Chicagoland Advanced Pain Specialists
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Happy New Year From Dr. Chami and the CAPS Pain Care Team

Don't let chronic pain ruin your holiday season. Data from recent
studies suggests that central sensitization, in which neurons in your
spinal cord become sensitized by inflammation or cell damage, may be
involved in the way those with chronic pain process pain levels.

As part of a holistic approach to pain at CAPS Pain Care, Dr. Chami
offers treatment plans that incorporate dietary considerations, as well
as systemic conditions and medications you may be taking. Request a
referral from your primary care physician to get a treatment plan that
works through any holiday season.

Certain chemicals in the foods you eat may trigger the release of
neurotransmitters that heighten this sensitivity. Although there have
been only a handful of studies, the following eating rules can't hurt,
and may help, when dealing with chronic pain.

Limit Sugar as Much as Possible.
Increased insulin levels will typically dramatically worsen pain. So you
will want to limit all sugars and this would typically include fresh
fruit juices. Whole fresh fruit is the preferred method for consuming
fruit products. If you are overweight, have high blood pressure, high
cholesterol or diabetes, you will also want to limit grains as much as
possible as they are metabolized very similarly to sugars. This would
also include organic unprocessed grains. Wheat and gluten grains are the
top ones to avoid.

Avoid caffeine.
Fibromyalgia, for example, is believed to be linked to an imbalance of
brain chemicals that control mood, and it is often linked with
inadequate sleep and fatigue. The temptation is to artificially and
temporarily eliminate feelings of fatigue with stimulants like caffeine,
but this approach does more harm than good in the long run. Though
caffeine provides an initial boost of energy, it is no substitute for
sleep, and is likely to keep you awake.

Try avoiding nightshade vegetables.
Nightshade vegetables like tomatoes, potatoes, and eggplant may trigger
arthritis and pain conditions in some people.

Be Careful with Your Fats.
Animal based omega-3 fats like DHA and EPA have been touted as a
heart-healthy food, and they may help with pain, as well. They can help
reduce inflammation and improve brain function. At the same time, you
want to eliminate all trans-fat and fried foods, as these will promote
inflammation.

Avoid aspartame.
The artificial sweetener found in some diet sodas and many sugar-free
sweets is part of a chemical group called excitotoxins, which activate
neurons that can increase your sensitivity to pain.

Stay away from junk food.
Limit or eliminate fast food, candy, and vending-machine products. In
addition to contributing to weight gain and the development of unhealthy
eating habits, these diet-wreckers may also irritate your muscles,
disrupt your sleep, and compromise your immune system.

Read more at WebMD








Holiday Eating Can Worsen Your Pain: Dr. Chami Offers Help


Don't let chronic pain ruin your holiday season. Data from recent studies suggests that central sensitization, in which neurons in your spinal cord become sensitized by inflammation or cell damage, may be involved in the way those with chronic pain process pain levels.

As part of a holistic approach to pain at CAPS Pain Care, Dr. Chami offers treatment plans that incorporate dietary considerations, as well as systemic conditions and medications you may be taking. Request a referral from your primary care physician to get a treatment plan that works through any holiday season.

Certain chemicals in the foods you eat may trigger the release of neurotransmitters that heighten this sensitivity. Although there have been only a handful of studies, the following eating rules can't hurt, and may help, when dealing with chronic pain.

Limit Sugar as Much as Possible.
Increased insulin levels will typically dramatically worsen pain. So you will want to limit all sugars and this would typically include fresh fruit juices. Whole fresh fruit is the preferred method for consuming fruit products. If you are overweight, have high blood pressure, high cholesterol or diabetes, you will also want to limit grains as much as possible as they are metabolized very similarly to sugars. This would also include organic unprocessed grains. Wheat and gluten grains are the top ones to avoid.

Avoid caffeine.
Fibromyalgia, for example, is believed to be linked to an imbalance of brain chemicals that control mood, and it is often linked with inadequate sleep and fatigue. The temptation is to artificially and temporarily eliminate feelings of fatigue with stimulants like caffeine, but this approach does more harm than good in the long run. Though caffeine provides an initial boost of energy, it is no substitute for sleep, and is likely to keep you awake.

Try avoiding nightshade vegetables.
Nightshade vegetables like tomatoes, potatoes, and eggplant may trigger arthritis and pain conditions in some people.

Be Careful with Your Fats.
Animal based omega-3 fats like DHA and EPA have been touted as a heart-healthy food, and they may help with pain, as well. They can help reduce inflammation and improve brain function. At the same time, you want to eliminate all trans-fat and fried foods, as these will promote inflammation.

Avoid aspartame.
The artificial sweetener found in some diet sodas and many sugar-free sweets is part of a chemical group called excitotoxins, which activate neurons that can increase your sensitivity to pain.

Stay away from junk food.
Limit or eliminate fast food, candy, and vending-machine products. In addition to contributing to weight gain and the development of unhealthy eating habits, these diet-wreckers may also irritate your muscles, disrupt your sleep, and compromise your immune system.

Read more at WebMD






CAPS Paincare Praised

CAPS Paincare thanks Dr. M.S. (Interventional Radiology) for his positive comments about Dr. Chami's plan of care, as related to the patient's Primary Care doctor.

Dear Dr. XX:

I met with your patient, Mrs H, today in the Interventional Radiology Clinic... As you know, Mrs H is a 61-year-old female who has been suffering from chronic back problems for many years. Her symptoms mainly consist of low lateral back pain with radiation to the right buttock and sometimes to the right posterior leg with less several symptoms on the left...

She did seek consultation from xxxx and this was followed by a series of injections, possibly targeting her sacroiliac joints. This was followed up by sacroiliac joint radiofrequency that was performed in December 2012. She describes this as a most unpleasant experience and she never did follow up with the group that performed this procedure at xxxx Hospital. She subsequently sought evaluation by Dr Chami at Chicagoland Advanced Pain Specialists. She has been having more favorable experiences with this group, with her most recent procedure performed on July 3, 2014. At the time she had L3-4 through L5-SI bilateral facet injections utilizing Marcaine and Kenalog.

I discussed with Mrs. H her current treatment and plan for future treatments. I encouraged her to proceed with the plan as outlined by Dr. Chami. I specifically discussed with her the fact that she did have real relief, albeit temporary, after her most recent facet injections. This would speak more favorably to a more prolonged response to ablation, which I understand is planned. I encouraged her to follow-up with Dr. Chami for this.

Dr. M.S. Interventional Radiology


* Names omitted to protect privacy.




CAPS Paincare Radio Ad





Dr. Chami Speaks On Keys To Unlocking Pain

It's time to live the life you deserve-a life without pain. Studies show the most effective way to manage chronic pain combines multi-specialty healthcare professionals working together to get you back on the road to wellness. This approach, when applied as a discipline, is called the multidisciplinary approach, and medical studies show it can yield improved results in pain care.

In a multidisciplinary approach, your healthcare team tailors individualized plans based on evaluations from multiple perspectives. Treatment planning includes various therapies simultaneously to enhance results and speed relief. For example, physical therapy benefits, which can be difficult to achieve when pain levels are high, can be fully realized once pain is under control. Although specialty perspectives are distinct, there's only one goal for your multi-disciplinary team: getting you relief.



https://www.youtube.com/watch?v=sMFjH7oxkoU#t=14


Low Back Pain in Older Adults

Low back pain plagues a lot of us, but as we age we're more prone to the possibility. Low back pain can be caused by numerous different reasons, but mostly it's due to musculoligamentous strain. Other things can cause it like facet joint problems in the spine, sacroiliac joint disease, piriformis syndrome. You can have spinal changes that can lead to disk herniation causing low back pain, shooting leg pain, and narrowing around the spinal cord called spinal stenosis or narrowing around nerve roots called lateral foraminal stenosis. I think that unless you have defined lesion, a defined problem that can be corrected surgically in the low back, it's helpful to try everything else beforehand. That's what I advise patients, because I see those patients that haven't benefited, although plenty of people do. I think though when you're talking about fusion and putting rods in and so on, then we really do risk persistent pain and it's hard to overcome that. It really is. Nerve blocks are helpful. Medications could be helpful, physical therapy, spinal cord stimulation, all are helpful. If all else fails, then you could consider surgery.

- Paul J. Christo, MD, MBA



http://www.painweek.org/brainfood_post/low-back-pain-in-older-adults/


38 miles; 10,000 feet

I experienced pain shooting down my leg. It got to the point where I was having difficulty sleeping and was unable to ride my bike. I contacted Dr. Chami who called me at home that evening. He rearranged his schedule to see me the following morning. He performed a very thorough exam and took the time to clearly explain his diagnosis and lay out my options (including the option to forgo a medical procedure and pursue physical therapy). I elected to have a pain relief injection. The procedure was quick and relatively pain free. Within 3 days, I had virtually no discomfort (just as Dr. Chami had said). I was able to return to pretty intensive 40-50 mile cycling rides. 3 weeks after the treatment, I successful cycled up Haleakala (Maui's volcano) -the world's longest paved ascent - 38 miles, 10,000 feet. Thank you Dr. Chami!!! 
Insurance: Blue Cross / Blue Shield






Dr. Chami rated on RATEMDS

CAPS Paincare is grateful to our patients for these kind words.  We are honored to care for them!

I want to express my gratitude to Dr. Chami and the staff at Chicagoland Advanced Pain Specialists. I was told I needed a knee replacement and I truly was not mentally ready for that surgery. Dr. Chami was very good at explaining his course of action and with the use of a fluroscopy (X-ray) Dr. Chami was able to inject the medication in the exact spot I needed. My result was fantastic! I am now able to excercise and walk without pain. I am very grateful for your expertise. 
Insurance: Blue Cross / Blue Shield

For years I have been going to many doctors trying to get the pain in my feet under control, all have failed to impress me. These doctors, while kind enough, were quick to write a prescription and send me on my way, never inclined to try different courses of treatment when I was still in pain. Dr. Chami on the other hand, has actually taken time to listen to my concerns, questions, and give me support when I've needed it. He is also the only doctor to actually find a method of keeping my pain under control that does not involve heavy doses of narcotics, for which I am grateful. My quality of life has improved greatly since seeing him and I am now able to keep up with my grandkids and tend to household chores, whereas before, this was almost certainly beyond the realm of my abilities. The whole staff at CAPS, from the receptionist to the physicians all have been very professional and kind. My recommendation of CAPS extends to everyone in need of pain management. 
Insurance: Workers Comp



http://www.ratemds.com/doctor-ratings/944035/IL/Frankfort/Chami


What Pain Management Patients Need To Know by Scott Huckabee


Dr. Chami invites you to listen to this podcast titled "What Pain Management Patients Need To Know" -
http://www.doctorssafeguard.com/podcasts/FreePodcasts.aspx

Please call his office at 888-227-7313/888-CAPS-313 if you have any questions or to schedule an appointment.