Blog Archive

Do you suffer from persistent shoulder pain following a surgery? Oct 16th, 2020

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...

Surgery-Free Treatments for Chronic Back Pain Oct 12th, 2020

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,...

Do you suffer from Postherpetic Neuralgia after having Shingles? Sep 22nd, 2020

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...

How Does a Spinal Cord Stimulator Work? Sep 14th, 2020

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...

Epidural Steroid Injections Can Help Relieve Your Pain After a Herniated Disc. Sep 9th, 2020

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...

Do you have Phantom Limb Pain? Aug 22nd, 2020

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...

Whiplash After a Motor Vehicle Collision Aug 13th, 2020

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...

Stem Cell Therapy for Arthritis Aug 8th, 2020

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...

Can PRP Injections Reduce My Arthritis Pain? Aug 5th, 2020

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...

Spinal cord stimulation can treat Peripheral Vascular Disease Aug 3rd, 2020

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...

Treating Complex regional pain syndrome with Spinal cord stimulation Aug 3rd, 2020

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...

The Remarkable Healing Power of MLS Laser Therapy Jul 12th, 2020

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...

Telehealth: The Advantages of Telemedicine Jun 24th, 2020

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.But what...

Our Minimally Invasive SI Joint Stabilization Procedure May Be Right for You Jun 11th, 2020

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...

Whiplash Injury, Common with Auto Accidents May 28th, 2020

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...

Vertebral Compression Fractures May 22nd, 2020

Vertebral compression fractures are the most common complication of osteoporosis (loss of bone mass) and can be a significant health issue leading to a lot of pain, disability and potentially serious complications. A fall, cough, or lifting of a heavy object may cause a fracture of the back bones. This...

Back Pain and Normal MRI, is it possible? May 7th, 2020

Even though MRI(magnetic resonance imaging) is considered a “gold standard” in evaluating spinal problems it is not perfect. The difficulty with the results of an MRI scan, as with many other diagnostic studies, is that the "abnormality" that shows up on the MRI scan may not actually be the cause...

Why Choose Spinal Decompression Therapy for Your Back Pain? Apr 23rd, 2020

Few musculoskeletal conditions can hijack your life the way lower back pain can, as pain and limited mobility effectively sideline you. And when it comes to progressive conditions like spinal stenosis, the problem only gets worse as time goes on, leaving you casting about for solutions that will get you...

Distinguishing between neuropathic and nociceptive pain Apr 15th, 2020

Distinguishing between neuropathic and nociceptive pain When determining an effective treatment option, it is important to work with your doctor in ascertaining the correct pain diagnosis. Treatment options differ vastly between nociceptive and neuropathic pain. The most common type of pain that people experience is nociceptive pain. The human body...

Allergies and their influence on chronic pain Apr 15th, 2020

The rationale behind diagnosing and treating allergies in the setting of chronic pain. When your immune system overreacts to an allergen, you will likely experience allergy symptoms. Most people either have or know someone who experiences seasonal allergies such as sneezing, coughing, runny nose or itchy eyes at certain times...

Why Use Compounded Topical Medications for Focused Pain Relief Apr 15th, 2020

As interventional and pain medicine specialists, we are always interested in ways to reduce oral narcotics. We recently started utilizing topical (applied to the skin) compounded pain creams for post-procedure, injection site pain and found that many of our patients found this approach to be very effective for their baseline...

Who takes care of the caregiver Apr 15th, 2020

Who takes care of the caregiver? In today’s world, learning to juggle work, family social activities and taking care of ourselves has become a crucial skill for everyone.  This may be especially true for those of us who interact with others who are in chronic pain or are ourselves in...

Incorporating Physical Therapy with Injections Apr 15th, 2020

Incorporating physical therapy with injections After sustaining an injury, it is common to be referred to physical therapy to assist you in regaining proper mobility and to reduce your pain. Depending on the severity of the injury, physical therapy can yield beneficial results in a short time. In some cases,...

Sleeping through the holidays Apr 14th, 2020

I’m not trying to suggest that you actually sleep through the holidays but rather that you learn ways which may help you to get a great night’s rest during the holidays.  As we all know, this time of year brings plenty of cheer, social interaction and let’s face it, stress, and...

Am I a Candidate for a Spinal Cord Stimulator? Mar 31st, 2020

At Advanced Pain Management Center in Portland, OR, our team of pain specialists, led by Dr. Vladimir Fiks, is committed to providing patients with ongoing relief. Spinal cord stimulators can be an excellent choice. Unlike drugs that merely mask the problem, they don’t carry harsh side effects. Nor are they...