Question 1

What causes joint pain?

Accepted Answer

Your joints make it possible for you to move. If you damage the bones, ligaments, or muscles that make up a joint or develop a degenerative joint disease, it can lead to chronic joint pain.
 
While you can develop pain in any of your joints, the most common joints affected by pain are your hips, shoulders, knees, and spine.
 
The most common causes of joint pain include:
 • Lupus
 • Arthritis
 • Bursitis
 • Infections
 • Fibromyalgia
You can also experience joint pain due to an injury from a fall, auto accident, or other events.

Question 2

How is joint pain diagnosed?

Accepted Answer

To diagnose the underlying cause of your joint pain, Dr. Upadhyay takes time to review your medical history and lifestyle. During a physical exam, he tests your joint’s flexibility and range of motion and looks for swelling and tenderness.
 
Imaging tests like X-rays might be needed to evaluate your joint’s structure and confirm the kind of damage that’s causing your pain.
 
Once he confirms the cause of your chronic joint pain, Dr. Upadhyay develops a treatment plan that focuses on relieving your pain and inflammation and improving the function of your joint.

Question 3

How is joint pain treated?

Accepted Answer

As an experienced pain management specialist, Dr. Upadhyay offers several in-office treatments to relieve chronic joint pain when medications are no longer effective.
 
Your treatment can include:
 • Prolotherapy
 • Physical therapy
 • Radiofrequency ablation
 • Image-guided joint injections
Dorsal root ganglion stimulation is another available treatment for chronic joint pain. This involves attaching wires to the dorsal root ganglion, a bundle of nerves in the space around your spinal cord. The wires deliver an electric current into the affected area.
 
Using an external remote, you can control the amount of electrical impulses that travel to the nerve and stop pain signals from traveling to your brain. Dr. Upadhyay uses the Freedom Stimulators™ implantable pulse generator from Stimwave®. It’s the smallest device available for neurostimulation therapies.
 
Dr. Upadhyay also offers stem cell therapy using nonembryonic cells from your bone marrow. Stem cells can change into any type of cell, including muscle cells, bone, and ligaments, that’s needed to heal the area where they’re injected. After the injection, new cells grow to replace damaged ones in your joint.
 
If you’re limited by chronic joint pain, schedule an evaluation by calling the office of Aman Upadhyay, MD, nearest you or by requesting an appointment online today.

Aman Upadhyay, MD

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