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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You know that unmistakable sensation coursing through your limbs. Maybe it starts as a dull ache, slowly intensifying into sharp, shooting pain. Or perhaps it’s a constant tingling, a numbness that never quite fades. That’s peripheral neuropathy for you — and once it hits, it tends to stick around. So, can peripheral neuropathy ever just […]
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Whether you get into a minor fender-bender or a major collision, car accidents are stressful and chaotic. While you’re checking for injuries, swapping information, and making sure everyone’s okay, whiplash might not even cross your mind. But an early assessment is crucial to protect your neck from lasting damage. Once you start feeling whiplash’s telltale […]
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In any given three-month period in the United States, one in four adults has a day with back pain. More seriously, 8% of adults have high-impact back pain that limits their lives. And the numbers surrounding neck pain aren’t any better — it has a prevalence rate of about 30%. The point of these statistics […]
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Most people have experienced back pain at some point. After all, even sleeping funny can cause discomfort that completely derails your day. But what do you do when back pain persists for weeks, months, or years at a time? Those situations require expert care from an interventional orthopedic specialist like Dr. Vladimir Fiks. Dr. Fiks uses […]
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Unlike other broken bones in the body, a compression fracture occurs in your spine and causes a vertebra to collapse. Dr. Vladimir Fiks uses an integrative approach to treating pain conditions like compression fractures at Advanced Pain Management Center in Portland, Oregon. Whenever possible, Dr. Fiks turns to noninvasive treatments, including rest, supportive devices like […]
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Treating symptomatic spinal stenosis with a MILD procedure. Spinal stenosis is a narrowing of the spinal canal. It can occur at any place in the spine, but is most common in the lower lumbar region and is called lumbar spinal stenosis (LSS). The spinal canal houses the spinal cord in your back. When stenosis occurs, it can cause pressure on the spinal cord and/or […]
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Dr. Vladimir Fiks 
