Pain management

Pain management involves various strategies to alleviate or control pain, ranging from medications and physical therapy to alternative therapies like acupuncture and mindfulness techniques. Its goal is to improve quality of life by reducing pain intensity and enhancing functionality for individuals experiencing acute or chronic pain.

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Acromioplasty: Why This Frequent Addition to Rotator Cuff Surgery Is Usually a Bad Idea

Acromioplasty: To Chop a Shoulder or Not Chop a Shoulder…That Is the Question Is acromioplasty a beneficial addition to rotator cuff surgery, and is recovery time impacted by this addition to shoulder surgery? One of the big issues with rotator cuff surgery is the long recovery time spent in an immobilizer brace. Unfortunately, the more procedures…read more

Bone Spur Pain – Why Relief May Be Simpler Than You Think

A patient who recently read my post about why you should avoid surgical hip bone spur removal, asked a question about the x-ray above. She has a number of symptoms and her doctors have told her that this picture explains why she hurts. Does this image really show that, or are these bone spurs a symptom…read more

Are Squats Supposed to Hurt your Knees?

Are squats supposed to hurt your knees? I was in an exercise class yesterday and my left knee was hurting a bit while doing squats. Thankfully, I was able to correct the muscle activation sequence and my knee stopped hurting. But given the fact that squats are a mainstay of every cross fit or exercise class, learning how…read more

The Multifidus Muscle and Spine Pain – Cause and Effect

The multifidus muscle is the most important stabilizer of your spine, but one that most patients and physicians have never studied. There are now hundreds of research studies confirming that when this little muscle goes south, all heck breaks loose in the neck and back. The multifidis is easy to spot on the average MRI…read more

ITB Release Surgery – What Orthopedic Surgeons Won’t Tell You

Tight ITBs (iliotibial bands) are a cottage industry now. There are many cool devices designed to loosen up your ITB and a trip to any local gym will always turn up a few individuals aggressively stretching this area. When these efforts fail to produce results, some people turn to ITB release surgery. And while ITB release surgery may seem like…read more

Athletic Pubalgia Surgery Wrecks a Life

“I tell you Boris, that one of these days we’ll look in to our microscope and find ourselves staring right into God’s eyes, and the first one who blinks is going to lose his testicles.”-Harry Wolper Early on in my career, I had my first brush with what I now call a “Disturbingly Dumb Surgery”.…read more

Pain in Side of the Neck and Head? Meet the Superficial Cervical Plexus

Many times pain in side of the neck and head is due to injured joints in the upper neck known as facets. However, sometimes it can also be due to a little known neck nerve that supplies these areas. Given that the nerve goes to some very specific places, if your distribution of pain looks…read more

Hip Labrum Surgery Complications: Making the Hip Unstable…

This week while practicing down in Grand Cayman I evaluated a professional ballerina from Germany who regrettably is having issues with recovery due to hip labrum surgery complications. In her case, she was diagnosed with CAM and pincer impingement and since having these bone spurs removed has never been able to get back to high level…read more
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