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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Phantom limb pain is a condition in which pain is felt in a limb that is no longer there. Phantom limb pain affects 50-80% of all amputees. Phantom limb pain is described as neuropathic pain (caused by nerve damage), and for some it may be difficult to distinguish between pain felt at the stump after […]
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If you struggle with chronic back or nerve pain, you know it can impact every aspect of your life. Unfortunately, many causes of nerve pain can be difficult to treat. As an experienced interventional pain management physician, Vladimir Fiks, MD, employs cutting edge technology at Advanced Pain Management Center in Portland, Oregon. In this blog, […]
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Whiplash is one of the most common injuries associated with a motor vehicle collision. It typically occurs when the vehicle comes to an abrupt stop, causing the neck to “whip” back and forth rapidly, resulting in injuries to the muscles and tendons of the neck. Although whiplash is a relatively mild condition, it can cause long […]
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It is estimated that 23% of all adults in the United States have arthritis, making it a leading cause of work disability. Arthritis often occurs with age due to wear and tear of joints. As cartilage deteriorates, the cushion and protection of your joints decreases causing inflammation due to the friction of bone-on-bone contact. With […]
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Anyone with arthritis knows firsthand how stiff and painful joints can interfere with the ability to perform even the smallest tasks. Arthritis is caused when cartilage — which is a tough, flexible tissue that covers the ends of bones — wears aways. Normally, cartilage cushions joints and allows for smooth movement, but as cartilage deteriorates, […]
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Peripheral vascular Disease (PVD) is characterized by atherosclerosis (plaque buildup) of the arteries of the lower limbs. PVD affects about 10-15% of the entire U.S. population. Common risk factors include: Smoking diabetes, hypertension previous cardiac and cerebrovascular disease. A common early symptom is intermittent claudication, which typically presents as pain induced by exercise. Cramping and […]
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Complex regional pain syndrome (CRPS) or Reflex Sympathetic Disorder (RSD) is a chronic pain condition that typically affects the arms, legs or feet. It may happen after an injury to a nerve or tissue. This condition causes high numbers of electrical nerve impulses to travel to the affected site. Studies suggest it is thought to […]
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For many people, the idea of a laser summons the idea of something suited for outer space. However, lasers are providing breakthroughs in the field of medicine. The word “laser” stands for “light amplification by stimulated emission of radiation.” Fortunately, you can think of lasers in far more general terms when it comes to medicine. […]
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Causes and Symptoms of Whiplash Injury Whiplash injury is very common in motor vehicle accidents especially with rear-end collisions but may be present in other types of accidents as well. Front end impact of the vehicle or a fall also may be a culprit. Other causes are a sequela of sport injury, especially high-impact sports, […]
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Dr. Vladimir Fiks 
