Seckin Pain Management

Back on track in 2026.
Grieving is human right but it is time to go back to life. First race 10k in Central Park with NYRR. Still kicking.

Beyond his medical practice, Dr. Erenburg leads an active lifestyle as a cyclist, mountain climber, tennis player, and former competitive ballroom dancer. His passion for health and vitality inspires his mission to help patients regain a pain-free, active life.

Spend 2025 enjoying the little moments with family! Contact us today to regain a pain free life.

💥**Pain Definition:**
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is subjective and can be influenced by emotional, psychological, and environmental factors.

**Types of Pain:**

🔅1. **Acute Pain:**
- Short-term pain that typically results from injury, surgery, or inflammation.
- It lasts less than three to six months and resolves when the underlying cause is treated.

🔅2. **Chronic Pain:**
- Long-lasting pain that persists beyond the normal healing time (usually more than three to six months).
- It may be constant or intermittent and can significantly affect a person’s quality of life.

🔅3. **Somatic Pain:**
- Originates from the skin, muscles, bones, or joints.
- It is typically well-localized and can be described as aching, throbbing, or sharp.

🔅4. **Visceral Pain:**
- Comes from internal organs such as the stomach, intestines, or liver.
- It is often diffuse, difficult to localize, and can feel like pressure, cramping, or deep aching.

🔅5. **Radiating Pain:**
- Pain that starts in one area and spreads to surrounding areas.
- Commonly seen in conditions like sciatica, where pain starts in the lower back and radiates down the leg.

🔅6. **Referred Pain:**
- Pain felt in a part of the body distant from its actual source.
- For example, shoulder pain during a heart attack.

🔅7. **Neuropathic Pain:**
- Caused by damage or dysfunction in the nervous system.
- Often described as burning, tingling, or shooting pain, commonly seen in conditions like diabetic neuropathy.

🔅8. **Nociceptive Pain:**
- Caused by the activation of nociceptors (pain receptors) in response to tissue injury or inflammation.
- It can be somatic or visceral and is often described as sharp, aching, or throbbing.

The definition of a hypertonic pelvic floor is having tight muscle tone and reduced muscle stretch capacity. Many people with a tense and non-relaxing pelvic floor experience pelvic health concerns such as constipation, painful s*x, urgency and pelvic pain. 🥴🙅🏼‍♀️

There is no one defining cause of a hypertonic pelvic floor; however, there are several activities that can lead to muscle tightening. Examples include; lots of working out and holding onto core muscles, a habit of holding on to bladder and/or bowel movements, high levels of stress, fear or anxiety, pelvic health and abdominal health conditions and birth trauma and scar tissue. In fact, there are so many varying causes that we recommend seeing a Women’s Health Physio who can help you determine what’s giving you high muscle tone. 🦋

What can you do at home to relax your pelvic floor?

We love these 3 exercises because they are so simple and easy to do. Take your time with them, and breathe correctly while doing them, so the pelvic floor can fully relax.

🐸 Frog pose

💫 Deep Squat Hold

🤍 Child’s pose

There is a lot of people who have pain somewhere in their musculoskeletal system. Monitoring the following three activity responses can help you to guide your loading. Acceptable or not acceptable?⁠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
1️⃣System response over the 24 hours after activity⁠
2️⃣Pain during activity⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
3️⃣The pain and symptoms over a longer time⁠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
Ideally we’d like to see pain levels at a minimum during an activity, but that does not mean that it is not appropriate to work out when pain levels are not at 0.⁠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
After having done that activity we’d also like to see a decrease in these pain levels back to your baseline over the next 24 hours. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
Like this we can still try to work on our tissues capacity, without damaging it. Pain does not always equal damage being done. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⁠
So to keep your pain levels tolerable for you and still keep you moving try to change up these variables:⁠
Rest time, Range of motion, Contraction type, Frequency, Duration, Weight/Load, Speed, Body Position, Exercise.