Seeing Pain New approach to diagnosing and treating nerve damage Chris McCurdy TEDxUM
When I was a young childI lost my favorite uncle to alcohol abuse. It made me wonder why does this happen? How can someone be consumed by a substance that's around us all the time? So, I made it my life's missionto become a ug expert, and I went to pharmacy school. I went to pharmacy schoolto understand what it is about ugs
that can make us heal or can hurt us. When I waspharmacy school, I found out I felllovewith the research. Not only did I falllovewith the research I felllove with this passionto edue others. And so, knowing that,I had to move forward. I had to move forward with my eduion so that I could carry those thingsout of my future;
and I went on and earned a atein medicinal chemistry; that's ug design not designer ugs. (Laughter) That enabled me to move forward and really pursue some of the basisof ug abuse and addiction. Here I am now, a professorof medicinal chemistry and pharmacology. And I've dedied my careerto solving problemsug abuse and actually findingbetter pain mediions
because after all, painis the most common reason that individuals seek medical care. It's also the most common reason that we end upwith ug abuse and addiction. Moving from there, I've been ableto establish a laboratory here, at the University of Mississippi, where we've done a lotof groundbreaking work that I'll get toa little bit to move us forwardthose endeavors.
Now, how many people here have had to seek medical treatment that resultedpain prescription? Yes, most all of us. How many of you ended up getting something like morphine, or codeine,or Hyocodone, or Oxycontin? Yeah. Any of you had to take that for more than 2 or 3 weeks,maybe a month, maybe a couple?
If so, there's a high likelihoodyour body became physically dependent. So why does that mean? What do we mean when we talkabout physical dependence and ug abuse? Let's define these thingsa little more clearly. So ug abuse is simply the concept that you take a ug out of the contextthat it was prescribed. So, every now and then,all of us are guilty of taking a little more ibuprofen,or something, than it says on the bottle.
Common Nerve Problemsthe Elbow Cubital Tunnel Synome QA
Hi. My name is Khurram Pervaiz. I am a shoulder, elbow and hand with the Orthopedic Associates of Central Maryland and I work at Howard County General . There are several nerves around the elbow. There is the nerve, the radial nerve and the median nerve. The one that's most commonly affected isthe nerve, the nerve that crosses the inside of the elbow. This nerve can
travels through a tunnel and when the tunnel gets narrow thecondition, also known as cubital tunnel synome can give you pain, numbness andtingling from the elbow radiating down into the hand. So the nerve is the main nerve on the inside of the elbow, also known as the funny bone. So, when one would hit their elbow on something hard and you get a numbness and tingling inyour little finger,
you've essentially hit the nerve. This condition can sometimes be confused with carpaltunnel synome. In fact the symptoms can overlap. I frequently see patients with bothcarpal and cubital tunnel synome having a pinchednerve around the wrist as well as around the elbow. This iswhy it's important for you to be evaluated by
an upper limb , somebody that specializestreatmentof such conditions. Frequently, a nerve test also known as an EMG or a nerve conduction study is necessary to assess the severity of the nerve compression around the elbow. Symptoms of cubital tunnel synome are nerve compression around the elbow, are frequently pain on the inside of theelbow that radiates down into the little finger and half of the ring finger.
It can give you numbness and tingling. A lot of my patients tell me it wakesthem upthe middle of the night, bothers them when they're iving. Thishas also been coined as cellphone elbow because when you hold a cell phone up to your ear and you have your elbow bent for a long period of time people will have numbness and tinglingthe littlefinger. That can be one of the early signs of cubital tunnel synome.
An EMG or a nerve conduction study isa specialized test frequently done by somebody that specializesnerveconduction studies.the arm um. physicians that trainsomething like this can bephysical medicine and rehab s or neurologists. Cubital tunnel synomethe early stages can be treated with rest,