EXPERT
Nichelle Renk, M.D.
Pain Management Specialist
- Anchorage, AK
- Virginia Commonwealth University
- Accepting new patients
What is Triggering Your Migraines?
The Migraine Research Foundation notes that around 12% of all adults in the United States deal with migraines. Migraines are more common in women than in men but can affect patients...
What Can I Expect During a Spinal Cord Stimulation Trial?
Could you benefit from a long-term, non-pharmacological interventional pain management solution for health issues like chronic back pain? Spinal control stimulation (SCS) often...
Calm The Nerves That Are Causing Your Back Pain With Spinal Cord Stimulation
Chronic back pain causes aches and discomfort at all hours of the day, keeping you from getting around during the day and getting to sleep at night. Pain signals that travel from...
I Never Had Migraines Before — Why Do I Have Them Now?
Migraine headaches come with a range of unpleasant symptoms, including pain, sensory sensitivity, nausea, and vomiting. You may experience discomfort and warning symptoms before...
PRP: How This All-Natural Therapy Relieves Pain in the Shoulders, Knees, and Hips
You get up in the morning and you’re greeted by achy knees or hips that make you wince with every step. Or, perhaps you hit the shower and find washing your hair to be nearly...
The Link Between Your Mood and Your Nutrition
If you’ve been struggling with low mood, mood swings, or other emotional disturbances, questions about your diet could be furthest from your mind. You’re more likely to get stuck...
Calm The Nerves that Are Causing Your Back Pain With Spinal Cord Stimulation
Chronic back pain causes aches and discomfort at all hours of the day, keeping you from getting around during the day and getting to sleep at night. Pain signals that travel from...
Understanding How EDS Affects Children
Ehlers-Danlos syndrome (EDS) is a connective tissue disorder that has genetic causes, meaning it can be inherited. Children with EDS have some distinct health care needs, so they...
What's Triggering Your Migraines?
The Migraine Research Foundation notes that around 12% of all adults in the United States deal with migraines. Migraines are more common in women than in men but can affect patients...
4 Expert Nutrition Hacks You Can Start Using Today
Your diet makes a huge difference in your health and wellness, both positive and negative. Eating the right foods at the right times, after preparing them with healthy cooking...
The Link Between Neck Pain and Working from Home
In the last few years, working from home has become an increasingly popular professional option. It’s convenient to skip out on a commute, and working from home also keeps costs...
4 Reasons to Include Supplements in Your Diet
You do your best to eat right and give your body the nutritional support it needs. But it can be challenging to get sufficient levels of essential vitamins, minerals, and other...
Cooled RFA for Shoulder and Knee Compared With Steroid Injections
Chronic shoulder or knee pain due to conditions like osteoarthritis reduces your mobility and limits your quality of life. Innovative interventional pain management treatments...
How to Relieve Jaw Pain Without Surgery
Your temporomandibular joints are located where your skull connects with your lower jawbone, also called the mandible. You rely on these joints to open and close your mouth, to...
Why Do My Hips Hurt When I Wake Up in the Morning?
You wake up in the morning and, instead of feeling refreshed, rested, and ready, you’re overwhelmed by an aching pain in your hips. What’s causing this morning's hip pain, and...
Ketamine for Severe Depression: What to Expect
The symptoms of severe depression, ranging from persistent sadness to sleeplessness and including constant feelings of exhaustion or loss of interest in hobbies and personal goals,...
Suffering From Chronic Migraine Pain? Here's How Botox Can Help
Migraine headaches are more common than you might realize, affecting about 12% of Americans. When you have a migraine, disabling symptoms like pain, light and sound sensitivity,...
Chronic Pain: Can Radiofrequency Ablation Help?
Chronic pain seems to echo around your body, felt everywhere and nowhere, without a clear physical cause like an injury to explain your pain symptoms. As a way to give lasting...
All of Your Treatment Options for Occipital Neuralgia
Your two greater and two lesser occipital nerves are found on each side of your head at the base of your skull. These four nerves transmit sensation to the top of your head....
Little-Known Causes of Back Pain
Does low or mid back pain keep you up at night or keep you from getting or staying active the way you’d like? You’re not alone: Back pain affects nearly all adults at some point....
What is the best way to treat muscular pains after running?
This could be shin splints or stress reaction/fractures. I recommend good running shoes and avoiding hard surfaces while running. A physical therapist or orthotic expert may be able to analyze your running gait and give you more tips.
Nichelle C. Renk, M.D.
Can pain relieving drugs become addictive?
Pain relieving medications can become habit forming but most are not "addictive" per se. The classes which are more at risk for being habit forming or addictive are the opioids and benzodiazepines.
Sincerely,
Nichelle C. Renk, M.D.
How does alternative hot and cold packs help in relieving pain?
I typically recommend heat only for chronic muscular tension and pain. Heat, magnesium in oral, liquid or epsom salt baths can reduce muscular pain and tension.
Sincerely,
Nichelle C. Renk, M.D.
Abdominal pain
I am concerned about serious illnesses like appendicitis or some other GI disturbance. Please go to the ER or see your primary care doctor about this problem. For your low back, the pain may be referred from your abdomen or be another structure such as your lumbar facet joints or sacroiliac joint.
Sincerely,
Nichelle C. Renk, MD
My husband has frequent headaches due to work stress. What should we do?
Stress is a common problem and contributor to pain and mood. I recommend your husband takes "me-time" daily in which he meditates and deep breathes. There are now a lot of smartphone applications that can assist with this process. Set a goal of once in AM and once in PM (perhaps when he gets home). Other ideas for this problem include seeing a pain psychologist, reading the book "Managing Pain before it Manages You" and epsom salt baths with lavender.
Sincerely,
Nichelle C Renk, MD
I have a lot of body pain especially at night. What can I do to treat it naturally?
Work on gentle strengthening through yoga, pilates, or weight machines and posture. Also, consider alternate ways of working, say seated for instance.
Sincerely,
Nichelle C Renk, MD
Are steroids often recommended for pain?
I prefer to avoid steroids for back pain as much as possible. There are times it is indicated and could be helpful. Some examples would be a lumbar radiculitis/radiculopathy which is a disc herniation causing nerve impingment and sacroilitis or inflammation of the sacroiliac joint.
Sincerely,
Nichelle C. Renk, M.D.
Fibromyalgia
I recommend daily aerobic exercise such as walking or swimming for fibromyalgia. I also prescribe low dose naltrexone as well as other medications such as lyrica and cymbalta for this problem.
Sincerely,
Nichelle C Renk, MD
What is this muscle strain?
Could frequent headaches indicate something serious?
Are pain relieving balms safe for kids?
How does Epsom salt help in relieving heel pain?
My husband is having pain in his abdominal area due to kidney stones. Can you recommend some medication for him?
Is there a safe medication to manage my pain before starting my menstrual period?
I am experiencing pain in my facial muscles. What should I do?
You may have masseter tension due to stress, grinding, or TMJ dysfunction. A nightly mouth guard, magnesium at night, meditation/de-stressing, and a muscle relaxant can be helpful if this is the case. In some instances, botox is used to relax the masseters.
Sincerely,
Nichelle C. Renk, M.D.
I have a sprain in my neck and I think it's from my pillows. How can I fix this?
Absolutely. A lot of times, pain such as the one you are describing is due to muscle tension, and heat is an excellent muscle relaxant. I also like chelated magnesium glycinate at night and Epsom salt baths for this problem as well.
Sincerely,
Nichelle C. Renk, M.D.
I have severe back pain during my periods. Please help.
This is common. It is the referral pattern of the uterus to the back. ou may have a retroverted uterus. NSAIDs, such as Ibuprofen and Tylenol, and heat are helpful for this problem. Also, consider seeing your gynecologist for workup of possible PMDD.
Sincerely,
Nichelle C. Renk, M.D.
My core is feeling sore and painful after a weight work out. What should I do?
I am concerned you may have rhabdomylolysis. I recommend seeing your primary care doctor and asking for a creatine kinase.
Sincerely,
Nichelle C. Renk, M.D.
I have a lot of body pain by the end of the day, mainly due to my weight. What should I do?
Have you tried working out in the morning or at lunch? Try walking and swimming to start and work your way up to more vigorous exercise. I recommend the Paleo diet and Ketogenic diet for weight loss.
Sincerely,
Nichelle C. Renk, M.D.
My fingers hurt after playing tennis. Is this normal?
This could be a tendon or a nerve problem. For instance, if you have carpal tunnel syndrome or an ulnar neuropathy, you can have severe pain after using your hands/arms. See your primary care doctor or pain doctor for an evaluation.
Sincerely,
Nichelle C. Renk, M.D.