We see quite a few patients with fibromyalgia in our clinic. Frequently, they come to us at a later stages of their quest for treatment but sometimes we get to see them earlier, when non-pharmacological options can still be sufficient. Drug free interventions are generally recommended as first-line treatment of fibromyalgia. Those include psychological treatments […]
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Placebo is a beneficial effect produced by a placebo drug or treatment, which cannot be attributed to the properties of the placebo itself, and must therefore be due to the patient’s belief in that treatment. This could be a real problem when interpreting the results of the diagnostic procedures but in cases of applying a […]
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Do you live with acute or chronic pain? MLS® Laser Therapy may be able to give you the relief you need. Vladimir Fiks, MD, is passionate about bringing an integrative approach to pain management at his practice in Portland, Oregon. While in his care at Advanced Pain Management Center, you can rest easy knowing that you have access […]
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Using your body to heal your body may seem like a far-fetched concept. However, that’s precisely how regenerative medicine treatments, such as platelet-rich plasma (PRP) therapy work. Unlike medications that focus on your symptoms, regenerative therapies focus on healing the problem causing your pain. One of the most well-known forms of regenerative medicine is using […]
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You probably don’t spend much time thinking about your sacroiliac (SI) joints. However, these joints have an important job. They connect the lowest part of your spine, or sacrum, to your pelvis. And, like other joints in your body, you can develop significant pain in this area from inflammation or improper joint movement. At Advanced […]
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Losing sensation in your foot from time to time usually isn’t cause for concern. In fact, it’s a fairly typical response to certain habits, like: Sitting on your feet Kneeling or sitting for extended periods Crossing your legs for too long Wearing overly tight shoes, socks, or pants In these cases, the numbness typically develops […]
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Spinal cord stimulation (SCS) has revolutionized the pain management industry. These small implantable devices use low levels of electricity to interfere with the pain signals going to your brain. It’s so effective that Vladimir Fiks, MD, recommends spinal cord stimulation for several types of back pain, including: Sciatica Chronic back, neck, arm, or leg pain Nerve root compression […]
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If you’ve had a migraine, you know firsthand how painful and debilitating they can be. Common signs of migraine include: Head pain on one or both sides that pulses or throbs Pins and needle sensations in the arm or leg Numbness or weakness in the face or body Difficulty speaking Sensitivity to light and sound […]
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The idea of having spinal surgery can seem daunting. However, medical advancements have created far less invasive methods for performing many of these procedures, including spinal fusion. Spinal fusion is the process of welding bones in your spine together to relieve chronic pain. In the past, this was an extensive back surgery that required large […]
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People often use the terms “tendon” and “ligament” interchangeably. However, these two connective tissues do very different jobs. Your tendons connect the muscles in your body to your bones. Your ligaments, on the other hand, connect your bones to other bones. While tendons and ligaments have their differences, they do have one thing in common: […]
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Dr. Vladimir Fiks 
