Botox for Migraine Headaches

Botox is famous for its cosmetic use by some doctors to reduce wrinkles.  Some observant doctors noticed that patients with chronic migraine headaches that received cosmetic Botox treatments had improvement in their headache symptoms.  Studies were done, showing that Botox does indeed reduce the frequency of migraine headaches.  In 2010, the FDA approved the use.. read more →

Low Back Pain Treatment: Radiofrequency for Facet Joint Pain

As I mentioned previously, facet joints are a common and underdiagnosed source of chronic low back pain.  Medical studies show that 15-40% of non-sciatica low back pain is caused by facet joint problems.  Fortunately, one of the most safe and effective treatments in all of pain medicine (radiofrequency neurotomy) targets facet joint pain specifically. Part.. read more →

Epidurals for Back Pain: Lumbar Epidural Steroid Injections

Epidural steroid injections in the low back are the most common type of spinal injections that I perform in my practice.  The goal of epidural injections is to deliver anti-inflammatory medication (similar to cortisone) as close as possible to irritated and painful nerves, often seen in conditions like sciatica from disc herniation, spinal stenosis, and.. read more →

Radiofrequency Ablation: How It Works for Pain Relief

Radiofrequency Ablation (also called RFA, radiofrequency neurotomy, radiofrequency nerve lesioning, or facet rhizotomy) is a great treatment option for certain types of back pain, neck pain, whiplash pain, and even headache.  It is a minimally-invasive procedure that takes only minutes but provides months to years of lasting pain relief.  Instead of using short-lasting medication, radiofrequency.. read more →