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Mega Health Clinic

Advanced non-surgical nerve-muscle-joint pain treatment: If you qualify for our care, our lead doctor along with our qualified therapists utilize advanced non-surgical treatment approaches that can provide immediate pain relief and restoration of your function.
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Arvin Sepahdoost

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Hip Osteoarthritis Treatment

Functional treatment for Hip Osteoarthritis

March 10, 2023
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Hip Pain

Osteoarthritis is the most common form of arthritis that affects millions of individuals every year. It happens when the cartilage starts wearing down and cause pain, swelling, crepitus, and limited range of motion in the joints that can lead to functional impairments. It is most commonly involving the following joints: hip, knee, hands, back, and neck. The prevalence of developing OA is increasing with the age of individuals.  There are variety of different ways to treat and cope with hip OA that I will discuss them below: Aqua Therapy: This is also known as “hydrotherapy” or “pool therapy” where individuals start doing different range of motion, strengthening, dynamic, and aerobic exercises in a temperature that was set between 32-36 degrees.  Out of the six RCT’s that were...

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TMJ Disorders

February 13, 2023
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Jaw & Facial Pain

Temporomandibular disorder or TMD can cause any type of pain or irritation in the jaw joint and in the muscles that control jaw movement. However, it is usually hard to find out the exact cause of TMJ disorder since it could be a combination of different factors including but not limited to genetics, arthritis, or myofascial. I will talk more about the different causes of TMJ pain below: Myalgia (muscle pain): Patients usually present with pain in the jaw, temple, or in front of the ear. Pain is also modified by jaw movements. In terms of the physical examination, patients usually present with pain localized in the temporalis or masseter muscle. The practitioner will be usually able to reproduce the pain by palpation of the masseter and...

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Spinal Stenosis: Neurogenic Claudication Mechanism

January 20, 2023
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Back pain

The pathogenesis of neurogenic claudication is thought to be caused by ischemia of the cauda equina nerve roots that are involved during exercise1. This is thought to be at the site of anastomosis of two vascular systems that supply blood to the nerve roots which are the vasocorona proximally and the intermediate segmental artery distally. This two systems connect at two-thirds length distal to the spinal cord1. This area is considered to be hypovascularized and easily results in ischemia due to compression. Spinal Stenosis A 1999 study1 looked to see if these ischemic compressions in patients with neurogenic claudication due to lumbar spinal stenosis could cause motor conduction alterations. Motor conduction alterations to the lower limb would affect motor control and therefore walking ability. Thirty patients with...

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Diagnosis and treatment of Biceps Tendinitis

January 6, 2023
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Uncategorized

Biceps tendinitis is the inflammation of the tenosynovial shealth (which is an extension of the shoulder capsule) around the long head of the biceps tendon. This can be caused by degeneration of the tendon due to trauma, overhead activities, swimming, throwing, contact sports, and normal aging process. This condition can be commonly co-exist with people who have rotator cuff tear or SLAP lesions and age between 18-35. Patients usually present with anterior deep, throbbing ache in the shoulder region most likely in the bicipital groove.  Patients may also present with secondary impingement of the biceps tendon which can be caused by scapular dyskinesia. One of the most common presentations of patients with bicipital tendon injuris is having the arm in 10 degrees of internal rotation....

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Femoroacetabular Impingement Syndrome

May 31, 2020
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Hip Pain

This is a relatively common condition in young adults and is considered a risk factor for the development of osteoarthritis of the hip. The purpose of this paper is to review a condition of the hip, femoroacetabular impingement syndrome (FAI). What are the common findings, what do patients present with, and how can it be managed conservatively? Information presented below will be drawn from a 2008 review on the condition1. Femoroacetabular impingement syndrome is a group of symptoms caused by abnormal contact between the femoral head and the acetabulum. This can occur due to abnormal bony configurations of the femoral head which is called a cam deformity, or the acetabulum which is called a pincer deformity. Other pre-existing abnormalities that can result in impingement include acetabular...

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Occipital Neuralgia

May 6, 2020
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Neck pain & Headache

Occipital neuralgia is in many cases associated and confused with Cervicogenic, Tension and Migraine headaches due to the common symptom of occipital pain that all of them exhibit. Occipital neuralgia is a type of headache that can be characterized by throbbing, electric shock pain in the cranial or upper cervical spine. Neuralgia could typically present as spontaneous attack of pain triggered by things such as touching the face, chewing, speaking, and brushing the teeth. Most common cranial neuralgias may occur in periorbital and auricular regions. This can be also triggered by inflammatory or infectious neurologic disease. Occipital neuralgia (ON) is related to a pathology to cervical rather than cranial nerves. The pain character is sharp, shooting pain in the distribution of the occipital nerves. The sensation...

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Cervical Foraminal Stenosis

April 26, 2020
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Neck pain & Headache

What Is It? Foraminal stenosis is when the intervertebral foramina within the spine narrow.  The term "foramen" means hole or opening.  In regard to the spine, it refers to the openings through which spinal nerves and their associated arteries and veins depart from the bony spinal column.  The term “stenosis” refers to an abnormal narrowing within a structure. When the intervertebral foramina become narrowed, this may cause compression on the spinal nerves, arteries and veins. Cervical Degeneration: Degenerative joint disease (DJD) is frequently referred to as osteoarthritis of the neck and is often associated with signs and symptoms of cervical foraminal stenosis. When DJD occurs, there is often joint space narrowing, subchondral sclerosis (hardening of the bones) and osteophyte (bone spur) formation.  The reason DJD can...

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Bicipital Tendinopathy

April 10, 2020
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Shoulder Pain

Biceps tendinitis is the inflammation of the tenosynovial shealth (which is an extension of the shoulder capsule) around the long head of the biceps tendon. This can be caused by degeneration of the tendon due to trauma, overhead activities, swimming, throwing, contact sports, and normal aging process. This condition can be commonly co-exist with people who have rotator cuff tear or SLAP lesions and age between 18-35. Patients usually present with anterior deep, throbbing ache in the shoulder region most likely in the bicipital groove.  Patients may also present with secondary impingement of the biceps tendon which can be caused by scapular dyskinesia. One of the most common presentations of patients with bicipital tendon injuris is having the arm in 10 degrees of internal rotation.Diagnostic...

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Patellofemoral pain syndrome (PFPS)

March 26, 2020
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Knee Pain

Patellofemoral pain syndrome (PFPS) is referred to as ‘Chondromalacia patella’ or ’anterior knee pain syndrome’ or ’patellar dysfunction. PFPS is characterized by retropatellar and peripatellar pain that usually refers to the anterior aspect of the knee. It is more common in adolescents and is caused by an abnormal motion of patella on the underlying trochlear groove with activities such as squatting, running, stair climbing and descending. It is suggested that PFPS can result from overuse due to a muscular imbalance between hamstring, quadriceps, tensor fascia latae (TFL), gluteus medius, vastus medialis and vastus lateralis. PFPS can also be caused by misalignment within the sulculs of the femur leading to oblique lateral tracking, or lateral and medial ligamentous imbalances eventually resulting in excessive lateral pressure in...

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cervicogenic

Cervicogenic headache; mechanism, diagnosis, and treatment

March 24, 2020
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Neck pain & Headache

Headaches are one of the most common ailments among the general population with a prevalence of about 16%. According to epidemiological studies, 5% of adults experience a headache on a daily basis. It has been estimated that headaches alone account for 157 million days of lost work, costing society approximately $50 billion dollars in absenteeism and medical benefits. There are three different headaches including migraine, tension and cervicogenic. Cevicogenic headache is a pain that is referred to as the head from the cervical spine. CGH arises primarily from dysfunction of musculoskeletal system in the upper three cervical segments. The core mechanism of this pain involves convergence between cervical and trigeminal afferents in the trigeminocervical nucleus which descends in the spinal cord to the level of...

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