Tag Archives: Pain Management Murfreesboro

Center for Spine, Joint and Neuromuscular Rehabilitation Welcomes Gabriela Lee, MSN, FNP-C

WeddingGabriela Lee is a board certified Family Nurse Practitioner at Center for Spine, Joint and Neuromuscular Rehabilitation.  Mrs. Lee completed her Bachelor of Science in Nursing as well as her Master of Science in Nursing at Tennessee State University.  As a practicing orthopedic nurse, Mrs. Lee cared for post-surgical orthopedic patients. Mrs. Lee encouraged her patients to stay active following their operation; recognizing this was a key to the patient’s recovery.  At Southern Hills Medical Center, she was responsible for the clinical staff and patient teaching.

Mrs. Lee speaks fluent Spanish and is looking to help integrate this attribute in her patient’s care when needed.  She will also integrate exercise habits, good eating behaviors and intrapersonal well-being in the care she provides. Mrs. Lee believes the patient should be treated as a whole entity.

Check out her New Hire listings here:                                                                                         The Tennessean                                                                                                                   Nashville Business Journal

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation is a comprehensive approach to the treatment of pain.  We offer nonsurgical treatment for the neck, back, shoulders, hands, hips, knees, and feet by Board Certified anesthesiology, physical medicine and rehabilitation and pain medicine physicians. Services include evaluation and treatment of painful conditions including medical management, diagnostic and therapeutic injections, nerve conduction studies, diagnostic imaging, physical and behavioral therapy.

Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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30-Day Plank Challenge

F006/2164Center for Spine, Joint and Neuromuscular Rehabilitation employees will be participating in the 30-Day Plank Challenge starting August 21-September 19. This challenge is to help promote a healthy lifestyle & work environment. We are inviting you to take on this challenge as well! This plank challenge will help strengthen your body and mind. The plank exercise itself targets all the major muscle groups and stabilizers, improves strength, and can prevent injury. Planking is 100 percent excuse free because you don’t need any equipment, machines or a gym, you can do it anywhere, anytime. All you need is a little motivation, direction and structure to reach your goal! Over the next 30 days you will start with a 20 second plank on Day 1 to doing a 5 minute plank on Day 30. You will be amazed by how much stronger you feel! Below is the calendar we will be following.

Always consult your physician before beginning any exercise program. If you experience any pain or difficulty with these exercises, stop and consult your healthcare provider.

Happy Planking!!

Screenshot 2014-08-21 12.10.04

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation is a comprehensive approach to the treatment of pain.  We offer nonsurgical treatment for the neck, back, shoulders, hands, hips, knees, and feet by Board Certified anesthesiology, physical medicine and rehabilitation and pain medicine physicians. Services include evaluation and treatment of painful conditions including medical management, diagnostic and therapeutic injections, nerve conduction studies, diagnostic imaging, physical and behavioral therapy.

Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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Behavioral Weight Management Support & Skills Group

healthyu-logoconcept-D2Join Maggie Harris, LCSW for a five week support & skills group meeting beginning August 6 at 4:30-5:45 P.M.

The meetings will be located at:                                                                                              Summit Medical Center                                                                                                                  5651 Frist Blvd, Suite 712                                                                                                   Hermitage, TN 37076

Throughout the course of the five weeks you will learn:

  • Behavioral skills that will make you more likely to succeed in your efforts to lose weight in a healthy manner
  • Ways to manage stress and emotions that can trigger overeating

In addition you will benefit from the support of others who have similar struggles and goals.

Register Today! Space is limited.

Call Laura H. at (615) 872-9966, Option #5

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Center for Spine, Joint and Neuromuscular Rehabilitation Welcomes Jonathan Costa, PhD, MD

WeddingDr. Costa is board certified in Physical Medicine & Rehabilitation. Dr. Costa received his bachelor degree from Harvard University. He earned a Ph.D. in Anatomy and Cell Biology from the University of Chicago and completed his medical degree with honors from Pritzker Medical School, University of Chicago. Dr. Costa did basic research in cellular physiology, pharmacology and biophysics at the National Institutes of Health. He then completed his residency in physical medicine and rehabilitation at Rush-Presbyterian-St. Luke’s Hospital and Marianjoy Rehabilitation Center. Dr. Costa is board certified by the American Board of Physical Medicine & Rehabilitation.
Dr. Costa has extensive experience in treating a variety of pain conditions and facilitating healing via the use of oral and topical natural substances, conventional medications and novel biophysical and biochemical techniques. Dr. Costa has a specialized focus on closed head injuries, musculoskeletal injuries, and chronic pain of all types. Previously, Dr. Costa was an attending physician and medical director of the Chronic Pain and Brain Injury Programs at HealthSouth Rehabilitation Hospital as well as an attending and consulting physician of the St. Vincent Hospital & Rehabilitation Center and Regional Cancer Center in Erie, Pennsylvania.
In addition to his clinical and teaching responsibilities, he has collaborated on over 100 papers, abstracts and serves as a manuscript reviewer for multiple medical journals. He has received multiple awards for teaching, patient quality of care and on-time performance. He is a member of the American Association for Advancement of Science, American Academy of Physical Medicine & Rehabilitation, and the American Medical Association.

Check out his New Hire listings here:

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation is a comprehensive approach to the treatment of pain.  We offer nonsurgical treatment for the neck, back, shoulders, hands, hips, knees, and feet by Board Certified anesthesiology, physical medicine and rehabilitation and pain medicine physicians. Services include evaluation and treatment of painful conditions including medical management, diagnostic and therapeutic injections, nerve conduction studies, diagnostic imaging, physical and behavioral therapy.

Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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Center for Spine, Joint and Neuromuscular Rehabilitation Welcomes Heather Mangrum, MSN, FNP-C

WeddingHeather Mangrum is a nurse practitioner at Center for Spine, Joint and Neuromuscular Rehabilitation.  Mrs. Mangrum received her undergraduate degree from the University Of Tennessee at Martin. Her background includes experience as a registered nurse in pulmonary, cardiovascular and surgical intensive care. She earned her Masters of Science in Nursing from Tennessee State University in Nashville, TN. As a nurse practitioner, Mrs. Mangrum has a special interest in treating chronic pain with a multidisciplinary approach.  Mrs. Mangrum also has experience in Platelet Rich Plasma (PRP) Therapy for recent and chronic muscular skeletal injuries.

Mrs. Mangrum is a member of the American Academy of Anti-Aging. She loves to work with patients to improve their overall health through diet and healthy lifestyle changes. She has training in hormone replacement, smoking cessation, and weight management.  Mrs. Mangrum believes in giving each patient the time they deserve and educating them on their individualized health concerns. Health education and overall wellbeing is her priority for each patient she encounters.

Check out her New Hire listings here:

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation is a comprehensive approach to the treatment of pain.  We offer nonsurgical treatment for the neck, back, shoulders, hands, hips, knees, and feet by Board Certified anesthesiology, physical medicine and rehabilitation and pain medicine physicians. Services include evaluation and treatment of painful conditions including medical management, diagnostic and therapeutic injections, nerve conduction studies, diagnostic imaging, physical and behavioral therapy.

Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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Neuropathy Awareness Week: May 12-16

hands2Neuropathy Awareness Week is May 12-16. Peripheral neuropathy is caused by damage to the network of nerves that transmits information from your brain to spinal cord known as the central nervous system.  It often causes burning, weakness, numbness and a stabbing or shooting pain, usually located in your hands and feet, but it may also occur in other areas of your body. The causes of peripheral neuropathy can be things such as hormone imbalances, kidney conditions, shingles, vitamin deficiency or autoimmune diseases, but the number one cause of neuropathy is diabetes. According to The Neuropathy Association, there are now 15-18 million Americans with diabetic peripheral neuropathy (DPN). Peripheral neuropathy symptoms can improve with time, especially if it is caused by a treatable condition.

Signs and symptoms may include:

  • Tingling/numbness sensation in toes or fingers
  • Weakness in the arms or legs
  • Sharp, stabbing pains
  • Lack of coordination
  • Digestion problems
  • Sleep disturbance

If you or someone you know notices any unusual weakness, tingling, burning or pain in the hands or feet, contact your health care provider immediately. Early diagnosis and treatment offers the best chance for controlling your symptoms and preventing further damage to your peripheral nerves.

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation is a comprehensive approach to the treatment of pain.  We offer nonsurgical treatment for the neck, back, shoulders, hands, hips, knees, and feet by Board Certified anesthesiology, physical medicine and rehabilitation and pain medicine physicians. Services include evaluation and treatment of painful conditions including medical management, diagnostic and therapeutic injections, nerve conduction studies, diagnostic imaging, physical and behavioral therapy.

Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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SJNMR Takes Platinum in the 2013 Mayor’s Workplace Challenge

Screenshot 2014-04-11 10.00.59Center for Spine, Joint and Neuromuscular Rehabilitation (SJNMR) has been awarded Platinum in the Health category of the Mayor’s Workplace Challenge. Platinum is the highest awarded level for the challenge. The Mayor’s Workplace Challenge is an opportunity for businesses to get recognized for their involvement in helping move Nashville toward a greener, healthier and more involved future. The Mayor’s Workplace Challenge is divided into three categories: Involved, Green and Health.  Center for Spine, Joint and Neuromuscular Rehabilitation placed Gold in Health and Silver in Involved during last year’s challenge. SJNMR strives to promote a more active and healthy environment for their employees in the workplace.

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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Behavioral Weight Loss Skills Part One: Regular Eating & Environmental Control

-By Maggie Harris, LCSW

Doc with Cupcake and appleLosing excess weight can help reduce pain as well as providing other health benefits.  Listed below are some tips that can assist you in your efforts to lose weight in a healthy manner.  These are behavioral rather than nutritional tips, meant to be used in concert with recommendations from your healthcare provider and/or nutritionist about the kinds and amounts of foods to eat.

 

  • Regular Eating

Regular eating enhances control over food and is an effective strategy for weight management.  If you eat regularly, you will have fewer cravings for less healthy food because your body will be getting sustained energy and will not have to try to manipulate your brain into getting a quick fix.

Eat planned meals or snacks every 3 to 4 hours.  Don’t skip meals or snacks, and do your best not to eat in between.  You may find it easier to avoid eating in between when you realize that your next planned meal/snack time is just an hour or two away.  As you begin to eat food more regularly, your desire to overeat diminishes.  When overeating decreases, your overall caloric intake is reduced.  Regular eating leads to more energy, increased metabolism, and decreased cravings for sugar and other less healthy foods.

If you are currently eating more frequently than every 3-4 hours, take steps to stretch out the time between eating snacks or meals to every 3-4 hours.  If you are eating less frequently, work up gradually to eating more frequently every 3-4 hours.

  • Environmental Control

Take a look at the foods in your home.  Are some of them trigger foods with less nutritive value?  If so, it can be very helpful to keep those foods out of your home for the time being to avoid setting yourself up for failure.  This does not mean that you can never have that food but rather that you make conscious choices about planning an occasional special treat.

You may say that you keep certain “junk” foods in the house because your kids or spouse want them.  If it is for the kids, ask yourself if this is really the quality and kind of food you want them to be eating on a daily basis.  If it is for a spouse or roommate, talk to them and ask for their help.  Maybe they would be willing to keep this food elsewhere for the time being.  Or perhaps you can institute a separate shelf for each of you where you keep “your” food.

Another tip to help you do well is to make sure you are stocked with healthy appealing food. If you are working, take your lunch and snacks with you to work.  If you are overly hungry and do not have good food with you, you may be more prone to making less healthy choices.

If there is a particular place you routinely stop when you are driving to get fast food, you may even want to change your route for the time being to help yourself build healthy and successful patterns.

Part two of the series will address the benefits of food logging and how to live through your urge of unhealthy food choices without acting on them.

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966     http://www.sjnmr.com     Fax:  (615) 872-9967

Brentwood – Hermitage – Mount Juliet – Murfreesboro – Nashville

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The Dangers of Sugar

SugarExcessive sugar consumption is not ideal when it comes to living a healthy life. Research has shown that sugar is a primary factor in the development of chronic diseases. The single largest source of calories for Americans comes from sugar, specifically high fructose corn syrup. Sugar is found in all of your soft drinks, fruit juices, sports drinks, and hidden in almost all processed foods. Excess sugar in your diet has been linked to many health problems. Some of those problems can include heart disease, obesity, diabetes, tooth decay, arthritis and even cancer.

According to the American Heart Association (AHA), the maximum amount of added sugars you should eat in a day are:

  • Men: 150 calories per day (37.5 grams or 9 teaspoons).
  • Women: 100 calories per day (25 grams or 6 teaspoons).

In order to lead a healthy lifestyle, it is recommended that you should avoid sugars all together. Try to drink water instead of soda, and don’t add sugar to your coffee or tea. A simple way to stop eating sugar is just avoiding processed foods all together and satisfy your sweet tooth with fruit instead.

Just remember, when it comes to sugar, less is always better. Always consult your physician before beginning a new diet.

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966      http://www.sjnmr.com     Fax:  (615) 872-9967

 

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Poor Sleep Impacts Your Pain

Pain & sleepPain and sleep can go hand and hand. Without sleep, your body isn’t able to heal itself, therefore your pain could become worse. It has been proven that getting better sleep can improve your pain threshold so you will ache less. Getting a full night’s sleep can have other powerful health benefits such as improving your immune system, memory, maintaining a healthy weight, and lowering stress. If you are having trouble sleeping, try out these tips every night before going to sleep:

  • Avoid caffeine after 2pm
  • Take a relaxing hot bath
  • Try some stretching and gentle yoga
  • Dim the bedroom lights before settling into bed
  • Turn off your smartphone and other electronic an hour before

If you are still having trouble sleeping, talk with your healthcare provider.

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966      http://www.sjnmr.com     Fax:  (615) 872-9967

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How to Take Control of Your Pain

By, Wilhemina Boadi, FNP-BC

iStock_000012172323Medium kneeThe experience of pain is subjective to each person. In fact, Webster’s Dictionary defines pain as “acute mental, emotional and/or physical sufferings.” Pain can cause great physical suffering.  It is also important to recognize that the emotional aspect of pain also causes great burden or turmoil. In fact, chronic pain sufferers often tell similar stories of transitioning from active and progressive lives before eventually becoming debilitated by pain.

Once the acute pain becomes chronic, the ability to participate in those seemingly effortless activities can drastically diminish. Though pain can be debilitating, it should not keep an individual from still living their life and engaging in past activities. Though some activities can exacerbate the pain, changing body mechanics and the use of supportive medical equipment can allow people enjoy the activities they love. For example, someone suffering from chronic low back pain should not let the pain stop them from bowling with friends or family. The use of a sturdy back brace and different body postures, such as squatting, may allow them to still engage in this activity.

One of the goals in managing pain is to learn to mentally take control of the pain. Though the pain may control the body, one should not let the pain control their mind. When the pain has control of an individual’s mind, it may prevent them from wanting to remain adventurous, which can bring the onset of sadness and depression. As previously mentioned, chronic pain sufferers should adapt different techniques, which would allow them to modify activities so that they can still be enjoyed. Once an individual has control of the mental and emotional aspect of the pain, they will be able to continue enjoying their life.  Share your story how you have overcome pain and inspire others.

*Always consult your medical provider prior to beginning any new exercise program.

 

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966      http://www.sjnmr.com     Fax:  (615) 872-9967

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Holiday Blues and Surviving Food Issues

christmas bluesHolidays, which are “supposed” to be happy and joyful occasions, can be challenging for many people.  For those who suffer from depression, shorter days and change in weather can trigger increased depression.  In addition, some people who aren’t typically depressed tend to experience seasonal depression during the winter months.

Holidays can be difficult for other reasons.  Grief over losses can arise when we remember past times spent with loved ones.  Expectations regarding gifts, gatherings, etc. can be high.  And for those who struggle with weight and food issues, the array of rich foods available can feel overwhelming.

If depression is an issue, you may be tempted to stay under the covers and isolate.  Remember, though, that the things you least want to do when you are depressed may be the most helpful.  Do your best to get outside at least a little, maintain some physical activity, and connect with others.  Since motivation can be low when you are depressed, please don’t wait for motivation.  Do your best to take small steps and let those small steps be enough.  You may be surprised to find that you feel a little better when you take these steps, as well.

Know that grief is something that commonly arises in the midst of holidays; you are not alone.  I have a bumper sticker which reads, “We are all in this together,” and I truly believe this.  Grief is a universal experience.  Honor and express it, talk about your losses with someone you trust, and tap into your spiritual connection to help yourself integrate the loss.

Monitor expectations of yourself around the holidays and let go of trying to do them “perfectly.”  If you experience pain, this is particularly important.  Pick the rituals and experiences that you value most about the holidays and don’t be afraid to say no to others.  And delegate, delegate, delegate: you don’t have to do it alone even if you used to.  Don’t overextend financially in ways that will add stress to your life.

If you struggle with weight and food issues, do your best not to entirely let go of healthful habits like regular eating (small meals/snacks every 3-4 hours with space in between) and healthful choices and portions.  If you are at a buffet, survey the whole scene before you dish up and then pick the things that you are most drawn to.  And remember, if you eat more than you typically would at a holiday meal, avoid thinking that you have “blown it” and so you might as well give up and continue with this pattern.  A day or two of overeating is not going to make long term changes in your weight if you get back to healthful eating patterns as soon as possible.

 -Maggie Harris, LCSW

About Center for Spine, Joint and Neuromuscular Rehabilitation:

Center for Spine, Joint and Neuromuscular Rehabilitation offers nonsurgical advanced treatment for painful conditions of the neck, back, shoulders, hands, hips, knees, and feet. Phone:  (615) 872-9966      http://www.sjnmr.com     Fax:  (615) 872-9967

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