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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Why Is My Calf Muscle Jumping?

This last week, I saw a patient who had calf muscle jumping. In fact, unlike other cases, which can be subtle, this one was really easy to see, so I took some video and thought I’d share this with you. So what causes calf muscle jumping? Calf Muscle Jumping? The calf muscle is called the gastrocnemius…read more

What Causes Tightness in the Side of the Neck?

On this page: Tight scalene muscles Scalenes compensating for other muscles Ways to treat tightness in the side of the neck I’ve already told you about my left upper trap; now meet my left scalene. When I lift too much, these muscles, which live on the side of the neck, get tight. Tight Scalene Muscles…read more

Fusion Surgery No Better than No Surgery

Does fusion surgery work? I have blogged before about the research showing that this surgery is often no better in the long-run than no surgery. However, I’ve also pointed out that surgeons have a way of interpreting data in studies that benefit their preconceived notions of efficacy. Today’s blog is about one such study which…read more

Why a Normal MRI Report May Be an Increasingly Dangerous Thing…

We see patients every day who have normal MRI’s and pain and patients who have abnormal MRI’s and little pain. I’ve blogged about this extensively. Given that, for orthopedic imaging, a well-trained and observant physician can usually find more than the reading radiologist and also knows where to look, reading the MRI personally is a…read more

Acupuncturists and Naturopaths and Chiropractors…Oh My!

Becoming an MD or DO physician is hard. Four years of college where you bust your butt to make good enough grades to get into medical school. Four years of medical school where you work hard to get your choice of residency. Then another four years (or more) of residency and fellowship training. By the time…read more

My Top 7 Tips for Weight Lifting with Back and Neck Pain

I often get asked by back- and neck-pain patients how they should be working out at the gym or with a personal trainer. While there are no published and tested guidelines, what follows is what I have learned through years of trial and error as someone who has both issues and who likes working out.…read more

Prolia Side Effects: You Just Can’t Make This One Up

The United States of Pharma is a strange place where companies can take lab discoveries that seem simple and really screw real people up. Today’s entry is a drug called Prolia that I have encountered before. When I looked it up back then, I was astounded and disturbed at how this drug worked. Now it looks…read more

An Update on Our Novel Alar and Transverse Ligament Injection Procedure

Way back when my career was just starting, I got a job with a physician who was involved in auto-accident managed care. This meant that there was a steady stream of neck-injured patients. While many of these patients could be helped, some couldn’t. While it would be attractive to say that these few had psychological…read more
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