HAS MODERN OBSTETRICS FORGOTTEN TOO MUCH?? If you talk to any midwife, they can be a plethora of information on how the birthing process was meant to go. No epidurals, no induction, no lithotomy position straps. And it seems that, as a species, it actually worked out ok (otherwise none of us would be here […]
In general, most patients think that the diagnosis of a lumbar disc bulge means that surgery is inevitable. This couldn’t be further from the truth. There are so many misconceptions that revolve around low back pain that it’s always hard to decide where to start. I have covered many of these issues in the past […]
“They’re going to burn out the nerves in my neck.” Sounds pretty permanent, but fortunately, not accurate. Radiofrequency ablation or neurotomy, aka RFA, is a procedure done in a pain management or anesthesiologist’s office. RFA is the next step after a series of epidural steroid spinal injections have failed to provide lasting relief. Usually, a nerve block procedure is […]
There are times when I wish MRI and CT scans were never invented. I can’t tell you how many times I’ve had to explain to patients that what was found on the MRI that his or her PCP ordered has absolutely nothing to do with the pain currently experienced. Low back, knees and shoulder seem […]
Promoting normality in childbirth This is another excellent editorial pointing out that childbirth is not a disease process that needs to be medicated and treated. The authors point out that initiating medical intervention tends to start the dominos falling for further interventions–ironically creating a situation in which medical intervention is needed. We need to stop […]
