Most people think chronic low back pain means living with discomfort forever or eventually needing surgery. That’s not necessarily true, but acting now is essential. With early intervention, many nonsurgical treatments can target the exact location of your pain without cutting into your spine.
At Advanced Pain Management Center in Portland, Oregon, interventional pain management specialist Vladimir Fiks, MD, maps out precisely where your pain originates, then uses minimally invasive procedures to treat those specific structures.
Chronic low back pain lasts longer than three months and doesn’t respond well to basic treatments like rest or over-the-counter (OTC) medications. Unlike a pulled muscle that heals in a few weeks, chronic pain indicates structural problems or deeper damage in your spine.
Some conditions that typically cause persistent low back pain include when:
Each problem creates different symptoms. Dr. Fiks uses these pain patterns to identify exactly what’s wrong before recommending treatment.
You may benefit from interventional pain management if:
Dr. Fiks uses a detailed neurological examination combined with advanced imaging to determine which structures are generating your pain. This diagnostic precision allows for targeted treatment rather than general pain management approaches.
Dr. Fiks offers several types of interventional procedures, including:
Joint injections use fluoroscopic guidance to deliver medication directly to pain-generating structures, including:
Fluoroscopic guidance ensures accurate needle placement within millimeters of the target structure. The immediate pain relief from local anesthetic confirms the correct pain source, while steroid medication provides longer-lasting anti-inflammatory effects.
Radiofrequency ablation creates controlled heat lesions that disable pain-transmitting nerves. Dr. Fiks uses specialized needles to heat nerve tissue to precise temperatures that destroy pain fibers while preserving motor function.
Regenexx™ harvests your own bone marrow cells, concentrates them, and then injects them into damaged spinal structures. These cellular treatments may help repair degenerated discs and strengthen weakened ligaments that contribute to abnormal spinal movement.
Multiwave locked system (MLS) laser therapy delivers specific wavelengths of light that penetrate deep into tissues to reduce inflammation and accelerate cellular repair. Each treatment only lasts about 10 minutes with no discomfort.
Chronic low back pain won’t improve until you know exactly what’s causing it. Dr. Fiks uses advanced interventional techniques that target your exact pain sources rather than providing general symptom management.
Call Advanced Pain Management Center in Portland today or schedule a consultation online. Dr. Fiks can evaluate your chronic low back pain and determine which treatments will work best for you.
