Archive For The “Pain Conditions” Category

In Search of the Best Pain Clinic in Burbank: The Diagnosis of Cancer

By | June 3, 2015

I apologize for the long absence of new blogs, but I am not a professional author and turning out a regular blog is not easy for me. In addition we have bee very busy here at Schlesinger Pain Centers and I probably would not be posting today were it not for a patient who came […]

Read more »

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 […]

Read more »

Post-Laminectomy Syndrome

By | April 30, 2015

The first complication of spinal surgery that we will consider is post-laminectomy syndrome (aka failed back syndrome). It was originally described in patients who had undergone lumbar laminectomies but can be seen after any procedure in the lumbar region and more rarely in the cervical region. The overall incidence is on the order of 1%, but […]

Read more »

Spinal Stenosis

By | March 31, 2015

As we said in an earlier blog spinal stenosis is a condition where there is narrowing of the spinal canal. As was the case with foraminal stenosis obstruction of an otherwise patent canal by a herniated lumbar disc does not qualify as stenosis because the epidemiology and treatment of disc disease is different from true […]

Read more »

Foraminal Stenosis

By | March 30, 2015

At Schlesinger Pain Centers we spend a lot of time explaining our diagnoses to the patients, to try to minimize confusion. The problem is that many of the terms that describe conditions causing low back pain sound similar, such as spinal stenosis and foraminal stenosis, but the distinctions are critical. This is because most medical […]

Read more »

Spondylolisthesis

By | March 29, 2015

Spondylolisthesis is a common condition seen here at Schlesinger Pain Centers where one vertebra slips either forward (anterolisthesis) or backward (retrolisthesis) with respect to the adjacent vertebra. The degree of slippage is usually graded, with a less than 25% slip being classified as Grade I, 25-50% being classified as Grade II, 50-75% being classified as […]

Read more »

Loss of Disc Height

By | March 28, 2015

A common finding among my older patients here at Schlesinger Pain Centers is loss of intervertebral disc height. This is usually the result of prior surgery or repeated disc herniations. In either case with each occurrence there is a loss of disc material and a progressive diminution of the disc height. Remember from our prior […]

Read more »

Chemical Radiculitis

By | March 27, 2015

We have known for many years that most disc bulges are asymptomatic until they contact a nerve root or the spinal cord. We have also known that acute annular tears even small ones tend to be very painful even with little or no nerve root compression. This has lead to the proposal that acute disc […]

Read more »

Lumbar Disc Disease

By | March 26, 2015

The first pathological condition we will discuss is one of the simplest and also one of the most common conditions that we see here at Schlesinger Pain Centers. Lumbar disc disease is one of the few disease processes where an abnormality in a single structure can interact with a nerve root and cause pain without […]

Read more »

Lumbar Radiculopathy

By | March 25, 2015

The most common condition we see at Schlesinger Pain Centers is lumbar radiculopathy, which is defined as an abnormality in the function (either sensory or motor) of one or more lumbar nerve roots. The cause of this derangement is usually direct compression but can also be due to chemical irritation. The site of the irritation […]

Read more »