Archive For The “SCS” Category

Post-Laminectomy Syndrome (continued)

By | May 1, 2015

We treat many patients with post-laminectomy syndrome[1] at Schlesinger Pain Centers and they are among the most difficult patients we see. The etiology of the disease is unknown. Many people have postulated that scarring plays a role in the pathogenesis of this condition, but this has never been proven.   We have learned that reoperation almost […]

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In Search of the Best Pain Clinic in L A: Working With Other Specialists, Part 2

By | January 23, 2013

In our continuing saga of Madame X and her right forearm and hand pain, I told the patient and the hand surgeon that while the distal radius and the carpus need to be stabilized I would recommend that the surgery be as quick and limited as possible to minimize any further nerve damage. I told […]

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In Search of the Best Pain Clinic in Los Angeles: Surgery Centers

By | October 17, 2012

A seldom used but important discriminant in the search for the best pain clinic in LA is the use of surgery centers. I will once again make a categorical statement, that use of surgery centers in the treatment of chronic pain has no place. There are several reasons that a pain management physician might choose […]

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Treatment of Peripheral Neuropathy in the Elderly

By | May 30, 2012

I would like to take a brief bake from our series on the Internet to report on the oldest patient yet to have a spinal cord stimulator trial (SCS) at Schlesinger Pain Centers. Diane (not her real name) is a 91-year-old woman with severe peripheral neuropathy affecting her lower legs and feet. Diane had previously […]

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In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – The Value of Experience

By | May 3, 2012

The best pain clinic in Los Angeles would know that it is especially in the area of failed back syndrome that differences in pain clinics are most pronounced. Making the correct diagnosis and choosing the correct form of therapy requires years of experience. While a part-time pain practitioner may imagine himself to have the skills […]

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In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – Spinal Cord Stimulation

By | May 2, 2012

The best pain clinic in Los Angeles would know that most of the patients with post-laminectomy syndrome will be best treated with a spinal cord stimulator (SCS) and that the sooner the topic is introduced the sooner that fears and reservations can be dealt with.  As we have said before patients suffering from failed back […]

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In Search of the Best Pain Clinic in Los Angeles: Failed Back Syndrome – The Role of Intrathecal Pump Therapy

By | May 1, 2012

While the standard treatment for failed back syndrome is spinal cord stimulation, the best pain clinic in Los Angeles would know that for selected patients the implantation of an intrathecal drug delivery system is a viable and at times a superior option.  Patients with primarily axial back pains are often difficult to capture with standard […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Later Treatment

By | February 15, 2012

As the disease progresses even at the best pain clinic in Los Angeles, control of DPN pain becomes more and more difficult. In severe cases of diabetic peripheral neuropathy, spinal cord stimulation (SCS) can produce dramatic results. Percutaneous trialing of between two and four electrodes allow us to easily separate those patients with DPN who […]

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The Effect of Pain Relief on Your Life: Part 2, Permanent Relief

By | August 2, 2011

John was almost frantic when he came back to see me. He and his wife pleaded for help. They had seen what life could be like without the chronic headaches and desperately did not want to return to the pills and alcohol. I told them of a relatively new neuromodulation technique, occipital nerve and cervical […]

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Exceptional Care – Avoiding Bad Care: Pelvic Pain Case, Part 3

By | June 26, 2011

In retrospect it is likely that E. A. was suffering with endometriosis and not from it. I have seen many similar cases and now feel that endometriosis pain is a misnomer and that endometriosis is often a marker for pelvic pain as opposed to a cause of it. We do not know what causes this […]

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