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 Does Your Back Pain and a Nerve in Your Ankle Have to Do with Your Bladder?

For the last decade or so I’ve realized that there’s a very big cross-over between patients with back pain and bladder problems. However, for many years this connection was ignored by urologists. Now, there are new devices that take advantage of this connection. So let’s dive into how a nerve in your ankle may impact…read more

Pain After Back Surgery: Tracy’s Story

Can we help failed back surgery patients? That’s one of the most common questions I get from patients with chronic back pain. The answer is often “yes” and today I’ll cover Tracy’s journey with the DDD procedure. Let’s dig in. Failed Low Back Syndrome One of my favorite movie quotes of all time comes from…read more

What Is Central Sensitization? Does It Impact Procedures?

Central Sensitization is such a critical concept for some patients with chronic pain that it’s just begging for me to cover it, so here goes. So what is Central Sensitization? Why is it important? If you have it, how should you navigate procedures? Let’s dig in. What is Central Sensitization? When you feel pain, those…read more

When IPM Is Worse than Spine Surgery

I’ve blogged a few times on the idea that some Interventional Pain Medicine clinics are becoming as bad as the surgeons they have long criticized. Case in point this morning is an x-ray shared by a radiologist. If a picture is worth 1,000 words, this one is worth 1,001. Let’s dig in. IPM IPM=Interventiopnal Pain…read more

What Is Bioxcellerator?

Bioxcellerator is a stem cell therapy company using mostly umbilical cord mesenchymal stem cells to treat everything from chronic pain to neurological issues, sexual wellness, and rejuvenation. The company has a corporate office in Phoenix, Arizona, but does all of its treatments at their Medellin, Colombia treatment center. The company aggressively markets its services online…read more

Do You Have Back Pain When Getting Up from a Chair?

Back pain when getting up from a chair is a big problem that’s rarely talked about. In fact, I hear my patients with back pain complain about this issue many times a month. What’s up? Let’s dig in. Back Pain when Getting Up from a Chair When someone with low back pain has trouble getting…read more

Is Nerve Regeneration Possible?

I have tell my patients, “I don’t do miracles”. Meaning, we provide cutting-edge medical care, and most of the time that works well and sometimes it doesn’t. However, every once in a while the results can look miraculous. So today let’s review Tanya’s sciatic nerve injury and her long-term results. A Sciatic Nerve Injury Due…read more

Understanding the What and the Why…

The hardest thing for patients is to understand the difference between What and Why. This means the problem and the cause. So let’s dig into this issue. Bad Medicine Is All About the Problem The “what” is the problem that the doctor is presented with. Let me give a few examples of “what”: Tight neck…read more
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