All Conditions

Ankylosing spondylitis is inflammatory (auto-immume) arthritis of the spine and the sacroiliac joints. It often starts as a dull pain in the lower back or buttocks that is improved with activity. As the disease progresses, patients lose range of motion in the spine, leading to more severe stiffness and pain. Ankylosing spondylitis has a very strong genetic component (90+% have the HLA-B27 genotype) and is more common in men than women.

Arthritis refers to inflammation of a joint and/or joint pain. There are many different types of arthritis and, over time, the symptoms may become more and more severe, leading to loss of range of motion and/or inability of the joint to support weight.

Living with an autoimmune disorder can make even simple tasks seem insurmountable. At Capitol Pain Institute, our team of specialists will work closely to understand the challenges you face living with your auto-immune disease. From MS to arthritis to scleroderma, we work with you to develop a comprehensive pain management plan that works for your lifestyle. The treatment will depend on the type of disease but the main goal in working with patients with autoimmune diseases is to help reduce and control inflammation.

Bicipital tendonitis is inflammation of the biceps tendon (long head), which is seen at the bicipital groove at the humeral head. This is an inflammatory condition that results in limited shoulder position and function secondary to pain.

Fighting a disease like cancer requires physical, mental and emotional strength, if you are in chronic pain it can be difficult to focus on healing. Our doctors will work with you to develop a pain-management plan to help alleviate your pain due to cancer or cancer treatments so that you can maintain a higher quality of life during and after treatments.

Carpal tunnel syndrome (CTS) describes a common nerve entrapment at the wrist involving the median nerve that may cause pain, numbness, and even weakness in the hand and wrist. Also the pain caused by carpal tunnel syndrome may radiate down to the fingers or even up into the forearm. The carpal tunnel describes a ‘tunnel’ or conduit created by the bones of the wrist and the flexor retinaculum (overlying sheath) by which tendons and nerves, etc. pass thus limiting their space.

Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.

Cervical Dystonia, also known as spasmodic torticollis, is a neurological disorder characterized by involuntary contractions of the neck muscles, causing abnormal postures and repetitive twisting movements of the head. This condition can significantly impact an individual’s daily life, leading to pain, discomfort, and functional limitations. Understanding the symptoms and available treatment options for cervical dystonia is crucial in managing the condition effectively.

Radiculopathy can be caused by cervical or lumbar disc herniation, degenerative disease of the spine, inflammation or irritation of the nerve root(s), or spinal stenosis.

The coccyx is the end of the spine, just below the sacrum. The human coccyx is often considered a vestigial remnant or corollary of a tail; thus, the coccyx is referred to as the tailbone. Coccyx pain or coccydynia is pain at the tailbone.

Complex regional pain syndrome (CRPS), also known as causalgia or reflex sympathetic dystrophy, is a chronic, evolving, painful and progressive condition that affects the distal extremities often following a traumatic injury.

When a bone in the spine collapses, it is called a vertebral compression fracture. These fractures happen most commonly in the lower thoracic and lumbar spine.

Cubital tunnel syndrome is otherwise known as ulnar nerve entrapment or stretching/pinching at the elbow. This syndrome may be caused by direct trauma to the ulnar nerve as it passes through the tunnel or via repetitive elbow motion. This syndrome causes pain and numbness and tingling down the forearm into the 4th and 5th fingers (ring and little finger).

Degenerative joint disease, also known as osteoarthritis, is a prevalent and chronic condition that affects millions of people worldwide. It is the most common form of arthritis and occurs when the protective cartilage that cushions the joints gradually breaks down. This leads to joint pain, stiffness, and reduced mobility.

Endometriosis is abnormal growth of endometrial tissue outside of the uterus. The inner lining of the uterus is called the endometrium and is composed of endometrial tissue. When this tissue is found outside of the uterus, it is called endometriosis. Endometriosis is most commonly found on other organs of the pelvis.

Fibromyalgia is a syndrome characterized by chronic widespread pain at multiple tender points, joint stiffness, and systemic symptoms that include but are not limited to mood disorders, fatigue, and sleeplessness

Adhesive Capsulitis is a condition that results in painful shoulder with restricted range of motion. This is a rather common syndrome that develops in individuals as a result of prolonged immobility. It is characterized by profound loss of range of motion actively and passively in the shoulder joint. Generally, it is seen in the age group of 40-60 years of age, and more commonly in females

Trochanteric bursitis is a common pain condition that frequently presents as pain in the lateral hip and may radiate down the leg (mimicking sciatica). The trochanteric bursa lies between the greater trochanter and the tendon of the gluteus medius and the iliotibial tract. Pain is distinct and well localized to the area over the trochanter. Trochanteric bursitis may be hallmarked by an inability to sleep on the side of the affected hip.

Headaches are among the most common reasons for a medical visit. 90% of people experience at least 1 headache per year and it is estimated that at least 45 million Americans suffer from chronic headaches. You should make an appointment to see your doctor if you are experiencing more than 1 or 2 headaches per month or if you have any of the warning signs listed below.

Interstitial cystitis (IC) is a condition that results in recurring discomfort or pain in the bladder and the surrounding pelvic region. Because the most prevalent symptom of IC is bladder pain, it is often referred to as painful bladder syndrome (PBS).

Iliotibial band (ITB) pain syndrome is an overuse injury involving the connective tissue that are located on the outer part of the thigh and knee. The iliotibial band (IT band) is a thick band that originates at the iliac crest and runs in the outer portion of thigh and crosses the knee and attaches to the top part of the shin bone (tibia).

Joints are ubiquitous in the human body as they are involved in movement of the spine and extremity. Joints play a crucial role in the kinematics of the human body as they are involved with movement and also help in unloading sheer pressure and weight of the body.

Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.

Radiculopathy is dysfunction of a spinal nerve root (or roots) that results in pain, numbness, tingling, or weakness in either your arm or leg depending on which nerve root(s) are involved. When radiculopathy is present in the lumbar nerve roots, it produces sciatica; in the cervical nerve roots, it produces pain, numbness, tingling, and weakness in the shoulder, arm, wrist, and hands.

Lumbar Spinal Stenosis is a common medical condition that affects the lower back, specifically the lumbar region of the spine. This condition occurs when the spinal canal narrows, putting pressure on the spinal cord and nerve roots. The resulting symptoms can range from mild discomfort to severe pain and disability.

Medial epicondylitis, also known as golfer’s elbow or Little Leaguer’s elbow (children) is caused by repetitive micro-trauma to the flexor tendons of the forearm. Tennis elbow also known as lateral epicondylitis, is caused by repetitive micro-trauma to the extensor tendons of the forearm. Generally, this condition is caused by repetitive activities that include hand grasping or high torque wrist turning which place pressure on the extensor tendons.

According to the National Multiple Sclerosis Society, almost half of people with MS experience some type of chronic pain. The doctors at Capitol Pain Institute want to help improve your quality of life by helping you manage the pain associated with MS. We work with you to develop a plan dealing with both acute pain like Trigeminal neuralgia and the chronic pain such as burning and tingling that is often associated with MS.

The multifidus muscle is the key stabilizing muscle in the lower back. A single injury to the back can cause impaired muscle control of the multifidus. This lack of muscle control can decrease the spine’s functional stability, leaving the spine susceptible to further injury and overloading. Restoring the neuromuscular control of the multifidus muscle can stabilize the spine, thereby increasing function and decreasing pain.

Muscle spasms are painful, involuntary skeletal muscle contractions associated with abnormal electrical activity.

Musculoskeletal pain is pain that affects the muscles, ligaments, and tendons, and bones. The pain associated with musculoskeletal pain ranges from mild to severe and from acute and short-lived to chronic and may be well localized to area of trauma or injury or diffuse throughout the body depending on the etiology.

Neuropathy is damage to a nerve. Depending on which nerve or nerves are affected, neuropathy can have very different symptoms. Sensory neuropathy may present as numbness, tingling, burning, stabbing, or electrical pain. Motor neuropathy usually presents with weakness, muscle cramping, muscle atrophy, or fasciculations.

Osteoarthritis is the most common form and is due to the normal “wear-and-tear” of the joint due to our daily activities. Over time, normal use of our joints causes the cartilage at the end of the bone to wear down (like the wearing down of the tread on your tires). As the cartilage wears away, there is more friction, which leads to inflammation. Eventually, the cartilage can completely wear away, leading to “bone-on-bone” conditions, which can be extremely painful.

The facet joints in the cervical spine can breakdown and lead to arthritis in the neck. This pain and stiffness in the neck can occur both gradually and chronically.

The most common form of arthritis and is due to the normal “wear-and-tear” of the joint due to our daily activities.

After a large tear in the rotator cuff tendon, the muscles which stabilize the shoulder joint can develop shoulder arthritis.

The most common form of arthritis and is due to the normal “wear-and-tear” of the joint due to our daily activities.

Life happens and sometimes our patients have lingering pain after a serious or even minor injury. At Capitol Pain Institute, our goal is to get you back to normal and feeling your best again through the right treatment plan for your injury.

Patellar tendonitis or “jumper’s knee” is an injury to the tendon which connects the knee cap (patella) to the shin. This is considered an overuse syndrome of the patellofemoral extensor unit. The most common site of involvement of in the inferior pole of the patella. The patella tendon works with the quadriceps to help extend the knee, jump, kick and run. This is a common injury in athletes involved in sports that require frequent jumping like basketball and volleyball.

Patellofemoral pain syndrome (PFPS) also known as runner’s knees or biker’s knee is the most common cause of anterior knee pain syndrome. This syndrome is due to an overuse injury caused by repeated insults and micro-trauma which leads to softening of the cartilage under the kneecap (patella). The pain tends to worsen when you are active or sit for prolonged periods of time and can affect one or both knees.

Pelvic pain is a complex and challenging condition that affects both men and women. It refers to pain that originates from the structures within the pelvic region, including the lower abdomen, pelvis, and reproductive organs. Pelvic pain can significantly impact a person’s daily life, causing physical discomfort and emotional distress

Peripheral neuropathy refers to damage of smaller nerves in the extremities and often presents with pain, numbness, and burning in the feet and hands.

Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot.

Lumbar post-laminectomy syndrome (failed back surgery syndrome) means that a patient continues to experience significant pain after they have had a spine surgery.

Capitol Pain Institute understands that while surgery often improves a health issue or concern, there can be lingering surgical pain during the healing process. Our team will work to understand your pain level and develop a comprehensive treatment plan to address your pain in a way that best fits your needs during your post-surgical healing.

Chronic post-surgical pain can occur in 5-20% of patients. Pain after surgeries like those listed below can be multi-factorial, including causes such as nerve damage/neuropathy, scar tissue, hardware, and more. Treatment options includes multimodal medications, therapy, nerve blocks/ablations, sympathetic blocks, and in refractory cases, nerve stimulation techniques such as peripheral nerve stimulation, dorsal root ganglion stimulation, or spinal cord stimulation.

Common post-surgical pain conditions:

• Post-laminectomy/fusion pain syndrome / failed back surgery syndrome
• Post-surgical foot and ankle pain
• Post-surgical pain after joint replacement
• Post-surgical pain after hernia repair
• Post-thoracotomy pain
• Post-pelvic surgery pain
• Post-amputation pain

The interspinous ligaments of the lower cervical and upper thoracic spine and their associated muscles are susceptible to the development to the development of acute and chronic pain symptomatology following overuse. It is thought that bursitis is responsible for this pain syndrome.

Radiculopathy is dysfunction of a spinal nerve root (or roots) that results in pain, numbness, tingling, or weakness in either your arm or leg depending on which nerve root(s) are involved. When radiculopathy is present in the lumbar nerve roots, it produces sciatica; in the cervical nerve roots, it produces pain, numbness, tingling, and weakness in the shoulder, arm, wrist, and hands.

Rheumatoid arthritis is a form of arthritis where the body’s own immune system attacks the capsule around the joint. This results in severe inflammation of the joint, with the joint often becoming swollen, warm, stiff, and painful. Unlike osteoarthritis, gentle movement often improves the pain in mild cases of rheumatoid arthritis.

Sacroiliac joint pain is a common cause of lower back and buttock pain. The sacroiliac joint connects the sacrum (the triangular bone at the base of the spine) to the ilium (part of the pelvis). When this joint becomes inflamed or irritated, it can lead to discomfort and limited mobility.

Sciatica is a relatively common form of back pain that radiates along the sciatic nerve. The sciatic nerve runs from the lower spine through the buttock and back of the thigh and down to the foot, connecting the spinal cord with the leg and foot muscles. Sciatica may affect only one side of the body or may be bilateral, radiating from the lower back down through the buttock and down the leg. Depending on which part of the sciatic nerve is affected, the pain may also extend into the foot or toes. While sciatica can be very painful, it is rare that permanent nerve damage will result.

Shingles usually starts with itching, tingling, and pain on one side of the body. It most often occurs in the trunk, but may affect the leg or even the face. A very typical blistering rash forms on the skin in the same region 1 to 5 days after the initial symptoms (itching, tingling, pain). The rash will then scab over in about a week and clear up in 2-4 weeks.

When a bone in the spine collapses, it is called a vertebral compression fracture. These fractures happen most commonly in the lower thoracic and lumbar spine.

Disc degeneration or acute injury can cause the nucleus to herniate into the spinal canal or the neural foramen.

Temporomandibular joint (TMJ) syndrome is pain in the jaw joint that can cause head and neck pain, facial pain, ear pain, and headaches. TMJ syndrome can also cause a jaw that is locked in position or difficult to open, problems with biting, and jaw clicking or popping sounds.

Trigeminal neuralgia is pain caused by the trigeminal nerve, which is the nerve that carries sensation from your face to your brain.