Pain management, also known as pain medicine, draws on many disciplines in science and the healing arts to systematically study pain, its prevention, evaluation, diagnosis and treatment, as well as the rehabilitation of painful disorders.


In spine and musculoskeletal cases, pain management serves a variety of purposes. Pain management is usually distinguished from surgical treatment.

Pain management and the techniques it uses may be employed as follows:

  • To help identify the source of a patient's back pain

  • As an alternative to surgery, as part of an aggressive conservative (nonsurgical) care program

  • To help determine the areas to be addressed surgically

  • To help rehabilitate the patient after surgery

  • For patients after surge...

Carpal tunnel syndrome is common in people who perform repetitive motions of the hand and wrist. Typing on a computer keyboard is probably the most common cause of carpal tunnel. The condition occurs most often in people 30 to 60 years old and is more common in women than men. Other causes include:

  • Sewing

  • Driving

  • Assembly line work

  • Painting

  • Writing

  • Use of tools (especially hand tools or tools that vibrate)

  • Sports such as racquet ball or handball

  • Playing some musical instruments

Symptoms of Carpal Tunnel: 

  • Numbness or tingling in the thumb and next two or three fingers of one or both hands

  • Numbness or tingling of the palm of the hand

  • Pain extending to the elbow

  • Pain in wrist or hand in one...

To relieve pressure on the spinal cord or nerves, surgeons can remove portions of bone to widen the narrowed area in the bones of your spine (vertebrae). Removing the gel-like middle portion of a ruptured disk also may help relieve pressure on pinched nerves. Sometimes your doctor has to remove the entire disk and fuse together the adjoining vertebrae that remain.

Disectomy or Microdisectomy involves removal of the herniated portion of a disk to relieve irritation and inflammation of a nerve. It's done as an open surgery and typically includes full or partial removal of the back portion of a vertebra (lamina) to access the ruptured disk. 

A Laminectomy is a procedure involving the removal of the bone that overlays the spinal canal. The surg...

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What is minimally invasive spinal surgery?

This is spinal surgery that is done with smaller incisions, less blood loss, less operative time, and less pain to the patient than a standard open operation. 

There are times when a minimally invasive operation is not appropriate for a patient, but it is important to have the opportunity to discuss all options available. 

Minimally invasive should never mean minimally effective.

The type of minimally invasive surgery varies depending on the goal of surgery, and should be compared to a standard open operation in terms of success rate and patient satisfaction. Examples of minimally invasive surgery include percutaneous pedicle screw placement in the lumbar spine (Sextant pedicle screws), and a unilateral muscle splitting approach and transforaminal lumbar interbody fusion in the lumbar spine. 

There are also minimally invasive bone graft harvesting techniques that are often employed when your own bone is needed for fusion. In some cases, Infusion can be used to completely eliminate the need for harvesting your own bone. 

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Enhancing Life Through Advanced Care with Minimally Invasive Surgery