Patient education
Reading on how pain works, how we approach medication, and what the research says, plus the published evidence behind every procedure we perform. Useful whether or not you have a procedure scheduled. Each piece can be read here or downloaded to share with family.
Understanding pain · Article + PDF · 9 min readNew
Why pain can persist after tissue has healed, how the nervous system amplifies pain signals, and what treatment looks like when the pain is widespread rather than coming from a single joint or nerve.
Understanding pain · Article + PDF · 6 min readNew
Nociceptive, neuropathic, and nociplastic pain: how they differ, how each one feels, and why the distinction decides which treatment can work.
Medications · Article + PDF · 7 min readNew
How opioids work, what repeated daily use does to the nervous system, what the research shows, the known risks by body system, and what to discuss with us if you take them now.
Medications · Article + PDF · 6 min readNew
BPC-157, TB-500, growth-hormone and anti-aging peptides: what they are, what the human evidence actually shows, what is in the vial, where the law stands, and what we can offer that is proven.
Conditions · Article + PDF · 7 min readNew
Why standing and walking bring on leg pain and sitting relieves it, how we tell nerve pain from circulation, what you can do yourself, and an honest comparison of injections, MILD, the interspinous spacer, and surgery.
Nothing in this topic yet.
Evidence & references
Every procedure we perform is supported by published clinical data. Pick a procedure family to see the studies, the strength of the evidence stated plainly, and what it means for you.
Evidence · 5 procedures
The workhorses of interventional spine care: medication delivered exactly where a nerve is inflamed, and — when a diagnostic block confirms the target — radiofrequency energy applied to the small nerves carrying that pain.
Evidence · 5 procedures
Implanted systems that change how pain signals are carried.
Evidence · 3 procedures
When the mechanical structure itself is the source — a fractured vertebra, a collapsing endplate — restoring the structure is what relieves the pain.
Evidence · 4 procedures
Reducing joint pain and inflammation to restore movement — and, where the evidence supports it, deferring or avoiding joint replacement.
Evidence · 4 procedures
Nerve clusters that carry pain from organs and regulate blood flow can be blocked or interrupted — often with a large effect on pain that medication cannot reach.
Evidence · 3 procedures
Precise targets in the head and neck, where a few millimeters decide whether a procedure works.
Evidence · how we choose
How the strength of the evidence, your diagnosis, and your goals combine into a recommendation.
Scheduled for a procedure?
Pick your procedure from the list and we bring up the right handout: how to prepare, what to expect, and what is normal afterward.