Comparing “board certification” to eggs

The topic of “Board Certification” in pain management can seem to be about as confusing as trying to understand the label on a carton of eggs.  Your local grocery store has them all:  cage free, free range, vegetarian fed, no hormones, antibiotic free, and organic.  There are certainly differences in price for these types of…

Can e-cigarettes help me quit smoking?

Some of the concerns about smoking include cancer, nicotine, tar and carbon monoxide.  I have had several patients recently ask me if e-cigarettes would help them quit smoking tobacco, so I started looking into the data (and there’s lots of it out there – both pro and con).  Obviously, this is a very complicated topic…

Savory Breakfast

As promised from the blog last week a savory healthy breakfast item.  I don’t think it really qualifies as a frittata.  Maybe more like a modified omelet.  Super fast and easy.  You will need the following items: oven safe skillet or frying type pan 1 cup egg whites (I use the egg whites in a…

Office-based injections more affordable

It’s no secret that hospitals have been aggressively purchasing physician medical practices over the past 5 years.  One reason for this is that hospital administrators have found new sources of revenue to support their large overhead.  Much of this revenue is in the form of facility fees and subtle changes in the way services are…

Use of steroids in epidural injections

The use of steroids in epidural injections has been considered “off-label” for many years, but it shouldn’t detract from the fact that there have been several properly conducted randomized trials and systematic reviews (as well as guidelines), showing significant long-term effectiveness of using them. Hundreds of thousands of patients every year avoid potentially unnecessary spine…

Vitamin D

Along with calcium, vitamin D helps maintain bone health by ensuring that the body creates and reabsorbs bone tissue at roughly the same rate, thus avoiding a net loss of bone.  About 8% of Americans are deficient in vitamin D, and most of these are elderly.  While adequate (but not excessive) intake of calcium and…

Sciatica Pain and Weakness: Is Surgery The Answer?

When patients seek medical care for a painful disc herniation and a motor deficit (muscle weakness, limping, or a dropped foot), the motor deficit sometimes becomes an overriding concern, steering patients toward early surgery.  A recent Netherlands study has disputed that notion.  While the motor deficit did improve significantly faster with surgery, the long term…