Ana Avamehr

Dr. Ana Avamehr is a distinguished specialist in physical medicine and rehabilitation based in Tehran, Iran. She earned her medical degree with honors from Iran University of Medical Sciences, where she also completed her residency in physical medicine and rehabilitation. Dr. Avamehr achieved a national distinguished rank in the specialized board of physical medicine, reflecting her academic excellence and dedication to the field.

Throughout her career, Dr. Avamehr has been actively involved in both clinical practice and academia. She served as a faculty member at Iran University of Medical Sciences, contributing to the education and training of future medical professionals. Her commitment to advancing medical knowledge is further demonstrated by her membership in the American Physical Medicine Association and the Iran Medical System Organization. Additionally, she has presented at the annual conference of physical medicine and rehabilitation in Iran, sharing her expertise with peers and colleagues.

Dr. Avamehr specializes in non-surgical treatments for spine, disc, sciatica, and joint pain. Her services include:

Lumbar Disc Treatment: Utilizing non-surgical approaches to manage lumbar disc protrusion and spinal canal stenosis, including intraspinal ozone injections.
Joint Pain Management: Employing the latest methods, such as cell therapy and platelet-rich plasma (PRP) injections, to treat arthritis in the knee, shoulder, and ankle.
Acupuncture: Providing acupuncture treatments for various musculoskeletal conditions.
Heel Spur and Coccyx Pain: Implementing new techniques to alleviate pain associated with heel spurs and the coccyx.
Neuropathy Diagnosis and Treatment: Diagnosing and treating symptoms like tingling, numbness, and numbness in the hands and feet.
Osteoporosis Management: Offering exercise therapy and other interventions to manage osteoporosis.
Electrodiagnostic Studies: Conducting nerve and muscle studies (EMG-NCS) to assess neuromuscular function.

Address: Kamraniyeh Shomali, Nabsh-e Daryoush, Paradise Tower, No. 29, 7th Floor, Unit 13, Tehran, Iran.

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Education

Doctorate in Medicine (M.D.): Iran University of Medical Sciences
Specialty in Physical Medicine & Rehabilitation: Iran University of Medical Sciences

Languages

English
Persian

Memberships & Certifications

Member of the Iran Medical Council: License Number 137722
Member of the American Physical Medicine Association
Member of the Iran Physical Medicine & Rehabilitation Association

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1. What are common causes of back pain, and how can it be treated?

Back pain is a prevalent condition that can result from various factors, including muscle or ligament strain, bulging or ruptured discs, arthritis, osteoporosis, and poor posture. Treatment options depend on the underlying cause and severity of the pain. Conservative treatments often include physical therapy, exercise, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), and lifestyle modifications like weight management and ergonomic adjustments. In cases where conservative measures are ineffective, interventions such as injections or surgery may be considered.

2. What are the types of lumbar disc herniation, and how are they treated?

Lumbar disc herniation occurs when the inner gel-like core of a spinal disc protrudes through its outer layer, potentially compressing nearby nerves. Types include protrusion, extrusion, and sequestration, classified based on the extent of disc material displacement. Treatment typically begins with conservative approaches such as physical therapy, medications, and epidural steroid injections. If symptoms persist, surgical options like microdiscectomy may be considered to relieve nerve compression.

3. What is myofascial pain syndrome, and how is it managed?

Myofascial pain syndrome is a chronic condition characterized by deep, aching pain in muscles, often accompanied by tender knots known as trigger points. These trigger points can cause referred pain in seemingly unrelated parts of the body. Management strategies include physical therapy, trigger point injections, dry needling, medications such as muscle relaxants, and techniques like massage therapy to alleviate muscle tension.

4. What is bursitis, and how can it be prevented and treated?

Bursitis is the inflammation of bursae—small, fluid-filled sacs that cushion bones, tendons, and muscles near joints. Common symptoms include joint pain, tenderness, and swelling. Causes range from repetitive motions and prolonged pressure to injury or underlying conditions like rheumatoid arthritis. Prevention involves avoiding repetitive activities, using protective padding, and practicing proper ergonomics. Treatment typically includes rest, ice application, medications like NSAIDs, physical therapy, and, in some cases, corticosteroid injections to reduce inflammation.

5. What is fibromyalgia, and how is it managed?

Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. The exact cause is unknown, but factors such as genetics, infections, and physical or emotional trauma may contribute. While there is no known prevention, managing stress and maintaining a healthy lifestyle can help mitigate symptoms. Complications may include increased sensitivity to pain and reduced quality of life. Treatment focuses on symptom management through medications, physical therapy, exercise, stress reduction techniques, and cognitive behavioral therapy.

6. How do dry needling and acupuncture differ?

Both dry needling and acupuncture involve inserting thin needles into the skin but differ in their underlying philosophies and applications. Acupuncture, rooted in traditional Chinese medicine, aims to balance the body's energy flow (Qi) by targeting specific points along meridians. It's used to treat various conditions, including pain, digestive issues, and stress. Dry needling, based on Western medicine principles, targets myofascial trigger points to relieve muscle pain and improve function. It's primarily used for musculoskeletal issues.

7. What is dry needling, and what are its uses, benefits, and potential side effects?

Dry needling is a therapeutic technique where thin, filiform needles are inserted into myofascial trigger points—tight bands of muscle—to alleviate pain and improve movement. It's commonly used to treat conditions like myofascial pain syndrome, tension headaches, and sports injuries. Benefits include reduced muscle tension, improved range of motion, and decreased pain. Potential side effects are generally mild and may include soreness, bruising, or bleeding at the insertion site. It's essential to have the procedure performed by a trained professional to minimize risks.

8. What are PRP injections for back pain, and what should one expect regarding duration, effectiveness, benefits, and side effects?

Platelet-Rich Plasma (PRP) injections involve concentrating a patient's own platelets and injecting them into areas of injury or degeneration, such as the spine, to promote healing. The procedure typically takes about an hour, including preparation and injection time. Patients may begin to notice improvements within a few weeks, with benefits potentially lasting several months. Benefits include reduced pain and improved function. Side effects are minimal but can include temporary pain at the injection site. As with any medical procedure, it's important to consult with a healthcare provider to determine if PRP therapy is appropriate for your condition.

9. What are trigger point injections, and how do they help in pain management?

Trigger point injections involve inserting a small needle into a trigger point—a tight, painful area of muscle—to deliver medication, often a local anesthetic or corticosteroid. This procedure can help alleviate muscle pain and improve function, particularly in conditions like myofascial pain syndrome. The injection may provide immediate relief, and a series of treatments might be recommended for sustained benefits. Potential side effects are minimal but can include temporary soreness or discomfort at the injection site.

10. What is fascia, and how can issues related to it be addressed?

Fascia is a continuous web of connective tissue that envelops muscles, bones, nerves, and organs, providing structural support and facilitating movement. When fascia becomes tight or restricted due to factors like injury, overuse, or inactivity, it can lead to pain and reduced mobility. Treatment approaches include myofascial release therapy, which involves gentle pressure and stretching to alleviate fascial tension, as well as techniques like foam rolling, stretching exercises, and maintaining proper hydration to promote fascial health.

11. What are common causes of knee pain, and what are effective treatment options?

Knee pain can result from various factors, including osteoarthritis, ligament injuries, meniscal tears, tendinitis, and bursitis. Effective treatment depends on the underlying cause and may involve rest, ice application, compression, elevation (RICE), physical therapy, medications like NSAIDs, corticosteroid injections, and, in some cases, surgical interventions. Maintaining a healthy weight, engaging in regular low-impact exercise, and using proper techniques during physical activities can help prevent knee pain.

12. How is PRP therapy used for shoulder pain, and what should one consider regarding its effectiveness, cost, benefits, and potential complications?

Platelet-Rich Plasma (PRP) therapy involves injecting a concentration of a patient's own platelets into the shoulder area to promote healing of injured tendons, ligaments, muscles, or joints. PRP is used to treat conditions like rotator cuff tears, tendinitis, and arthritis. The effects of PRP therapy can last several months, with some patients experiencing significant pain relief and improved function. Costs vary depending on the provider and region but are often not covered by insurance. Benefits include reduced pain and enhanced healing, while potential complications are minimal but may include temporary pain or swelling at the injection site.

13. What causes muscle cramps, and how can they be prevented and treated?

Muscle cramps, or spasms, are sudden, involuntary contractions of one or more muscles, often caused by overuse, dehydration, electrolyte imbalances, or prolonged static positions. Prevention strategies include staying hydrated, maintaining balanced electrolyte levels, stretching before and after exercise, and avoiding prolonged periods of inactivity. Treatment involves gently stretching and massaging the affected muscle, applying heat or cold, and ensuring adequate hydration and nutrition.

14. What is a heel spur, and how can it be prevented and treated?

A heel spur is a bony outgrowth on the underside of the heel bone, often associated with plantar fasciitis. Causes include repetitive strain from walking, running, or jumping on hard surfaces, improper footwear, and obesity. Prevention strategies involve wearing supportive shoes, using orthotic inserts, maintaining a healthy weight, and performing stretching exercises for the feet and calves. Treatment options include rest, ice application, physical therapy, medications like NSAIDs, corticosteroid injections, and, in severe cases, surgical intervention.

15. What causes knee arthritis, and what are the non-surgical treatment options?

Knee arthritis, commonly osteoarthritis, results from the gradual wear and tear of cartilage in the knee joint. Causes include aging, joint injury, repetitive stress, and genetic predisposition. Diagnosis involves clinical evaluation, imaging studies like X-rays or MRI, and sometimes joint fluid analysis. Non-surgical treatments encompass lifestyle modifications (weight management, low-impact exercise), physical therapy, medications such as NSAIDs, corticosteroid injections, hyaluronic acid injections, and the use of assistive devices like braces or orthotics.

16. What causes coccyx pain, and how can it be treated?

Coccyx pain, or coccydynia, refers to discomfort in the tailbone area, often resulting from trauma (e.g., falls), prolonged sitting on hard surfaces, childbirth, or degenerative joint changes. Symptoms include localized pain that worsens with sitting or pressure on the tailbone. Treatment methods include using cushioned seating, applying heat or cold packs, physical therapy focusing on pelvic floor relaxation, medications like NSAIDs, and, in persistent cases, corticosteroid injections or surgical intervention.

17. What are EMG and NCS tests, and what are their purposes?

Electromyography (EMG) and Nerve Conduction Studies (NCS) are diagnostic tests used to assess the health of muscles and the nerves controlling them. EMG measures muscle response to nerve stimulation, while NCS evaluates the speed and strength of signals traveling through nerves. These tests help diagnose conditions like neuropathies, myopathies, radiculopathies, and neuromuscular junction disorders, guiding appropriate treatment strategies.

18. What is prolotherapy, and how is it used in medical treatment?

Prolotherapy, or proliferative therapy, is an injection-based treatment aimed at stimulating the body's healing processes to strengthen and repair injured or painful joints and connective tissue. It involves injecting an irritant solution, often dextrose, into the affected area to promote tissue regeneration. Prolotherapy is used to treat chronic musculoskeletal conditions such as ligament or tendon injuries, osteoarthritis, and back pain. While some patients report pain relief and improved function, more research is needed to fully establish its efficacy.

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