Announcements

With the advent of texting as a means of communication, there appears to be an increase in the number of cases of thumb pain.     A common cause of thumb pain is arthritis of the carpometacarpal joint ( CMC).  This is where the metacarpal bone of the thumb attaches to the…

It appears that the Canadian health system has close links to the American insurance companies.  In years past the American insurance companies did not recognize whiplash and its attendant disabling pain.  Rather they banded together to create the concept of  M.I.S.T.  (Minor Injury Soft Tissue Injury).  The concept held that…

Shoulder pain can arise from many causes including osteoarthritis, loss of cartilage and damage to the supporting muscles and tendons.  Shoulder arthroscopy is often deemed essential to repair torn or degenerative tendons.  Often during shoulder arthroscoppy one or more tendons is mechanically re-attached to the bone in an effort to…

Have you been told that your knee x-ray shows narrowing of the joint space and therefore your should have arthroscopic knee surgery?  Before you schedule for knee arthroscopic surgery or arthritis knee surgery consider the following facts. A study in the New England Journal of Medicine recently demonstrated that knee…

As a pain physician I am committed to identifying the source in a given patient so that the appropriate treatment can be provided.  We have learned that degenerative discs identified on  MRI of the lumbar spine are NOT  by default the origin of a patient’s back pain .  Degenerative lumbar discs…