Advanced Wellness: Herniated Discs

ADVANCEDWELLNESS CLINICIAN SPOTLIGHT TIMOTHY L. JONES, FNP-BC, FAAPM Meet Our Experienced Team Of Experts

Timothy Jones is a graduate of the University of Tennessee, Knoxville with a Master’s of Science Degree in Nursing. Mr. Jones has been awarded University honors by the Sigma Theta Tau International Honor Society and the Professional Nurse Traineeship Award. He has been published in the areas of Fibromyalgia and Allergic Diseases in Advanced Pathophysiology textbooks for Advanced Practice Nurses. Mr.JonesbeganhiscareerasaRegisteredNurse in Intensive Care Units before going into family practice in the rural areas of East Tennessee. He moved into the area of Interventional Pain Management early in his career as a Nurse Practitioner while in EastTennessee. He worked in the San Fernando Valley of Los Angeles,

California in the area of Community Health before moving to the New Jersey to resume his career in Pain Management. Mr. Jones taught Nursing at the University of Tennessee, Knoxville. He has extensive experience in managing acute and chronic pain patients, including performing injections for joint pain, myofascial pain, tendonitis and bursitis. He works closely with physical therapists, chiropractors, acupuncturists and other specialists to optimize outcomes for pain patients. When he is not caring for his patients, Mr. Jones enjoys spending time with his family, playing music – especially guitar, and mountain biking.

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Is That Thigh Pain Really Sciatica? PHYSICAL THERAPY HELPS SCIATICA PAIN

One of the most common mistakes is to assume that all leg pain is sciatica and must be due to a disc in the back pressing on a nerve. In fact, most leg pain is not pain from the nerve in your spine, and has nothing to do with a herniated disc. There is much confusion about the term sciatica. The term sciatica is defined as pain running down the leg in the path of the sciatic nerve. It is best to understand the difference between referred leg pain, which “refers” from another area and nerve root pain which begins in the spine. Irritation of any of the tissues of the back can cause pain down one or both legs. Seventy percent of patients with back pain have some radiating pain to their legs. This referred pain can come from the tissues, muscles, ligaments, joints, discs or other back structures. It is usually a dull ache that spreads into the buttocks and thighs. In addition, it may affect both legs, however, it usually does not go much below the knee. Referred pain is not due to anything pressing on a nerve. It is not sciatica. Irritation of the nerve root in the spine gives a quite different pain, which is sharp and specific to an area of your leg. Nerve root pain usually radiates to the foot or toes. Patients often describe the pain with sensations such as pins and needles or numbness. It usually affects one leg only and is greater than the pain one has in the back. Nerve root pain is much less common than referred leg pain. Furthermore, if you have back pain alone and no leg pain

or nerve symptoms, a nerve root problem is very unlikely. If you do have leg pain, then your legs should be examined by a physical therapist for signs of nerve irritation or nerve compression. Diagnosing nerve irritation depends on tests that stretch or press on an irritated nerve root to cause pain. Our physical therapists at Advanced Wellness perform different tests for nerve irritation. A common test is raising the legstraight in theairand looking for radiatingpainwith limitation. There are many things that can contribute to leg pain. If you’re experiencing pain, weakness, or discomfort, it’s a good idea to schedule a pain evaluation to get to the bottom of the problem. We’ll run a full assessment and pinpoint the problem so we can get to work on creating the solution.

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