Category Archives: Therapies


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

TAGS: , , 1 Comment

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

TAGS: , , , , , , , , , , 3 Comments

Dr. Koppel perfoming an Epidural Injection (video)

TAGS: , , 4 Comments

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: , 2 Comments

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

TAGS: , 3 Comments

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

TAGS: , 3 Comments

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

TAGS: , , Leave a comment

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

TAGS: , , 17 Comments