Category Archives: Uncategorized

Migraine’s – Often Misdiagnosed

I am not sure but I think 80% of everyone out there has migraine’s. Often, they are told this by their primary doctor and the patient takes this diagnosis to heart. As a pain management doctor I get very annoyed when people are given a diagnosis without a proper work up. It would be as

Fibromyalgia – Does everyone have it?

There are several diagnoses that are troubling to me as a pain medicine physician. These are RLS, Migraines, Chronic Fatique Syndrome and Fibromyalgia. I find these troubling because many doctors rapidily diagnose people with these issues and then the patient takes that diagnosis to heart. Also troubling is that these issues are what I call

December Newsletter – Sacroplasty

A fairly common problem, especially for women, is sacroilitis or sacroiliac joint syndrome. This is pain that arises from the sacroiliac joint (SIJ). The SIJ is the joint between the pelvis and the sacrum. It is commonly those little dimple area that people see on their backside. These joints generally fuse early in life and

The Artificial Disc

It wasn’t long ago when the artificial disc was considered the cure-all to back problems. The studies that were done in Europe showed success rates that were very impressive. 90% cure rates or so they say. It has been over five years since the artificial disc was approved for usage in the U.S.A. and the

Intradiscal Injections

Discogenic low back pain is a major concern for most people. It is the most common cause of low back pain (LBP). Amazingly, until the late 1980′s the discs were thought to not have sensation and thus could not cause pain. We learned that the outer surface is very well innervated and yes definitely can

Discogenic Low Back Pain

Believe it or not, up until the late 1980’s, it was thought that the discs themselves didn’t cause pain. It was known that a herniated disc could press on a nerve and cause pain but it was assumed that the disc didn’t have any innervation and thus couldn’t cause pain in and of itself. Studies

Spine Surgery Success Rates

Many spinal surgeries offer some kind of success rate but do you the patient really understand what is meant by “success”? Obviously success means that you had a positive outcome, but to what degree. Usually conventional spinal surgeries offer a good to excellent outcome in 50 to70% of patients. Usually, but not always, good to

Low Back Pain

Low Back Pain or LBP is probably the most common complaint in our society. Some say that over 50% of all people will have some degree of severe LBP at some point in their lives. Most of these cases resolve on their own but a small group of around 5 to 10% develop chronic pain