All About Osteoperosis

Osteoporosis causes bones to become weak and brittle. They can become so brittle that a fall or even mild stresses such as bending over, or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist, or spine.

Osteoporosis means “porous bone.” When you look at a healthy bone under a microscope, it looks like a honeycomb. When osteoporosis occurs, the holes and spaces in the honeycomb are much larger than in healthy bone. Osteoporotic bones have lost density or mass and contain abnormal tissue structure. Osteoporosis occurs when the creation of new bone doesn’t keep up with the removal of old bone.

About 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Osteoporosis affects both men and women of all races. But white and Asian women, especially older women who are past menopause, are at a higher risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss or strengthen already weak bones.

Osteoporosis may limit mobility, which often leads to feelings of isolation or depression. Breaking a bone is a serious complication of osteoporosis, especially with older patients. Roughly twenty percent of seniors who break a hip die within one year from either a complication related to the broken bone itself or the surgery to repair it.

Risk factors of Osteoporosis

There are several risk factors that can increase the likelihood that you’ll develop osteoporosis, including your age, race, lifestyle choices, and medical conditions and treatments. Some other risk factors that are out of your control include: gender, age, race, family history, and body frame size.

One of the most common causes of osteoporosis pain is a spinal compression fracture. Because the spine is involved with every move that we make, it is one of the most common places for injury. Sudden, severe back pain that gets worse when you are standing or walking with some relief when you lie down. Trouble twisting or bending your pain, loss of height, and an exaggerated curved spine, called kyphosis, are all symptoms of a spinal fracture.

There are a few treatments to help with the symptoms of osteoporosis such as medication, adding in exercise, and good nutrition. If you are experiencing spinal pain, there are many different procedures to help relieve spinal pain. Twin Cities Pain Clinic offers a variety of treatments plans that are individualized for each patient.

Map spread out on car dashboard

How to Survive a Road Trip with Persistent Pain

If you have persistent back or neck pain, riding in a car for any period of time can be difficult. Riding in a car for an hour or more can be even more challenging. If you have a road trip or long car ride coming up, consider some of the following tips to make the trip as best as it can be.

Take frequent stops

Stopping often to walk around and stretch can help with your pain from sitting. Before even leaving the house, plan your trip out and how you want to take a break. You can plan it however feels comfortable for you. Whether that’s a five-minute break every hour or fifteen minutes every two hours. Incorporate these planned breaks into your road trip route.

When you do stop, move around. Sitting for long periods of time will stiffen up your muscles and lead to achiness and possible muscle spasm. Movement is important for everyone, but especially those with persistent pain. Movement stimulates blood circulation, which brings nutrients and oxygen to your muscles.

Hydrate and snack appropriately

Dehydration can increase pain, so keeping plenty of water on hand is important. If it’s hard to drink lots of water, opt for green tea or vitamin water with antioxidants that help with inflammation. Drinking pop or sugary drinks can add to inflammation, which can add to pain.

As much as it’s important to drink plenty of water, it’s important to eat foods that help your body as well. Eating anti-inflammatory foods is great for your chronic pain, as well as your waist line. Try to eat foods like cherries, watermelon, almonds, smoked salmon, and fresh veggies. It’s sometimes hard to find better food options at gas stations, but you can always pack a cooler ahead of time to help set yourself up for success.

Make your trip as smooth as possible

Bring some comfortable accessories along on your trip. Getting a seat cushion made for a car or a lumbar pillow can help support your back and spine. Try riding passenger for a long trip or if you have to drive, switching up driving shifts with one or more people will let you change up your sitting position and may help with a smoother ride. When driving make sure your seat and mirrors are in a comfortable position as well.

You want your seat close enough to the steering wheel that you don’t have to hunch your shoulders forward to reach the wheel, but you want to make sure you are not so close that your arms and elbows hug your body. The seat itself can also tilt forward or backwards. Tilting the seat forward helps preserve the curve in your lumbar spine (lower back). And tilting the seat back lifts your knees above your hips, which can relieve low back pain.  You also want to make sure your mirrors are at a good level. You want to be able to look into your side and rear-view mirrors with a level chin. Having your chin tilted for too long can result in neck pain.

You shouldn’t just try to ease pain on road trips. Working on strengthening your core and exercising frequently can help try to ease pain in the long run. Click to read more on how exercise and stretching can help ease pain.


If you have more questions or need more help regarding your pain, please call 952-841-2345


Employee Spotlight: Stacy

Meet Stacy, Medical Biller at Twin Cities Pain Clinic. Stacy was nominated by her fellow staff members for her continued hard work to always get to the root issue on commercial payer claim denials. Stacy is always determined to have claims paid correctly and the A/R be accurate. Thank you for your continued hard work and dedication day-in and day-out, Stacy!

What is your position / What are your daily responsibilities?

I am a medical biller at the Edina location. My responsibilities include working a/r for all commercial payers. I am also responsible for refunds.

How long have you been with TCPC?

January 3rd I reached my one year mark with TCPC.

What are some of your hobbies?

I really don't have any hobbies as I work two jobs and the rest of my time is spent with family.

What is your favorite thing about working at TCPC?

My favorite thing about working at TCPC is the billing team and working from home.

Image depicting common pain points on the body

All About Arthritis

There are many different diseases that contribute to the 50 million American’s that experience chronic pain. One of those diseases is arthritis. According to the Arthritis Foundation, about 54 million adults have doctor-diagnosed arthritis. The Centers for Disease Control and Prevention (CDC) describes arthritis as inflammation or swelling of one or more joints. There are more than 100 conditions that affect the joints, tissues around the joint, and other connective tissues. Specific symptoms vary depending on the type of arthritis, but usually include joint pain and stiffness.

According to the Arthritis Foundation the five most common types of arthritis include osteoarthritis (OA), rheumatoid arthritis (RA), psoriatic arthritis (PsA), fibromyalgia and gout. All of these types of arthritis cause pain in different ways. Lupus is another form of arthritis that affects many individuals as well. Below are explanations about the six most common types of arthritis.


Osteoarthritis is the most common form of arthritis. With OA, the cartilage within the joints begins to break down and the underlying bone begins to change. These changes with the joints usually develop slowly and get worse over time. OA can cause pain, aching, stiffness, and swelling. Decreased range of motion or flexibility can also be present.

Osteoarthritis affects over 30 million US adults. Because of the symptoms that come with OA, some people experience reduced function and disability. Some people are no longer able to do daily tasks or work because the pain and stiffness gets so bad.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation in the affected body parts. RA mainly attacks joints, and usually many joints at once.

RA commonly affects the joints of the hands, wrists, and knees. In a joint with rheumatoid arthritis, the lining of the joint becomes inflamed, causing damage to joint tissue. The tissue damage from rheumatoid arthritis can cause chronic pain, unsteadiness, and deformity. RA can also end up affecting other tissues throughout the body and cause problems in organs such as the lungs, heart, and eyes.

There are many signs and symptoms of RA and there are times when symptoms “flare” up or get worse, and times when they get better. The common signs and symptoms include pain, aching, stiffness, tenderness, weight loss, fever, fatigue, and weakness. With some of the symptoms, like pain and stiffness, they can occur in more than one joint at a time.

Psoriatic Arthritis

Psoriatic arthritis is also an autoimmune disease that causes inflammation and pain. PsA affects the joints, the connective tissue where tendons or ligaments attach to bones, causing enthesitis, and affects the skin, which causes psoriasis.


Fibromyalgia is a condition that causes pain all over the body, sleep problems, fatigue, and emotional and mental distress. Often times, doctors who examine people with Fibromyalgia cannot find anything specifically wrong, even after a number of tests. Normally people with Fibromyalgia experience pain and tenderness all over their body and feeling consistently exhausted.


Gout is a common form of inflammatory arthritis that is very painful. Usually it affects one joint at a time (often times the big toe joint). People with Gout tend to experience flare ups and times when there are no symptoms. There is no cure for Gout, but it can be affectively managed. Symptoms in the affected joint may include pain, swelling, redness, and heat.


Lupus is another major for arthritis that is an autoimmune disease that can affect many different parts of the body including, heart, lungs, brain, kidneys, skin, and joints. The main feature of Lupus is inflammation, characterized by redness, heat, swelling, loss of function and pain outside or inside the body. Fatigue, hair loss, sensitivity to light, fever, rash and kidney problems are also some more severe symptoms in Lupus. There is no cure for Lupus, but there are treatments to help control its symptoms.

There are many more forms of arthritis that are paired with other symptoms than inflammation and swelling of the joints. One form of arthritis is not worse than others and can affect everyone differently. There are many ways to help relieve some of the pain and inflammation that is associated with arthritis. At Twin Cities Pain Clinic, we are happy to offer a wide array of procedures to manage pain and tailor each patient based on their own symptoms. 



Twin Cities Pain Clinic in Woodbury, MN

Our Woodbury Clinic Has Moved!

Twin Cities Pain Clinic is excited to help meet the growing need for comprehensive pain management. We understand that when you are in pain, convenience is key. In pursuit of our mission, we are happy to provide excellent care, in a new comfortable location. Our new office location will proudly serve Woodbury and the surrounding communities by continuing to offer the most advanced treatment options.

Twin Cities Pain Clinic first expanded to Woodbury in 2014 with a clinic location on Commerce Dr. To better serve our patients, we have moved from our old office on Commerce Dr to 683 Bielenberg Dr. #103. The new office opened to patients on March 4th, 2019.


Click here to see a map.

Feet and athletic shoes-one shoe causing foot pain

How Your Feet Can Contribute to Your Persistent Pain

Your feet get you from point A to point B, but as you walk I’m sure most of you don’t even notice how you walk. What you might not be aware of, is that your feet can play a significant role in your pain. The way you walk and stand can impact your whole body.

According to Dr. Positano, director of the Non-Surgical Foot and Ankle Service at the Hospital for Special Surgery, “The foot is the foundation of the body. If the foundation is not sound, it could have a deleterious effect on the joints above the foot and ankle, namely the knee and the hip.” If you feel unbalanced, your shoes will likely be uneven. If your shoes are uneven, this can eventually cause weakness in your ankles, knees, and hips, making them vulnerable to injury.

Where you feel your pain is almost always never where your pain originates from. A lot of the times, pain will travel up the body. Indeed, the stabbing, throbbing, aching in your low back, hip, or knee could be a symptom, not the cause, of your discomfort. Many people don’t realize it, but how you stand and walk can play a key role in your pain.

Any problem with the foot or ankle can result in a compromised posture or gait which can lead to knee or hip pain.

Examples of foot problems that can lead to poor posture and irregular walking patterns

  • Plantar fasciitis, which can lead to chronic heel pain and/or arch pain
  • Nerve pain or numbness in the foot, (neuromas and tarsal tunnel syndrome)
  • Bunions and bunionettes (big-toe versus little-toe side, respectively)
  • Excessive foot pronation (rolling in) or supination (rolling out)

Some people's feet automatically go into a V shape when standing or walking. In this instance, the whole structure of your body is somewhat off balance, or “out of alignment.” Focus on standing and walking with proper alignment. This can help ease some of the back, knee, or hip pain you're feeling.

Changing how you walk may feel strange at first, but over time it will feel more normal. Make an effort to “square” your feet with your knees and walk with your toes pointing straight ahead. This is how to keep your body aligned, reducing your chances of injury to the low back and other parts of your body. The foot is the foundation of the body, and the way you walk can affect just about everything.