Treating Vertebrogenic Neck & Low Back Pain

This is a bit of an oversimplification, but the crust of diagnosing a patient’s neck or back pain comes down to three causes.  Neck or back pain may be caused by three basic conditions, it may be discogenic (due to … Continue reading

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Chronic Muscle Pain Syndrome

Myofascial pain is pain which originates from skeletal muscular in the body.  Skeletal muscle is the most abundant tissue in the human body.  More than 600 muscles work to aid the body in movement and stability.  When muscle tissue is … Continue reading

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Treatment of Sciatica

Many patients come to my office telling me that they have sciatica or a pinched nerve in their neck or back. The first thing I would like to clear up is that sciatica is a symptom and not a diagnosis. … Continue reading

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Lumbar Facet Injection for Chronic Lower Back Pain

What Are Lumbar Facet Joints? Facet joints connect the vertebrae (the bones of the spine) and help guide the spine during movement. The lumbar region of the spine contains five vertebrae and is located in the lower back. Facet joints … Continue reading

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Treatment Protocols for Common Back Conditions

I have been practicing interventional pain management for over 20 years, and over that time have treated thousands of patients.  Many of these patients have had previous injections that failed.  I have over the years developed what I feel are … Continue reading

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Sacroiliac Joint Injection for Chronic Low Back and Buttock Pain

What Are Sacroiliac Joints? Sacroiliac joints connect your spine to your hip bone. They connect the bottom of the spine, called the sacrum, to the outer part of the hip bone, called the ilium. You have two sacroiliac joints. One … Continue reading

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Thoracic Epidural Steroid Injection for Upper & Mid Back Pain

What Is The Epidural Space? The dura is a protective covering of the spinal cord and its nerves. The space surrounding the dura is called the epidural space. In the upper back, it is called the thoracic epidural space. What … Continue reading

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Radiofrequency Ablation (RFA) For Chronic Neck, Upper and Lower Back Pain

What Are Facet Joints? Facet joints connect the vertebrae, the bones of the spine, in neck, upper back and lower back. They help guide your spine when you move. Facet joints are found on both sides of the spine. Each … Continue reading

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Lumbar Radiofrequency Ablation (RFA) for Chronic Lower Back Pain

What Are Lumbar Facet Joints? Facet joints connect thevertebrae (the bones of the spine) and help guide the spine during movement.The lumbar region ofthe spine contains five vertebrae and is locatedin the lower back. Facet joints are found on both … Continue reading

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Cervical Epidural Steroid Injection for Neck and Arm Pain

What Is The Epidural Space? The dura is a protective covering of the spinal cord and its nerves. The area surrounding the dura is the epidural space. In the neck, this space is called the cervical epidural space. What Causes … Continue reading

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Lumbar Epidural Steroid Injection for Lower Back and Leg Pain

What Is The Epidural Space? The dura is a protective covering ofthe spinal cord and its nerves. The area surrounding the dura is the epidural spaces In the lower back, this space is called the lumbar epidural space. What Causes … Continue reading

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More Than Just Managing: Does your pain need an intervention?

Aside from cold, flu and upper respiratory conditions, the most common reason people see a doctor is due to neck and lower back pain. The causes of neck and back pain can vary greatly. Some are attributable to repetitive injuries, … Continue reading

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