This is a common concern for many patients taking pain medications. Yes, there is a difference between addiction and physical dependence.There are several terms that are important to understand related to takin... continue reading  about  I've been taking vicodin for a number of years because of chronic back pain. My concern is that I've become dependent on them. Is there a difference between physical dependence and addiction?

Acute pain is a pain that has a limited time frame. It usually, though not always, starts suddenly, has an identifiable cause, can be treated, and once treated, the pain subsides. In that sense, since the cause... continue reading  about  What is the difference between acute and chronic pain?

Like all nerves, the sciatic nerve originates from the spinal cord and is made up of a bundle of those nerves. It travels within the pelvis, and exits the pelvis to the back of the thigh deep into the buttock. ... continue reading  about  Where exactly is the sciatic nerve? I've had a pain under my right buttocks that runs down the back of my leg to about the knee and hasn't gotten any better in over three weeks. Am I on the right track in suspecting sciatica?

There is no real difference between a herniated disc and a bulging disc. The discs are the cushions which allow motion between the vertebrae in your spine. As time goes on, or from an injury, the discs can weak... continue reading  about  What is the difference between a bulging disk and a herniated disk?

Spinal decompression is essentially a surgery to remove pressure on the spinal cord or nerves within the spinal canal. Depending on the location and severity of the problem, the surgery involves removing parts ... continue reading  about  Could you explain a surgery named spinal decompression, and describe the risks?

Often injuries to the rotator cuff muscles in the shoulder will refer pain to the upper arm, or even down the arm. If your shoulder and upper arm pain is aggravated by lifting, reaching overhead, and sleeping, ... continue reading  about  My left arm at the shoulder hurts all the time (including lifting things and even when I'm sleeping and turn on that side). I don't recall hurting it in any way. It started hurting several months ago. What could it be and how can I make it stop?

Lower back fusion surgery is an option for severe back pain, typically due to advanced arthritis and/or spine instability, that has not responded to non-operative methods. These non-operative methods include th... continue reading  about  What are the risks and benefits of lower back fusion surgery? What would you recommend a person try before surgery?

Degenerative disc disease is part of the 'wear and tear' of the spine that occurs with age and use. Back pain is very common and best managed with the appropriate medications, exercises to keep your trunk/core ... continue reading  about  I'm in my 50s and was recently diagnosed with degenerative disc disease in my back. Will the pain get worse as I get older? And is there anything I can do for the pain besides pain medication? Also does this condition ever require surgery?

Vitamin D can help with certain types of chronic pain, especially muscle and joint pains. However, before you start taking vitamin D supplements, it is important that you have your vitamin D level checked to se... continue reading  about  I have been dealing with chronic pain from a back injury for a number of years. I read recently that vitamin D can help reduce pain. Is this true, and if so should I start taking a supplement?