Archive For The “Diagnostic Services” Category

In Search of the Best Pain Clinic in Los Angeles: Diagnostic Blocks

By | November 14, 2012

I would like to return to a topic that we have dealt with before in our search for the best pain clinic in LA, diagnostic blocks.  When I was in medical school, before chronic pain became a big business diagnostic work was clearly the way that the skill of the practitioner was judged.  In fact […]

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In Search of the Best Pain Clinic in Los Angeles: Lessons from the Case

By | November 12, 2012

I think that the most important lesson that can be learned from this case is the importance of making an accurate diagnosis before proceeding to therapy. Too many pain clinics start with a list of treatments and ask which treatment seems most likely to fit the bill. Their reasoning is that since they only offer […]

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In Search of the Best Pain Clinic in Los Angeles: Clinical Presentation

By | November 7, 2012

I remember being told over and over again in medical school, that the history was the most important part of the diagnostic process and that if you didn’t have a list of reasonable diagnostic possibilities in mind by the time you were starting the physical exam and before ordering any lab tests, you were in […]

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In Search of the Best Pain Clinic in L A: The Importance of Diagnosis

By | November 5, 2012

Many people view pain management as a field, which is interested primarily in symptomatic or palliative treatment of incurable conditions. While this is an important part of what we do, it is by no means our primary focus. The best pain clinic in Los Angeles would understand that the best results will be obtained by […]

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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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In Search of the Best Pain Clinic in LA: The Importance of Diagnosis

By | April 2, 2012

While most patients come to a pain clinic looking for treatment of their chronic pain, the best pain clinic in Los Angeles would understand that the first order of business is to establish an accurate diagnosis. The best pain clinic in LA would also know that no one wants to go to a pain clinic […]

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