any of the following symptoms:

• Bladder or bowel control is lost, and both legs are weak. Symptoms like these necessitate prompt intervention.
• Intractable, persistent, and unrelieved back or neck discomfort
• Post-injury or post-fall pain
• Leg or arm ache, tingling, or numbness
• Fever
• Weight reduction without the purpose of shedding pounds

What is the treatment for back and neck pain?

To treat these types of back pain, many doctors will recommend surgery or strong medication. Most people with back pain, on the other hand, do not want to take time off work to recover from surgery or rely on long-term medication prescriptions. Non-surgical, drug-free treatment for back and neck problems is our specialty.

The muscles, tendons, and ligaments that support the spine and its joints are the focus of the clinic’s back and neck pain treatment. Reduce pain and stiffness, strengthen muscles, and restore mobility are the main goals.

Our medical staff will conduct a thorough examination to identify the underlying causes of your back or neck pain. In order to alleviate pain, expand range of motion, strengthen muscles, and ultimately reestablish skilled function, they will design a therapy plan specifically for you.

Each patient’s treatment is tailored to their personal needs based on the results of their first evaluation and subsequent spinal monitoring throughout their course of treatment. The ultimate goal is to get back to your old self.

When you lean over to get your shoes on, you may feel knee or hip pain. Also, “As you’re going up or down the stairs, you can be bothered the most if your knees or hips hurt when you bend. The natural, effective pain management alternatives provided by Pivotal Integrative Medicine can help you move the way you want to, no matter how your hip or knee pain manifests itself.

What causes hip pain?

• Tendonitis is the most prevalent cause of acute hip discomfort.
• Arthritis can cause pain, stiff and tender joints, and difficulty walking.
• Osteoarthritis (OA) is a degenerative disease of the joints caused by the degradation of the cartilage that protects them with age.
• Infectious arthritis is caused by the loss of cartilage in the joint as a result of an infection.
• An attack on the joints by the body’s immune system results in rheumatoid arthritis (RA).
• Rheumatoid arthritis is rare compared to osteoarthritis, which affects far more people.
• Bursitis of the trochanter
• Trochanteric bursitis is another possibility for hip pain. When the bursa, a fluid-filled sac located near the hip joint, gets inflamed, this condition is known as bursitis.
• Injuries to the hip, overuse of the joints, or poor posture are all potential causes of trochanteric bursitis.
• Trauma to the hips Older folks and those with osteoporosis, a weakening of the bones owing to aging or other causes, are more likely to have hip fractures than younger people.

What causes chronic knee pain?

There is a difference between short-term and long-term knee discomfort. Knee pain is common after an accident or injury, and it can last anywhere from a few weeks to several months. Chronic knee pain can develop from an old injury and become complicated by multiple factors. In most cases, it’s the outcome of a number of factors.

Knee pain can be caused by a variety of medical disorders and diseases. These are only a few examples:

• osteoarthritis: pain, inflammation, and joint destruction caused by degeneration and deterioration of the joint
• tendinitis: pain in the front of the knee that is made worse when climbing, taking stairs, or walking up an incline
• bursitis: inflammation caused by repeated overuse or injury of the knee
• chondromalacia patella: damaged cartilage under the kneecap
• gout: arthritis caused by the buildup of uric acid
• Baker’s cyst: a buildup of synovial fluid (fluid that lubricates the joint) behind the knee
• rheumatoid arthritis (RA): a chronic autoimmune inflammatory disorder that causes painful swelling and can eventually cause joint deformity and bone erosion
• dislocation: dislocation of the kneecap most often the result of trauma
• meniscus tear: a rupture in one or more of the cartilage in the knee
• torn ligament: tear in one of the four ligaments in the knee — the most commonly injured ligament is the anterior cruciate ligament (ACL)
• bone tumors: osteosarcoma (second most prevalent bone cancer), most commonly occurs in the knee

The treatment at our clinic can alleviate pain and enhance general functional mobility, whether you suffer from hip or knee problems.

When should I seek emergency care?

If you have hip and knee discomfort that persists for more than a few days, you should see your doctor right away. They can devise a strategy to alleviate your discomfort and treat your disease.

Hip and knee discomfort that is accompanied by one or more of the following:

• swelling
• tenderness
• soreness
• warmth
• redness
• severe pain and swelling
• deformity or severe bruising
• symptoms in other parts of the body
• symptoms that persist longer than a few days or get worse instead of better
• other health conditions that could complicate healing
• signs of infection, such as a fever

Septic arthritis, an infection of the joints, is a possible cause of these symptoms. Septic arthritis can lead to malformed joints and osteoarthritis if it is not managed.

How is Hip Pain Or Knee Pain Treated?

Our doctors will work closely with you to develop a treatment plan that reduces pain and increases range of motion and strength. Regaining pre-injury health is the ultimate goal of treatment.

Most of our patient knee pain sufferers prefer natural, non-invasive rehabilitation options. Prolonged painkiller use is also a possibility. But are you willing to risk becoming hooked to these drugs? What if surgery isn’t an option for you? Also available are painkillers that exacerbate rather than alleviate the problem.

We treat persistent knee pain using interventional pain management which may include platelet-rich plasma for patients who believe they have no other options (PRP).

PRP therapies involve drawing your own blood, purifying it, and injecting the concentrated platelets and plasma into your knee. Blood molecules including platelets, growth factors, and cytokines help heal wounds. When you suffer knee pain, we use PRP to supply the healing materials you require.

Request a consultation with us today

Knee pain may hold anyone back. Working on your feet might be unpleasant. Simple tasks like mowing the lawn or cleaning the floors can be difficult with knee discomfort. But don’t let it deter you.

Our clinic has the solution for efficient and long-lasting hip and knee pain relief. To request a consultation, call us now at (734) 961-9977.

What causes joint pain?

Arthritis is one of the most common reasons for joint discomfort. Aside from osteoarthritis (OA), the most common form of the disease is rheumatoid arthritis (RA) (RA).

Other causes

Joint pain can be caused by:

• bursitis, or inflammation of the cushioning pads around joints
• lupus
• gout
• certain infectious diseases, such as mumps, influenza, and hepatitis
• chondromalacia of the patella, or a breakdown of the cartilage in the kneecap
• an injury
• tendinitis, or inflammation of the tendon
• an infection of the bone or joint
• overuse of a joint
• cancer
• fibromyalgia
• osteoporosis
• sarcoidosis
• rickets

Discomfort alleviation and a long-term healing strategy are necessary when dealing with joint pain, which can stem from a variety of different sources.

It’s easy to feel that you’re unable to do the things you used to enjoy because of pain in your joints. However, don’t give up on yourself. Non-surgical interventional solutions are available to alleviate your pain and aid in the recovery of your joints after trauma, disease, or injury. Your entire health is important to us, and we want to help you achieve it.

How is Joint Pain Treated?

We provide non-invasive joint pain relief therapies that may help you avoid more intrusive procedures like joint replacements and nerve blocks to pain medicines that you don’t want to depend on anymore.

Depending on the reason and location of your pain, we offer PRP (platelet rich plasma) and other Innovative treatments. As part of our innovative medicine therapies, we offer an all-natural method of relieving pain. We can assist you in resuming your everyday activities, from climbing the stairs without pain to returning to your work or personal life.

Using any of our innovative alternatives, you can boost your body’s natural ability to heal itself. You can anticipate to get a positive outcome with our other natural and safe therapies for joint pain reduction. Call us now to set up an appointment if you’re in need of long-term treatment from joint discomfort.

What causes lower back pain?

Lower back pain has been a problem for a long time now. As a matter of fact, lower back pain is the single most common cause of disability in the world. Lower back pain can be caused by a wide range of things, including muscle imbalances, posture, and bad biomechanics. It can be hard to treat and manage.

Some of the most common lower back pain injuries, diagnoses, and conditions include:

• Strains – The muscles and ligaments in the back can stretch or tear if you do too much.
• Disc injury – The discs in the back are prone to injury.
• Sciatica can occur with a herniated disc if the disc presses on the sciatic nerve.
• Spinal stenosis – A narrowing of the spinal column puts pressure on the spinal cord and its nerves.
• Scoliosis, kyphosis, and lordosis are all conditions that cause abnormal curvatures in the spine.
• Arthritis is an inflammation of the joints.
• Fibromyalgia is long-term pain and tenderness in the joints, muscles, and tendons.
• Spondylitis is inflammation of the joints between the spinal bones.
• Spondylosis is a degenerative disorder that may cause loss of normal spinal structure and function.

Additional health conditions that can cause lower back pain include:

• Kidney and bladder problems
• pregnancy
• endometriosis
• ovarian cysts
• uterine fibroids
• Cancer

When should I see a doctor if I have lower back pain?

If any of the following applies to you contact us now for prompt assistance with the problem:

• There is an increase in the intensity of or a widening of your discomfort to include your lower extremities.
• Your pain medication isn’t working as well as it used to.
• Your pain begins to interfere with your daily activities, or it interferes with activities in a way that is more than normal.

How can low back pain pain be treated?

Our clinic’s treatment for lower back pain can enhance your mobility and comfort, no matter what your condition or pain level is.

Our medical staff at our clinic is well-versed in the evaluation, treatment, and management of individuals with a wide range of lower back pain conditions. We can help. They can diagnose the root cause of your lower back discomfort and devise a treatment plan that includes manual treatments and exercises.

Treatment may include:

• Joint injection
• Trigger point injection
• Physical rehab
• Cold Laser
• Mechanical traction
• PEMF
• Stretching
• Strengthening exercises
• Back and spinal manipulation
• Radiofrequency lesioning or ablation

Put an end to your lower back discomfort and reclaim your life!

What are the causes of Migraines?

Migraine is still a mystery to scientists, with no known etiology. The illness is still attributed to “abnormal” brain activity, which alters nerve transmission, neurotransmitters, and blood vessels in the brain.

In addition, there are several migraine triggers that are frequently mentioned, such as:

• neck pain
• bright lights
• severe heat, or other extremes in weather
• dehydration
• changes in barometric pressure
• hormone changes in people assigned female at birth, like estrogen and progesterone fluctuations during menstruation, pregnancy, or menopause
• excess stress
• loud sounds
• intense physical activity
• skipping meals
• changes in sleep patterns
• use of certain medications, like oral contraceptives or nitroglycerin
• unusual smells
• certain foods
• smoking
• alcohol use
• traveling

How are migraines treated by our doctor?

The health care providers at our clinic can help you manage your symptoms by providing you with successful, non-invasive options without dreaded side effects.

Your treatment plan may vary based on:

• your age
• how frequently you suffer from migraines
• the type and severity of your migraines
• including whether or not you are unable to attend school or work due to discomfort, nausea, or vomiting
• other symptoms you may be experiencing or medications you are currently on.

The following are possible components of your treatment plan:

• lifestyle adjustments, including stress management and avoiding migraine triggers
• OTC pain or migraine medications, like Nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen (Tylenol)
• prescription migraine medications that you take every day to help prevent migraine headaches and reduce how often you have headaches
• prescription migraine medications that you take as soon as an attack starts to keep it from becoming severe and to ease symptoms
• prescription medications to help with nausea or vomiting
• hormone therapy if migraines seem to occur in relation to your menstrual cycle
• counseling
• alternative care, which may include meditation, acupressure, or acupuncture

I suffer headaches, when should I go to a doctor?

Schedule an evaluation at our clinic as soon as possible if your migraine is bothering you and is not responding well to the standard home treatment techniques.

Unlike other types of pain, neuropathic discomfort is distinct. A person’s brain receives pain signals when a bone is broken, which are carried to it by nerves. The nerves themselves are the source of pain signals in neuropathic pain.

Our clinic’s staff is committed to providing you with natural and non-invasive neuropathy pain relief.

What is Peripheral Neuropathy?

Peripheral neuropathy is a condition in which the nerves in the extremities lose their normal function due to injury or destruction. This interferes with the normal functioning of the nerves. It’s possible that they’ll send a pain signal even if something is hurting you, or that they won’t send a signal at all.

What causes neuropathy?

Peripheral neuropathy can be caused by a variety of conditions, including:

• diabetes
• injury
• systemic illness
• infection
• hormonal imbalance
• certain medications
• vitamin deficiency
• an inherited disorder

There are numerous potential causes of peripheral neuropathy. It can also be brought on by an injury or another illness.

Peripheral neuropathy can be caused by a variety of different conditions, including kidney disease, diabetes or a hormonal imbalance. Diabetic neuropathy is a common complication of diabetes in the United States.

Peripheral neuropathy can be managed and there are a number of things our clinic can do to keep it from worsening. If diabetes or another underlying condition is the cause of your neuropathy symptoms, our doctor at our clinic will begin treating that condition before addressing your pain and other symptoms.

Achieving true pain relief allows you to go on with your day, and continue your favorite hobbies.

Call us today to book a consultation for effective neuropathy relief in our clinic nearest to your location.

How is Neuropathy treated?

A Breakthrough for People Suffering with Peripheral Neuropathy.

There are new clinical studies showing that adults 55 years of age and older who suffer from peripheral neuropathy can be successfully treated with natural remedies. When it comes to neuropathy therapy, our doctors think that you deserve the best.

Too many doctors want to rush you out of the clinic and offer you yet another drug to cover the symptoms, rather than actually listening to you.

If you have neuropathy, we think it is our responsibility to help you avoid the balance issues, falls, and fractures that neuropathy frequently results in.

NASA-developed infrared light therapy, pulsed electromagnetic therapy to increase peripheral circulation, nutritional therapy focused on specific areas, and mild electrical stimulation regimens to block brain signals associated with sensory pain are some of the most cutting-edge treatments available today.

Specific procedures are used to improve balance and coordination while lowering foot pain and stiffness, both of which are frequently associated with neuropathy.

We can urge your body to rebuild damaged nerve tissue by restoring circulation to your extremities!

As a bonus, you’ll be able to maintain these changes on your own with simple at-home therapies and nutritional regimens.

During our consultation, we will figure out whether or not this groundbreaking procedure is right for you, and go over all of your alternatives with you.

What are my options for pain relief?

You may find it difficult to engage in social activities and hobbies, which may result in low self-esteem. Sleep disturbances, fatigue, difficulty concentrating, decreased appetite, and mood changes are also common in people suffering from chronic pain.

Our patients have a variety of options for pain alleviation. It’s important to be aware of the non-invasive alternatives if you’ve been considering invasive treatments like surgery or medication. If you’re looking for an alternative to surgery or medicine, our clinic offers a variety of non-invasive treatments.

We offer pain relief for a wide range of conditions, including:

• Back & Neck Pain
• Hip & Knee Pain
• Joint Pain
• Lower Back Pain
• Migraines Pain
• Neuropathy
• Arthritis
• Sciatica
• Shoulder Pain

To request an appointment, please get in touch with our office.

What causes sciatica?

Sciatica can be caused by a number of conditions that involve your spine and affect the nerves that run down your back. It can also be caused by an injury, such as a fall, or by spinal or sciatic nerve tumors.

The following are some of the most common conditions that can cause sciatica.

• Herniated discs – occur when the first layer of the cartilage ribs.
• Spinal stenosis – It’s characterized by the abnormal narrowing of your lower spinal canal.
• Spondylolisthesis – is one of the associated conditions of degenerative disk disorder.
• Piriformis syndrome – is a rare neuromuscular disorder in which your piriformis muscle involuntarily contracts or tightens, causing sciatica.

When should I see a doctor if I’m experiencing Sciatica pain?

Call our clinic if:

• Your pain worsens
• You lose feeling in your affected leg, or notice weakness in your leg
• You develop problems with your bowels or bladder
• Your pain returns after successful treatment of your sciatica

How can sciatica pain be treated?

Sciatica can be successfully treated without resorting to prescriptions, steroid injections, or surgery. There are a variety of sciatica alternative treatments available here at our clinic.

Treatment includes:

• Joint injection
• Trigger point injection
• Physical rehab
• Mechanical traction
• Cold laser
• PEMF
• Chiropractic treatment

When you are first diagnosed with sciatica, our clinic will most likely give you advice on how to treat your sciatica pain. You should try to carry on with your daily activities as much as possible. Lying in bed or avoiding activity can aggravate your symptoms.

What causes shoulder pain?

Because of its wide range of motion, the shoulder is one of the body’s most unstable joints. Injuries might occur because the ball of the upper arm is larger than the shoulder socket. It is also necessary to support the shoulder joint with soft tissues such as muscles, tendons, and ligaments that are prone to damage as well as overuse or underuse.

Shoulder difficulties can be exacerbated or accompanied by discomfort that radiates to the shoulder from other parts of the body due to degenerative disorders or diseases.

The following are some of the most common shoulder problems:

• Dislocation
• Separation
• Impingement syndrome
• Tendinosis
• Rotator cuff tear
• Adhesive capsulitis (frozen shoulder)
• Fracture
• Inflamed bursae
• Arthritis inflammation

How soon should I contact a doctor if I’m experiencing discomfort in my upper back or shoulders?

A physician should be seen if pain or limited range of motion persists in the shoulder. Any of the following conditions should be reported to our clinic for immediate attention:

• Having a hard time moving one’s arm when clothing oneself
• Inability to go to the top of a tall bookcase
• It hurts to lift or carry things
• Pushing, yanking, or reaching causes excruciating pain.
• Pain at the back of the neck at rest

Emergency services should be called immediately if your shoulder discomfort is sudden and unrelated to an incident, as it could indicate a heart attack or other medical emergency.

What is the best way to deal with a sore shoulder?

Regardless of your condition or amount of pain, our clinic’s treatment can help alleviate your shoulder pain, allowing you to move more freely and comfortably.

A wide range of shoulder pain disorders can be treated and managed by our medical experts. Shoulder pain can be accurately diagnosed and treated using a variety of methods, including manual therapy techniques and exercises prescribed by your doctor.

Some of the most common types of treatment for shoulder pain include:

• Physical therapy.
• Manipulation of the soft tissues
• Injections of the trigger points
• Innovative therapies such as Platelet Rich Plasma
• Stretching
• Exercises to build muscle
• Injecting the joints
• Exercising one’s range of motion

Let go of your shoulder ache, and get your life back on track. To request an appointment, please get in touch with our office.