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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Shark Cartilage Side Effects: Mercury and other Nasty Chemicals Detected in 15/16 Brands!

Shark cartilage side effects have hit the medical research world this week with a startling tale of toxic contamination. Glucosamine and chondoitin work well based on numerous objective MRI studies to help cartilage in many patients. One common source of these cartilage components is cartilage taken from sharks. Since sharks are sharks, there’s something gratifying…read more

Severe Buttocks Pain After a Fall: A Patient’s Story

On this page: RP’s story Diagnosing the severe buttocks pain Treating a hematoma in the buttocks RP is an elderly physician who I met in the most unlikely of circumstances. He was performing a life insurance physical on me and I noticed he had a cane. We struck up a conversation about his severe buttock…read more

Does Low Vitamin D Cause Neck Disc Herniations?

Vitamin-D has been a very big deal this past few years. There’s been back and forth on whether low vitamin-D is associated with arthritis. However, can low levels also cause neck and back problems? On the heels of this controversy, there was an interesting study this past month on an association between low vitamin D…read more

Plantar Fasciitis Steroid Injection Side Effects: Platelets Decimate Steroids in Effectively Treating Plantar Fasciitis

Plantar fasciitis steroid injection side effects? Plantar fasciitis is a problem involving the tough supporting structure on the bottom of the foot. It anchors in the heel and when this area is over loaded (or when nerves in the back are irritated), it can become sore and make it tough to walk (especially in the mornings).…read more

My Hip X-ray is Bad so this Means I Need My Hip Replaced, Right? Not So Much…

Almost all patients and many physicians still treat x-ray and MRI images like the Oracle of Delphi, yet study after study continues to show that there isn’t great correlation between what we see on these images and pain. The most recent entry in this debate was just published last month and it shows how few…read more

Metal Particles Now Found in Arthroscopy Patients

Arthroscopy has been heralded as a minimally invasive technology. In some ways, it has defined modern orthopedic surgery. The ability to see inside the joint using a ball point pen sized arthroscope has helped surgeons and device companies develop more and more clever ways to approximate and cut tissue. One of those is the bone shaver, an…read more

Carpal Tunnel Surgery Recovery: Does Cutting the Ligament Have Consequences?

Carpal tunnel surgery has become a standard surgical treatment for carpal tunnel syndrome, a problem that occurs when the median nerve gets chronically pinched at the wrist. The surgery is simple, cut the ligament that normally covers the carpal tunnel to give the nerve more breathing room. However, does cutting the transverse carpal ligament (TCL)…read more

Epidural Steroid Complications: Abnormal Vaginal Bleeding 3X More Likely

What’s new in epidural steroid complications? I’ve often discussed that epidural steroids have a very powerful hit of anti-inflammatory steroids. How powerful? I like to explain to patients that if the height of a matchbook represents the amount of steroid your body naturally produces, the height of the Empire State Building represents the amount in…read more
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