Archive For The “Therapeutic Injections” Category

In Search of the Best Pain Clinic in Los Angeles: Inversion Not Excision

By | November 30, 2012

The best pain clinic in LA would always be concerned with future problems, not just the complaint which brings the patient in today. In addition the best pain clinic in Los Angeles would always look for the best solution to a problem, not the easiest. Perhaps the best way to illustrate is point is with […]

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The Best Pain Clinic in Los Angeles: Anesthesia & Sedation

By | October 15, 2012

Most of the measures of quality we have looked at have had a s much to do with the office environment as the physician, but one measure of the quality of the pain management physician himself is the use of anesthesia and sedation in the performance of common diagnostic and therapeutic injection.  The use of […]

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The Recent Steroid Scare

By | October 8, 2012

I would like to use the recent epidural steroid scare as the jumping off point for a new series of blogs dealing with the best pain clinic in Los Angeles and its relentless pursuit of excellence. As many of you are probably aware there has been a recent nationwide epidemic of fungal meningitis, which has […]

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The Best Pain Clinic in LA: Unusual Conditions – Shingles

By | September 12, 2012

Many supposed pain clinics really treat only one or two conditions, back pain or back pain with leg pain, but the best pain clinic in Los Angeles would strive to treat all conditions. While most physicians concentrate their efforts on the latest and greatest innovations coming out of the university laboratories, the best pain clinic […]

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Not Your Average Chronic Pain Patient: Bobby June Knowles

By | April 23, 2012

I would like to continue our “Not Your Average Chronic Pain Patient” series of articles on extraordinary patients and their exploits with a look at a woman with garden variety back pain (that is her back pain gets worse when she works too much in her garden). Bobby June Knowles (her real name) is just […]

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In Search of the Best Pain Clinic in LA: Scoliosis

By | March 6, 2012

I have gone to many national pain meetings and listened to the young kids finishing their fellowships brag about how proficient they are at transforaminal injections or about how many transverse tripole stimulator arrays they have placed. My favorite retort is to ask them to describe their technique for doing a simple interlaminar lumbar epidural […]

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Understanding Epidurals: Lumbar Transforaminal Injections

By | February 22, 2012

  As we have said before transforaminal lumbar epidural steroid injections (TF LESIs) appear to be more powerful in cases involving single level unilateral disc disease or foraminal stenosis. In cases where the compression is more diffuse transforaminal injections, because of their more limited spread will be less effective, although treatment with interlaminar lumbar epidural […]

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Interlaminar versus Transforaminal Injections

By | February 21, 2012

  There is a raging controversy in pain management circles about which injection is better, interlaminar lumbar epidural steroid injections (IL LESIs) or transforaminal lumbar epidural steroid injections (TF LESIs). Like most issues in chronic pain, the situation is not quite so simple. Each injection has its advantages and disadvantages and the choice of technique […]

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Efficacy of Epidural Steroid Injections in Axial Back Pain

By | February 20, 2012

Patients with axial back pain, in general respond less well to epidural steroid injections than do chronic pain patients with primarily radicular symptoms. Like patients with radicular back pain, many patients, those whose primary site of inflammation is intracanalicular, will feel better after an epidural injection of steroids. But for the 50% or more of […]

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Efficacy of Epidural Steroid Injections in Radicular Back Pain

By | February 19, 2012

At Schlesinger Pain Centers we believe that patients with acute radicular back pain have a better chance of getting satisfactory pain relief with lumbar epidural steroid injections (LESIs) than other types of back pain. These patients usually have an acute tear, either new or recurrent, of the annulus fibrosus of an intervertebral disc and the […]

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