Injury Care | Work Injury | Tyler Texas

Reduce Injuries during National Safety Month

Each June, the United States observes the importance of work injuries, fall prevention and much more during National Safety Month. This year, the National Safety Council (NSC) is focusing on emergency preparedness, wellness, falls and driving. As an East Texas leader in pain management, the physicians at Pain Recovery Center of Tyler are available to assist Tyler, Texas residents when it comes to a work injury, automobile accident injury or an injury sustained during a fall.

Injury Care and Emergency Preparedness

Natural disasters such as tornadoes and severe storms are common in the East Texas area. Are you prepared for the unexpected?

If you are the head of your household, it is important you, your family and your home are ready for an emergency at any time. You should use the month of June to make sure first aid kits are fully stocked and in the home and car(s). You can also learn first aid and CPR for both adults and children. Simple first aid knowledge can assist with injury care if/when an emergency happens.

Focus on Your Overall Wellness

Daily life continues to become harder with work stress, family stress, financial stress and health stress. It is important to take care of yourself in order to help eliminate injuries and chronic health conditions.

If you do not already, try one or more of these simple wellness tips:

  • Take breaks throughout the day if you stand or sit for an extended period of time
  • Take advantage of any workplace wellness programs
  • Get medical checkups on a regular basis
  • Get 7-9 hours of sleep each night so the body can function at an optimal level
  • Talk to your doctor if you are on opioid pain medications – there are alternatives with a proper pain management program

Keep a Safe Floor Area to Reduce the Risk of a Work Injury

Falls happen every day and are a leading work injury, as well as a leading home injury in older, more mature adults. You can help reduce falls in the home and workplace by removing all clutter on the floor, cleaning up spills immediately, installing nightlights for the dark and paying full attention when walking and running.

Always Drive Safe to Reduce Automobile Accident Injuries

It has been reported that up to 94% of motor vehicle accidents are caused by human error. Follow these tips to stay safe on the road:

  • Do not use cell phones while behind the wheel
  • Do not drive impaired
  • Practice proper driving techniques with new, young drivers
  • Use car safety features correctly

Please take a moment to incorporate these safety items into your daily life to help reduce the risk of a home injury, work injury or automobile accident injury. If you live in the Tyler, Texas area and require injury care, please contact the pain management doctors at Pain Recovery Center of Tyler.


Physical Therapy & Older Adults | Elderly Physical Therapy | Tyler, Texas

The Importance of Elderly Physical Therapy

As individuals age, the body begins to become tired and worn down and injuries and chronic illnesses become more common. Every year, countless seniors in the Tyler, Texas area visit the emergency room or their physician’s office following an injury or from ongoing symptoms of a health condition. Senior safety and health is very important for both the elderly adult and their loved ones. One of the best ways older adults can keep their body mobile and healthy is with an elderly physical therapy program. The pain management physicians at Pain Recovery Center of Tyler specialize in a wide number of prevention and treatment options for injuries, pain and disability, including physical therapy in older adults.

The Two Most Common Elderly Injuries

There are two injuries that plague older adults on an ongoing basis. These injuries include:

  • Fall-related injuries- It is reported that about 33% of adults over the age of 65 years experience a fall each year. Falls often cause sprains, hip fractures, lacerations and head injuries.
  • Fractures- After the age of 50 years, 50% of women and 25% of men will experience an age-related fracture caused by a loss of bone density and mass.

Physical Therapy and Older Adults

Physical therapy and older adults go hand-in-hand. PT can help seniors retain their independence, restore and improve body mobility and functionality and reduce pain and discomfort associated with an injury, illness or chronic condition.

Elderly physical therapy is often prescribed after a fall. A fall is usually caused by a loss of balance, strength and/or flexibility. Physical therapy is designed to improve all of these functions, as well as posture, while easing pain and restoring mobility following an injury.

Fractures are typically caused by a loss of bone density and mass. Physical therapy and a regular exercise program can help control the impacts of bone loss.

Physical therapy in older adults utilizes a variety of strength training, stretching, walking and range of motion (ROM) exercises. This combination can help alleviate the painful symptoms of arthritis, as well as ease chronic pain, back pain, neck pain and joint pain.

Elderly physical therapy has also been found to be beneficial in managing diabetes, vertigo, Parkinson’s disease, multiple sclerosis, stroke, Alzheimer’s disease and cerebral palsy.

Types of Elderly Physical Therapy

Physical therapists and pain management physicians often recommend a number of PT types, including manual therapy, hydrotherapy, cold therapy, heat therapy, electrical stimulation and ultrasounds.

Physical therapy in older adults can help improve balance, flexibility, posture and strength, as well as help the body recover from an injury. If you live in the Tyler, Texas area and would like to learn more about elderly physical therapy, please contact the pain management office of Pain Recovery Center of Tyler.

Osteoarthritis | Degenerative Joint Disease | Joint Health

An Overview of Osteoarthritis and Joint Health

Each May the United States recognizes the national impact arthritis has on the population during National Arthritis Awareness Month. Arthritis is a common cause of diminished joint health and affects more than 50 million Americans. This staggering number makes it the number one cause of disability in the US. Osteoarthritis, also known as degenerative joint disease, is the most common form of arthritis and is caused when the bones’ protective layer of cartilage becomes worn down by wear and tear and aging. Thousands of East Texas residents struggle with osteoarthritis and require medical care to help ease the painful symptoms. If you are one of these individuals, please contact the pain management doctors at Pain Recovery Center of Tyler today for a thorough treatment plan.

What is Osteoarthritis?

Degenerative joint disease is marked by the gradual degeneration of a joint’s articular cartilage, the white, smooth substance that covers the ends of each bone. Cartilage plays a critical role in overall joint health by providing a smooth surface for two bones to glide over each other when the joint is in motion.

When osteoarthritis occurs, it causes a gradual decline in joint health. What begins as a small decrease in articular cartilage, progresses to a rough, frayed surface that causes bone to rub against bone while the joint is moving during everyday, sports and work activities.

Middle-aged and older adults are most commonly impacted by degenerative joint disease because of the body’s natural aging process and years of joint wear and tear. Other risk factors outside of age include genetics, obesity, joint overuse and a previous joint injury and/or surgery.

What are Common Osteoarthritis Symptoms?

Osteoarthritis is characterized by joint pain, loss of function, swelling and inflammation. The symptoms typically begin as a dull ache and annoyance that gradually develop into chronic pain and discomfort.

Diagnosis and Treatment of Degenerative Joint Disease

In order to diagnose degenerative joint disease, the pain management doctors at Pain Recovery Center of Tyler must perform a medical review, detailed physical examination and diagnostic tests such as x-rays and/or MRIs. The combination of these items allows the physicians to gain more knowledge about factors that could potentially lead to declining joint health caused by osteoarthritis, as well as allow them to view the soft and bony structures in great detail to confirm the loss of articular cartilage.

Osteoarthritis is a progressive disease so it is important treatment begins as early as possible. If degenerative joint disease is diagnosed shortly after symptoms begin, treatment is usually non-surgical and involves anti-inflammatory medications (NSAIDs), rest, activity modifications and physical therapy. If the condition has progressed past conservative measures, surgery by an orthopedic specialist may be required.

For additional information on joint health and osteoarthritis, or to determine if you are suffering from degenerative joint disease, please contact the East Texas pain management doctors at Pain Recovery Center of Tyler.

Tendonitis | Tendinopathy | Tendon Injury | Tyler Texas

Tendinopathy (Tendon Injury) Overview

Tendons are found throughout the human body and play an important role in joint health. These tough fibers connect muscle to bone. Tendinopathy, more commonly known as a tendon injury, is typically the result of tendon microtears that occur from aging and repetitive movements involved in many sports and work activities. The most common injuries addressed by the pain management doctors at Pain Recovery Center of Tyler include tendonitis and a tendon rupture. If you live in the greater Tyler, Texas area and are suffering from a tendon injury, our physicians can treat the injury and help you return to activities as soon as possible.

What is Tendinopathy?

Many cases of tendinopathy occur near major joints including the knee, shoulder, elbow and ankle. An example of a commonly injured tendon is the Achilles tendon that attaches the calf muscle to the heel bone. Patients requiring treatment at Pain Recovery Center of Tyler include those experiencing Achilles tendonitis, knee tendonitis, tennis elbow and golfer’s elbow.

A number of terms are used to describe a tendon injury, including:

  • Tendinopathy- a more recent term used to describe both tendon microtears and inflammation
  • Tendonitis- a term used to describe tendon inflammation
  • Tendinosis- a term used to describe tiny microtears in and around tendon tissue

Common Causes of a Tendon Injury

After a tendon injury occurs, many individuals believe the injury occurred suddenly and at one exact moment. In reality, many cases of tendinopathy occur gradually over an extended period of time by wear and tear to the tendon and its surrounding structures. The wear and tear of the tendon is usually associated with overuse and the body’s natural aging process. Even if a sudden injury occurs, such as a tendon rupture, it is most often linked to tendon weakening.

Symptoms of Tendonitis and other Tendon Injuries

Tendonitis and other tendon injuries are marked by pain, stiffness and decreased strength when the joint is in motion. In many cases, individuals report increased pain after joint use, first thing in the morning and/or during the night. Certain individuals may also experience tenderness, swelling and redness in the injured area.

Diagnosis and Treatment of Tendinopathy

The pain management doctors at Pain Recovery Center of Tyler diagnose tendinopathy after a detailed medical review and physical examination. The physicians may also utilize x-rays and/or an MRI to confirm the diagnosis and to rule out other potential injuries.

The majority of tendon injuries, such as tendonitis, are treated with non-surgical measures. Patients are often told to modify activities and rest the affected joint, take over-the-counter medications and to begin simple range of motion exercises. If the symptoms continue, a physical therapy program may be prescribed.

To learn more about tendinopathy (a tendon injury), or to speak with a pain management doctor about your tendonitis, please contact the Tyler, Texas office of Pain Recovery Center of Tyler for an appointment.

Sports Injury Recovery | Physical Therapy & Sports Rehab | Tyler Texas

The Connection between Physical Therapy & Sports Rehab

Sports injuries can happen to any East Texas individual, ranging from young athletes to weekend warriors to seniors. The most common injuries associated with athletics include ankle sprains, groin pulls, shin splints and knee injuries. When an individual experiences a sports injury, they want to get back to the game they love as soon as possible. Not only are the Tyler, Texas pain management physicians at Pain Recovery Center of Tyler trained to diagnose an injury, they also specialize in sports injury recovery. Treating these injuries often requires a combination of items such as rest, medication and therapy exercises. Physical therapy and sports rehab go hand-in-hand since physical therapy helps rebuild strength and movement.

Injured Athletes Require Sports Injury Recovery Options

Sports injuries have sidelined athletes for games, seasons and even careers in cases of professional athletes. These injuries are most often sprains to ligaments and strains to muscles, and are common when individuals participate in sports, fitness classes, training exercises and fitness competitions.

Sports injuries are usually caused by an inadequate warm-up, lack of proper physical conditioning and poor training methods. Fatigue and overuse of the body are also associated with sports injuries. Athletes of all levels can help prevent sports injuries by doing a gentle warm-up, allowing the body to rest after activities and following proper training techniques.

When an athlete becomes injured, it is important for a pain management physician to get them back in the game as soon as possible. Sports injury recovery can be achieved by a physical rehabilitation program in many cases. A combination of rest, ice and heat therapy, over-the-counter medications and physical therapy exercises is often enough to return athletes to the playing field.

How Physical Therapy & Sports Rehab Go Hand-In-Hand

Physical therapy and sports rehab are an effective combination because the body must remain flexible, mobile and strong as it heals from an injury. Physical therapists work closely with athletes to assess muscle imbalance, range of motion and functional requirements after an injury occurs. With their extensive training in the musculoskeletal system, therapists can usually accelerate recovery time while eliminating the use of medications.

As part of a sports injury recovery program, a physical therapist at Pain Recovery Center of Tyler will develop and prescribe a program consisting of stretching for mobility and strength exercises in order to alleviate pain and return full function as soon as possible. Athletes will also be required to rest the injured area an adequate amount of time for full recovery.

If you live in the Tyler, Texas area and require sports injury recovery, please contact the pain management physicians at Pain Recovery Center of Tyler to learn more about physical therapy and sports rehab.

Recovering from Car Accident Injuries | Car Accident Recovery Time | Pain Management

What to Know About Recovering from Car Accident Injuries

Automobile accidents occur every day on the East Texas roads. Many of the incidents are minor and cause no bodily injuries, but some accidents cause a number of injuries including whiplash, strained muscles and broken bones. If you have been involved in an accident, you may be wondering about ‘normal’ car accident recovery time. The Tyler, Texas pain management physicians at Pain Recovery Center of Tyler are here to share some tips on recovering from car accident injuries.

The Importance of Visiting a Pain Management Physician

The physical trauma of a car accident has the ability to cause moderate to severe injuries that hinder daily and work activities. When injuries are present, it can take weeks or even months for the body to heal. Without proper medical care, recovering from car accident injuries can become an even longer process.

Following any car accident, it is important you schedule an appointment with a physician trained in automobile accident injuries, such as a pain management physician. Pain management specialists are typically trained in the detection of hidden injuries associated with automobile accidents. Many symptoms of an injury, such as whiplash, can take a few days or weeks to become present. This is why it is so important to contact a physician immediately after an accident so they can assess injuries before they become worse.

Tips on how to Reduce Car Accident Recovery Time

The single most important tip (besides visiting a physician) that reduces car accident recovery time is rest. It is critical that you do not return to work and regular activities before the body has had time to begin healing. As we all know, the body heals more quickly if given the proper amount of rest. Many injuries can become worse if the body is pushed into daily, work or athletic activities too soon.

Recovering from car accident injuries can also be achieved more rapidly by following these simple tips:

  • Engage in physical therapy exercises prescribed and/or recommended by your physician. Performing light exercise and mobility exercises helps to improve muscle and joint function after trauma to the body.
  • Drink plenty of water and other healthy fluids for at least one week after the incident. Extra fluids have the ability to help reduce painful inflammation.
  • Utilize ice and heat therapy to help control pain and inflammation.
  • Discontinue any strenuous exercise or athletic activities for at least one week following a car accident. As mentioned earlier, some injuries may take a few days to start showing symptoms.
  • Take a daily walk as soon as your body allows it. Much like physical therapy exercises, remaining mobile will help improve joint and muscle function.
  • Keep all appointments with your pain management physician and/or other specialists until you are released from their care.

Car accident recovery time can be reduced by following all of these simple tips. Do you need personal advice on recovering from car accident injuries? If so, please contact the Tyler, Texas pain management clinic of Pain Recovery Center of Tyler for an appointment.

Pain Management | Pain Medicine | Tyler Texas

Pain Recovery Center of Tyler continues to be a Leader in Pain Management

Pain, both acute and chronic, has the ability to hinder everyday life and interfere with work, hobbies and family time. Pain is never the same for any two people living in the Tyler, Texas communities. Some patients report dull pain from time to time, while other patients report sharp, stabbing pain that lasts extended periods of time with no relief. The pain management doctors at Pain Recovery Center of Tyler understand that all levels of pain must be treated as soon as possible so individuals can return to the activities they love.

The Goal of Pain Medicine

The overall goal of any pain medicine treatment is to decrease the patient’s level of pain and discomfort. Once the pain is alleviated, patients are able to function better and enjoy life once again.

The physicians at Pain Recovery Center of Tyler specialize in pain medicine in order to provide the most modern and conservative treatments available today. With a multidisciplinary approach, the pain management physicians utilize the expertise of physical therapists, occupational medicine specialists and orthopedic specialists to customize a tailored approach. No two patients will receive the same exact treatment.

Common Pain Management Treatments

All patients visiting a physician at Pain Recovery Center of Tyler will begin treatment with a thorough medical review and physical examination. The majority of patients will also undergo diagnostic tests, such as x-rays and electrodiagnostic tests, in order to pinpoint the exact cause of pain. Once the chronic health condition or injury is diagnosed, the pain management physician will develop and recommend the ideal pain medicine treatment.

Many patients are candidates for non-invasive treatments such as pain management injection therapy, spinal decompression, physical therapy and medications. If surgery is required to alleviate pain, the Pain Recovery Center of Tyler team will recommend surgeons in the East Texas area to each individual.

Ailments Treated by Pain Medicine Physicians

The physicians at Pain Recovery Center of Tyler specialize in treating:

  • Arthritis pain
  • Back pain
  • Carpal tunnel syndrome
  • Chronic pain
  • Degenerative disc disease (DDD)
  • Facet syndrome
  • Headaches/migraines
  • Joint pain
  • Leg pain
  • Muscle pain
  • Neck pain
  • Nerve damage pain
  • Neuropathic pain
  • Post-surgery pain
  • Sciatic pain
  • Spinal disc injuries
  • Spinal stenosis
  • Sports injuries
  • Tendonitis/bursitis
  • Whiplash
  • Work injuries

If you live in the Tyler, Texas area and require a pain management treatment, please contact the pain medicine specialists at Pain Recovery Center of Tyler today for an appointment.

Radiofrequency Neurotomy | Back & Neck Pain | Tyler TX

Radiofrequency Neurotomy Overview

When an individual living in the Tyler, Texas area struggles with chronic back or neck pain, an effective treatment that does not require a painful surgery is necessary. Radiofrequency neurotomy, available at Pain Recovery Center of Tyler, is a procedure that utilizes heat generated by radio waves to target specific nerves that are causing pain. The radio waves temporarily interfere with the nerves’ ability to transmit pain signals. The result is reduced back and neck pain without a surgical procedure.

Back and Neck Pain Associated with Facet Joints and Sacroiliac Joints

The radiofrequency neurotomy procedure is a form of injection therapy designed to treat back and neck pain associated with the spine’s facet joints and sacroiliac joints. These specific types of pain are typically caused by spinal arthritis, other degenerative changes or an injury.

  • Facet joints- Pairs of small joints that are located at each vertebral level in the back of the spine. Each facet joint is connected to two medial branch nerves that carry signals from the spine to the brain
  • Sacroiliac joints- Joints located at the lowest portion of the spine (between the sacrum and ilium) that are connected to lateral branch nerves that carry pain and other signals to the brain

Why is a Radiofrequency Neurotomy Performed?

A radiofrequency neurotomy is used to reduce chronic pain in the back or neck when more traditional pain management options, such as physical therapy and medications, have failed. This form of treatment is usually recommended in whiplash cases involving the neck, as well as back cases that involve pain that occurs on one or both sides of the lower back, pain that extends into the buttocks and thighs and pain that worsens when twisting or lifting.

What to Expect During a Radiofrequency Neurotomy

There are two primary forms of radiofrequency neurotomy used by pain management physicians to treat back and neck pain. These forms include:

  • Medial branch neurotomy that targets nerves carrying pain signals from the facet joints
  • Lateral branch neurotomy that targets nerves carrying pain signals from the sacroiliac joints

A radiofrequency neurotomy takes approximately one hour to complete and is performed in-office at Pain Recovery Center of Tyler. Needles are inserted through the skin above the spine with the help of imaging scans. These precisely placed needles allow heat generated by radio waves to be transmitted to the specific nerves causing pain. The radio waves safely and effectively interfere with the nerves’ ability to transmit pain signals, reducing pain and discomfort.

Radiofrequency neurotomy procedures usually alleviate back and neck pain symptoms for about 6-9 months. At that time, patients will need to visit Pain Recovery Center of Tyler for a follow-up procedure.

To learn more about radiofrequency neurotomy and how it alleviates chronic back and neck pain, please contact the Tyler, Texas pain management physicians at Pain Recovery Center of Tyler for a consultation.

Epidural Lysis of Adhesions | Scar Tissue Pain | Tyler Texas

An Overview of Epidural Lysis of Adhesions for Scar Tissue Pain

After the human body has experienced an injury from a traumatic event, or following surgery, scar tissue may form. In many patients, scar tissue does not cause pain or discomfort, but certain individuals may experience scar tissue pain in the spinal area following a back injury or surgery. When this back pain begins to hinder everyday life, individuals in the Tyler, Texas area are encouraged to contact the pain management specialists at Pain Recovery Center of Tyler to learn more about the safe and effective treatment option known as epidural lysis of adhesions.

What is Scar Tissue?

The formation of scars is caused by skin trauma. Under this area of damage, fibroblasts (healing cells) cover the injured area and form collagen. This collagen is the building block to scar tissue, also known as adhesions in the medical field.

What Causes Spinal Scar Tissue Pain?

Following an injury impacting the spine, or after back surgery, scar tissue typically develops in the epidural space (the area between the spinal cord and the vertebral bones that surround it). The development of these adhesions is a natural part of the healing process. Unfortunately when an excess amount of scar tissue develops, it has the ability to compress the nerves and restrict nerve movement, often leading to pain and inflammation.

What is Epidural Lysis of Adhesions?

When scar tissue pain in the spinal area becomes chronic, many individuals search for a treatment option. Dr. Kenneth Fults and Dr. Janine Islam with Pain Recovery Center of Tyler provide a treatment known as epidural lysis of adhesions. This procedure utilizes a special catheter and a combination of medications to break up scar tissue and help ease pain.

Using x-ray guidance, a catheter is inserted into the troubling scar tissue area inside the epidural space. The catheter’s mechanical forces, as well as tissue-softening medications, help break up the area of scar tissue. With the scar tissue eliminated, the tension on the impacted nerves is reduced, thus relieving pain and discomfort.

Epidural lysis of adhesions is performed in-office with the patient under local anesthesia. The procedure usually takes approximately 30-60 minutes to perform followed by a short recovery period.

The majority of patients who undergo this specific treatment for scar tissue pain in the spine report significant improvements in mobility, physical health and overall pain level. Physical therapy is typically recommended following the treatment to help sustain symptom relief.

If you live in the Tyler, Texas area and are suffering from scar tissue pain in the spinal area, please contact Pain Recovery Center of Tyler today for additional information on epidural lysis of adhesions.

Plantar Fasciitis | Heel Pain | Tyler Texas

An Overview of Plantar Fasciitis

If an individual experiences heel pain when they step out of bed each morning or after exercise, they may be suffering from plantar fasciitis. This common overuse injury occurs when the strong band of tissue responsible for supporting the foot’s arch becomes irritated and inflamed. The Tyler, Texas pain management doctors at Pain Recovery Center of Tyler are available to help patients of all ages treat this condition so they can return to daily and sports activities pain-free.

What Causes Plantar Fasciitis?

In order to better understand this cause of heel pain, it is best to understand what the plantar fascia is and where it is located. The plantar fascia is a thin, long ligament that lies directly beneath the skin on the bottom of the foot. This particular ligament is responsible for connecting the heel to the front of the foot, as well as for supporting the foot’s arch. The plantar fascia is designed to withstand a great amount of stress daily, but it can become torn or damaged from overuse.

When too much pressure is placed on the plantar fascia, the ligament can experience damage. The human body’s natural response to any injury is inflammation. This inflammation causes the heel pain and stiffness associated with plantar fasciitis.

Several factors are associated with plantar fasciitis, including:

  • Obesity
  • Repetitive sports activities, especially running
  • New or increased athletic activity
  • A very high foot arch
  • Tight calf muscles

Diagnosing and Treating this Cause of Heel Pain

Even though plantar fasciitis may begin with only mild heel pain found at the heel bone, this condition often develops into a chronic ailment that has the ability to change how an individual walks.

A pain management doctor will first examine the affected foot to diagnose the exact cause of heel pain. The examination will look for a high arch, limited “up” motion of the ankle, an area of tenderness just in front of the heel bone and pain that worsens when the patient flexes their foot and the physician pushes on the plantar fascia.

A physician may also perform x-ray images in order to get a clear view of the bones in the foot. Bone spurs, fractures and arthritis will need to be eliminated to reach a final diagnosis of plantar fasciitis.

It is reported that 90% of patients respond favorably to simple treatment options within 10 months. The most common treatments include:

  • Rest
  • Ice therapy
  • NSAIDs
  • Cortisone injections
  • Physical therapy
  • Specific exercises designed to target a tight calf and the plantar fascia

If you live in the Tyler, Texas area and believe plantar fasciitis is the cause of your heel pain, please contact the pain management doctors at Pain Recovery Center of Tyler for a diagnosis and detailed treatment plan.