Tag Archives: Pain Management Murfreesboro

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 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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Urge-Delay Skill for Smoking Cessation

By Maggie Harris, LCSW

ID-10044848The urge-delay skill, which is taught in smoking cessation classes, is good for smokers who prefer to cut down their smoking gradually as opposed to quitting cold turkey. Pick a time that you routinely have a cigarette every day.  Often, that is first thing in the morning, right after a meal or when driving. Decide on two or three days in the coming week when you will delay smoking at one of those routine times.  For example, you might decide to choose after breakfast on Monday, Wednesday, and Saturday.  It is a good idea to mark these times on your calendar.

Set a timer for one hour at the time when you would usually smoke.  Then do the best that you can to not smoke for that hour.  It can be helpful for you to get involved in something else that is interesting, pleasurable, or relaxing. It is normal to experience anxiety or stress when you are not smoking at the time you usually would. Remind yourself that it is only for an hour and remember that tolerating anxiety is a very useful life skill for all of us! When the timer goes off after an hour, check in with yourself to see how strong the urge to smoke is in that moment.  If it is not strong, you may decide to delay smoking a little longer.  But you may also go ahead and smoke at that time if you wish.  This is still progress towards cutting down and stopping smoking.

The urge-delay skill will help you break the pattern of believing that you need to smoke every time you have the urge, which is essentially an unconscious automatic reaction.  You are teaching yourself that you don’t necessarily have to smoke in a particular moment, even if the urge is very strong. With practice, you will begin to develop confidence in stretching out the time between smoking episodes.  Once you are comfortable, you may want to set a couple of other times in the week to delay the urge to smoke for an hour.  Before you know it, you will have cut down your smoking or perhaps even stopped!

The Behavioral Health Department at SJNMR as well as your medical providers care about your health and are happy to help you with your efforts to stop smoking in any way that we can.

Call for your appointment today!  615-872-9966, option 5

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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Service Offerings at Center for Spine, Joint and Neuromuscular Rehabilitation

We are excited to share the service offerings that Center for Spine, Joint and Neuromuscular Rehabilitation offers patients. Please share with your friends and family!

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 Kim Gross, PA-C

Kim Gross HighRes Kim Gross is a Board Certified Physician Assistant at Center for Spine, Joint, and Neuromuscular Rehabilitation.  She completed her Undergraduate degree in Exercise Physiology with a Business Management Minor at Eastern Michigan University and then gained valuable experience in cardiac rehabilitation and stress testing at Michigan Heart & Vascular Institute.  Kim then decided to continue her education at the University of Detroit Mercy achieving her Master’s Degree in Physician Assistant studies. She is a member of the American Academy of Physician Assistants, Age Management Medicine Group, and American College of Sports Medicine.

Mrs. Gross has a passion for the physiology of exercise and nutrient metabolism in the human body.  She has spent over 15 years in the fitness industry developing exercise programs and daily nutrition allowances for novice to professional athletes in many areas of sports, including 6 years of competitive bodybuilding where she excelled as a national competitor.  Kim has been featured in a variety of publications including Flex, Muscular Development, and Ironman Magazines, as well as a guest on a few internet talk shows discussing healthy weight loss. Her experience and compassion allows her to empower and motivate others to achieve a healthy lifestyle while accomplishing individual goals such as increasing strength, weight loss or management, and improving endurance.

Mrs. Gross dedicated five years working in family practice with focus on preventive medicine.  She enjoys educating patients on their specific disease process to yield greater understanding and confidence in order to accomplish goals.  Kim values a strong patient provider relationship and she works very hard ensuring her patients feel comfortable and secure, knowing their best interest takes priority.

  • 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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Nashville Business Journal Names Center for Spine, Joint and Neuromuscular Rehabilitation a Finalist For 2014 “Healthiest Employers of Nashville”

Heather and Dr Le holding award Flash Up closeCenter for Spine, Joint and Neuromuscular Rehabilitation (SJNMR) has been named a finalist for Nashville Business Journal’s Healthiest Employers of Nashville award for the third consecutive year. Dr. Son Le and several SJNMR employees attended the awards luncheon hosted by the Nashville Business Journal at the Loews Vanderbilt Hotel on Friday, September 12The event recognized 24 finalists who set the bar high with their ability to encourage healthy lifestyles of their workforce both on and off the clock. Nashville Business Journal utilized Indianapolis-based consultant, Healthiest Employers LLC,  handled the survey, categories, scoring and benchmarking along with the assistance of professionals in the academic, medical, wellness and business communities from across the country.  SJNMR is proud to be recognized for supporting their staff and community in health and wellness goals. Congratulations to all of the winners of the 2014 Healthiest Employers of Nashville Award!

Read more about it here:                                                                                                       Healthiest Employers Award Show Luncheon                                                                 Healthiest Employers Tell Us What’s in Their Work Fridge

Nominees on stage

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 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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