Archive For The “Diagnostic Injections” Category

The Best Pain Clinic in LA, A Physician’s Perspective: Differential Epidural Blocks

By | July 13, 2012

  Differential Epidural Blocks are the ultimate diagnostic block, often done when you don’t even know which part of the nervous system is carrying the pain signals. It involves placing a catheter in the epidural space and them administering progressively stronger solutions of local anesthetic and noting the response. It can often discriminate sympathetically mediated […]

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The Best Pain Clinic in LA, A Physician’s Perspective: Stellate Ganglion Blocks (Part III)

By | July 11, 2012

Despite the advances in technology, the stellate ganglion block is being ordered less and less frequently. The reasons for this are largely the same as for relative disuse of selective nerve root blocks (SNRB). Stellate ganglion blocks have a reputation for being difficult, dangerous, rare and nonremunerative. Add to this the fact that most physicians […]

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The Best Pain Clinic in LA, A Physician’s Perspective: Stellate Ganglion Blocks (Part II)

By | July 10, 2012

About 15 years ago, people began to do the blocks using fluoroscopic guidance to perform stellate ganglion blocks, which made the block safer, but not more reliable. The problem is that the ganglion cannot be seen on X-Ray and is not really next to any boney structures. Therefore, although in advertent placement of the needle […]

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In Search of the Best Pain Clinic in LA: Selective Nerve Root Blocks

By | July 6, 2012

   The best pain clinic in Los Angeles would recognize that the selective nerve root block (SNRB) is one of the most important blocks that they do and becoming more so with each passing year. The reasons for this are numerous. Firstly, modern MRI machines and CAT Scanners have become so sensitive that false positives […]

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In Search of the Best Pain Clinic in LA: Diagnostic Blocks

By | July 5, 2012

  As we return to our search for the best pain clinic in Los Angeles, we will focus on one of the great failures of modern pain management, diagnostic blocks. Once a standard of the hospital Pain Clinic, née Nerve Block Clinic these injections have fallen into obscurity and disuse. In the past patients would […]

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Exceptional Care – Avoiding Bad Care: Pelvic Pain Case, Part 2

By | June 25, 2011

The first thing that we did was to talk to E. A. and her family. I told them that she was definitely not crazy and chronic pain was not imaginary or psychological in origin. Furthermore, I said that I had seen a number of cases of pelvic pain like this, although none quite as bad […]

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