Low Back Pain

Low back pain is a common condition characterized by discomfort or stiffness in the lower spine area, often affecting daily activities. It can arise from various causes, including muscle strain, injury, or underlying medical conditions.

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RFA Is Contraindicated in Cases of Spinal Instability

RFA is a technology that destroys nerves that carry pain signals from damaged joints in the back or neck. Despite its widespread use, there’s been an ongoing controversy regarding how it impacts muscular stability in the spine. Hence, it’s reasonable to ask whether RFA should be used when spinal instability is present. Let’s dive into…read more

The Low Back Pain Circulus in Probando Experiment

What if you lied to your patients about what was wrong with them? Meaning, what if you told them there was nothing wrong when you as the doctor had no idea if that was accurate? What impact would that have on them? That was recently studied in an RCT on the biopsychosocial model of pain…read more

Regenerative vs. Ablative: The Battle Over Lumbar RFA and Multifidus Atrophy

Medicine advances because advocates for various treatments duke it out in the research literature. That time-honored system produces an intellectual Darwinism effect and one of those evolutionary battles happening in pain medicine is between opposing regenerative and ablative camps. Today we’ll dive into one example of that conceptual crucible by focusing on little muscles in…read more

Treating Low Back Pain During and After Pregnancy

I’ve seen many patients after pregnancy who have chronic low back pain. In addition, low back pain during pregnancy can also be disabling. So what are the options for treatment? I’ll review that today and go over a recent patient that was treated by our Washington, DC Metro area Regenexx affiliate. Let’s dig in. Low…read more

How Much Does Low Back Fusion Cost?

One of the most costly and common back surgeries out there is Low Back Fusion. Today we’ll explore the question, “How much does Low Back Fusion cost?”.  The answer is that it all depends on where you live. Let’s dig in. What Is Low Back Fusion? Low Back or Lumbar Fusion is a procedure where…read more

Antidepressants and Back Pain

One of the hot topics in treating chronic pain is that we doctors should prescribe antidepressants. Why? Well as I used to say, many doctors view patients with chronic low back pain as crazy or lazy. Let’s dig into how well antidepressants work for back pain and dig in a bit more about why your…read more

What Does a Proper Low Back Exam Look Like?

Have you ever had the experience of taking your car into a mechanic time and time again, each time something is replaced, and each time your car ends up having the same issues? We would all say that this phenomenon happens because the mechanic didn’t know what was wrong from the outset. This also happens…read more

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
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