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Restorative Pain Management works by not only treating the pain itself but by directing therapy at the cause of your pain. By challenging the traditional wisdom of other pain management therapies, restorative pain management doctors, such as those at Pacific Medical Care center in San Diego, have shown significant reductions in pain and a greater quality of life for pain patients.

Too many pain clinics prescribe pain medications for every pain condition. This can lead to addiction, tolerance and hormonal abnormalities. Restorative pain management is an innovative approach that involves restoring relief and increased function with approaches that only use narcotics as a last resort. Since pain is treated by targeting the root cause, the patients’ risks of unnecessary and potentially dangerous treatments and prescription drug dependency is highly reduced.

Board Certified pain management physicians target the source of your pain and treat it using interventional pain procedures such as trigger point therapy, epidural injections, radiofrequency ablation, occipital blocks or joint injections to name a few. This results in lasting pain relief and an improved quality of life.

If you are looking for pain management doctors or foot doctor services in San Diego, call Pacific Medical Care at 619-333-8114. Pacific Medical Care is a San Diego healthcare center that offers a broad suite of healthcare services, with the goal in mind of providing first rate care to treat the whole patient. Services like internal medicine, urgent care, mobile diagnostics, pain management doctors and foot doctor in San Diego help you live a happy, healthy life.

If you are suffering from chronic pain, you should see a pain management doctor immediately. While your primary care doctor can offer some help in some cases, for advanced types of pain they’ll likely refer you to a pain management doctor. Modern pain medicine uses minimally invasive treatments or interventional treatments to manage chronic pain to give you an improved quality of life.

A pain management doctor is a physician with special training in evaluation, diagnosis, and treatment of all different types of pain. Highly-trained and experienced pain management doctors can diagnose conditions, coordinate treatment, and provide ongoing care for pain patients.

Pain management doctors can treat pain for a wide range of conditions – from acute sports injuries to cancer pain. Pain is considered chronic if it’s lasted for three or more months. The following are conditions that can be treated by pain management doctors.

• Upper and lower back pain
• Neck pain
• Hip pain
• Knee pain
• Fibromyalgia
• Arthritis
• Headaches and migraines
• Sciatica
• Nerve pain
• Complex Regional Pain Syndrome

If you are looking for pain management doctors and mobile doctor services in San Diego, call Pacific Medical Care at 619-333-8114. Pacific Medical Care is a San Diego healthcare center that offers a broad suite of healthcare services, with the goal in mind of providing first rate care to treat the whole patient. Services like internal medicine, urgent care, mobile diagnostics, pain management doctors and mobile doctor services in San Diego help you live a happy, healthy life.

You may have heard about ‘good’ and ‘bad’ cholesterol. But what is it, and how do you know if you have the right amount?

Your body uses cholesterol, a type of fat, to make important compounds like vitamin D and hormones. Hormones control functions like digestion, mood, and reproduction. Many people don’t realize that your liver makes all the cholesterol you need. But you also absorb it from your diet.

Knowing the bad from the good

Cholesterol can’t travel through your blood stream. Instead, your digestive tract packages it into a ‘lipoprotein.’ Think of these as a raft of cholesterol molecules packed together. I carries it to organs in your body. There are two kinds of lipoprotein rafts: low-density and high-density.
Low-density lipoproteins (LDL) and high-density lipoproteins (HDL). Low density, or LDL, is ‘bad’ because it builds up in your blood vessels. If LDL levels are high, the compounds stick together and form ‘plaques’ of gunk that build up in arteries. The most serious risk of plaques is a heart attack. Click here (Note: link to heart disease blog post if desired) to learn about other heart problems caused by plaques in the blood.
High density, or HDL, is ‘good’ because it scavenges the body for LDL and takes it to the liver to be re-used. As a result, having higher level of HDL lowers the amount of LDL in the blood. Which also lowers your risk of heart disease.

How do I know my levels?

If you are over 20 years old, you should get your blood tested once every five years. You will need to fast (not eat any food) for about 12 hours before your appointment. You doctor will draw blood to take four important measurements:

1. LDL (Amount of “bad” cholesterol in your blood)
2. HDL (Amount of “good” cholesterol in your blood)
3. Total cholesterol (Amount of LDL and HDL combined in your blood)
4. Trigclycerides (a type of fat that combines with LDL to form plaques.)

What raises my LDL (“bad”) cholesterol?

• * Low levels of HDL – the “good” cholesterol that removes LDL from the blood
  * Cigarette smoking
  * Family history of heart disease
  * Age – men over 45 years old and women over 55
  * Gender – women are more likely than men to have high LDL levels

How can I improve my numbers?

• * Eat HDL-friendly fooods like olive oil, beans an legumes, high-fiber fruits, and fatty fish
  * Avoid LDL-heavy foods including trans fats, fatty red meats, eggs, and milk products with more then 1% milk fat. Fast food is often heavy in LDL.
  * Increasing exerciese and losing weight. This increases the amount of HDL (good cholesterol) and lower LDL (bad cholesterol)
  * If you smoke, talk to your doctor about ways to quit. Additional resources here.
  * You can’t change your gender, age, or family history of heart disease. But your doctor can prescribe medications that will counter these risks. These include:

– Statins, a drug that prevent the liver from making cholesterol

– Vitamins and supplements that reduce LDL and raise HDL

– Inhibitors can block how much fat is absorbed from your diet.

Remember! It is important to stay on top of your levels to keep your heart healthy and to prevent life-threatening heart attacks and blood clots. If you need help remembering, try this:

LDL – LOWER LEVELS TO LIVE LONG

HDL – HIGHER LEVELS FOR A HAPPY LIFE

There are two common tests for kidney function. These are urinary albumin to creatinine ratio (ACR) and estimated glomerular filtration rate.

How do these tests work? Your kidneys contain millions of tiny filters, or ‘glomeruli.’ Blood passes through them to remove waste and excess water. People with diabetes or pre-diabetes have high blood sugar levels, unless they take medications or change their diet. High blood sugar is toxic to the kidneys. Over time, the glomeruli become damaged, and cannot filer properly.

How doctors measure kidney damage

There are two bio-markers that can show damage has occurred. A ‘bio-marker’ is a molecule that reflect how well the body is functioning.

1. The estimated GFR measures how well your kidneys are working. The bio-marker used in this test is creatinine. This is a compound that glomeruli filter from blood. So, damage to the ‘filters’ will change the amount of creatinine in your blood. A GFR of 60 or higher is normal. A lower GFR is a sign of kidney damage.
2. The ACR bio-marker is a protein called albumin. Blood and protein should not be in urine. If the test finds albumin, it is a sign that glomeruli have become damaged and ‘leaky.’

Why so much focus on diabetes and kidney function? Diabetes is the leading cause of end-stage renal disease in the United States.  End-stage renal disease (ESRD) occurs when kidney damage is so severe that the organs stop working. These patients must go on dialysis or receive a transplant. Identifying who will develop ESRD can save thousands of lives.

Can we predict kidney failure?

ACR and GFR can measure kidney damage that has already occurred. But how can doctors know if a patient with damage will go on to develop kidney failure?

Researchers at the Joslin Diabetes Center discovered that molecule called TNFR 1 is a biomarker for kidney failure in people with diabetes.  The test has a strong prognostic value, meaning it can identify people will develop ESRD. It identified 81% of all study participants who developed ESRD within three years.

This test is not currently available. Researchers hope to develop it in order to identify patients who will develop ESRD before kidneys fail.

But it’s important to remember that these patients developed ESRD within three years. This means that their kidney damage was already very advanced. Diabetic patients should strive to maintain normal blood sugar levels. Even if your kidneys seem to function normally. This includes testing blood sugar daily with a glucometer. It is also importnat to see your doctor regularly to test your HbA1c. HbA1c uses another biomarker in your blood. It is a measure of your average blood sugar levels over time (several months). Even if your blood sugar level is normal at one time in the day, a high HbA1c means that on average, your blood sugar is high.

We may be able to identify patients at risk of kidney failure. But treatment and prevention of kidney damage has not changed: maintain healthy blood sugar levels.

Hypertension (high blood pressure) is called the ‘silent killer’ because it does not cause many symptoms. As a result, most people don’t know that they have high blood pressure.

How do I know if I have high blood pressure?

High blood pressure can occur at any age, even in young children. The only way to know if you have hypertension is to measure your blood pressure using a blood pressure (BP) cuff. A doctor or a nurse can do this for you.

The BP cuff provides two numbers that measure the pressure in your blood vessels. The top number is called “systolic blood pressure,” and bottom number is called “diastolic blood pressure.”

Your doctor will determine if you have hypertension using the following numbers
(Systolic/Diastolic):

• Healthy blood pressure:          120/80 mmHg or lower
• Pre-hypertension:                    121-81 mmHg to 139/89 mmHg
• Hypertension:                          140/90 mmHg or greater

What are the risk factors for high blood pressure?

Risk factors are traits that make you more likely to have an illness compared to other people. The risk factors for hypertension include:

1. Lifestyle

Smoking and alcohol increase blood pressure, while regular physical activity lowers blood pressure.

2. WeightYou are more likely to have high blood pressure if you are overweight or obese. Use your BMI (body mass index) to determine if you are overweight. We discuss how to do this in detail here.
3. Age

Anyone over the age of 60 has a higher risk for hypertension. However, it is beginning to occur at early ages because more young people are overweight.

4. Race or ethnicity

High blood pressure is more common in certain races or ethnicities. People with African American heritage are more likely to have high blood pressure, and it may occur earlier in life. Certain blood pressure medications work better for this group. So be sure to talk to your doctor about the best drugs to control your hypertension.

5. GenderMen are more likely than women to develop high blood pressure before age 55. After age 55, high blood pressure is more common in women.

High blood pressure: What’s the big deal?

Because hypertension causes few symptoms, most people don’t understand why it is dangerous. But over time, high blood pressure causes heart attack and strokes. These are the leading causes of death in the United States. In fact, one in four people will die from heart disease.

Hypertension is deadly because high pressures put strain on your heart and blood vessels. Over time, this damages your organs. Especially your brain, kidneys, and eyes.

Long term effects of hypertension include:

• Stroke (brain damage)
• Artery disease
• Damage to eye sight
• Heart attack
• Kidney failure

By the time these happen, the effects may not be reversible. So it is important that you prevent hypertension before it happens.

How can I treat hypertension?

The best treatment is prevention. This means addressing risk factors before they cause high blood pressure. The most important changes to make are:

1. If you are overweight or obese, losing weight is the best way to prevent heart disease and death
2. Don’t smoke. If you need help to quit smoking, you can find resources here.
3. Get regular physical exercise, including walking and taking the stairs.
4. See your doctor regularly to track your blood pressure, especially if you have risk factors. Besides lifestyle changes, your doctor may prescribe you medications to lower blood pressure.

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