Fibromyalgia is a condition associated with widespread chronic pain, fatigue, sleep problems, and is often associated with mood issues as well (feeling anxious or “blue”). It is more common in women than men. Drs. Dave or Suneya can make this diagnosis, then offer appropriate treatment options as well.
Carpal tunnel syndrome causes numbness and tingling in the hands, and occasionally wrist and hand pain also occur. It is associated with performing repetitive tasks (like typing, or working in a factory job). The diagnosis can be made using specialized testing(called a nerve conduction study) done by David Hogarty, DO ( “Dr. Dave”), who can then recommend a variety of conservative (non-surgical) treatment option as well.
Cervical radiculopathy (or a “pinched nerve” in the neck) is damage or disturbance of nerve function that results if one of the nerve roots near the cervical vertebrae (neck bone) is compressed. Patients with this condition usually having burning or aching pain in the arms with associated numbness, and often have neck pain as well. Dr. Dave may order imaging studies (MRI), or do an EMG to help with the diagnosis, and to decide on which treatment would be the best. This condition can often be treated successfully without surgery.
Sciatica is aching or burning pain which runs down one or both legs. It is often associated with a “pinched nerve” in the lower back, but there are other causes as well. Dr. Dave can determine the root cause, and depending on the severity, recommend the best treatment for you.
Diabetic neuropathy is nerve damage due to the complications of diabetes. Symptoms include tingling, numbness, aching and burning pain-- usually in the legs and feet, but occasionally also in the hands . Diagnosis occasionally requires nerve conduction studies (see EMG/NCS section of our website for details), and there are many effective treatment options available.
Migraine is a condition which causes a pounding headache, often with associated nausea, vomiting, and light sensitivity. The headache is often located only on one side, but can affect both. Treatments are aimed at reducing headache severity, and also to reduce their frequency. In most patients, migraines can become manageable with a combination of medications, PT, and occasionally injection therapy (including in rare cases botox—see the botox section of our website for more details.)
Whiplash is characterized by a collection of symptoms that occur following damage to the neck. In whiplash (also called cevical strain), the intervertebral joints (joints between the neck bones) discs, ligaments, cervical muscles, and nerve roots may become damaged. Signs and symptoms of whiplash can be neck pain and stiffness, headaches, pain in the shoulder or between the shoulder blades, low back pain, sleep disturbances, and fatigue. Dr. Dav will often use osteopathic manual treatments (OMT—please see more in OMT section of the website) to successfully treat whiplash, and help the body heal from the injury.
Knee osteoarthritis commonly known as degenerative or “wear and tear” arthritis, is a condition in which the natural cushioning between joints -- cartilage -- wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock-absorbing benefits of cartilage. The rubbing results in, swelling, stiffness, decreased ability to move and, sometimes, the formation of bone spurs. Treatment for knee arthritis can vary from medications, injections (of “cortisone”, Synvisc or PRP—see separate discussions of all these elsewher on our website), braces, and physical therapy. Dr David and Suneya Hogarty can help you can decide which option best fits your needs.
Rotator cuff disorders occur when tissues in the shoulder become irritated or damaged. Rotator cuff disorders include inflammation of the tendons (tendonitis) or of a bursa (bursitis). Symptoms include pain and weakness of shoulder, which can make it difficult to sleep, lift arms up, comb hair and to perform many other daily activities. Treatment options can include: physical therapy, medications, acupuncture, and possibly steroid (“cortisone”) injection. Some patients are also candidates for PRP injections, which help the body heal the damaged tissues. Dr. Dave or Suneya Hogarty can help you decide which treatment is best for you.
Tennis Elbow is a common condition which causes lateral elbow pain. It occurs in athletes, but can occur in anyone who uses their arm repetitively. Treatment can range from taking medications, to PT, to injections. For long-standing cases which have not responded to other treatments, PRP injections can be tried (please see separate section on PRP). Dr. Dave can help you decide which treatment would be best for you.
Plantar Fasciitis (Heel Spurs) causes heel pain on one or both sides. Pain is usually at it worse when patients first get up out of bed, or when standing up after prolonged sitting. It can usually be managed with conservative care which could include medications, PT, or injections (with “cortisone” or PRP).
Low Back Pain This is a very common problem, and can be due to a wide variety of issues in the lumbar spine (lower back). It is important to see a specialist like Dr. Dave when the symptoms have persisted for greater than 3 months, as this could mean that there is something more seriously wrong with the spine. Dr. Dave can order necessary testing, and then put together a conservative treatment program that often includes osteopathic manipulation (OMT—please see separate section) alone or in combination with medications. Acupuncture is also another effective and safe treatment.
Hip Pain There are several common diseases that cause hip pain. Drs Dave and Suneya can discover what the cause of the pain is, and then treat with appropriate conservative care, which could include medications, PT, OMT, or injections.
Rheumatology is a subspecialty of internal medicine that addresses musculoskeletal disorders, connective tissue diseases, and diseases of the joints.
Examples of conditions that rheumatologists manage are:
Some of these conditions can also occur in children. Although Dr. Suneya is an adult Rheumatologist, she is comfortable with evaluating and managing children with juvenile rheumatologic disease. If a pediatric rheumatologist is necessary for further evaluation and care, we will help you be seen by one.