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 BlogDon’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 Should You Get Knee Arthritis Nerve Treatment?
The newest craze in knee pain treatment is a knee arthritis nerve treatment. This procedure has gone from 0 to 60 in the last few years, but is it a good idea? Does it work? How long does it last? Are there better options? How the Knee Arthritis Nerve Treatment Works This new knee arthritis nerve treatment…read more Piriformis Injection: What Your Doctor Won’t Tell You
It’s hard for both physicians and patients alike to understand the intense complexity of the connected body. It’s easier to come up with a description for one part that hurts and call it good. I call this “parting it out,” and this is definitely the case with a piriformis injection. Even though there are likely…read more Opioids No Better than Tylenol for Pain?
I’ve never been a fan of narcotic/opioid medications. Fifteen years ago, when sales reps for pharma companies descended on our office to extoll the virtues of prescribing high-dose narcotics to our pain patients, I thought these folks were crazy. Obviously, the whole thing turned into a mess of gargantuan proportions, with opioids killing many patients…read more Are All Hip Replacement Devices Associated with Pseudotumors?
A few years back, I blogged on a research study that looked at masses that were associated with metal-on-metal hip replacement surgeries called pseudotumors. However, now new research shows that these awful side effects may be more common than anyone realized and occur with other types of hip replacement devices as well. In fact, they…read more Gluteal Tendinopathy, the PT Chronic Pain Denier Movement, and Circular Arguments
Likely the silliest movement in physical therapy and rehabilitation today is what I call the PNE chronic pain denier movement. It’s bizarre not because of the overall concepts on which it is based, but more the religious fervor of its disciples and the crazy pseudoscience they’re able to get published that purports to validate their movement. Most…read more 
