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Pamela A M Mills

Physiatrist (Physical Medicine)

Dr. Pamela Mills is a physiatrist practicing in New Hope, Pennsylvania. Dr. Mills is a medical doctor specializing in physical medicine and rehabilitation. As a physiatrist, Dr. Mills focuses on a patients ability to function, and can treat multiple conditions that affect the brain, nerves, spine, bones, muscles, joints, ligaments and tendons. Dr. Mills can diagnose and treat pain that is a result of injury, disease or a disabling condition. Physiatrists often lead a team of physical therapists, occupational therapists and physicians in a patients treatment or prevention plan.
Pamela A M Mills
  • New Hope, Pennsylvania
  • Queen Margaret college Univesity Edinburgh university Glasgow Royal infirmary aberdeen Royal infirmary
  • Accepting new patients

Are topical sprays good for sprains?

Yes, topical sprays are good short-term. There are some good ones out there. I am particularly cautious about sprains as many doctors think they are nothing to worry about. I am READ MORE
Yes, topical sprays are good short-term. There are some good ones out there. I am particularly cautious about sprains as many doctors think they are nothing to worry about. I am still the old school. RICE: Rest, ice, compression, and elevation. Sprays help ease the pain, but should not be used so you can do more as in the long run it takes time to heal 4-6 weeks, in some cases 8-12. Do not overdo activity.
Hope this helps.

I have severe back pain at the bottom of my spine. Do you think a surgery might be required?

Poor you. Well, surgery should always be the last resort. How long have you had the pain? What do you think started it? Is it worse sitting, standing, or lying down? It could be READ MORE
Poor you. Well, surgery should always be the last resort. How long have you had the pain? What do you think started it? Is it worse sitting, standing, or lying down? It could be coccyx. You may even have a fracture (tail bone). Did you fall? How old are you? I would see a physiatrist or sports medicine doctor. Keep away from surgeons. You must understand surgeons are trained to cut, not to rehabilitate, just cut. Please get a diagnosis first, then it is simple to get a treatment plan. Pills will only mask the problem. Sports medicine doctor is also okay. But get checked out to find out why you are in pain. Baths with Epsom salts may help, and anti-inflammatory cream. I use natural with peppermint oil and plant extracts. Very effective, no side effects, but please get a diagnosis.

What's physical therapy like for kids?

It would and should be fun and give a positive experience. Do try and find a pediatric physio to help her.

Why do I have sharp abdominal pain when I run?

I have seen this a lot and here is what I believe to be the cause in simplistic form. Breathing too shallow. If you have too much fluid in your stomach you can’t take large READ MORE
I have seen this a lot and here is what I believe to be the cause in simplistic form. Breathing too shallow. If you have too much fluid in your stomach you can’t take large breaths.
It can be associated with something you ate or drank before workout. Breathing too shallow.
So if you get a pain in running slow down and walk put your hand on your belly and breathe deeply. If you are breathing from your lower lungs your tummy should rise and fall I have never seen anything sinister ,but if it continues then get checked out by a physciatrist or sports medicine dr. Check to see what you are eating it can be a digestive issue. I had a patient who ate bananas and got abdominal pain. But eating apples he was fine. Listen to your body. How are your bowels ? Let me know if I can help you further

Is my constant body pain for real?

Of course it’s not in your head. Bad husband for saying such a horrible thing to you. There is nothing worse than pain. Why do you think men do not have babies? When did the pain READ MORE
Of course it’s not in your head. Bad husband for saying such a horrible thing to you. There is nothing worse than pain. Why do you think men do not have babies? When did the pain start? Does something make it worse or better? Does it prevent you from sleeping? You need to get checked out by a physiatrist from head to toe. No point in suffering, get a proper diagnosis, and certainly it is not in your head. I have been in medicine over 40 years and women do not complain of pain if it’s not real. There has to be something making you feel bad. A little consideration from your husband might go a long way in some empathy for you. Take care.

What should I be doing for tennis elbow?

Poor you. Such a painful injury. Thousands of athletes suffer from this condition. Well, of course, it is not my job to recommend products or companies. I have no association with READ MORE
Poor you. Such a painful injury. Thousands of athletes suffer from this condition. Well, of course, it is not my job to recommend products or companies. I have no association with anyone and am certainly not in the business to promote companies. However, you have no insurance. I know some people have used kingbrand.com. Just check it out. You need to rest the elbow and it should be strapped or wrapped. Ice compresses to the area. It can take 6-12 months to heal. Stopping any exercise that may have caused it is imperative. It is of course an overuse Injury. You will know best what has started it. Surgery is not something you ought to even consider. I am off the old school RICE: Rest. Ice. Compression. Elevation. And patience. Lots of patience.

My son has awful shoulder pain. How can I help him?

So, firstly, because X-rays do not show anything, that’s good, but does not help your son. Obviously he is not feeling well. Children do not usually want to stay put unless there READ MORE
So, firstly, because X-rays do not show anything, that’s good, but does not help your son. Obviously he is not feeling well. Children do not usually want to stay put unless there is a problem. If as you say he loves baseball, it makes sense he would want to get back to playing as soon as he can. Children often suffer growth plate injuries. If your child is overusing the upper part (humerus). Actually, throwing a baseball is very common. It can be that he is scared to throw the ball again due to the pain that might come back. Children develop at different stages in their bone growth.

I would take your son to a physiatrist to check out the mobility of his shoulder, as certain movements might be worse than others. Check all this; a treatment plan can then be put in place. Physiatrists are medical doctors who help heal the body without surgery. He will be fine, but listen to him if he says it’s painful. I am old school where we did not rely on tests, X-rays, etc. We did a proper head-to-toe check and listened to the child. Two hands and ears are still the best equipment a doctor can possess.

Hugs for a happy child.

How can I treat my neck pain?

Neck pain can be so painful it sounds as if your posture is contributing to the problem. Especially sitting at a computer, which can cause neck spasms all to do with how you are READ MORE
Neck pain can be so painful it sounds as if your posture is contributing to the problem. Especially sitting at a computer, which can cause neck spasms all to do with how you are sitting, etc. Stretching is important and changing your position; I often recommend a neck brace to hold your neck in position which actually takes of the stress in your neck muscles Many of my colleagues would not recommend neck braces, but if you use it only when working it can help. This is not using the brace all the time. I would like you to go to a physiatrist or a sports physical therapist for an assessment. It may be you have some cervical disc problem in your neck. Osteoarthritis or just simply your posture at work sitting at a computer, which causes your neck muscles undue strain. I am not a chemical girl, but you could take some anti-inflammatory; it’s always best to have it checked. A physical therapist can show you some excellent stretches. Also, some people go to chiropractors; I recommend osteopaths. You may need an X-ray to ascertain the condition of your cervical anatomy. Always best to err on the cautious side. When you get up in the morning, simply stretch, turn your neck towards your left side as far as possible. Then, do the same looking to your right side. See how far you can move, then look downwards and then upwards. If you get stuck in any of these positions, please see someone.
Good luck and take care. Remember, you only have one body. Look after what you have.

Can I go on a treadmill or go cycling with back pain?

It depends as exercise can make back pain worse. Why are you getting stiffness in your back? There has to be reason it. It can be as simple as you pulled a muscle, overdid something READ MORE
It depends as exercise can make back pain worse. Why are you getting stiffness in your back? There has to be reason it. It can be as simple as you pulled a muscle, overdid something you are not used to. In any event, it is not normal. My suggestion is first try stretches such as yoga, but you should be checked out. Perhaps a physical therapist to see your range of motion and when you get the pain or discomfort. Do not go to a doctor who brushes it off and gives you pain pills or anti-inflammatory medications. Have your back assessed by a physiatrist or physiotherapist first. It is not normal to have problems in your back. Check it out before doing any exercise as I said it can make it worse.

What is the solution for a calcaneal spur?

These spurs occur due to abnormal pressure, usually from a shoe. More common in females due to the shoes we wear. Do not have it removed surgically as, usually, unless you get READ MORE
These spurs occur due to abnormal pressure, usually from a shoe. More common in females due to the shoes we wear. Do not have it removed surgically as, usually, unless you get the proper diagnosis and/or change your foot wear, it will recur. I recommend you protect your heel with a fleecy web protection. Podiatrists do this. Or a heel cut out so that the back of the shoe is not pressing directly on your heel. It is quite easily solved. Do not have it removed surgically. I stress this again.

Effects of a spinal cord injury?

Golly, not very nice. You do not say where the Injury is in the spinal cord. There are normally two types: one is complete, the other incomplete. However, I do not want to alarm READ MORE
Golly, not very nice. You do not say where the Injury is in the spinal cord. There are normally two types: one is complete, the other incomplete. However, I do not want to alarm you. These injuries can take a long time to heal The first year is the hardest.

Did he bruise the spinal cord? Does he have paralysis? Has he had an MRI to find out the type of spinal cord injury he has? The sooner treatment is implemented, the better. The location of his injury will determine his prognosis and his mental health is a huge part of getting him to feel better. Often, patients suffer from depression, so emotional support is key.
Physical therapy is very important and sometimes steroid injections to reduce inflammation. Stem cells are used in Europe and some clinics are involved in the US, but this treatment is still being studied. These cells have the ability to regenerate damaged tissue. I would have the family look into this treatment. There are a number of sports medicine clinics doing this treatment. However, in the US, it is not covered through insurance. Other forms of treatment are spinal laser therapy and shock wave therapy. It is a long haul unfortunately, and getting his team of doctors to ascertain the best treatment plan is very important.

What is the best medicine for stomach cramps?

It is not healthy for you to be cramping. Lots of reasons for this. But I suggest you go and see a gastroenterologist to rule out any serious problems such as colitis irritable READ MORE
It is not healthy for you to be cramping. Lots of reasons for this. But I suggest you go and see a gastroenterologist to rule out any serious problems such as colitis irritable bowel, etc. From your question, is it all the time? Do you have any diarrhea? Constipation? Weight loss? Are you drinking enough fluids? You would be surprised, but you may be a bit dehydrated (not drinking enough fluids). It can also be a build-up of gas.

You ask about treatment. First, please get yourself checked out. You can apply heat to your tummy, but really you need a check-up to make sure it’s nothing serious. If you need more help, I would never advise on any medication until I have a diagnosis. Do please get yourself checked. You do not mention how long you have had this, either, another important factor. Have you been traveling recently? I think of parasites. Please do go and see a gastroenterologist. Look after yourself.




What can I do to relieve my joint pain?

First, have you seen your doctor for a diagnosis? Joint pain is usually caused by something, ex., overuse of the joints like exercising more. Or it can be more serious like arthritis READ MORE
First, have you seen your doctor for a diagnosis? Joint pain is usually caused by something, ex., overuse of the joints like exercising more. Or it can be more serious like arthritis etc. I recommend anti-inflammatory cream such as Voltaten, but you may require a prescription. I have no idea if you are on current medications, but an X-ray would not go amiss. Rule out any arthritis. Of course, I do not like you to have radiation of any kind, but ascertain a diagnosis. It is so important, then treatment is much more effective. I am very holistic and do not like chemicals. You do not mention how long you have had the joint pain or where it is, and you are young. You could also see a physiotherapist to check out mobility in the joint.

Is there a medicine for chronic pain in older patients?

There are lots of good medications for chronic pain. I would take her to a pain specialist for diagnosis. I am not really an advocate of chemicals. Rather, I prescribe more homeopathic READ MORE
There are lots of good medications for chronic pain. I would take her to a pain specialist for diagnosis. I am not really an advocate of chemicals. Rather, I prescribe more homeopathic remedies for pain. However, I have no history of your mother and there is no such thing as a magic pill to cure all ailments. I certainly have my favorites which work well, but I would need more medical information. Why not take her for a diagnosis? Pain is the worst thing to experience in the world, so the sooner you get someone, the better. Make sure you have recommendations re the practitioner.


After a fall I have not been able to walk comfortably. Why?

I am sorry you have had a fall do be careful and take care. It’s quite possible you have bruised yourself badly or you could have stretched muscles tendons, which are all quite READ MORE
I am sorry you have had a fall do be careful and take care. It’s quite possible you have bruised yourself badly or you could have stretched muscles tendons, which are all quite painful. It can take six weeks plus to heal depending on many factors. How you fell, if you are on any medications, etc. Increase your protein in your diet. That helps healing and if you are still not better, please get an appt with your doctor or a physical therapist to check out your mobility. The body does not like to be jarred. Please go and get checked out. In the meantime, no more falls.



Is there a medication that will help with my pain from constipation?

I always get concerned when I hear a patient tell me they have difficulty pooping. It is so important and can lead to all sorts of unpleasant problems. You do not say how long READ MORE
I always get concerned when I hear a patient tell me they have difficulty pooping. It is so important and can lead to all sorts of unpleasant problems. You do not say how long this has been a problem. Of course, there are all sorts of things you can take, but first and foremost I would see a gastroenterologist. Have you tried taking a glass of warm water with lemon in the morning? Prunes, figs, high-fiber foods such as oatmeal, bran, and coffee sometimes help and, of course, more fruit to the diet senna laxative. Enema from the drug store. You really ought to get checked first, you must not mess about with your colon. My first recommendation is to see a gastroenterologist.

What can I do to reduce my neck pain?

You seem to have identified why you are getting neck problems. So, I would of course urge you to change your position at work. You mention posture. Is this sitting or standing, READ MORE
You seem to have identified why you are getting neck problems. So, I would of course urge you to change your position at work. You mention posture. Is this sitting or standing, which makes it worse? Continuing to do this will increase your neck to spasm due to muscle tension. Wearing a neck brace can help during work, but should not be used as a crutch. Can you change your posture? I would see a physical therapist for exercises. If you know for sure it’s your job, then you must change how you work or you can end up with chronic neck problems.





Is there a test to diagnose nerve damage?

Nerve conduction tests are the most common. This test is not painful and will ascertain if indeed you have nerve damage. I would have this scheduled as soon as you can. Pain is READ MORE
Nerve conduction tests are the most common. This test is not painful and will ascertain if indeed you have nerve damage. I would have this scheduled as soon as you can. Pain is very debilitating and the sooner you have a proper diagnosis the better the outcome for you a treatment plan can then be formulated to help you. I do hate how drs give out Information without a definitive diagnosis. I would see a specialist a physiatrist who is conservative and will do the necessary testing. Good luck

My mother underwent a joint replacement surgery. How long will the recovery take?

She should have been given a program for rehab prior to leaving the hospital. It is of the utmost importance to start rehab as soon as possible. Knee replacement surgery patients READ MORE
She should have been given a program for rehab prior to leaving the hospital. It is of the utmost importance to start rehab as soon as possible. Knee replacement surgery patients do very well, but you need a good exercise program to be successful. It can take up to 12 weeks or more, depending on many factors. Please see her doctor to get physio started. She needs to be walking every day with specific exercise to the knee. Swimming can helpful. She is not very old, so she has age on her side and she should do well.

Good luck.

Suffering from hallucinations, sleeping issues and headaches. Can this be due to glaucoma?

What an interesting question and I happen to know quite a bit about this. Given I am not missing anything more in your medical history. I think you have Charles bonnet syndrome. READ MORE
What an interesting question and I happen to know quite a bit about this. Given I am not missing anything more in your medical history. I think you have Charles bonnet syndrome. He was a Swiss philosopher from Geneva and he identified this problem due to macular degeneration in the 17th century. There is a website called Elmes umbrella. Also, the blind association can give more information; it is not a mental problem, but you ought to get this diagnosed properly. You fit the picture for me anyway. Many people suffer from this condition. It can be managed. Regarding your sleep pattern. Again, see a doctor to ascertain my diagnosis. Have you been told you have glaucoma? In any event, you can get help with sleep. Some things you can do: you can leave the light on. Fix your eyes on something in the room, move your eyes quickly back and forth. It is always good to hook up with other people going through similar problems. Do first get a diagnosis. I have had a few patients myself with this syndrome. Hopefully, you will go and see an ophthalmologist as soon as you can.

Good luck.