Tag Archives: Treatment

Risk of addiction

I had written before about addiction risk in patients who take opioids for chronic pain. An excellent review conducted  by  David Fishbain et al. (Department of Psychiatry at the University of Miami) published in Pain Medicine (Volume 9, Number 4, … Continue reading

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Interesting Article in the NYT Magazine

I just came a across a very interesting article in the New York Times Magazine titled: What’s wrong with Summer Stiers? It describes in detail the new NIH (National Institutes of Health) Undiagnosed Diseases Program. The focus is Summer Stiers, … Continue reading

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Doctor, should I have back (or neck) surgery?

This is one of the most commonly asked questions: Should I have surgery for my back (or neck) pain? There are many factors that have to be considered to give an informed answer. In some situations undergoing an operation is … Continue reading

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IDET Outcome Meta-Analysis

Intradiscal electrothermal therapy is a modality to treat low back pain caused by annular tears in lumbar intervertebral discs. A meta-analysis (pooling of data from multiple comparable studies to achieve greater statistical significance) published in Pain Medicine (2006;7:308-316, PMID: 16898940) … Continue reading

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Addiction – The 900 lb gorilla of medical pain management!

This is one of the most commonly voiced concerns in pain management. A search at dictionary.com shows 7 different definitions from various references. The definition from the Random House Unabridged Dictionary (c) 2006 states: “the state of being enslaved to … Continue reading

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Zygapophysial (Facet) Joint Pain

Many patients can understand and visualize low back and leg pain that is due to a disc prolapse (herniation or extrusion). It makes intuitively sense that if you have disc material mechanically pushing on a nerve root it would cause … Continue reading

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