Neurological Disorders

Chronic Pelvic Pain Is in the Nerves and Changes the Brain

Patients in chronic pain have always had it rougher than patients with a disability you can see. If we see a patient who has lost a limb or can’t walk due to paralysis, we all understand that these patients are disabled. However, a patient who just has chronic pain has an invisible disability. That is,…read more

Why Is My Calf Muscle Twitching?

On this page: Calf muscle twitching and low back nerves What to do about calf muscle twitching Maybe you’re watching your favorite TV show or browsing the Internet, and suddenly you experience a spontaneous episode of calf muscle twitching. Or perhaps you’ve just finished an intensive round of exercise, CrossFit for example, and that exertion…read more

Confounding and the Biopsychosocial Model

As I blogged a few days ago, the biopsychosocialists are back. We dealt with these theories in pain management and orthopedic injuries a decade or more ago, but advances in pain research made these theories go away or at least fade into the background. Now, they have again surfaced in a new physical therapy viral…read more

Prolotherapy for CCJ Instability: Keeping Patients Safe

Patients with craniocervical joint (CCJ) instability will often be offered prolotherapy injections. While much of this is performed blind, some physicians will use guidance. However, while guidance is used, many times it’s not used with contrast. Why is this an issue? Let me explain. What Is Prolotherapy? Prolotherapy is one of the earliest regenerative-medicine procedures. It…read more

Nerve Regeneration – The Future Doesn’t Involve Surgery

Regenexx first began treating injured nerves using orthobiologics delivered via ultrasound guidance in 2012. However, the concept that a precise injection can help nerve regeneration was so revolutionary that we were reluctant to really shout it from the roof tops until we had enough experience under our belt to be sure that it was working. After a few years of…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

Treating a Chronic CSF Leak with Stem Cells

CD is a 49 year old female who with a collagen synthesis problem that impacts her dura. This has caused multiple dural leaks through the years, a condition known as “Spontaneous Cerebrospinal Fluid Leak“. The dura is the covering of the spinal cord and holds the fluid around the spinal cord, nerve roots, and brain. When…read more