You have one sacroiliac (SI) joint on each side of your pelvis. They’re located where your sacrum — the large triangular bone at the base of your spine — connects to your hip bone (the ilium). These joints get held in place by a taut band of ligaments. Unlike your shoulder, elbow, or knee joints, […]
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The human body has two primary parts to its nervous system: the central nervous system and the peripheral nervous system. Your central nervous system contains your brain and spinal cord. Your peripheral nervous system contains all of the nerves that lie outside of your central nervous system. Together, your nervous system works like your body’s […]
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Spinal injections can be used to treat and diagnose numerous conditions. Vladimir Fiks, MD, of Advanced Pain Management Center in Portland, Oregon, is an expert at using spinal injections to help his patients manage painful ailments. In this blog, he discusses six spinal injections he uses for certain conditions. 1. Epidural steroid injections These types […]
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Peripheral Nerve Stimulation for Chronic and Postoperative Knee Pain Knee pain is one of the most common types of pain that affects people of all ages. Some of the most common causes of knee pain occur from injury to the cartilage or ligaments, arthritis and fractures. Another common occurrence of knee pain is postoperative. It […]
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Nerve stimulation therapy isn’t new. In fact, doctors have recommended this proven approach for more than 40 years. But what is it, and could it be right for you? At Advanced Pain Management Center in Portland, Oregon, Vladimir Fiks, MD, offers two types of nerve stimulation therapy: Peripheral nerve stimulation and spinal cord stimulation. Here’s what you need to know about […]
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Most of us can expect to experience back pain at some point in life. However, even though it’s a common problem, its intensity and cause can vary significantly from person to person. At Advanced Pain Management Center in Portland, Oregon, Vladimir Fiks, MD, specializes in treating all sorts of spinal pain disorders with the most innovative techniques available. In this […]
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Do you suffer from persistent shoulder pain following a surgery? Shoulder pain is one of the most common types of pain that may affect a person. In fact, the shoulder is responsible for almost half of all joint dislocations in the US and among those, the axillary nerve is frequently injured. If pain persists following […]
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Many people assume that surgery is the only option for chronic back pain. However, this isn’t true. Spinal injections and regenerative medicine therapies have proven very effective at treating chronic back pain. As an interventional pain management specialist, Vladimir Fiks, MD, brings an integrative approach to his patients in Portland, Oregon. Here are two surgery-free options […]
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If you’ve ever experienced shingles, you know of the burning pain that is associated with the rash. In most cases, pain persists until the rash has cleared up. About 20% of all people who get shingles will experience postherpetic neuralgia (PHN). At Advanced Pain Management Center, Dr. Fiks utilizes a multi-modal approach to treating the […]
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Treating Herniated Nucleus Pulposus with Epidural Steroid Injections Intervertebral discs are cushions between each pair of vertebrae in your spine that provide shock absorption. The outer ring of the disc is made up of strong fibers known as the annular fibers or simply annulus. The middle of the intervertebral disc is known as the nucleus […]
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Dr. Vladimir Fiks 
