Spinal stenosis occurs when spaces inside the spine become narrower, placing pressure on nearby nerves or the spinal cord. The condition most often affects the lower back and neck, and symptoms may develop slowly over time. Some people notice mild discomfort in the beginning, while others experience leg pain, numbness, weakness, or difficulty walking. As […]
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People often assume the only answer for chronic pain is more medication or surgery. However, there are numerous approaches that can provide relief without lengthy downtimes or dangerous side effects. One of these innovative treatments is radiofrequency ablation. Vladimir Fiks, MD, of Advanced Pain Management Center in Portland, Oregon, is committed to delivering exceptional patient care and the […]
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Some injuries heal on their own with rest and time. Others linger for months, causing pain that disrupts your sleep, limits your movement, and keeps you from doing the things you enjoy. At Advanced Pain Management Center in Portland, Oregon, interventional pain management specialist Vladimir Fiks, MD, offers multiwave locked system (MLS) laser therapy — […]
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Your lower back works hard every time you bend, lift, or even shift your weight from one side to the other. When one segment stops moving the way it should, you may begin noticing persistent aching or nerve irritation. At Advanced Pain Management Center in Portland, Oregon, Vladimir Fiks, MD, reviews your imaging with you […]
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Chronic pain can trap you in a cycle where every treatment seems to help at first, then stops working. You try medications, injections, physical therapy, and maybe even surgery. For a while, you get some relief. Then the pain comes back, often worse than before. At Advanced Pain Management Center in Portland, Oregon, interventional pain […]
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Chronic pain doesn’t always start with an obvious injury. Sometimes it develops gradually from years of wear and tear on your spine or joints. At other times, it follows an acute injury that should have healed but didn’t. At Advanced Pain Management Center in Portland, Oregon, interventional pain management specialist Vladimir Fiks, MD, diagnoses the underlying cause of your […]
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When your chronic pain persists despite medications, physical therapy, and other conservative treatments, many people assume surgery is their only option. Interventional pain management offers a middle ground between pills and major operations, using precise, minimally invasive techniques to target pain at its source. At Advanced Pain Management Center in Portland, Oregon, interventional pain management […]
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Most people think chronic low back pain means living with discomfort forever or eventually needing surgery. That’s not necessarily true, but acting now is essential. With early intervention, many nonsurgical treatments can target the exact location of your pain without cutting into your spine. At Advanced Pain Management Center in Portland, Oregon, interventional pain management […]
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When disc and joint treatments don’t solve your back pain, the problem might be coming from inside the vertebrae themselves. Your spine bones have their own nerve networks that can start causing chronic pain when they get inflamed. At Advanced Pain Management Center in Portland, Oregon, interventional pain management specialist Vladimir Fiks, MD, uses the Intercept® procedure to treat vertebrogenic pain […]
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Your arm numbness might actually be coming from your neck. Many people don’t realize that nerve compression in the cervical spine causes numbness and tingling that travels down into the arms and hands, often mimicking problems that seem unrelated to the neck. At Advanced Pain Management Center in Portland, Oregon, interventional pain management specialist Vladimir Fiks, MD, uses […]
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Dr. Vladimir Fiks 
