Physician pointing at potential Osteoporosis in a bone in x-rays.

Osteoporosis 101

It’s estimated that about 200 million people worldwide have osteoporosis. This means that about one in three women and one in five men age 50 or above across the globe are at risk of having a bone fracture extremely easy, say while sneezing or running into the wall.

“Osteoporosis is not only painful, but it can also be extremely expensive,” Alliance Spine and Pain Physician Dr. Michael Schaufele stated. “It’s estimated that osteoporosis has caused over two million broken bones and 19 billion dollars in medical costs every year. That number is expected to grow.”

If you’re wondering what osteoporosis is, keep reading below to learn more.

What is Osteoporosis?

The word osteoporosis means “porous bone.” Technically speaking, osteoporosis is a disease that causes the bones in the body to lose density and quality.

Bones are normally filled with porous holes, similar to a honeycomb. When we’re in our 20’s, our bones are the densest, which is also known as peak bone mass. As we continue to age, our bones begin to dissolve their mass. However, in a process called remodeling, new bone formations come in to replace those holes.

Bones with osteoporosis have much larger holes, meaning they have less density and mass on top of having abnormal tissue structure. They also are not able to keep up with making new structures to fill the holes. This means the bones become weak and more likely to break, sometimes from something as small as bumping the corner of a table.

What Are the First Signs of Osteoporosis?

Unfortunately, osteoporosis is a silent disease. There may not be any signs of it until you have your first fracture. However, if an unexpected fractured, height loss, or gradual spine curving takes place, it might be time to speak to your doctor.

There are certain people at a higher risk of developing osteoporosis.

  • Individuals older than 50
  • Women
  • Individuals with low body weight
  • Women who have recently gone through menopause
  • Individuals who smoke
  • Individuals with a family history of osteoporosis

What is the Best Treatment for Osteoporosis?

Once a person has osteoporosis, it’s hard to treat. There are some medications that help with the symptoms, however, the best thing you can do is to take preventative measures before the disease develops.

If you’re worried about your risk, the following tips may help keep your bones happy and healthy:

  • Exercise regularly, especially when it comes to lifting weights. Doing so helps to build the strength in your bones.
  • Make sure to consume enough calcium and vitamin D in your diet. Reach for dairy products, spinach, broccoli, dried beans, salmon, eggs, sardines, orange juice, cereal, and bread.
  • Spend about 10 to 15 minutes in the sun twice a week so your body can use sunlight to make vitamin D naturally.
  • Quit smoking if you are a smoker.
  • Avoid carbonated drinks and alcohol.

If you have additional questions, click here to schedule an appointment with our expert team at Alliance Spine and Pain Centers.

Older woman stretching over onto her feet, performing the best exercises for strengthening her back and spine.

Best Exercises for Strengthening your Back

Just like any muscle or part of your body, it’s important to strengthen your spine and back. Especially if you have issues with chronic low back pain or a recent injury in that area, exercising your spine increases stability, promotes flexibility, decreases chances of a future injury, and maintains proper alignment.

However, every back is different! With that in mind, it’s important to speak with your physician before doing any of these exercises for Strengthening your back if you have chronic back pain or an existing issue with this area of the body. If you do not already have a medical professional helping you with a pre-existing back problem, feel free to make an appointment with any of our skilled physicians who specialize in pain management and spine issues.

Here are the best exercises for strengthening your back!

Exercise #1: Hip Crossover Stretch

This stretch releases tightness around your hips and buttocks, muscles that are known to contribute to back pain. Here’s how to do this exercise:

  • Lie on your back on the floor
  • Bend your knees
  • Cross your right ankle over your left knee
  • Lace your hands around your right knee and pull it closer to your body
  • Do the same on the other side

Exercise #2: Back Flexion

This is a great stretch to flow into if you tried the above exercise.

Instead of pulling one knee at a time to your chest, pull both of your knees up to your chest at the same time. Also, push your head forward until you feel this gentle stretch on your lower back and neck.

Exercise #3: Lumbar Extension in Prone Prop

The following two stretches are fantastic for loosening up your back and relieving any pain you might be feeling.

For this particular pose, do the following:

  • Lie on your stomach
  • Prop up on your forearms
  • Make sure your elbows are right below your shoulders
  • Sink your stomach towards the ground

Exercise #4: Lumbar Extension in Prone Press Up

To take the above stretch a bit further, simply press up with your hands until your elbows are straight. The will intensify the stretch and bring in even stronger benefits.

Exercise #5: Abdominal Bracing

Contracting your abdominal muscles will stabilize your spine. To do just that, follow these steps:

  • Lie on your back
  • Bend your knees
  • Lift your left knee up to meet your left hand
  • Push while giving resistance with your hand
  • Hold
  • Repeat on the other side

Make it an exercise and get your heart pumping. You’ll be reaping in the benefits in no time.

Exercise #6: Chin to Chest Stretch

Whether you’re sitting or standing, this stretch will loosen up your neck and help ease any neck strain you’re feeling. This is a great one to practice if you sit at a computer all day.

All you have to do is move your head forward until your chin touches your chest.

Exercise #7: Bridge

Not only does this exercise strengthens the muscles in your back, but it also benefits your buttocks and hamstrings.

Here are the steps for doing it correctly:

  • Lie on your back
  • Press your feet to the ground with your knees bent and shoulder width apart.
  • Raise your hips while keeping your shoulders on the floor
  • Hold

If you’re hoping to stretch out or strengthen your spine, use the above poses to increase comfort and release back pain. If you have any more questions about the best exercises for strengthening your back or would like a more customized recommendation, click here to schedule an appointment with one of our physicians.

Professional nurse, a pain specialist, at the hospital bandaging the hand with a medical bandage for a woman patient.

What is a Pain Specialist?

There is often confusion about the role and definition of a pain management specialist in the media, the general population, and even amongst other medical professionals.  First, a pain management specialist physician is NOT a physician who chooses to prescribe opiates for chronic pain when other physicians no longer wish to prescribe them nor is a pain specialist a physician who has taken a few continuing medical education hours in pain management.  In the current state of the opioid crisis in the United States, the media and the masses often confuse a physician who writes narcotics as their primary mode of practice with a well-trained, board-certified specialist in the field of pain management.

A pain specialist IS a physician who has obtained a medical degree, successfully completed all requirements for medical licensure, completed a primary residency (usually in anesthesiology, physical medicine and rehab, and occasionally neurology), and then completed additional training in the form of a fellowship in pain management. Complete training in pain management takes approximately 13 years including undergraduate education.  Finally, a fully trained pain management physician will generally take the time and effort to show their competency in the field by obtaining board certification in both their primary field of specialization (ie anesthesiology) and secondary certification in their subspecialty of pain management by an ABMS recognized board.  With internet access, it is very easy to verify the training and certification of any physician.

A pain management physician is trained in the management of medications, including opioids for the management of chronic painful conditions, however, most well-trained pain management physicians use interventional procedures (injections), physical therapy, psychotherapy, chiropractics and other treatment modalities to reduce or illuminate the need for narcotic medications.  In more severe cases, implantable devices such as spinal cord stimulators and intrathecal pain pumps can be used to treat those who suffer from chronic pain.  If you are not being treated by a board-certified pain specialist you are likely not being offered all of the latest procedures and technological advances available to those suffering from chronic pain.  A well-trained pain management physician aids in fighting the opioid epidemic.

We invite you to make an appointment at Alliance Spine and Pain Centers. Our experts can help you and experience the relief you have been seeking from your chronic pain using the most up to date methods and technology.

Doctor holding the words, Regenerative Medicine, in hand (abstractly)

What is Regenerative Medicine?

The Chronic in Chronic Pain

The “chronic” in chronic pain speaks to a hard truth: medicine hasn’t been able to cure the underlying causes of many debilitating conditions.

We’ve known certain things to be impossible. Damaged intervertebral discs can’t be repaired. Some ligament injuries won’t heal. Some joint damage is irreversible. Cartilage, once lost, will not regrow.

Treatment has been limited to helping patients manage the pain caused by these conditions. Sometimes with dangerous opioid painkillers. Sometimes with more effective interventional pain management treatments. But always with the understanding that the root cause of the pain will remain.

Regenerative Medicine Gives New Hope

There’s a revolution underway that offers new hope to people suffering from chronic pain. Regenerative medicine harnesses and amplifies the body’s own healing power to treat conditions once thought untreatable.

According to the National Institutes of Health, regenerative medicine “holds the promise of regenerating damaged tissues and organs in the body by stimulating previously irreparable organs to heal themselves.”

Some effective regenerative medicine protocols are already available, and others are showing great promise in ongoing clinical trials.

Today, regenerative medicine is empowering us to heal connective tissues, repair damaged cartilage, and rebuild fractured bones.

Tomorrow’s potential is even more exciting. The NIH invites us all to “Imagine a world where there is no donor organ shortage, where victims of spinal cord injuries can walk, and where weakened hearts are replaced. This is the long-term promise of regenerative medicine.”

That’s a vision we’re excited to make real for our patients who suffer from chronic pain.

The Miracles of Today

At Alliance Spine and Pain Centers, we’re using cutting-edge clinical regenerative medicine protocols to heal some of the conditions that lead to chronic pain. In many cases, the benefits go beyond pain relief to include increased mobility and restored ability. The results have transformed the lives of many patients.

Platelet Rich Plasma (PRP)

Platelet rich plasma (PRP) therapy has been used since the 1990s to support the healing of bone after spinal injuries and to restore soft tissues after plastic surgery. More recently, PRP has gained wider attention treating the sports injuries of star athletes including Tiger Woods, Rafael Nadal, and Hines Ward. Today, PRP is used to treat tendonitis, torn ligaments, damaged muscles, and some kinds of inflammation.

PRP comes from your own blood, separated in a centrifuge to concentrate the platelets and other growth factors. We then inject it into the damaged tissue to promote healing. The procedure usually only takes about 30 minutes. Side effects are minimal, and the risks are low: you’re healing yourself with your own blood components.

Some clinical applications of PRP already have solid evidence of effectiveness. Others are showing promising early results but need further study. At Alliance Spine and Pain Centers, we’re helping move the science forward on this powerful protocol.

Alpha-2-Macroglobulin (A2M)

Alpha-2-macroglobulin (A2M) is a naturally occurring protease inhibitor. Among other functions in the body, it inhibits degradation of cartilage. And it helps other biologic processes repair cartilage more effectively.

For people suffering from osteoarthritis (OA), cartilage breaks down more quickly than it can be repaired. This can lead to debilitating pain in the spine and joints.

We use patented APIC™ technology, developed by Cytonics, to concentrate the naturally occurring A2M in your own blood. We then inject it into damaged joints to reduce further damage and promote healing.

Bone Marrow Aspirated Concentrate (BMAC)

Bone marrow aspirated concentrate (BMAC) is a concentration of your body’s own mesenchymal stem cells and platelets. For people suffering from more severe arthritis that has not responded to more conservative treatments, BMAC can help alleviate pain and promote healing.

An NIH study of BMAC as a treatment for knee osteoarthritis found that, “On average, patients experienced an 84.31% decrease in resting pain, a 61.95% decrease in active pain, and a 55.68% increase in functionality score at the final follow-up.”

We extract bone marrow from your hip, then separate it in a centrifuge to concentrate the stem cells and platelets. We then inject it into the damaged joints. Your body’s own healing processes do the rest.

The Promises of Tomorrow

The body has remarkable natural healing powers. Through regenerative medicine, we’re already bringing relief to many people suffering from chronic pain. And we’re advancing the field toward even greater possibilities.

Maybe, one day we will be regenerating spinal cords, restoring intervertebral discs, and returning joints to full functionality. We’re working hard to bring that day closer, so that we can heal more people with chronic pain and get them back to living their fullest lives.

To explore whether regenerative medicine might be right for your chronic pain, make an appointment today. We’re here for you and ready to help.

Female doctor showing good test results to a male patient. Smiling medical professional sharing good test results with her patient, helping to lead the fight against the opioid crisis.

Leading the Fight Against the Opioid Crisis

A National Epidemic

Recent revelations all over the news are making clear the true risks and costs to public health of prescription opioid painkillers. A study conducted by the Substance Abuse and Mental Health Services Administration found that 11.4 million people misused prescription opioids in 2016.

In 2017, according to the CDC, more than 70,000 people died of drug overdoses. Approximately 48,000 (69%) of these deaths were due to opioids. Drug overdoses are now the leading cause of death for Americans under 50, and they exceed the peak annual deaths due to car crashes, HIV, and gun violence.

The National Institute on Drug Abuse found that in 2017, “Georgia providers wrote 70.9 opioid prescriptions for every 100 persons, compared to the average U.S. rate of 58.7 prescriptions.” In that same year, 1,014 Georgians died of opioid overdoses.

Approximately 100 million Americans suffer from chronic pain, according to the National Institutes of Health, which says, “Although opioids may not always be the best course of treatment for chronic pain, the number of prescriptions for opioid pain relievers has increased dramatically in recent years.”

A Drug of Desperation

For many people suffering from chronic pain, opioid use begins in desperation. Disabled, distressed, and depressed, they seek out anything that will bring them some relief. And for many years, doctors believed pharmaceutical company claims that opioids were relatively safe.

But as the dangers of opioids become tragically apparent, many patients feel caught in an impossible choice. Accept the serious risks of opioid use for the uncertain possibility of some relief. Or continue to suffer the full force of their chronic pain.

But this impossible choice is a false choice. There are alternatives that can bring real relief without the dire risks of opioids.

Real Hope for Healing

Real hope is how to fight a drug of desperation. And when pain is the root cause of that despair — as it so often is with opioids — that means replacing opioids with more effective treatments.

That’s the fight we’ve taken up at Alliance Spine and Pain Centers. To combat the opioid crisis by providing better alternatives for people suffering from chronic pain.

Using multidisciplinary interventional pain management, we help people better manage or treat their pain, without the terrible risks of opioids.

It’s not a one-size-fits-all approach. Instead, we seek first to understand your pain: both its biology and your experience. Then we work together to create an integrated plan of care:

  • Medical interventions proven effective for your particular condition.
  • Integrated care approach to help you take back what pain has taken from you.
  • Non-opioid prescriptions to support your healing.

We track our clinical outcomes, so we know what actually works. And we’re leading our industry to better protocols through our stringent prescription guidelines and effective non-opioid solutions.

The opioid crisis isn’t just a tragedy of addiction and overdoses. It’s a crisis of people suffering in debilitating pain, despairing that they’ll ever find relief. Interventional pain management can offer real hope for healing that opioids never will.

To explore alternatives to opioids for your chronic pain, make an appointment today. We’re here for you and ready to help.

Empty chopping board with fresh vegetables artistically arranged around the board, awaiting meal preparation!

Farm To Table Foods That Promote Health

The commercialization of the food processing system and the unsavory farming practices associated with mass produced foods has led many discerning foodies to seek a healthier alternative. The farm to table movement was born out of the need to source ethically harvested food while fostering a greater connection between the consumer and the source of the food. Central to this farming culture is a focus on animal welfare to promote humanely raised animals with grass-fed, free-range and pastured practices.

Let The Journey For Your Food Be Short

The locally sourced produce is not subjected to prolonged freezing and processing to preserve its shelf-life. Fruits and vegetables that make it on our dinner table are transported an average of 1,500 miles before being sold (source: Leopold Center for Sustainable Agriculture). In order to preserve the produce for that length of travel, industrial farmers harvest the fruits and veggies before they fully ripen. This practice allows the fruits to ripen during transport but it arrives lacking many of the vitamins and minerals that would have been there if those fruits were left to fully flourish before being harvested, packed and shipped.

Helping a Local Farm Also Helps Your Health

Locally sourced fruits, vegetables, meats and cheeses significantly benefit the local economy of the consumers who purchase these foods, and the environmental impact is favorable since the transportation vehicles that carry the produce are high fuel consumption vehicles with a heavy carbon footprint. However, as a physician that manages pain in patients, the biggest benefit of this trend is the culture of consumers paying attention to the nutrition content of their meals. Obesity, diabetes, high cholesterol and diets high in saturated fats contribute to the inflammatory states that affect pain syndromes. My hope is that sustainable farming with locally sourced fruits and vegetables will eventually reduce the cost for access to healthy food.

Cheap Food Does Not Mean It Is Good

Part of the obesity epidemic stems for the relatively low cost of processed foods, fast foods and saturated fats. Hopefully, when the farm comes to the table we are choosing to reduce the consumption of white breads, sugary drinks, fried foods, chips and pastries. Instead, we should be consuming more carrots, beets, cherries, grapes, onions and teas rich in anti-oxidants.

Don’t Deny Your Treats Respect Them

I will admit, just before penning this article I thoroughly enjoyed a red-velvet cupcake at a dinner party hosted by my wife. Our friends brought these delights from a local company that rhymes with “Yami-cakes” (company name intentionally omitted). These treats were sublime, however, I also had a fruit salad with an assortment of citrus, a green salad with dark, green leafy veggies, and baked chicken legs. I don’t feel guilty about the cupcake, I deserve it and so do you if you adhere to principles of moderation and a healthy active lifestyle.

Compassionate doctor holding patient’s hand with care.

Pain Management During an Opioid Crisis

As many people in our community and across the nation know, we are in the midst of an opioid crisis. An estimated 59,000 Americans died from a drug overdose in 2016. It has been said that some patients initially prescribed opioids for legitimate painful conditions later turn to heroin when they can no longer afford or have access to prescription medications that they have become addicted to. The physicians at Alliance Spine and Pain Centers take this crisis very seriously and take all possible measures to protect you, your family and our community during this critical time in our nation.

How We Help Our Patients

One of our most important responsibilities as your pain physician is to insure that you or your family member do not become addicted to opioid medications. The initial and most important step that we take is to thoroughly evaluate you, your history, and your painful condition and determine if opioid medications are needed at all. Many painful conditions can be treated with interventional techniques such as epidural steroid injections, facet blocks, and spinal cord stimulation. There are well over 20 different types of interventions used to treat pain and our physicians are experienced and trained in all of them. Additionally, if one of our doctors determine that opioids are necessary you or your family member will be monitored very closely for any signs of substance abuse or addiction. We have a pain psychologist as a member of our practice to help us identify patients who may need treatment for addiction issues very early in the process, improving the likelihood successful treatment.

Tips That We Provide Our Patients

Additionally, as a patient there are several actions that you can take to insure safe treatment and reduce the likelihood of opioid misuse, addiction and diversion. Most importantly, always take your medications only as prescribed. Inform your physicians of all medications that you are taking to avoid potentially dangerous interactions. Never share your medications with anyone or take anyone else’s medication. Keep your medications locked in a lock box to avoid them being taken by anyone, especially children and teenagers. Develop a relationship with your pharmacist who can assist you in identifying potential drug interactions. Inform your doctor of any side effects you have from your pain medication such as drowsiness, dizziness, or shortness of breath as these may be early signs that a medication is not appropriate for you. Finally, be open to other forms of treatment for chronic pain such as physical therapy, non-opiate based medications, and injections such as those offered by the physicians at Alliance Spine and Pain which will reduce or eliminate your need for opiates and get you back to living life to the fullest!

Pickens Patterson III, MD

A woman with chronic pain and depression, holding her spine in pain

Chronic Pain and Depression: Helpful Tips

Many of us have suffered from or have loved ones who have suffered from chronic pain. Frequently the only recourse offered for dealing with this pain is another pill. However, constant use of pain medications comes with its own problems including the potential for addiction, sleeplessness, constipation, anxiety, and many others.

Chronic pain also affects those around you as it is difficult to see someone you love struggling to perform basic tasks or unable to do the things they used to enjoy. One of the most common problems faced by those with ongoing pain management issues is depression. Learn how to cope with chronic pain and depression.

A Common Chronic Pain Question

Q: What can someone with chronic pain do to avoid or help reduce depression?

A: Pain interferes with your ability to sleep, do your daily chores, and to have a good quality of life. Therefore it is not surprising that over two-thirds of those who have chronic pain issues report struggling with depression. Constant pain alters the neuro-chemical output in your brain and can negatively impact your entire view of life. Nevertheless, there are two basic steps you can take when you feel yourself sliding into depression these steps will help you regain control without having to take another pill.

First of all, remember to breathe!

When a person is in pain their breathing speeds up, even if they don’t realize it. Try slowing your breathing and focusing on breathing from your diaphragm (belly breathing), this type of breathing exercise will help you feel calm and relaxed. A quiet state of mind leads to a reduction in perceived pain and a better mood. There are Smartphone Apps like “Calm” and “Relax Meditation” that can help by providing guided breathing exercises.

Secondly, move!

It is common to be afraid of moving when you are in pain, fearing it may cause you to hurt more, but sitting too long will worsen your pain! For every 20 minutes, you sit you should get up and move around for at least 2 minutes. Try taking a short walk or do some stretching. Movement triggers the production of “feel good” chemicals in our brains, helping to reduce both pain and sadness.
If you start these activities regularly and you still feel depressed, don’t be afraid to ask for help! There are trained mental health professionals who can work with you and give you tools to learn to manage your mood and your pain. You may not be able to alter the underlying reality, but you can change how you perceive and think about it. With the right tools, you can manage chronic pain and depression.

A woman receiving chemotherapy with the view of her IV and IV machine in the hospital.

Exercises That Reduce Pain from Chemotherapy

Chemotherapy is a necessary treatment for those suffering from certain types of cancer. While it can help you to get healthy, chemotherapy has many serious side effects. Some of the worst effects are various aches and pains. While you will want to talk to your doctor or a pain specialist about the best way to deal with this pain, you can do a few things yourself to help matters, too. Consider these five exercises that reduce pain from chemotherapy.

  • Strength Training – Did you know that strength training is an excellent choice for chemotherapy patients? When you think about it, it makes sense. Strength training improves muscle tone and can prevent loss of muscle that occurs while going through strenuous treatment.
  • Yoga or Tai Chi – Both of these forms of exercise are great choices for anyone in a chemo program. The best thing is that either can be started slowly and can improve stretching and balance—both things that may be useful as you’re fighting cancer.
  • Stretching with Bands – Using resistance bands to stretch is a good way to get the benefits of strength training without the risk of heavy lifting. It is easy to adjust your exercises to make sure you aren’t pushing too hard, and you’ll build muscle that can help reduce your overall pain.
  • Swimming – Swimming or water aerobics are great choices for a chemo patient. It is easy to move in the water, and you’ll get exercise without feeling heavy fatigue. Even if you find it hard to move on the ground, you will see that moving in water may not be so bad since the water reduces some of the strain your own weight puts on your joints. In addition, there is less worry about falling or balance issues than there is with exercise on ground.
  • Walk it Off – It seems like walking is a good exercise for nearly anyone—cancer patients are no exception. Get moving by walking, and you may feel a sense of relief. At the very least, regular walking can help you sleep better and give you a boost of endorphins!

As you can see, there are many ways that you can get moving, and hopefully, help reduce aches and pains even when you are undergoing cancer treatment. While these exercises are usually safe if you start slow, make sure you chat about your exercise goals with your doctor before you begin. Our pain management specialists, nurses, and physician assistants work together to make sure that a care plan tailored for your unique needs can be created if you have more questions about exercises that reduce pain from chemotherapy.

An African American woman receiving a massage, wondering about the benefits of a massage.

The Many Benefits of Getting a Massage

If you have ever had a professional massage, you may have felt a bit torn. The deep tissue rub often feels relaxing and helps you get rid of aches and pains, but there can be some pain associated with the massage itself. You might even wonder if the massage is doing anything to resolve your pain or if it is just causing you further injury.

In reality, deep touch—such as massage—is a great way to heal from injury and change how your body responds to pain. We have put together some information to help you understand the benefits of getting a massage.

The Benefits of Getting a Massage

  • Massage Dampens Inflammation and Pain – Studies have shown that a post-workout massage can slow or reduce the activity of certain proteins, which are known as inflammatory cytokines. These proteins cause inflammation and pain, so reducing the activity may cause less pain.
  • Massage Offers Results Similar to NSAIDs (Aspirin or Advil) – NSAID medicines work to reduce substances in the body that cause the inflammatory cytokines to activate. This means that a good massage may be effective to relieving pain in a similar way to taking an aspirin or two.
  • The Release of Serotonin – Massage encourages your muscles to release a chemical called serotonin. This chemical contributes to your overall well-being and sense of contentment. Put simply, a good massage will help you feel good inside and out.
  • Your Therapist May Find Underlying Issues – While a massage is certainly no substitute from an appointment with a doctor, your massage therapist can potentially find underlying issues with your muscles that may otherwise remain undiscovered. Massage can be an excellent way to learn more about yourself and your body.
  • Reduces Stress – Another way that massage can help with pain is that it relaxes you. When you are relaxed and less stressed, your perception of the pain you have may be less severe. This is an excellent side benefit that cannot be overlooked.
  • Use Caution – While there is some pain associated with a thorough massage, it should not be TOO much to handle. Getting a massage is not a case where “no pain, no gain” should apply. Talk to your massage therapist about what feels good to you, what hurts, and find a solution that will help you recover from injury or fatigue without causing you additional pain in other areas.

If you are interested in learning more about massage or other ways to manage your pain, reach out to us at Alliance Spine and Pain Centers. We would be happy to discuss your problems and work together to help you start feeling better, faster. Our pain management specialists, nurses, and physician assistants work together to make sure that a care plan tailored for your unique needs can be created if you have any more questions about the benefits of getting a massage.