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Nerve Surgery St Louis

Our vision at Neuropax Clinic is to be a leader in creating a health care delivery platform that works more effectively for patients suffering from chronic pain, peripheral diabetic neuropathy, carpal tunnel, tarsal tunnel, chronic migraines/headaches, cubital tunnel, radial tunnel and other serious complications related to peripheral nerve damage. We fulfill this vision by offering proven, advanced diagnostic and surgical techniques to help patients stop suffering and reclaim their quality of life.

Neuropax Clinic is also dedicated to bringing relief to our patients through the education of patients and physicians. We advance science and public awareness about the benefits of our surgical procedures and the results of those procedures.

How Neuropax Clinic St. Louis can help alleviate chronic Joint Pain.

How Neuropax Clinic St. Louis can help alleviate chronic Joint Pain.

Pain has a purpose.

Pain is nothing more than a mechanism that alerts the individual to the presence of dangerous or damaging stimuli. In medical terms, this alert mechanism is known as Acute Pain, and thanks to its presence, harmful situations that endanger the body are instinctively rejected.

When the pain is ongoing and persists beyond the normal healing period of the underlying condition, it becomes Chronic Pain.

Chronic pain is utterly useless. Chronic pain annoys at best and severely debilitates at worst. Globally, 1 out of 5 people suffer from chronic pain. This means that over 1.5 billion people are affected by the ravages of this insidious condition. In some developed countries, between 40% and 80% of medical consultations are related to pain and over 30% of patients live in constant pain.

Here at Neuropax Clinic, the St. Louis Leader for Carpal Tunnel, Headache Surgery, Nerve Compression, and Chronic Joint Pain, most of our patients that suffer from chronic pain present migraines, pelvic pain, and joint pain. No part of the body is safe from Chronic Pain.

While acute pain can be treated with either over-the-counter or prescription analgesics and anti-inflammatory medications, chronic pain requires a more specialized treatment.

Chronic Joint Pain

All types of chronic pain are debilitating; however, chronic joint pain is so common that it deserves special mention. Especially given how far-reaching its effects are on society as a whole.

Reviewing the most widely accepted statistics for chronic joint pain, we observe that:

10% to 15% of the global population suffers from joint pain.

25% of men and 40% of women between the ages of 60 and 70 suffer from osteoarthritis-related chronic joint pain.

The most common causes of chronic joint pain are osteoarthritis, rheumatoid arthritis, gout, and psoriatic arthritis; however, chronic pain can be caused by many other conditions, some of which cannot be identified easily.

To obtain the best results in chronic joint pain relief you will need the experience and advanced diagnostic techniques that only the best teams can provide.

Armed with the latest techniques as well as tried and true therapeutic care methods, the folk at Neuropax Clinic will be able to not only reduce the intensity of your chronic joint pain, but also promote your functional, social, and psychological recovery.

Neuropax Clinic aims to be an industry leader in creating a health care delivery platform that works more effectively for patients suffering from chronic pain, as well as those suffering from debilitating peripheral diabetic neuropathy, carpal tunnel, tarsal tunnel, chronic migraines/headaches, cubital tunnel, radial tunnel and other serious complications related to peripheral nerve damage.

Neuropax achieves this vision by offering proven, advanced diagnostic, and the latest minimally-invasive surgical procedures. Neuropax patients stop suffering and reclaim the quality of life they had lost.

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Nerve Compression Surgery in St. Louis

Nerve Compression Surgery in St. Louis

 

Compression Neuropathies are a condition wherein the peripheral nerves of the body become compressed as they pass the various bones, muscle tissue, or fibrous structures of the body. Compression of these nerves may result from extrinsic compression of the body such as from wearing tight-fitting clothes, inadequate sleeping positions, the application of tourniquets, and exercise muscle hypertrophy.

 

Peripheral Nerve Compression can also be caused by contiguous structures as a direct consequence of congenital or acquired conditions such as trauma, granulomatous inflammation, fibrosis, edema, etc.

 

It is important to note that it is far more common to find this type of injury in the presence of preexisting disorders such as diabetic or alcoholic polyneuropathies, kidney failure, or acromegaly.

 

A minor case of nerve compression leads to functional disturbances; however, a more severe case will progressively lead to permanent nerve injury. And given that the incidence of this condition counts for anywhere between 10 to 25 percent of contemporary neurosurgical practice it is important to learn about it, and about any potential treatments.

 

How to Know If I Am Suffering From Nerve Compression

Nerve compression neuropathies, of which there are several types, are characterized by the presence of the following symptoms:

Varying degrees of paralysis of the involved limb may present soon after nerve conduction has been obstructed.

The patient may experience any number of sensory disturbances, such as tingling, prickling, numbness, and very often sharp pain.

Most patients also experience a substantial loss of muscle strength in the affected area, such as is the case in patients who suffer from carpal tunnel syndrome. Additionally, these patients often experience a diminished reflex response.

Another common symptom of peripheral nerve compression is motor unit hyperexcitability. In other words, patients with this type of condition will often report having to deal with excessive cramps and muscle twitching.

As mentioned above, there are several types of nerve compression. These are categorized by the location of the nerve affected, and one of the most common types of nerve compression occurs along the lumbar spine.

Let’s take a quick look at the most effective treatment option available.

 

Lumbar Nerve Decompression Surgery

 

Lumbar decompression surgery is a type of surgery that is used to treat compressed nerves in the lumbar (lower) spine.

Because of the risks typically associated with surgical procedures, lumbar decompression surgery is only recommended when all non-surgical treatment options have been exhausted.

The aim of the surgery is to improve the patient’s quality of life by eliminating or reducing the most debilitating symptoms.

Lumbar decompression surgery is often used to treat:

 

Spinal Stenosis: A narrowing of a section of the spine, which puts pressure on the inner nerves.

 

Slipped Disc: Where a damaged spinal disc presses on an underlying nerve.

 

Spinal Trauma: Such as fissure or fracture

 

Metastatic Spinal Cord Compression: Cancer from another part of the body, such as the lung or breast cancer, can spread to the spine and generate tumors that press on the spinal cord and compress the lumbar nerves.

 

What Happens During Lumbar Decompression Surgery

 

If lumbar decompression surgery is recommended, you will generally have to undergo at least one of the following procedures:

 

Laminectomy.

 

Discectomy.

 

Spinal Fusion.

In many cases, a combination of these techniques can be used.

 

Even though the surgery is highly complex, the procedure can be typically performed in an hour. Patients are placed under general anesthesia, which means they are unconscious during the duration of the procedure.

 

In most cases, the expected recovery period is around 4 to 6 weeks.

 

If you or someone you know are suffering from any of the symptoms of peripheral nerve compression, give the folks at Neuropax Clinic in St. Louis a call. Neuropax Clinic is one of the leading institutions in the United States when it comes to Nerve Compression disorders.

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Neuropax Clinic And Long Lasting Pain Relief

Neuropax Clinic And Long Lasting Pain Relief

Neuropax Clinic has become the de facto leader for Carpal Tunnel treatments, Headache Surgery, Nerve Compression, and Chronic Joint Pain relief in the St. Louis area.

 

Here is why:

Their Pain Relief and Care programs are supported by decades of technical experience, scientific knowledge, and a thorough understanding of behavioral and psychological processes that underlie the development of chronic pain.

 

To fully understand how and why we Neuropax clinic is primed to offer long-lasting relief, we must first understand some of the basic principles that surround the issue.

 

Basic Concepts

 

Acute Pain: Acute pain can be best described as an intense and unpleasant sensory and emotional experience that results from actual or potential harm. It is pervasive but has a duration that typically does not exceed 90 days. Acute pain typically has a clear and easily identifiable cause and is easy to treat.

 

Chronic Pain: Chronic pain, on the other hand, typically presents with an evolution that lasts beyond 90 days. Chronic pain, both in its development and evolution, is a complex issue. There are a multitude of factors to consider when searching for the most effective and least invasive ways to treat chronic pain.

 

Pain Relief Care: It is the total and continuous medical assistance provided to a patient and his family to minimize the negative effects of an underlying chronic pain condition. Pain relief care must be comprehensive and it must also possess methods of managing all the related issues.

 

Now that we have a better grasp of these concepts, let’s see what Neuropax offers and why they can provide long-lasting pain relief so effectively.

 

Patients in the St. Louis area who suffer from chronic pain due to carpal, radial, cubital, and tarsal tunnel syndromes, chronic migraines, or peripheral nerve damage, can find the most advanced diagnostic tools at Neuropax Clinic. As well, all their techniques have been proven to provide long-lasting pain relief and profound quality of life improvements.

 

Another factor that sets Neuropax Clinic apart from the competition is its admirable drive to educate both patients and physicians. Their advancement of scientific concepts and promotion of the public’s awareness of the issues surrounding chronic pain is unrivaled in the industry.

 

At Neuropax Clinic, the primary goal has always been to become a leader in chronic pain health care. As such, they have created a robust health care delivery platform that makes providing patients who suffer from chronic pain, in its multitude of manifestations, a more effective and inclusive process.

 

Neuropax staff understands that different people experience pain differently. When designing pain care solutions they take into consideration essential factors such as the origin of the pain and discomfort being experienced by the patient. For example, pain that is caused by surgical wounds must be treated differently than the pain caused by prolonged immobilization of limbs.

 

Additionally, Neuropax considers pre-existing chronic pain conditions and understands how assessment and treatment plans can be derailed by issues that have not been previously addressed. Neuropax Clinic pain management practices include extensive pain guidelines and the implementation of comprehensive strategies to identify underlying and pre-existing issues.

 

A Vexing Issue For Most

 

Managing chronic pain in effective and non-invasive ways is a vexing conundrum for most health care providers because its development and evolution are so complex. Therefore, identifying the factors that influence and govern pain in all patients has become one of the top priorities at Neuropax Clinic.

 

As such, they are amply prepared to offer patients suffering from a variety of conditions characterized by chronic pain, rapid and long-lasting relief.

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Are You Suffering From Nerve Compression In St. Louis?

Are You Suffering From Nerve Compression In St. Louis?

Are You Suffering from

Nerve Compression in St. Louis?

With so many advances in chronic pain treatment, there is no reason why anybody should have to live in discomfort and agony. Yet, millions of people suffer every day from some form of nerve compression syndrome. It is also known as trapped nerve, compression neuropathy, nerve entrapment syndrome, and entrapment neuropathy. It occurs when there is direct pressure on a peripheral nerve which results in weakness, pain, numbness and tingling. The symptoms are felt in one area of the body, depending on the effected nerve.

 

Most Common Types of Nerve Compression Syndrome

There are several different varieties of this medical condition. Here are some of the most common types and the nerve they affect:

  • Carpal Tunnel Syndrome – This one affects the most people. It is felt at the wrist and happens when there is excess pressure on the median nerve.
  • Cubital Tunnel Syndrome – This one also affects a lot of people and is also known as ulnar nerve entrapment or ulnar neuropathy. It is felt in the elbow when too much pressure is put on the ulnar nerve.
  • Guyon’s Canal Syndrome – This also affects the ulnar nerve, but the impact and symptoms are felt in the hand. It can also limit your mobility.
  • Radial Nerve CompressionSyndrome – This is when the pressure is on the radial nerve, which cover the whole arm. You’ll feel the affects in you hand, wrist, and fingers.
  • Meralgia Paresthetica – When the lateral cutaneous nerve is affected, you’ll feel the symptoms in your outer thigh, making it difficult to walk.
  • Suprascapular Nerve Compression Syndrome – This syndrome is caused when the suprascapular nerve is affected. You feel the pain and other symptoms in your shoulder.

What Causes Nerve Compression Syndrome?

Compression of a nerve usually occurs when it is exposed to repeated or prolonged external force, like extending your wrist to use a mouse or type on a keyboard. Other causes include accidents like broken bones and sprains. There are also certain types of medical conditions that will make you more susceptible to these conditions. Some of these are:

  • Autoimmune Disorders
  • High Blood Pressure
  • Diabetes
  • Obesity
  • Cysts and Tumors
  • Neural Disorders
  • Thyroid Dysfunction
  • Pregnancy

Treating Nerve Compression in St. Louis

This is a very treatable medical condition and it all starts with lifestyle changes. This is especially true if obesity is the cause. Physical therapy has helped some people improve strength and flexibility. It can also help reduce symptoms such as numbness and pain. Medication has helped relieve inflammation and pain in some people. However, when nothing seems to work, peripheral nerve decompression surgery is a great option for people who qualify.

When treating nerve compression syndrome, you want to go the best. Neuropax Clinic is the St. Louis Leader for carpal tunnel, headache surgery, and other medical procedures dealing with chronic pain. You can count on their team of experienced medical staff to listen, examine, and treat you with the respect and professionalism you deserve!


 

 
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Don;t Live With Diabetic Neuropathy Any More

Dont Live With Diabetic Neuropathy Any More

Peripheral Diabetic Neuropathy (PDN) is a major, long-term complication of Type 1 and Type 2 Diabetes. Diabetic neuropathy often presents as tingling, loss of sensation, pain and numbness in the legs, feet, arms and hands. This loss of sensation can preclude sensation of injury, leading to development of wounds or ulcerations. When not adequately treated, the risks of infection and ultimately amputation are high.

Diabetic neuropathy has been considered an irreversible disorder with traditional treatments focused on preventing the progression of the condition; or reducing the pain symptoms with drugs or specialized footwear. However, treatment with nerve decompression surgery to address the symptoms of diabetic peripheral neuropathy now have an established clinical track record. Many clinical studies have been published reporting the value of nerve decompression surgery in the treatment of peripheral diabetic neuropathy.

Goals of the surgery are to restore sensation to the hands or feet, reduce or eliminate pain and to regain strength. If sensation is restored to the feet, the risk of having an ulceration or infection leading to an amputation is nearly eliminated. Many patients are able to discontinue their medications relating to neuropathy after this procedure.

If you suffer from diabetic neuropathy, physicians from Neuropax Clinic can determine whether surgery might be appropriate for you. A comprehensive evaluation will be performed to determine whether you have compressed nerves that may respond to surgery. We have already helped many patients regain sensation and get relief from pain with this surgical approach. To schedule an appointment, visit www.neuropaxclinic.com and call 314-434-7784 for more information.

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You Need to See How Peripheral Nerve Issues Lead to Migraines

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Migraines that are caused by peripheral nerves can be treated with peripheral nerve surgery. The surgery involves freeing the nerve from the surrounding tissue to relieve the irritation. This can alleviate, reduce, or even end the pain of migraines once and for all. Peripheral nerve problems leading to migraines are a problem that can be solved.

What causes this pain? Just like with any peripheral nerve issue, there can be multiple causes. Some people are born with a proclivity toward migraines through physiology or build, and they develop them naturally.

Another is lifestyle. It is no coincidence that migraines have increased as we have become more dependent on screens and phones, items that cause our bodies to contort to strange shapes to utilize properly.

Looking down at a screen all day can cause an impingement of the occipital nerve in the neck that can lead to migraines and pain. All it takes is a bit of pressure on the occipital nerve and you can be debilitated for hours.

Migraines are a real health problem. They can lead to job loss and loss of quality of life, as they can cause sufferers intense pain and remove their ability to concentrate or work.

It can make you irritable or short-tempered, with the need to get away and lie in a dark room more important than spending time with your family. Migraines have a cascading effect on the rest of your life, but they can be fixed.

Repairing a damaged or impinged peripheral nerve can be a lifechanging experience and lead to a better life, and can also be often held as an outpatient surgery with a short recovery time.

If you suffer from migraines, call the offices of Dr. Robert Hagan at Neuropax Clinic. You can reach them at 314-434-7784 or visit www.neuropaxclinic.com to make an appointment. Don’t live with migraines any linger than you have to.

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Migraine Surgery Can Help With Migraine Problems

Migraine Surgery Can Help With Migraine Problems

Migraines are a scourge. They can ruin your entire life if untreated. A migraine can leave you lying in a dark room or home early from work. Nerve compression surgery for migraines can help.

There are 180 different defined types of headaches. Headaches are common in the US, with a variety of different causes. Chronic, daily or even continual headaches can be from migraines. There are over 30 million people believed to be suffering from migraines today. While some can be treated with medication and therapy, some require surgery.

13% or more of migraines are thought to be related to occipital neuralgia. When the Greater occipital nerve is impinged, with tissue causing pressure on the nerve, the symptoms begin. If they remain untreated, it leads to migraine headaches.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you feel that you may be suffering from migraines, please call the office at Neuropax Clinic at 314-434-7784 to make an appointment. Don’t live in pain another day if you don’t have to. Visit www.neuropaxclinic.com for more information.

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In St. Louis Do You Have Carpal Tunnel Syndrome

Do You Have Carpal Tunnel Syndrome in St. Louis

Carpal Tunnel Syndrome is caused by repeated and frequent pressure on the median nerve. This is the nerve that gives feeling and movement to the different part of the hand, and it’s located in the wrist. Carpal Tunnel is common in people that work primarily with their hands, fingers and wrists with repetitive actions. Carpal Tunnel Syndrome warning signs are there to be found.

If we watch for these early signs, we can keep on top of it. A really early sign is tingling or numbness in the palm, thumb, middle, ring and index fingers. If you start to notice these, you may have inflammation in the tissues of the wrist pressing on the median nerve. This causes the increased pain and numbness in the palm and fingers.

Also watch for fine finger coordination issues. If you find yourself dropping or carrying things awkwardly, you may have carpal tunnel syndrome. You can also watch for weakened hand grip.

Severe cases will give you a stiffening, locking or tightening of the hand, wrist, forearm and elbow. This can be so bad that it’s difficult to sleep or concentrate.

Keep track of loss of strength or even muscle atrophy in the palm and fingers, noticeably in the thumb. If you suddenly can’t open a pickle jar, you could be experiencing the extreme signs of Carpal Tunnel Syndrome.

If you feel that you may be suffering from Carpal Tunnel Syndrome, please call the office at Neuropax Clinic at 314-434-7784 to make an appointment. Don’t live in pain another day if you don’t have to. Visit www.neuropaxclinic.com for more information.

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Getting Migraine Surgery in St. Louis

headache medium

If you get severe headaches often, you may be suffering from migraines. Migraines are headaches with throbbing pain, usually described as worse on one side of your head or the other. Often debilitating, the migraine can stop you from fulfilling your daily activities and responsibilities. They can also last anywhere from hours to days. Migraine sufferers are as high as 1 in 10 in America, and 1 in 6 women. It’s also often misdiagnosed as a tension or sinus headache, and as such, mistreated.

The difference between sinus and tension, and migraine headaches is that migraines can be SO severe that they send people to the emergency room. The throbbing, consistent pain can be moderate to severe, and will make everyday tasks very difficult.

If you suffer from intense migraines often, peripheral nerve surgery may be a way to help you find relief. Many migraines are caused by nerve impingement in the neck. This is similar to the commonly treated carpal tunnel syndrome, where the nerve is pinched, causing pain in the wrist.

Peripheral nerve surgery for migraines is a similar process.

The surgery relieves the pressure on the nerve by removing the offending tissue from the area, allowing normal nerve function and relieving the headache symptoms.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

So call us today at 314-434-7784 to make an appointment to talk to Dr. Robert Hagan at Neuropax Clinic, and learn more about peripheral nerve surgery and migraine relief at www.neuropaxclinic.com now. Don’t live with a migraine if you don’t have to.

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Get Migraine Surgery in St Charles at Neuropax Clinic

Get Migraine Surgery in St Charles at Neuropax Clinic

Migraine headaches, real, chronic migraines, can ruin your life. That’s not hyperbole, it’s the truth. When you get migraines regularly, you know that they can cause you to miss work, school, or social events. You can end up curled up in bed for the day, in excruciating pain. Migraine headaches are a scourge on those that suffer from them. But what if there was a way to relieve these nightmares?

Nerve compression surgery can help. It is estimated that up to 13 % (likely even higher) of all chronic headaches are related to occipital nerve neuralgia. Neuralgia is a general term for pain or irritation along the course of a nerve. We are addressing the irritation caused by nerve compression in this situation. Surgery by Dr. Robert Hagan of the Neuropax Clinic can help relieve the symptoms and causes of severe headaches, allowing the recipient to suffer far reduced migraines, or possibly end the headaches altogether.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you have persistent signs and symptoms suggestive of migraine pain, especially if they interfere with your normal activities and sleep patterns, see your doctor. If you leave the condition untreated, they'll only get worse.  For more information or to make an appointment with Neuropax Clinic, call us at 314-434-7784 or visit www.neuropaxclinic.com today to learn more.  Don't live with Migraine Pain any longer than you have to.

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Warning Signs of Carpal Tunnel Syndrome

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Carpal Tunnel Syndrome is caused by repeated and frequent pressure on the median nerve. This is the nerve that gives feeling and movement to the different part of the hand, and it’s located in the wrist. Carpal Tunnel is common in people that work primarily with their hands, fingers and wrists with repetitive actions. Carpal Tunnel Syndrome warning signs are there to be found.

If we watch for these early signs, we can keep on top of it. A really early sign is tingling or numbness in the palm, thumb, middle, ring and index fingers. If you start to notice these, you may have inflammation in the tissues of the wrist pressing on the median nerve. This causes the increased pain and numbness in the palm and fingers.

Also watch for fine finger coordination issues. If you find yourself dropping or carrying things awkwardly, you may have carpal tunnel syndrome. You can also watch for weakened hand grip.

Severe cases will give you a stiffening, locking or tightening of the hand, wrist, forearm and elbow. This can be so bad that it’s difficult to sleep or concentrate.

Keep track of loss of strength or even muscle atrophy in the palm and fingers, noticeably in the thumb. If you suddenly can’t open a pickle jar, you could be experiencing the extreme signs of Carpal Tunnel Syndrome.

If you feel that you may be suffering from Carpal Tunnel Syndrome, please call the office at Neuropax Clinic at 314-434-7784 to make an appointment. Don’t live in pain another day if you don’t have to. Visit www.neuropaxclinic.com for more information.

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Ease Diabetic Neuropathy in St Louis

Ease Diabetic Neuropathy in St Louis

Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include:

  • Numbness or reduced ability to feel pain or temperature changes
  • A tingling or burning sensation
  • Sharp pains or cramps
  • Increased sensitivity to touch — for some people, even the weight of a bed sheet can be agonizing
  • Muscle weakness
  • Loss of reflexes, especially in the ankle
  • Loss of balance and coordination
  • Serious foot problems, such as ulcers, infections, deformities, and bone and joint pain

Seek medical care if you notice:

  • A cut or sore on your foot that doesn't seem to be healing, is infected or is getting worse
  • Burning, tingling, weakness or pain in your hands or feet that interferes with your daily routine or your sleep
  • Dizziness
  • Changes in your digestion, urination or sexual function

Diabetic neuropathy can cause a number of serious complications, including:

  • Loss of a limb. Because nerve damage can cause a lack of feeling in your feet, cuts and sores may go unnoticed and eventually become severely infected or ulcerated — a condition in which the skin and soft tissues break down. The risk of infection is high because diabetes reduces blood flow to your feet. Infections that spread to the bone and cause tissue death (gangrene) may be impossible to treat and require amputation of a toe, foot or even the lower leg.
  • Charcot joint. This occurs when a joint, usually in the foot, deteriorates because of nerve damage. Charcot joint is marked by loss of sensation, as well as swelling, instability and sometimes deformity in the joint itself. Early treatment can promote healing and prevent further damage.
  • Urinary tract infections and urinary incontinence. Damage to the nerves that control your bladder can prevent it from emptying completely. This allows bacteria to multiply in your bladder and kidneys, leading to urinary tract infections. Nerve damage can also affect your ability to feel when you need to urinate or to control the muscles that release urine.
  • Hypoglycemia unawareness. Normally, when your blood sugar drops too low — below 70 milligrams per deciliter (mg/dL), or 3.9 millimoles per liter (mmol/L) — you develop symptoms such as shakiness, sweating and a fast heartbeat. Autonomic neuropathy can interfere with your ability to notice these symptoms.
  • Low blood pressure. Damage to the nerves that control circulation can affect your body's ability to adjust blood pressure. This can cause a sharp drop in pressure when you stand after sitting (orthostatic hypotension), which may lead to dizziness and fainting.
  • Digestive problems. Nerve damage in the digestive system can cause constipation or diarrhea — or alternating bouts of constipation and diarrhea — as well as nausea, vomiting, bloating and loss of appetite. It can also cause gastroparesis, a condition in which the stomach empties too slowly or not at all. This can interfere with digestion and cause nausea, vomiting and bloating, and severely affect blood sugar levels and nutrition.
  • Sexual dysfunction. Autonomic neuropathy often damages the nerves that affect the sex organs, leading to erectile dysfunction in men and problems with lubrication and arousal in women.
  • Increased or decreased sweating. When the sweat glands don't function normally, your body isn't able to regulate its temperature properly. A reduced or complete lack of perspiration (anhidrosis) can be life-threatening. Autonomic neuropathy may also cause excessive sweating, particularly at night or while eating.

Diabetic neuropathy has been considered an irreversible disorder with traditional treatments focused on preventing the progression of the condition; or reducing the pain symptoms with drugs or specialized footwear.  However, treatment with nerve decompression surgery to address the symptoms of diabetic peripheral neuropathy now have an established clinical track record.  Many clinical studies have been published reporting the value of nerve decompression surgery in the treatment of peripheral diabetic neuropathy.

Goals of the surgery are to restore sensation to the hands or feet, reduce or eliminate pain and to regain strength. If sensation is restored to the feet, the risk of having an ulceration or infection leading to an amputation is nearly eliminated.  Many patients are able to discontinue their medications relating to neuropathy after this procedure. 

If you suffer from diabetic neuropathy, physicians from Neuropax Clinic can determine whether surgery might be appropriate for you. A comprehensive evaluation will be performed to determine whether you have compressed nerves that may respond to surgery. We have already helped many patients regain sensation and get relief from pain with this surgical approach.

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Migraine Surgery Available in St. Louis

Migraine Surgery Available in St. Louis

Migraine headaches, real, chronic migraines, can ruin your life. That’s not hyperbole, it’s the truth. When you get migraines regularly, you know that they can cause you to miss work, school, or social events. You can end up curled up in bed for the day, in excruciating pain. Migraine headaches are a scourge on those that suffer from them. But what if there was a way to relieve these nightmares?

Nerve compression surgery can help. It is estimated that up to 13 % (likely even higher) of all chronic headaches are related to occipital nerve neuralgia. Neuralgia is a general term for pain or irritation along the course of a nerve. We are addressing the irritation caused by nerve compression in this situation. Surgery by Dr. Robert Hagan of the Neuropax Clinic can help relieve the symptoms and causes of severe headaches, allowing the recipient to suffer far reduced migraines, or possibly end the headaches altogether.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you have persistent signs and symptoms suggestive of migraine pain, especially if they interfere with your normal activities and sleep patterns, see your doctor. If you leave the condition untreated, they'll only get worse.  For more information or to make an appointment with Neuropax Clinic, call us at 314-434-7784 or visit www.neuropaxclinic.com today to learn more.  Don't live with Migraine Pain any longer than you have to.

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Elbow Pain? Could Be Cubital Tunnel Syndrome

Elbow Pain? Could Be Cubital Tunnel Syndrome

Cubital Tunnel Syndrome

What is Cubital Tunnel Syndrome?

Cubital tunnel syndrome is a condition brought on by increased pressure on the ulnar nerve at the elbow. There is a bump of bone on the inner portion of the elbow (medial epicondyle) under which the ulnar nerve passes. This site is commonly called the “funny bone” (see Figure 1). At this site, the ulnar nerve lies directly next to the bone and is susceptible to pressure. When the pressure on the nerve becomes great enough to disturb the way the nerve works, then numbness, tingling, and pain may be felt in the elbow, forearm, hand, and/or fingers.

What causes Cubital Tunnel Syndrome?

Pressure on the ulnar nerve at the elbow can develop in several ways. The nerve is positioned right next to the bone and has very little padding over it, so pressure on this can put pressure on the nerve. For example, if you lean your arm against a table on the inner part of the elbow, your arm may fall asleep and be painful from sustained pressure on the ulnar nerve. If this occurs repetitively, the numbness and pain may be more persistent. In some patients, the ulnar nerve at the elbow clicks back and forth over the bony bump (medial epicondyle) as the elbow is bent and straightened. If this occurs repetitively, the nerve may be significantly irritated.

Additionally, pressure on the ulnar nerve can occur from holding the elbow in a bent position for a long time, which stretches the nerve across the medial epicondyle. Such sustained bending of the elbow may tend to occur during sleep. Sometimes the connective tissue over the nerve becomes thicker, or there may be variations of the muscle structure over the nerve at the elbow that cause pressure on the nerve. Cubital tunnel syndrome occurs when the pressure on the nerve is significant enough, and sustained enough, to disturb the way the ulnar nerve works.

Signs and symptoms of Cubital Tunnel Syndrome
Cubital tunnel syndrome symptoms usually include pain, numbness, and/or tingling. The numbness or tingling most often occurs in the ring and little fingers. The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, or with repetitive elbow bending and straightening. Often symptoms will be felt when the elbow is held in a bent position for a period of time, such as when holding the phone, or while sleeping. Some patients may notice weakness while pinching, occasional clumsiness, and/or a tendency to drop things. In severe cases, sensation may be lost and the muscles in the hand may lose bulk and strength.

Diagnosis of Cubital Tunnel Syndrome
Your physician will assess the pattern and distribution of your symptoms, and examine for muscle weakness, irritability of the nerve to tapping and/or bending of the elbow, and changes in sensation. Other medical conditions may need to be evaluated such as thyroid disease or diabetes. A test called electromyography (EMG) and/or nerve conduction study (NCS) may be done to confirm the diagnosis of cubital tunnel syndrome and stage its severity. This test also checks for other possible nerve problems, such as a pinched nerve in the neck, which may cause similar symptoms.

Treatment of Cubital Tunnel Syndrome
Symptoms may sometimes be relieved without surgery, particularly if the EMG/NCS testing shows that the pressure on the nerve is minimal. Changing the patterns of elbow use may significantly reduce the pressure on the nerve. Avoiding putting your elbow on hard surfaces may help, or wearing an elbow pad over the ulnar nerve and “funny bone” may help. Keeping the elbow straight at night with a splint also may help. A session with a therapist to learn ways to avoid pressure on the nerve may be needed.

When symptoms are severe or do not improve, surgery may be needed to relieve the pressure on the nerve. Many surgeons will recommend shifting the nerve to the front of the elbow, which relieves pressure and tension on the nerve. The nerve may be placed under a layer of fat, under the muscle, or within the muscle. Some surgeons may recommend trimming the bony bump (medial epicondyle). Following surgery, the recovery will depend on the type of surgery that was performed. Restrictions on lifting and/or elbow movement may be recommended. Therapy may be necessary. The numbness and tingling may improve quickly or slowly, and it may take several months for the strength in the hand and wrist to improve. Cubital tunnel symptoms may not completely resolve after surgery, especially in severe cases.

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If You Have Wrist Pain, It May Be Carpal Tunnel Syndrome

If You Have Wrist Pain It Could Be Carpal Tunnel Syndrome

Carpal Tunnel Release Surgery, or Carpal Tunnel Surgery, is a procedure designed to release the pressure or impingement on the median nerve, relieving the symptoms of carpal tunnel syndrome. This syndrome is expressed by pain and numbness in the hand and wrist, and is often caused by repetitive stress and holding the hand/wrist in an awkward position. People who type often, use a hammer, or work in a factory setting are all candidates for this syndrome.

During the surgery, an incision on the base of the hand is made, letting us examine the transverse carpal ligament. We are then able to clean up the area, suture the wound, and you are usually released that day. Carpal tunnel surgery is not typically an overnight hospital stay and is usually done under local anesthesia. It’s a one-day procedure and you should sleep in your own bed that night.

After the procedure, you need to keep the hand wrapped for 10-14 days, until the stitches are removed. The pain and numbness may go away right away, or may linger for a few months. You really should take it easy with the wrist for at least 3 months. If it’s your dominant hand, you want to give it a little longer to rest before returning to work. Non-dominant hand surgery patients can usually return to non-physical labor in a day or two, but if it’s your dominant hand or you have a very physical job, you may need physical therapy and more rest than that.

The surgery is generally recommended after nonsurgical treatment has failed. Braces and anti-inflammatory medicines can help the situation, along with rest, but surgery is the last step. This also assumes that there is no nerve damage. Nerve damage patients should have surgery more quickly to avoid the situation becoming worse.

If you feel that you are suffering from carpal tunnel syndrome and you are ready to do something about it, Neuropax Clinic and Dr. Robert Hagan are ready to help. If you suffer from numbness or pain in your wrist or hand, call us at 314-434-7784 to schedule an appointment or visit www.neuropaxclinic.com for more information. Don’t live with wrist pain any longer than you have to.

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Migraine Surgery Can Cure Your Headaches

Migraine Surgery Can Cure Your Headaches

Migraines are a scourge. They can ruin your entire life if untreated. A migraine can leave you lying in a dark room or home early from work. Nerve compression surgery for migraines can help.

There are 180 different defined types of headaches. Headaches are common in the US, with a variety of different causes. Chronic, daily or even continual headaches can be from migraines. There are over 30 million people believed to be suffering from migraines today. While some can be treated with medication and therapy, some require surgery.

13% or more of migraines are thought to be related to occipital neuralgia. When the Greater occipital nerve is impinged, with tissue causing pressure on the nerve, the symptoms begin. If they remain untreated, it leads to migraine headaches.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you feel that you may be suffering from migraines, please call the office at Neuropax Clinic at 314-434-7784 to make an appointment. Don’t live in pain another day if you don’t have to. Visit www.neuropaxclinic.com for more information.

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Do You Need Migraine Surgery?

Do You Need Migraine Surgery

If you get severe headaches often, you may be suffering from migraines. Migraines are headaches with throbbing pain, usually described as worse on one side of your head or the other. Often debilitating, the migraine can stop you from fulfilling your daily activities and responsibilities. They can also last anywhere from hours to days. Migraine sufferers are as high as 1 in 10 in America, and 1 in 6 women. It’s also often misdiagnosed as a tension or sinus headache, and as such, mistreated.

The difference between sinus and tension, and migraine headaches is that migraines can be SO severe that they send people to the emergency room. The throbbing, consistent pain can be moderate to severe, and will make everyday tasks very difficult.

If you suffer from intense migraines often, peripheral nerve surgery may be a way to help you find relief. Many migraines are caused by nerve impingement in the neck. This is similar to the commonly treated carpal tunnel syndrome, where the nerve is pinched, causing pain in the wrist.

Peripheral nerve surgery for migraines is a similar process.

The surgery relieves the pressure on the nerve by removing the offending tissue from the area, allowing normal nerve function and relieving the headache symptoms.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

So call us today at 314-434-7784 to make an appointment to talk to Dr. Robert Hagan at Neuropax Clinic, and learn more about peripheral nerve surgery and migraine relief at www.neuropaxclinic.com now. Don’t live with a migraine if you don’t have to.

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Are Migraines Ruining Your Life?

Are Migraines Ruining Your Life

They probably are if you’re reading this.

Right now, there are 180 different kinds of headaches defined. Almost everyone gets headaches from time to time. If they are chronic, daily or even continual, you may be suffering from migraines. There are at least 30 million US citizens currently suffering from some kind of chronic migraines. Some of these are responsive to medicine, and some are debilitating and med resistant.

At least 13% of migraines are believed to be caused by occipital neuralgia. This is a symptom where the Greater occipital nerve is impinged, with tissue causing pressure on the nerve. If untreated, it leads to migraine headaches.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you feel that you may be suffering from migraines, please call the office at Neuropax Clinic at 314-434-7784 to make an appointment. Don’t live in pain another day if you don’t have to. Visit www.neuropaxclinic.com for more information.

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Relieve Hand and Wrist Pain From Carpal Tunnel

Carpal Tunnel Surgery St Louis

Carpal Tunnel Release Surgery, or Carpal Tunnel Surgery, is a procedure designed to release the pressure or impingement on the median nerve, relieving the symptoms of carpal tunnel syndrome. This syndrome is expressed by pain and numbness in the hand and wrist, and is often caused by repetitive stress and holding the hand/wrist in an awkward position. People who type often, use a hammer, or work in a factory setting are all candidates for this syndrome.

During the surgery, an incision on the base of the hand is made, letting us examine the transverse carpal ligament. We are then able to clean up the area, suture the wound, and you are usually released that day. Carpal tunnel surgery is not typically an overnight hospital stay and is usually done under local anesthesia. It’s a one-day procedure and you should sleep in your own bed that night.

After the procedure, you need to keep the hand wrapped for 10-14 days, until the stitches are removed. The pain and numbness may go away right away, or may linger for a few months. You really should take it easy with the wrist for at least 3 months. If it’s your dominant hand, you want to give it a little longer to rest before returning to work. Non-dominant hand surgery patients can usually return to non-physical labor in a day or two, but if it’s your dominant hand or you have a very physical job, you may need physical therapy and more rest than that.

The surgery is generally recommended after nonsurgical treatment has failed. Braces and anti-inflammatory medicines can help the situation, along with rest, but surgery is the last step. This also assumes that there is no nerve damage. Nerve damage patients should have surgery more quickly to avoid the situation becoming worse.

If you feel that you are suffering from carpal tunnel syndrome and you are ready to do something about it, Neuropax Clinic and Dr. Robert Hagan are ready to help. If you suffer from numbness or pain in your wrist or hand, call us at 314-434-7784 to schedule an appointment or visit www.neuropaxclinic.com for more information. Don’t live with wrist pain any longer than you have to.

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Why Migraine Surgery Can Help

Migraine Surgery St Louis

Migraine headaches, real, chronic migraines, can ruin your life. That’s not hyperbole, it’s the truth. When you get migraines regularly, you know that they can cause you to miss work, school, or social events. You can end up curled up in bed for the day, in excruciating pain. Migraine headaches are a scourge on those that suffer from them. But what if there was a way to relieve these nightmares?

Nerve compression surgery can help. It is estimated that up to 13 % (likely even higher) of all chronic headaches are related to occipital nerve neuralgia. Neuralgia is a general term for pain or irritation along the course of a nerve. We are addressing the irritation caused by nerve compression in this situation. Surgery by Dr. Robert Hagan of the Neuropax Clinic can help relieve the symptoms and causes of severe headaches, allowing the recipient to suffer far reduced migraines, or possibly end the headaches altogether.

Although the Greater occipital nerve is the most common nerve involved, other nerves can be involved as well. The lesser occipital nerve and dorsal (or least) occipital nerve which are located in the back of the head/scalp. Headaches may originate from the forehead or frontal region as well. The nerves involved in this area include the supra-orbital and zygomatico-temporal nerves.

When no other underlying diseases or conditions are found, you may be a candidate for a nerve decompression surgery that can reduce or end your migraine headaches.  This is an outpatient surgery with short recovery times. Results are often immediately evident but may take several weeks. Neuropax surgeons can assess if nerve decompression surgery would help to alleviate or significantly reduce your debilitating symptoms.

If you have persistent signs and symptoms suggestive of migraine pain, especially if they interfere with your normal activities and sleep patterns, see your doctor. If you leave the condition untreated, they'll only get worse.  For more information or to make an appointment with Neuropax Clinic, call us at 314-434-7784 or visit www.neuropaxclinic.com today to learn more.  Don't live with Migraine Pain any longer than you have to.

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