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Burning Muscle Pain

Have you ever had a patient complain of increased pain post muscle injection? I did.  Three of them.  With the rise of clinical prediction rules and decision making guidelines, I decided to review the literature for guidance on this matter but the evidence is...

An Argument for Preventative Care

Employee benefit costs continue rising and health related expenses affect bottom line more than ever.  Innovative ideas have stemmed from the need to address employee concerns within cost constraints.  Thanks to Craig Fallon, NJ Biz, I recently attended a dinner...

MRI. Is it Always Necessary?

People often ask for specialized imaging to determine the extent or cause of neck and low back pain.  Some patients come in touting MRI’s with proof of disc bulges and/or herniations.  Others have back pain and want to be imaged right away.  Unfortunately, images...

When is Acupuncure a Good Choice.

Spinal care should always be diagnosis-based and tissue specific to achieve the best results.  The treating doctor should identify the source of pain before recommending treatment.  However, people experience pain differently and some patients experience pain more...