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Neurological Pain Disorders

Treating Neuropathy and Nerve Pain in the Feet

Let me start with I’m a diabetic. I developed neuropathy, which basically you lose all sensation in the feet, but it’s over a period of time. It was very painful. I would have sensations in my feet like I was standing on fire, walking on glass. Last October it got so bad that I couldn’t sleep at night. Then I met Bullard, because he’s just a great physician. I wouldn’t think twice, I’d recommend him to anybody. Very compassionate, very thorough, I can’t say enough about Bullard. He’s just a great physician and I don’t know if there’s anything he couldn’t do he could probably move mountains if he wanted to! Glen, probably one of the biggest questions.

People are asking you is what’d we do, what’s happened. Of course, you had a tremendous improvement in your pain and the tingling and the numbness. Easiest explanation is, to tell everybody, that this big nerve here, which is on the inside part of your left foot, was getting strangled. There was a noose around it. What we did is we went in and loosened the noose, and that allows that nerve to begin to function and work like it’s supposed to. Now, the sensation is coming back, it’s something that’s going to take time but I can feel more. My quality of life has greatly improved since I had the procedure done by Bullard. There’s no other physician.

That I would recommend. Glen, in the next couple weeks, what we’re going to do is make sure that the swelling is improving, hopefully begin to transition you out of your compression socks, because I know it’s kind of hot right now, and then look at making sure that your shoe gear and things like that are where they’re supposed to be, fitting you well, protecting your feet and stuff. Ok? Very good. Thank you, I appreciate it, have a good weekend! You do the same. Alright, see ya.

TMJ and Myofascial Pain Syndrome Animation

The temporomandibular joint – the TMJ is the joint between the lower jawbone the mandible and the temporal bone of the skull. The TMJ is responsible for jaw movement and enables chewing, talking and yawning. Temporomandibular disorders, or TMD, refer to a group of conditions characterized by pain in the jaw area and limited movement of the mandible. TMD may be caused by problems in the joint itself or in the muscles surrounding the joint. Problems in the joint include: arthritis, inflammation and internal derangements. When the problem is in the muscles, the condition is called myofascial pain syndrome. Myofascial pain syndrome is very common and can occur in patients with a normal temporomandibular.

Joint. The syndrome is characterized by presence of hyperirritable spots located in skeletal muscles called trigger points. A trigger point can be felt as a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different location. This is called referred pain. Trigger points are developed as a result of muscle overuse. Commonly, the muscles of chewing, or mastication, are overworked when patients excessively clench or grind their teeth unconsciously during sleep. The medical term for this condition is “nocturnal bruxism�. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. The sustained contraction of muscle.

Sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles. Trigger points in the masseter refer pain to the cheeks, lower jaw, upper and lower molar teeth, eyebrow, inside the ear and around the TMJ area. Trigger points in the temporalis are also associated with headache and toothache from upper teeth. The main culprits of myofascial pain in the TMJ area are the pterygoid muscles. Trigger points in medial pterygoid refer pain to the TMJ region in front of the ear, inside.

The mouth and upper outside of the neck. They may also manifest as sore throat and difficulty swallowing. Pain from lateral pterygoid trigger points can be felt in front of the ear and on the upper jaw. Treatments aim to address bruxism, to relieve muscle spasm and release trigger points. Treatment options include: Therapies: stress management, behavior therapy, biofeedback to encourage relaxation. Dental night guards: Splints and mouth guards to protect the teeth from damage. Medication: pain relievers, muscle relaxants, botox injections. Trigger points release techniques such as needling and “spray and stretch�.

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