Pegah Yavari

Dr. Pegah Yavari is a distinguished specialist in physical medicine and rehabilitation based in Tehran, Iran. Born in 1990, she demonstrated academic excellence early on, securing top ranks in national entrance examinations. In 2008, she commenced her medical education at Shahid Beheshti University of Medical Sciences, one of Iran’s premier institutions. After completing her Doctor of Medicine degree in 2016, Dr. Yavari pursued specialization in physical medicine and rehabilitation at the same university. She completed her residency in 2019 and successfully passed the specialty board examination, earning her specialist credentials.

Throughout her career, Dr. Yavari has been actively involved in research, contributing several articles to esteemed international medical journals. She is a member of the Iranian Physical Medicine and Rehabilitation Association and has participated in numerous conferences related to her field, reflecting her commitment to continuous professional development.

Dr. Yavari offers a comprehensive range of services, including:

Minimally Invasive Spine Procedures: Performing percutaneous interventions for lumbar and cervical disc herniations and spinal stenosis.
Acupuncture: Utilizing acupuncture techniques to manage joint, skeletal, and muscular pain.
Electrodiagnostic Studies: Conducting nerve conduction studies and electromyography to diagnose neuromuscular disorders.
Regenerative Therapies: Administering intra-articular injections of hyaluronic acid and platelet-rich plasma (PRP) for joint conditions, particularly in the knees.
Migraine Management: Providing treatments for refractory migraine headaches.
Osteoporosis Treatment: Offering comprehensive management plans for osteoporosis to prevent fractures and maintain bone health.
Diabetic Neuropathy Care: Addressing peripheral neuropathy associated with diabetes through various therapeutic modalities.
Hyperhidrosis Treatment: Managing excessive sweating of the hands and feet using appropriate interventions.

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Education

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

Languages

English
Persian

Memberships & Certifications

Member of the Iran Medical Council: License Number 156611
Member of the Iranian Physical Medicine and Rehabilitation Association

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11:00-19:00
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10:00-14:00
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1. What is the difference between sciatica and spinal canal stenosis?

Sciatica and spinal canal stenosis are related but distinct conditions. Sciatica refers to pain that radiates along the path of the sciatic nerve, typically caused by compression or irritation of the nerve roots, often due to a herniated disc. Symptoms include sharp pain, numbness, or tingling in the lower back, buttocks, and legs. In contrast, spinal canal stenosis is a narrowing of the spinal canal that can compress the spinal cord and nerves, leading to symptoms like leg pain, weakness, and balance issues. While both conditions can cause leg pain, sciatica is primarily nerve-related pain, whereas spinal canal stenosis involves structural changes in the spine.

2. What are effective treatments for leg numbness after lumbar disc surgery?

Leg numbness after lumbar disc surgery can be concerning but may improve over time. Here are six strategies for treatment: Physical Therapy: Engaging in a tailored physical therapy program can help strengthen muscles and improve mobility. Pain Management: Over-the-counter pain relievers or prescribed medications can alleviate discomfort associated with numbness. Nerve Gliding Exercises: These exercises can help improve nerve function and reduce numbness. Heat and Cold Therapy: Applying heat or cold packs can relieve discomfort and promote blood flow to the affected area. Posture Correction: Maintaining proper posture during daily activities can alleviate pressure on the spine. Follow-Up Care: Regular check-ups with your healthcare provider can monitor recovery progress and address any ongoing symptoms.

3. How can knee arthritis be treated and its progression prevented?

Treatment for knee arthritis often involves a combination of approaches: Physical Therapy: Strengthening exercises can improve joint function and reduce pain. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. Weight Management: Maintaining a healthy weight reduces stress on knee joints. Injections: Corticosteroid or hyaluronic acid injections may provide temporary relief from pain. Surgery: In severe cases, surgical options such as arthroscopy or knee replacement may be considered. To prevent progression, staying active with low-impact exercises, using supportive footwear, and avoiding high-impact activities are essential strategies.

4. What foods are good for lumbar disc health?

A diet rich in anti-inflammatory foods can support lumbar disc health. Consider incorporating: Fruits and Vegetables: Berries, leafy greens, and cruciferous vegetables are high in antioxidants that combat inflammation. Omega-3 Fatty Acids: Fatty fish like salmon, walnuts, and flaxseeds can help reduce inflammation. Whole Grains: Foods like brown rice and quinoa provide fiber that supports overall health. Lean Proteins: Chicken, turkey, beans, and legumes support muscle repair and maintenance. Staying hydrated is also crucial for maintaining spinal disc health.

5. When should lumbar disc surgery be considered?

Lumbar disc surgery may be recommended when conservative treatments fail to relieve severe symptoms such as: Persistent pain that affects daily activities. Numbness or weakness in the legs that worsens over time. Loss of bladder or bowel control indicating possible nerve damage. A complete evaluation by a healthcare provider will guide the decision on whether surgery is appropriate based on individual circumstances.

6. How does lumbar disc differ from spinal canal stenosis? Which condition causes more discomfort?

Lumbar disc issues typically involve herniation or degeneration of discs in the lower back, leading to localized pain or sciatica. Spinal canal stenosis is characterized by narrowing of the spinal canal, which can compress nerves leading to broader symptoms like leg weakness or balance issues. Both conditions can cause significant discomfort; however, spinal canal stenosis may lead to more extensive neurological symptoms due to nerve compression.

7. Why does lumbar disc pain radiate to the groin area?

Pain from a lumbar disc issue may radiate to the groin due to nerve pathways. The lumbar nerves that exit the spine also innervate areas of the groin; thus, irritation or compression of these nerves can lead to referred pain in that region. This phenomenon is common with herniated discs affecting specific nerve roots that supply sensations to both the leg and groin area.

8. What traditional medicine treatments are available for dry back pain? Do they work?

Traditional medicine treatments for dry back pain may include herbal remedies like turmeric or ginger for their anti-inflammatory properties. Acupuncture is another option that some find effective for relieving back pain. While many patients report positive outcomes from these methods, scientific evidence varies; thus, results may differ from person to person. Consulting with a healthcare provider before starting any traditional treatment is advisable.

9. What causes shoulder pain accompanied by tingling fingers? What are the treatment options?

Shoulder pain with tingling fingers can result from several conditions such as cervical radiculopathy (nerve root compression), thoracic outlet syndrome, or rotator cuff injuries. Treatment options include physical therapy to strengthen shoulder muscles, medications for pain relief (like NSAIDs), ergonomic adjustments at workstations, and in some cases, corticosteroid injections for inflammation. If symptoms persist or worsen, further evaluation by a specialist may be necessary.

10. What could be causing tingling in my hands and face? What should I know about it?

Tingling in the hands and face could arise from various causes including anxiety, pinched nerves (such as carpal tunnel syndrome), vitamin deficiencies (like B12), or more serious conditions like multiple sclerosis or stroke. If tingling occurs suddenly or is accompanied by other concerning symptoms (like weakness or confusion), seeking immediate medical attention is crucial for proper diagnosis and treatment.

11. What are five important reasons cervical discs might cause facial numbness?

Cervical discs may lead to facial numbness due to: Herniated Discs: Pressure on nearby nerves can cause referred sensations. Cervical Radiculopathy: Nerve root irritation leads to numbness along specific dermatomes affecting facial areas. Spinal Stenosis: Narrowing of the spinal canal compresses nerves responsible for facial sensation. Injury or Trauma: Whiplash injuries can affect cervical structures leading to neurological symptoms. Degenerative Disc Disease: Age-related changes may contribute to nerve compression causing facial numbness. Consulting a healthcare provider is essential for proper assessment and management if experiencing these symptoms.

12. How does gel injection treat spinal canal stenosis?

Gel injections involve injecting a gel-like substance into the affected area around the spine to provide cushioning and reduce inflammation associated with spinal canal stenosis. This minimally invasive procedure aims to alleviate pressure on nerves and improve mobility while offering temporary relief from symptoms such as pain or discomfort during movement.

13. What are five methods of treating spinal canal stenosis with water therapy?

Water therapy offers several benefits for those with spinal canal stenosis: Aquatic Exercises: Low-impact exercises performed in water reduce strain while strengthening muscles. Hydrotherapy Pools: Warm water therapy helps relax muscles and improve circulation around affected areas. Buoyancy Support Exercises: The buoyancy of water allows easier movement without putting pressure on joints. Stretching Routines in Water: Gentle stretching while submerged can enhance flexibility without risk of injury. Water Aerobics Classes: Engaging in structured classes provides guided exercise tailored for individuals with back conditions. These methods aim to enhance mobility while minimizing discomfort associated with spinal canal stenosis.

14. How does ozone therapy treat spinal canal stenosis?

Ozone therapy involves injecting ozone gas into affected areas around the spine to reduce inflammation and promote healing in cases of spinal canal stenosis. The ozone acts as an oxidizing agent that may help improve oxygen delivery to tissues while reducing oxidative stress on nerves. This treatment is considered minimally invasive but should be discussed thoroughly with a healthcare provider regarding its suitability for individual cases.

15. How does physical medicine treat spinal stenosis?

Physical medicine focuses on rehabilitation techniques aimed at improving function while managing pain related to spinal stenosis. Treatment modalities include: Physical Therapy Exercises: Tailored programs designed to strengthen core muscles supporting the spine. Manual Therapy: Techniques performed by trained therapists to mobilize joints and relieve tension. Modalities: Use of heat packs, cold therapy, ultrasound, or electrical stimulation to alleviate pain. Education: Teaching proper body mechanics during daily activities helps prevent exacerbation of symptoms. This comprehensive approach aims at improving quality of life while managing chronic conditions like spinal stenosis effectively.

16. What is the best medication for treating spinal canal stenosis?

The best medication for treating spinal canal stenosis often includes nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen for managing pain and inflammation. In some cases, stronger prescription medications such as muscle relaxants or corticosteroids may be recommended for short-term relief during flare-ups. It’s essential to consult a healthcare provider for personalized medication management based on individual needs and medical history.

17. What happens if spinal stenosis is not treated?

If left untreated, spinal stenosis can lead to progressive symptoms including chronic pain, worsening mobility issues, loss of bladder/bowel control due to nerve compression, muscle weakness in legs leading to falls/injuries, and potentially permanent nerve damage over time. Early intervention through conservative measures or surgical options is crucial in preventing complications associated with untreated spinal stenosis.

18. What are seven treatments available for leg pain caused by spinal canal stenosis?

Seven treatment options for leg pain caused by spinal canal stenosis include: Physical Therapy: Tailored exercises aimed at strengthening muscles supporting the spine. Medications: NSAIDs for inflammation management; prescription medications if necessary. Epidural Steroid Injections: To reduce inflammation around compressed nerves. Chiropractic Care: Manual adjustments may alleviate pressure on nerves. Acupuncture: Alternative therapy shown effective in managing chronic pain. Surgery: Decompression procedures if conservative treatments fail. Lifestyle Modifications: Weight management strategies coupled with low-impact exercise routines help alleviate stress on affected areas. Consultation with a healthcare provider will determine appropriate treatment based on severity and individual circumstances.

19. How does laser treatment work for spinal canal stenosis?

Laser treatment involves using focused light energy directed at affected tissues around the spine to reduce inflammation and promote healing associated with spinal canal stenosis. This minimally invasive procedure aims at relieving pressure on nerves while enhancing recovery through improved blood flow without significant downtime compared to traditional surgical methods.

20. What are five common reasons for back pain after disc surgery?

Back pain after disc surgery may arise from several factors including: Surgical Site Healing: Post-operative healing processes often cause temporary discomfort. Scar Tissue Formation: Development of scar tissue around surgical sites may contribute to ongoing pain. Muscle Strain: Weakness from inactivity prior/surgery could lead to muscle strain during recovery. Improper Posture: Poor posture during recovery might exacerbate discomfort post-surgery. Underlying Conditions: Pre-existing conditions unrelated directly tied into surgical outcomes could also manifest as persistent back pain post-surgery; ongoing evaluation is necessary if symptoms continue beyond expected recovery timelines. If experiencing significant discomfort after surgery consult your healthcare provider promptly regarding management strategies tailored specifically towards your needs!

21. What causes severe shoulder pain combined with shoulder blade discomfort?

Severe shoulder pain combined with shoulder blade discomfort could stem from various sources including rotator cuff injuries (tears/tendinitis), shoulder impingement syndrome affecting range-of-motion capabilities leading up towards neck/upper back regions contributing towards overall discomfort levels experienced within these areas; additionally underlying conditions such as osteoarthritis affecting joint structures within shoulders themselves might also play significant roles contributing towards symptomatology observed within patients experiencing these issues! Consulting an orthopedic specialist would provide further insights into potential diagnoses/treatment options available based upon individual circumstances presented!

22. Why do I experience hand tingling after sleep?

Hand tingling after sleep often results from pressure applied during sleep positions causing temporary nerve compression (e.g., carpal tunnel syndrome). Changing sleep positions frequently helps alleviate this sensation; however persistent tingling warrants further evaluation by a healthcare professional who might suggest diagnostic testing aimed at identifying underlying causes contributing towards recurrent episodes experienced regularly!

23. What causes tingling sensations in my leg from the knee down?

Tingling sensations in your leg from the knee down could arise due either from nerve compression (such as sciatica) affecting pathways leading into lower extremities; additionally circulatory issues impacting blood flow might also contribute towards these sensations being experienced regularly! If persistent consult your healthcare provider promptly regarding evaluations needed aimed at identifying potential underlying causes contributing towards symptomatology observed!

24. Why do my feet tingle after walking?

Tingling feet after walking might indicate temporary nerve compression due either from prolonged activity levels leading up towards fatigue experienced within muscles themselves; additionally underlying circulatory issues impacting blood flow could also play significant roles contributing towards sensations felt following physical exertion! If persistent consult your healthcare provider promptly regarding evaluations needed aimed at identifying potential underlying causes contributing towards symptomatology observed!

25. What are non-surgical treatments available for knee pain?

Physical Therapy: Tailored exercises designed specifically aimed at strengthening surrounding musculature supporting joint stability! Medications: NSAIDs prescribed targeting inflammation/pain relief! Injections: Corticosteroid injections providing temporary relief directly targeting inflamed areas! Bracing/Support Devices: Knee braces providing additional support/stability during activity levels undertaken! Weight Management Strategies: Maintaining healthy body weight reducing stress placed upon joints themselves! Alternative Therapies: Acupuncture/chiropractic care providing adjunctive support aiding overall symptom management!

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