Chronic pain

Chronic pain persists for extended periods, usually over three to six months, beyond the normal healing time. It can stem from various conditions and affects physical, mental, and emotional well-being. Unlike acute pain, chronic pain may persist long after initial injuries have healed, impacting daily life and functioning.

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What Is the Thoracodorsal Fascia and Why Should You Care?

What if I told you that there’s an important structure holding your spine together that you’ve never heard of? In fact, your doctor has also likely never heard of this structure nor does he likely know what it does. The structure is the TDF and the thoracodorsal fascia function is to hold your lower spine…read more

Toe Cramps and Back Pain? My Mother’s Story

How do toe cramps connect to back pain? Most patients with toe cramps believe that they have some sort of nutritional problem, despite many of them actually having a low back issue. In these cases, small amounts of nerve irritation in the low back can cause the muscles in the toe to cramp. This is where…read more

Is Starbucks Killing as Many People as Cigarettes? New Study Confirms a Sneaking Suspicion

Is coffee dangerous?  I have said for years that one day, the studies will point towards Starbucks being a leading cause of mortality in the U.S. This week the first large study of that type appeared. It showed that men and women who drink 4 or more small cups of coffee a day have between a…read more

Lateral Release Recovery: Do We Know this Knee Surgery Actually Works?

Why undergo lateral release recovery at all? If I had to create a list of bad knee surgeries just based on the hundreds of patients I’ve seen with failed knee surgeries, lateral release for knee cap tracking problems would be near the top of that list. Based on that experience, it’s another knee surgery with…read more

Knee Nerve Pain? More Evidence that the Pain of Arthritis is Caused by Nerves

Is there such a thing as knee nerve pain? Your joint pain due to arthritis is caused by lost cartilage, right? Likely wrong. There’s been a mounting body of evidence that arthritis itself doesn’t cause pain, and in fact the pain of arthritis (and perhaps arthritis itself in some cases), is caused by nerves. The…read more

New Study: Your Meniscus Tear may be Caused by a Bad Nerve in Your Back

You don’t often hear meniscus tear and bad back nerves in the same sentence.  But we see patients all the time who have low level issues in their low back causing problems in the knee. Most of these patients don’t think they have a back issue because their back doesn’t hurt much. However, a new…read more

Figuring Out a Complex Patient with an SI Joint Cyst: Interventional Orthopedics

Should we perform a low back or SI joint fusion on an active young woman just because we don’t know why she hurts? SR is a 15 year old cheerleader who was referred to our clinic because of severe and disabling low back pain. She went from a competitive cheerleader to being in severe pain, unable to walk without…read more

Deep Neck Flexors: If You Have Chronic Headaches with Neck Pain You’ll Want to Get to Know these Muscles

Do you have headaches with neck pain? Believe it or not, many headaches come from the neck. In fact, if the upper neck is painful, you’ll likely feel it in your head. In addition, many nerves in the upper neck that go to the head can get irritated when the neck muscles are tight, leading…read more
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