Anyone had chickenpox? If so, then you are at risk for postherpatic neuralgia, a common cause of chronic nerve pain. Follow this timeline. First as a child, you develop chickenpox caused by the Varicella Zoster virus. Then this sinister virus goes dormant in the nervous system. For years, it waits for an opportune time, when the immune system is... Read more
When faced with a permanent disability, one has choices: to do things as usual, to quit doing things, or to find alternative ways. If one were to continue doing activities in a usual fashion, pain will persist or get worse most of the time. If one were to quit doing things all together, life gets boring and depressing. Finding alternative ways to... Read more
Even back pain caused by a spondylolisthesis and lumbar stenosis can be treated with physical therapy. Because spondylolisthesis and lumbar stenosis can cause nerve damage, surgery is the natural knee-jerk treatment option that people think about. Of course, surgical spinal fusion is the best option to stabilize the spine if the nerves are... Read more
Suboxone can be a good exit strategy if the pain medications start to force life out of control. Pain medications are not meant to cause a downward spiral. The goal of using pain medications is to regain enough control over pain to become more active. Unfortunately, pain medication use can sometimes do just the opposite of improving function;... Read more
The doctor-patient relationship is based on trust. The patient trusts the doctor. The doctor trusts the patient. This two-way street is undermined by urine drug testing. When a patient is presented with a cup, the doctor is in essence telling the patient that "I do not trust you". Because of this, I have been and continue to be uncomfortable about... Read more
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