Alternatives to Steroid Injections

Corticosteroid injections are the most common types of injections for a variety of painful conditions.  Sports medicine and pain management physicians utilize corticosteroid injections in the treatment of all sorts of joint and spinal conditions.  Such intra-articular degenerative conditions include … Continue reading

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30 Reasons Why Visiting Your Doctor More Often is So Important

Please click on the following link: 30 Reasons Why Visiting Your Doctor More Often is So Important

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Why Go to a Board Certification Physician

I have been in the field of pain management since 1997.  Since that time I have seen it explode from a relatively unknown specialty into an extremely popular field.  There are several reasons for this.  The most important is that there was a … Continue reading

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PRP therapy offers a promising solution to accelerate healing naturally without subjecting the patient to significant risk.  PRP is a treatment is a hew health sector known as “Orthobiologics”.  The philosophy is to merge cutting edge technology with the body’s … Continue reading

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Provocative Discography

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

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Dr. Koppel perfoming an Epidural Injection (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

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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

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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

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Causes of Back Pain

In order to discuss what treatments are performed, you need to understand some of the basic anatomy of the spine.  This article will concentrate on the lumbar spine.  The spine is covered and supported by many ligaments and muscle groups.  … Continue reading

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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

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MILD: Minimally Invasive Lumbar Decompression

The MILD procedure is relatively new, but revolutionary in the treatment of spinal stenosis and lumbar radiculopathy.  I personally have treated about a dozen patients, all of whom have benefited significantly.  It is indicated for patients who have spinal stenosis, and … Continue reading

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