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 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

Back to Active Life After Wrist Nonunion Fracture Treatment Without Surgery

While wrist fractures normally heal, sometimes, for whatever reason, they don’t. When a fracture doesn’t heal, this is called a nonunion, or a delayed union, and it can be a nightmare. When a nonunion fracture occurs, the focus will typically turn to surgery. Nonunion fractures aren’t limited to wrists; they can occur in other parts…read more

How to Avoid Discography Side Effects: Biologic Discography

Frankly, until we became the first in the world to inject stem cells into discs, discography never made much sense to me. I would tell patients, “I’m going to poke a hole in your disc to see if there’s a hole in your disc.” However, when we began to see that platelet rich plasma and…read more

Chronic Pelvic Pain Is in the Nerves and Changes the Brain

Patients in chronic pain have always had it rougher than patients with a disability you can see. If we see a patient who has lost a limb or can’t walk due to paralysis, we all understand that these patients are disabled. However, a patient who just has chronic pain has an invisible disability. That is,…read more
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