A discography, or discogram, is a diagnostic procedure used to assist in the diagnostic/therapeutic workup of a patient who is having refractory back pain. The “tools” of a pain specialist are the interventions which can be done to diagnose the … Continue reading
Dr. Koppel perfoming an Epidural Injection (video)
TAGS: back pain, epidural injections, video
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Spinal Cord Stimulation for Chronic Pain
SPINAL CORD STIMULATION Spinal cord involves placing permanent electrodes in the spinal column as a long relieving modality. It is theorized to work by blocking the transmission of pain sensation to the brain. There is a similarity to transcutaneous electrical … Continue reading
TAGS: Herniated Disk, Neck Pain
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Medical Management for Chronic Pain
Most if not all pain management physician’s websites talk about interventions for treating back pain. Few if any discuss medication management. This is a complicated topic, but one which needs to be addressed. All physicians in this field should prescribe … Continue reading
Ablation Techniques for Pain Relief
Treatments for herniated intervertebral disks are most common, but many other treatments exist for acute and chronic neck and low back pain. In my last posting I discussed the anatomy of the spine. The point was that there are a … Continue reading
Percutaneous Disk Decompression
Percutaneous Disk Decompression is the general category of various procedures that remove a small volume of the center of a spinal disk (the nucleus pulposis). This is done by way of a small device, called a trochanter, which is usually … Continue reading
Why Undergo Pain Interventions?
For my first blog I want to try to explain what when and why you might need to seek care with an interventional pain physician. As the most common treatments are for low back pain, this is what I will … Continue reading