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…

Time to Eat!

My last post on how nutrition has an impact on pain only provided an overview. Food choices and what we take in our bodies play a tremendous role in how we fight off and manage disease processes.   Since I love being in the kitchen almost as much as I love taking care of patients in the office…

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…

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…