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.
Subscribe to the BlogLow Dose Naltrexone and Anesthesia
Over the last 5 years, there has been a HUGE trend towards treating chronic pain patients with what’s called low dose Naltrexone. While some patients find this helpful, it presents a challenge for interventionists like myself, as the increased anesthesia requirements for these patients enhance the risk of procedures. So let’s explore what’s happening and…read more
NSAIDs, Optum, and the Future of Real World Data
NSAIDs are medications that you can buy at the grocery store that reduce inflammation. However, they have serious issues that are beginning to be recognized by health insurance groups. However, that represents a much bigger trend that will reshape healthcare as we know it. Let’s dig in. NSAID Problems NSAID stands for Non-steroidal Anti-inflammatory Drug.…read more
The Popliteus Muscle: A Little Muscle with a HUGE Impact
I love writing about what I experience on a day-by-day basis. This weekend, I was sitting awhile and went to get up and had lateral knee pain. Misery followed and it took me a day or so to find the culprit. So let’s learn today about the Popliteus muscle, a tiny thing that can screw…read more
Why Are Knee Bone Marrow Lesions A Big Deal?
What is a bone marrow lesion? If you have knee arthritis, why should you care? Today we’ll dig into why these are a big deal through the story of a basketball player’s knee. What Is a Bone Marrow Lesion? Many think that a joint like the knee has two main parts – the bone and…read more
Jugular Vein Compression Due to the Neck and CCI
Can your neck compress critical blood vessels and cause other symptoms? Yes, it can and one of the most common causes is Craniocervical Instability or CCI causing C2 to compress the internal Jugular Vein. What is Jugular Vein Compression? How exactly does it happen? What can be done? Let’s dig in. What Is the Jugular…read more
Whiplash Leads to More Long-term Pain at 20 Years
Does getting a neck injury in a car crash, even if it heals, cause long-term problems? That’s what a recent study set out to determine. Let’s dig in. WAD More than 20 years ago, some Canadian researchers in Quebec (QTF or Quebec Task Force) came up with the term “WAD” which means “Whiplash Associated Disorders”…read more
Can What You Eat Make Your Pain Better?
Food is medicine. Meaning that what you put in your body can affect you just like popping a pill can. However, how far can you take that analogy? For example, can eating the wrong stuff make your back pain better or worse? Let’s find out. Chronic Inflammation and Diet If you had to point to…read more What Is Osteitis Pubis? Can It be Fixed?
Osteitis Pubis is a great way for us to learn about how the SI joint and pelvic ring works. What is Osteitis Pubis? Why should you care? Let’s dig in. What Is Osteitis Pubis? In order to learn about Osteitis Pubis, we first need to learn about the pelvic ring and the symphysis pubis (1).…read more 
