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.
Subscribe to the BlogWhat Does the Length of Recovery after Orthobiologics Say About Your Condition?
One of the things that is critical to understand for any patient getting an Orthobiologic procedure is how fast you recover usually tells us something about your medical condition. In particular, patients that enter into a prolonged recovery may have more issues that spell trouble long-term. Hence, let’s dive into that issue this morning. The…read more
A Pain Reprogramming App and a New RCT
There’s been a decades-long dispute between pain psychologists and physicians that treat chronic pain. These past 5 years, the concept that the chronic pain you experience can be cured through talk therapy has expanded like a forest fire in a Santa Ana wind. Now new research aims to prove that this talk therapy works. In…read more
When IPM Is Worse than Spine Surgery
I’ve blogged a few times on the idea that some Interventional Pain Medicine clinics are becoming as bad as the surgeons they have long criticized. Case in point this morning is an x-ray shared by a radiologist. If a picture is worth 1,000 words, this one is worth 1,001. Let’s dig in. IPM IPM=Interventiopnal Pain…read more
How Quickly Do You Resolve Inflammation?
Inflammation is a complex subject. On the one hand, it’s how we heal and on the other hand, it’s increasingly how many of us die. So today we’ll explore the concept of resolving inflammation after a procedure and what that tells us about overall health and metabolic problems. Let’s dig in. What Is Inflammation? When…read more
Is Nerve Regeneration Possible?
I have tell my patients, “I don’t do miracles”. Meaning, we provide cutting-edge medical care, and most of the time that works well and sometimes it doesn’t. However, every once in a while the results can look miraculous. So today let’s review Tanya’s sciatic nerve injury and her long-term results. A Sciatic Nerve Injury Due…read more
Understanding the What and the Why…
The hardest thing for patients is to understand the difference between What and Why. This means the problem and the cause. So let’s dig into this issue. Bad Medicine Is All About the Problem The “what” is the problem that the doctor is presented with. Let me give a few examples of “what”: Tight neck…read more
Low 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
