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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New Treatments for CRPS: Ivy’s Story

CRPS is an awful disease. Picture this: you injure yourself or get injured, and then instead of healing, this turns into a bonfire of pain that you can’t get rid of or control. Even a big breeze can set this off. It’s a miserable experience. However, we have been working for years on new treatments for CRPS,…read more

Are NSAIDs Causing Stress Fractures?

Dr. Centeno reviews a new study that investigates the potential connections between NSAID use in US military troops and stress fractures.

Do You Need to Burn Neck Nerves to Help Chronic Pain?

Neck pain caused by an injury or car accident can be life-changing. Just ask Sarah, who sent Dr. Markle a thank you note this week because he was able to use precisely guided orthobiologic injections to get her life back instead of damaging radiofrequency procedures. Let’s dive in to see what happened. Cervical Radiofrequency: How…read more

Your Insomnia Might Be Causing Your Chronic Muscle Pain

In today’s computer screen and connected environment, many of us don’t sleep well. Add in too much Starbucks or a Red Bull, and it’s a wonder any of can get some z’s. However, few of us connect that poor sleep with pain, despite research showing that one may cause the other. This morning let’s look…read more

Why You Don’t Need Shoulder Separation Surgery

On this page: What is the AC joint? What happens in an AC joint separation? What does an AC joint separation feel like? Is shoulder separation surgery necessary? New research on surgery for AC joint dislocation When I was in medical school, I crashed a motorcycle and separated my shoulder. I was told back then…read more

Don’t Expect to Toss the Opioids After Spinal Fusion

Most patients I speak to who are contemplating a spinal fusion for low back pain believe that their pain will be solved and that they will be able to stop using narcotics. However, what if that wasn’t remotely true? Would they still sign up for this invasive and potentially dangerous surgical procedure? New research suggests…read more

Real Surgery No Better than Fake Surgery for Tennis Elbow?

This is yet another in my ongoing series showing that most elective orthopedic surgery is useless. Meaning that while most of the American public with an injury and pain believe that they are just one surgery away from “fixing” their problem, the research on orthopedic surgery procedures continues to show that for the most part, it’s…read more

Leg Muscle Wasting as You Age? Check Your Low Back Nerves

Have you ever noticed that thinner older people have flatter butts and skinnier legs compared to young people? According to new research, this isn’t just your imagination, but a real physiologic effect of aging. One that again shows us how much the nerve supply of the low back impacts our legs without us knowing it’s…read more
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