215.741.4410 Two Convenient Locations in: Langhorne, PA

Oxford Valley Pain & Spine Center's Blog

Common Questions About Back Pain

Some Common Questions and Answers about Back Pain


What conditions cause back pain?

4 out of every 5 people will suffer some sort of lower back pain during their life. Almost anything can cause back pain. Some of the more notable causes are:

  • Muscles that become strained because of excess lifting, pushing, pulling or any other reason
  • Injuries due to excess workplace loads, falls or other accidents
  • Herniated/slipped discs
  • Being overweight or even obese
  • Bad posture
  • Pregnancy
  • You’re getting older
  • You’re not in good physical shape.

When should you see our office for back pain management?

  • If you suffer from numbness or tingling
  • If you have an accident of any type
  • If your pain doesn’t get better with rest or a good night’s sleep
  • If you have difficulty in going to the bathroom, feel weak, have a fever
  • If you have weight loss that you can’t explain.

How is back pain diagnosed?

These four tests are the most used tests:

  • X-Rays: Used for medical imaging to diagnose and treat disease.
  • Computerized Tomography (CT) Scan: This is a special type of x-ray that is more detailed than a common X-ray. Doctors can diagnose osteoporosis and other muscle and bone problems. Doctors also use this test to see of there is a blood clot, a tumor, or even an infection. Some diseases such as heart disease or cancer can be viewed. Internal injuries and bleeding can also be viewed with a CT scan. CT scans are helpful if you are having surgery, a biopsy or radiation therapy.
  • Magnetic Resonance Imaging (MRI) Test: This test allows the doctor some ability to see soft tissue, herniated discs and damage to the nerve. If you are claustrophobic, an open MRI (instead of enclosed one) may be an option.
  • Myleogram: This is another type of x-ray procedure. It uses a medical machine called a fluoroscope which takes moving x-rays. A dye or a contrast material will be used. This test is used by your doctor to see if you have inflammation, an infection, a herniated disc, a spinal tumor/lesion or spinal stenosis.

Are there non-surgical treatments for back pain?

Yes. Some of the common non-surgical treatments include anti-inflammatory medicine, pain medication, physical therapy and reducing your physical activity.

What back-pain conditions usually require some type of surgery?

  • Surgery can be useful for these conditions:
  • Disk Degeneration
  • Fractures
  • Herniated Discs
  • Pinched nerves – especially if the pinch is severe
  • Spinal stenosis (a narrowing of the spinal bones), spinal deformity and a compressed spinal cord.
  • Some nerve damage problems – especially if you have radiating pain, acute pain, tingling in the extremities, or a loss of bladder or bowel control.

Are there non-invasive/non-surgical treatments for back pain?

Vertebroplasty may be an option. This procedure can help with stabilize spinal fractures.

Are there steps I can take to help manage my back pain?

Yes. Here are few recommended things you can do.

  • Get regular exercise. That’s why we are trying to have a yoga, pilates or Zumba class.
  • Make sure you stretch before you exercise
  • Don’t sit and don’t stand in one position for too much time.
  • Diet to get your weight under control
  • Use the proper equipment to lift of move heavy objects. Use proper lifting/moving techniques
  • Don’t smoke

Source – Twin Cities Community Hospital


Posted in Back pain | Tagged , , , , , | Leave a comment

Yoga and Pain Management

You may not realize it, but chronic pain caused by injury, arthritis, fibromyalgia or other conditions can be greatly reduced by practicing yoga. Millions of people all over the world have been following the ancient Hindu discipline to promote harmony between mind, body and soul for centuries. Practicing yoga can help increase strength and flexibility, develop muscle tone, and manage weight. Yoga also has multiple spiritual and mental benefits that can alleviate stress to promote overall health.

Here are 4 ways practicing yoga can help with chronic pain management:

  1. Flexibility. By practicing the same stretches over and over, the body is gradually loosened. As overall flexibility is increased, muscles and other soft tissues become more relaxed. In a few weeks’ time, those with back pain and shoulder pain can notice a decrease in pain from everyday activities.
  2. Strength. Yoga strengthens the core, or abdominal muscles. A stronger core provides for a healthier body. Those with chronic back pain who practiced yoga to strengthen their core found that they were less likely to have extreme pain.
  3. Posture. Healthy upright posture also helps with back pain.
  4. Stress Reduction. While going through the motions of yoga, the stress of everyday life seems to slip away. Yoga requires exact concentration on breathing and holding specific poses. Stress causes muscles to contract or spasm, which increases pain sensations. Decreasing stress directly helps to reduce pain levels for many patients suffering from pain associated with illness or injury.

Yoga and Pain Management in Langhorne, PA

For more information on how yoga can relieve pain, or any other pain management techniques and services we provide, contact Oxford Valley Pain and Spine Center today. Drs. Sanjay Madnani, and Anju Madnani look forward to meeting you. We can be reached at our Langhorne office at 215-741-4410.


Posted in Uncategorized | Leave a comment

Managing Chronic Pain

Options for Treating Chronic Pain

It is estimated that currently nearly 100 million Americans suffer from chronic pain. Chronic pain is categorized by pain lasting longer than 6 months result of the presence or absence of injury that continues longer than required for the body’s normal course of healing. Chronic pain can cause a multitude of secondary issues for patients including anxiety, depression, significant weight gain or loss, and medical debt.

Chronic pain can be caused by many problems, or no detectable medical problems. Diagnoses for chronic pain can be a trial and error process between patient and doctor. Just as attempting to find the cause of chronic pain is a trial and error process, treating the chronic pain is just the same. Here is a look into some treatment options available for patients suffering from chronic pain.


Medications are often the first course of action for combating chronic pain. Generally physicians recommend conservative over the counter anti-inflammatory medications. If anti-inflammatory drugs do not produce a result, corticosteroids may be prescribed next. In extreme chronic pain cases, narcotic drugs such as codeine, hydrocodone, morphine and oxycodone. Prescription narcotic drugs are very addictive so many doctors limit prescription length, dose, and try alternative methods for pain relief before resulting to this class of drugs.


Injections are one of the most effective courses of treatment for chronic pain. Different types of injections block nerve receptors that carry pain signals through the body to the brain. If these signals cannot be sent to the brain, then the brain doesn’t recognize that the body is in pain. A drawback of injection therapy is that they are temporary, and can become costly over time. Injections are administered in the affected area, often directly into a nerve. Unfortunately, there is a possibility of injections failing.

Electrical Stimulation

Transcutaneous Electrical Nerve Stimulation or TENS therapy is when a small sticky pad connected to a small battery-powered machine delivers electrical pulses to the area to help stimulate nerves. This treatment does not cause any pain, and for some patients, it is considered relaxing.


If other methods of treatment fail, surgery may be an option for certain patients. This option is used as a last resort, and does not always end pain. Surgery may lessen pain over time.

Multidisciplinary Approach

Most patients benefit from a combination of the above approaches to relieving chronic pain. In addition to the therapies mention above, losing weight, rest, eating a well-balanced diet, and regular low-impact exercise can help assist chronic pain symptoms.

Pain Management in Langhorne, PA

For more information about pain management techniques and services we provide, contact Oxford Valley Pain and Spine Center today. Drs. Sanjay Madnani, and Anju Madnani look forward to meeting you. We can be reached at our Langhorne office at 215-741-4410

Posted in Chronic Pain, Pain relief | Tagged , , , , , | Leave a comment

SOME Q and A on PAIN

Q. What is the difference between acute and chronic pain?
A. Acute pain is brought on by illness, surgery or an injury, and can last a short time. Chronic pain is an ongoing condition, usually in the back or neck. Chronic pain can also be related to illness or the musculoskeletal system.
Q. What can cause chronic pain?
A. Many conditions can lead to chronic pain, including nerve pain, muscle pain, carpal tunnel syndrome, neck pain, back pain and osteoarthritis.
Q. How do I know when to seek help for pain management?
A. When a patient’s pain is not responding to customary treatments within a reasonable amount of time, seek out a pain specialist. Many times people see management as a last resort and tend to just live with the pain.
Q. What treatments are available to manage pain?
A. Aside from anti-inflammatory drugs, pain killers and muscle relaxers; alternative therapies include pain stimulator insertion, shockwave therapy and steroid injections.
Q. Will all my pain be relieved?
A. The degree of pain relief you may experience from interventional pain management is difficult to predict. Most patients report a reduction in their level of pain of 50% to 100%. Our goal is to help our patients achieve the highest level of pain control possible to facilitate a return to a productive satisfying lifestyle.

Posted in Types of Pain | Tagged , , , , , | Leave a comment

Lumbar Epidural Steroid Injections for Sciatica

Lower back and leg pain referred to as “sciatica” can range from a mere nuisance to downright debilitating. Sciatica is a result of another medical condition, such as lumbar spinal stenosis, degenerative disc disease, spondylolisthesis, or pregnancy, that causes inflammation in the sciatic nerve. This inflammation and friction on the sciatic nerve causes pain that may come and go, but can worsen with time. Although maintaining a healthy weight and exercise regimen can help with managing sciatic pain, Lumbar Epidural Steroid Injections (ESI) offer an effective treatment option.

Treatment for sciatica with oral steroids and pain relievers isn’t as beneficial to patients because oral medications are dispersed throughout the entire body, thus less potent in relation to the specific afflicted area. ESI procedures use floroscopy, which is an x-ray machine that is on a live-feed. By being able to see exactly where the steroid-anesthetic combination of medicine needs to be injected, your doctor can deliver the medication directly to the nerve that is causing the pain within the epidural wall of the spinal column. The injection takes a few moments to be fully administered as it seeps through the sciatic nerve, calming and soothing inflammation. The most common site for lumbar epidural steroid injections are between the L4 and L5 vertebra found in the lower back just above the tailbone, and this outpatient procedure is over 50% effective in lessening, or eradicating sciatic pain. Most patients report significant relief in leg pain and moderate relief in the lower back.

ESI therapy is a temporary relief for sciatic pain. Patients report feeling positive effects from the injection anywhere from as little as one week to as long as one year. Some patients have to repeat the injections (spread out over the course of time determined by your doctor) up to 3 times for the full benefits.

Pain Management Services in Langhorne, PA

If you are interested in epidural steroid injections or any other procedures we offer, contact us today, or call us at 215.741.4410. We look forward to serving you!

Posted in Sciatica | Tagged , , | Leave a comment

What is Fibromyalgia?

What is Fibromyalgia?

Fibroymyalgia tender points

Millions of Americans each year suffer from chronic pain, a serious medical condition that can persist for months or, in some cases, years! Chronic pain can cause serious disruptions for most  patients, including taking them away from work or school for extended periods of time. Chronic pain can develop due to several conditions, including Fibromyalgia.

Fibromyalgia is a disorder, characterized by mood swings, fatigue, difficulties with concentration, and widespread pains throughout the musculoskeletal system. This condition can occur in patients of any age, although it most commonly occurs in women. Symptoms of this condition can be brought on following surgery, infection, or simply due to stress. For some patients, however, symptoms can appear completely on their own, without any triggering event. Fibromyalgia is usually found in patients who also have additional health issues, such as irritable bowel syndrome, anxiety, depression, or temporomandibular joint (TMJ) disorders.

While no cure yet for Fibromyalgia, there are many ways to effectively manage chronic pain associated with this condition. Some of the most common treatments for Fibromyalgia, include:

  • Medications. Anti-inflammatory pain relievers are usually the first method of treatment prescribed for patients with this condition. Over-the-counter or prescription pain relievers are considered effective treatments for the condition. Narcotics are not usually recommended for fibromyalgia, because they can cause the patient to become dependent on them, and may lead to additional pain in the future.
  • Injections. Injections are often used to help fibromyalgia patients manage their pain and inflammation. Injections will be used in a targeted area, along with a local anesthetic to relieve discomfort. Injections for fibromyalgia-related chronic pain are usually composed of corticosteroids.
  • A combination of treatments. Most patients will usually benefit from a combination of treatments to treat chronic pain associated with fibromyalgia. Your doctor will evaluate your condition with a series of diagnostic tests to determine what treatments will be best for you.

Fibromyalgia and Chronic Pain Treatment in Langhorne and Bensalem

If you are dealing with a chronic pain condition, like fibromyalgia, and need help managing your symptoms, contact us today! We can be reached at 215.741.4410. We look forward to seeing you!



Posted in Fibromyalgia, Pain Management | Tagged , , , , , , , , , | Leave a comment

What is Acupuncture?

Acupuncture is one of the oldest alternative therapies in the entire world, and is used to alleviate symptoms associated with various medical and pain-related conditions. A traditional Chinese treatment, acupuncture involves the insertion of small, thin needles into the skin and into tissues at precise locations. The goal of this procedure is to relieve any underlying pain.

Acupuncture is usually combined with other, more conventional treatment methods, including prescription medications, to relieve a patient’s pain more quickly and easily, so that they can resume their normal activities.

During the procedure, thin, sterile, single-use needles will be inserted into the skin within at a certain area. The targeted area will depend on the individual patient’s symptoms. Although this treatment is normally painless, patients may occasionally feel mild aches or pains once the needle reaches the target location. The needles will remain in place for up to 20 minutes. Patients may undergo weekly or biweekly treatment sessions to more effectively manage their pain.

Acupuncture is commonly used to treat the following conditions:

  • Pain following a surgical procedure
  • Peristent headaches
  • Back or neck pains, as well as various orthopedic issues and concerns.
  • Carpel Tunnel syndrome
  • Fibromyalgia
  • Gastrointestinal conditions
  • Asthma
  • Menstrual cramps

This treatment should always be performed by an experienced professional, since improperly performing acupuncture can cause serious health risks! Some side-effects associated with the procedure may include soreness, bleeding, or bruising at the site of the injection. However, these side-effects are usually very mild and will subside quickly.

Though acupuncture has many benefits for patients, it may not be right for everyone. Generally, it is not considered effective for patients who have a blood disorder, or for those who are taking a blood-thinning medication. However, it is considered quite safe and effective for most patients. This form of treatment has been especially effective for those who have not responded well to more traditional pain relief treatments.

Acupuncture Treatments in Langhorne

If you are dealing with a chronic pain condition and are considering an alternative treatment like acupuncture to manage your symptoms, contact us today! We can be reached at 215.741.4410. We look forward to seeing you!





Posted in Acupuncture | Tagged , , , , | Leave a comment

Tips for a pain-free garden

You don't need pain to gain a beautiful garden.

Turning the clocks back and springing forward this weekend may find you itching to clean out your flowerbeds and get your fingers back into the earth.

If you do, proceed with caution.  The U.S. Consumer Product Safety Commission reported that more than 41,000 Americans injured themselves while gardening or using gardening equipment in 2010.

Try these tips for a safe and pain-free gardening:

  • Don’t do too much too soon. Split up large projects into smaller ones.
  • Stretch and warm-up your joints before tackling the twigs and matted leaves scattered among your pachysandra.
  • Work at the time of day when you feel the most flexible.
  • Make sure tools are sharp and in good working order to make cutting and trimming easier. If arthritis has made gripping your tools more difficult, try fitting the handles with foam tubing for better hold and control.
  • Pay attention to your posture. Bend with your knees and avoid twisting motions.
  • Consider gardening in raised beds for easier access and with perennials for beautiful blooms requiring less maintenance.
  • Wear gloves to protect your hands and consider knee-pads or a stool for work close to the ground.
  • Wheeled caddies can store hand tools and help move heavy pots or potting soil.
  • If you like to grow clematis, consider installing a mailbox in your backyard flower garden. You can keep your pruners and trowels handy inside and have a perfect post to train your climbing plants.
  • Take frequent breaks.
  • Don’t forget to wear a hat and your sunscreen.

If you still find you’ve overdone it, remember that Oxford Valley Pain & Spine Center offers therapeutic massage. Call 215-741-4410 to schedule an appointment.

Posted in Uncategorized | Tagged , , , | Leave a comment

Got pain? Try free Meditation 1-2-3 class

Did you know that according to a 2012 study, meditation is the third most commonly requested complementary alternative medicine therapy?

A study published in The Journal of Neuroscience also found that even after a brief training, the increased capacity to focus on the breath – as is practiced in meditation – can decrease a person’s experience of pain.

Toward that end, Oxford Valley Pain and Spine Center is excited to announce a free Mediation 1-2-3 class  on Wednesday, March 27, in the Penn Room at the Bucks County Sheraton, 400 Oxford Valley Road, in Fairless Hills. For more information, call 215-741-4410.

The two-hour session geared toward people with chronic pain will be led by Paradise Antiaging Medspa’s Melissa Pickersgill, CHT, BCC, a member of the International Medical and Dental Hypnosis Association and a board certified life career coach.

Pickersgill, who has found great success with meditation in managing her own journey with chronic pain, will lead the two-hour session. She’ll explain and guide attendees into progressive relaxation and a meditative state, induce hypnosis and offer a trigger to more easily enter into a trans state in future meditation practice.

Dr. Sanjay M. Madnani and Dr. Anju S. Madnani, Oxford Valley Pain & Spine Center’s husband-and-wife team of physicians, are both board-certified with specialty training in pain medicine,  anesthesiology and physical rehabilitation, making them highly qualified and experienced in caring for each patient’s individual condition. The doctors also understand the importance of the mind-body connection in relieving pain and creating optimum health.

In fact, their website offers relaxation music, as well as a guided meditation on its yoga/meditation page http://www.oxfordvalleypain.com/yoga.php#meditation to benefit patients and site visitors.

Paradise Antiaging Medspa offers acupuncture, Botox, dermal fillers, Latisse, microdermabrasion, HydraFacial, Venus Freeze, hypnotherapy, massage, yoga, and meditation under the direction of trained, licensed physicians.  Payment Plans and weekend and evening hours are available.

An Allergan representative will be on hand at the Meditation 1-2-3 class to answer any questions attendees might have about Botox , fillers and Latisse, which grows longer, darker eyelashes.

Posted in Uncategorized | Leave a comment

Stay safe from falls this winter

While you may love Patsy Cline songs, you probably don’t the idea of Falling to Pieces.

Click on the link below to see a short video we created with 10 easy tips for staying safe from falls this winter.

10 Tips for a Fall-Free Winter


Posted in Uncategorized | Tagged | Leave a comment