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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You might expect your spine injection to work right away, but the reality varies depending on which type of injection you receive and what’s causing your pain. Some people walk out of the office feeling better within minutes, while others need days or even weeks to experience the full benefits. At Advanced Pain Management Center in Portland, Oregon, board-certified […]
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When your back hurts while bending over but disappears when standing straight, or intensifies when sitting but eases while lying down, your body is sharing hidden clues about your spine condition. This type of positional pain often reveals specific structural problems that standard treatments might miss. At Advanced Pain Management Center in Portland, Oregon, leading interventional pain […]
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Your body contains powerful healing cells that can repair damaged spine tissue without surgery. Many patients with chronic back pain have tried medications, injections, and physical therapy without lasting relief — but haven’t considered using their own cells to heal the problem. At Advanced Pain Management Center in Portland, Oregon, Dr. Vladimir Fiks performs Regenexx® procedures that concentrate these natural repair […]
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Chronic pain can make even the simplest tasks feel impossible. When medications, physical therapy, and injections haven’t worked, a spinal cord stimulator might be worth considering. But before committing to a permanent implant, you need to go through a trial period first. At Advanced Pain Management Center in Portland, Oregon, Vladimir Fiks, MD, specializes in helping patients determine if spinal cord […]
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When pain becomes unbearable, you might feel like your only choices are injections or surgery — but what if there was a noninvasive way to find relief? Breakthroughs in laser technology offer just that. At Advanced Pain Management Center in Portland, Oregon, leading interventional pain management specialist Vladimir Fiks, MD, and our team use Multiwave Locked System (MLS) Laser […]
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Tired of feeling an ache in your back every time you sit, stand, or bend over? If conservative treatments aren’t giving you the relief you need, basivertebral nerve ablation (BVNA), or the Intracept® procedure, may be the solution you’ve been looking for. This innovative, minimally invasive procedure targets the source of chronic low back pain by ablating […]
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A spinal infusion offers quick, targeted relief by delivering pain medication directly into the fluid-filled space around your spine. This method uses a small device the size of a hockey puck called an intrathecal pump implanted beneath the skin in your abdomen. It connects to a catheter that carries medication straight to your spinal cord. Because the […]
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Dr. Vladimir Fiks 
