Author: Shane Huch

What is a Spinal Cord Stimulator Trial?

A spinal cord stimulator is different from many pain treatments because patients can typically try the therapy before deciding whether to move forward with a permanent implanted system. A spinal cord stimulator trial is a temporary test period. Thin stimulation leads are positioned near the spinal cord and connected to an external stimulator. The system […]

Can Sciatica Affect Both Legs?

Most people think of sciatica as pain that travels from the lower back or buttock into one leg. That is the most common pattern, but symptoms can sometimes affect both sides. Yes, sciatica can affect both legs, although bilateral symptoms are less common than symptoms affecting only one side. Pain, tingling, numbness, burning, or weakness […]

Pain Threshold vs Pain Tolerance

Two people can go through the same injury, procedure, or painful experience and describe it very differently. One person may notice pain almost immediately, while another may tolerate the discomfort for much longer. That difference is often explained using two terms: pain threshold and pain tolerance. They are not the same thing. Pain threshold describes […]

What Are Dermatomes?

Numbness in one finger, tingling along the outside of the foot, or pain traveling down a leg can seem disconnected from the spine. But those symptoms may follow the path of a specific spinal nerve. Dermatomes help explain why. A dermatome is an area of skin associated with a particular spinal nerve root. Because spinal […]

Can Sciatica Cause Numbness in Your Foot?

Sciatica is usually associated with pain that starts in the lower back or buttock and travels down the leg. But some people notice something different: part of the foot feels numb, tingly, heavy, or simply different from the other side. Yes, sciatica can cause foot numbness. The nerves that travel into the foot originate in […]

How Often Can You Get Epidural Injections?

If an epidural steroid injection gives you meaningful relief, one of the first questions you may have is how soon you can get another one if the pain comes back. Other patients may already have received several injections and want to know whether there is a limit on how many they can have within a […]

What to Track Before Seeing a Pain Specialist

Before seeing a pain specialist, it helps to track where your pain is, what it feels like, what makes it better or worse, how long it lasts, and how it affects your daily life. You do not need a perfect pain journal. You do not need pages of notes. Even a few details on your […]

Why Does My Back Hurt When I Lie Flat?

Why does my back hurt when I lie flat? Your back may hurt in this position because lying flat changes the curve of your spine, places pressure on irritated joints or discs, and can make tight muscles or nerve symptoms more noticeable. That can feel frustrating because lying down is supposed to help. You are […]

Nerve Pain Symptoms That Should Not Be Ignored

Nerve pain symptoms should not be ignored when they are persistent, getting worse, spreading, or connected to numbness, tingling, weakness, or loss of function. Nerve pain can feel very different from muscle or joint pain. It may feel burning, electric, tingling, sharp, shooting, or numb. Some people describe it as pins and needles. Others feel […]

What is Discogenic Back Pain?

Back pain can come from several different structures, including muscles, joints, nerves, and the discs between the bones of the spine. Discogenic back pain is pain that originates from one or more intervertebral discs in the spine. That does not automatically mean someone has a herniated disc or a pinched nerve. A spinal disc can […]

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