What causes pain in the hands and feet?

Hand and foot pain can arise from several causes. Inflammation is a significant contributor. This can be from an injury or inflammatory disorders like arthritis, leading to swelling in joints, muscles, or tissue. Additionally, nerve damage plays a pivotal role in such pain. Conditions like neuropathy, frequently linked with diabetes or other systemic diseases, can cause nerve injury, manifesting as pain, numbness, or a tingling sensation in the hands and feet.

What is it called when you have pain only in the hands and feet?

Peripheral neuropathy is a condition where pain is limited to the hands and feet. It results from damage to your peripheral nerves, the network of nerves situated outside of your brain and spinal cord. Peripheral neuropathy typically presents as a combination of weakness, numbness, and hand and foot pain. But it can also affect other body parts and functions such as digestion, urination, and blood flow.

How do you stop your hands and feet from hurting?

To manage hand and foot pain, consider these strategies: - Rest: Limit or avoid tasks that exacerbate your pain. - Pain management medication: Over-the-counter analgesics like paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help alleviate pain. - Heat and ice therapy: Regular application of ice can help reduce inflammation, while heat can promote blood flow and relax the muscles. - CBD pain relief cream: Gently massage CBD pain relief cream into the aching muscles to alleviate foot and hand pain. - Splinting: Soft braces or splints can support your hands and wrists, reducing pain. - Regular movement: Keeping your hands, wrists, feet, and ankles moving with gentle exercises can help maintain flexibility and decrease pain. - Therapeutic massage: Incorporating gentle massage into your routine can enhance blood flow, ease muscle strain, and help alleviate foot and hand pain. - Seek medical care: When hand and foot pain limits your activities and impairs your sleep, seek medical attention. The pain may be symptomatic of a greater concern.

Why do hands and feet ache at night?

Nighttime hand and foot pain can result from several factors. Muscular issues such as overuse or strain, nerve problems like neuropathy, bone-related pathologies or injuries, skin-related conditions, inflammatory processes like arthritis, and even vascular concerns can all contribute to this discomfort. The quiet and stillness of night can also make you more aware of these aches.

Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect November 16, 2023, and will remain in effect until we replace it.

Changes to the Terms of this Notice

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available on our website and upon request we will mail a copy to you. For more information about our privacy practices or additional copies of this Notice, please contact us.

I. Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

You have the right to do the following:

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way about your medical information (for example, home or office phone) or to send your medical information to a different address.
We will say, “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
If you pay for a service or healthcare item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared (disclosed) your health information, for up to six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and healthcare operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can file a complaint with us if you feel we have violated your rights by contacting our Privacy Officer.

To file a complaint with our organization, please submit your request in writing to the Privacy Officer, 227 W Trade St, Charlotte, NC 28202, (844) 809-7246, or via email at legal@qckinetix.com. You can file a complaint with the U.S. Department of Health and Human Services’ Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/
We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, contact us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
Include your information in a hospital directory

If you are not able to tell us your preference – for example, if you are unconscious, we may share your information if we believe it is in your best interest to do so. We may also share your information when needed to lessen a serious and imminent threat to health or safety.In these following cases, we never share your information unless you give us written permission:

Marketing purposes (We will not use your health information for marketing communications without your written authorization. Please be aware that this form provides consent to use your deidentified health information for medical research purposes and marketing purposes. Please see Section III that explains all personal identifiers will be removed from the health data we share for marketing purposes.)
Sale of your protected health information
Most sharing of psychotherapy notes

In the case of fundraising:

We may contact you for fundraising efforts, but you can tell us not to contact you again. We will honor your request to not contact you again.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treatment
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization
We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for your services
We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

Help with public health and safety issues

We can share health information about you for certain situations such as:

Preventing disease
Helping with product recalls
Reporting adverse reactions to medication
Reporting suspected abuse, neglect, or domestic violence
Preventing or reducing a serious threat to anyone’s health or safety

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including but not limited to the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Appointment Reminders:

We may contact you to provide you with appointment reminders via voice-mail, postcards, or letters.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

For workers’ compensation claims
For law enforcement purposes or with a law enforcement official
With health oversight agencies for activities authorized by law
For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Your Authorization

In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it is in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this Notice.

Persons Involved in Care

We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, X-rays, or other similar forms of health information.

Access

You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. You must make a request in writing to obtain access to your health information. You may obtain a form to request access by contacting our office. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter. If you request copies, there may be a charge for time spent. If you request an alternate format, we will charge a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us for a full explanation of our fee structure.

II. North Carolina law requires the following disclosures to be made to patients regarding their medical records:

Access to Medical Records: You have the right to request access to your medical records, and we will provide access within the time frames specified by law.
Disclosure Notification: We are required to notify you of any unauthorized acquisition, access, use, or disclosure of your unencrypted PHI.
Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI for purposes other than treatment, payment, and healthcare operations.
Restrictions on Uses and Disclosures: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are required to agree to additional restrictions, but if we do, we will abide by our agreement (except in emergency).
Amendment of Records: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why the information should be amended). We may deny your request under certain circumstances.
Alternative Communications: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make your request in writing.) Your request must specify the alternative means or location, and provide satisfactory explanation how payments will be handled under the alternative means or location you request.

III. Use of Deidentified Health Information for Marketing Analytics and Medical Research:

In compliance with the Health Insurance Portability and Accountability Act (HIPAA), we may share deidentified personal health information with our trusted Business Associates for the purpose of conducting marketing analytics and medical research. Deidentified information ensures that all personally identifiable elements are removed, protecting the patient’s personal identity. This deidentified health data allows our Business Associates, including marketing vendors, to generate reports and conduct analyses while safeguarding patient privacy. By signing below, the patient consents to the use of their deidentified health information for these specified purposes. It is important to note that this consent is voluntary, and patients retain the right to withdraw their consent at any time by notifying us in writing. We are committed to ensuring the confidentiality and security of patient information, and this disclosure is intended solely for improving healthcare analytics and research without compromising individual privacy.

IV. Contact Information

If you have any questions about this NPP or would like further information concerning your privacy rights, please contact: the Privacy Officer, phone number: (844) 809-7246, or via email at legal@qckinetix.com, mailing address: 227 W Trade St, Charlotte, NC 28202

Patient Name:

Patient Signature:

Date:

Effective Date of Notice (To be Completed by Provider): November 16, 2023

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