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Frequently Asked Questions

We treat spine related pain, like back pain, neck pain and sciatica. We also treat headaches, knee pain, fibromyalgia and other chronic pain conditions. We use a multimodal approach in treating pain, utilizing medications, physical therapy and interventional procedures under fluoroscopy.

These are procedures in which we use needles under X-ray guidance to target the source of the pain, either by injecting it with local anesthetic and steroid, denervating it with radiofrequency ablation, or stimulating the spinal cord with spinal stimulation.

Once you contact us through the website or over the phone, we schedule an appointment for you with Dr. Samer or one of the physicians in our team working under Dr. Samer’s supervision. During the consultation we will explain your condition in details and discuss the treatment plan. If the treatment plan includes an interventional procedure, Dr. Samer will perform it in our clinic which is completely equipped with a state-of-the-art procedure room. We contact you in the following days after the procedure to check on your improvement and discuss the following steps.

You can always come see us in the clinic, but if you live far away, you can consult us virtually online. You will be able to meet Dr. Samer online to discuss your problem, review your medications and imaging and discuss the treatment plan. To book an online consultation click on the link here.

Dr. Samer is American-Board-Certified in Pain Medicine. He has many years of experience in treating patients in the USA. We don’t recommend or perform any treatment without a scientific evidence of its efficacy. We explain to you the probability of improvement from the procedure before doing it, so that you have clear and realistic expectations.

Radiofrequency ablation is a procedure in which we use a needle with a tip that we can heat up to 80 degrees Celsius to destroy the nerves, thus reduce the feeling of pain. We use it mainly in treating axial neck and low back pain, coming from the joints in the spine. The nerves usually grow back in 6-15 months, thus the procedure has to be repeated in most cases to maintain the pain relief.

Any procedure has risks, even riding a car has risks. The most dangerous treatment is the unnecessary treatment. However, if a treatment is indicated, has a proven efficacy and its benefits outweighs its risks, then it is a treatment we usually recommend. We perform epidural steroid injections under X ray guidance to see the needle tip and to maintain the highest levels of safety. The risks of epidural steroid injections are much less than the risks of spine surgery.

Spinal cord stimulation is a device we use to treat pain by stimulating the posterior column of the spinal cord responsible for transmitting the pain signals. We place a wire under fluoroscopy in the spine and connect it to the device outside the body for a week to give the patient a chance to try it. If the trial is successful we implant the device permanently under the skin. We use spinal cord stimulation to treat low back and lower extremity pain after surgery, painful diabetic neuropathy, neuropathic extremity pain and complex regional pain syndrome (CRPS). Dr. Samer has implanted hundreds of these stimulators in the USA which helped many patients.

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