OUR APPROACH: Advanced Diagnosis and Definitive Therapeutics
It is a commonly held belief that it is impossible to sort out the complex cause of back
pain. Our approach is used to in fact strive for a precision diagnosis. This is done by
detailed physical assessment, biomechanical assessment, and the use of advanced
diagnostic intervention to develop a precise diagnosis. This often involves multiple pain
generators and complex patients. We are used to handling this complexity.
The advanced diagnosis provides us a means of utilizing definitive therapeutic
interventions integrating a multidisciplinary and modern technological approach. We
rely heavily on musculoskeletal ultrasonography as a means of diagnosis, which we
integrate with the physical examination. We also utilize ultrasonography for precision
injection techniques. We also use investigational technologies when conventional
methods have failed.
Dr. Brown is a physician trained in physical medicine & rehabilitation as well as
interventional pain management. He integrates an extensive background in
biomechanics, sports medicine, acupuncture dry needling, chiropractic and osteopathic
manual therapy within his physical assessment of joint pain and dysfunction. He also
integrates complementary and alternative medicine into his approach to treatment.
Our approach utilizes a focus on regenerative medicine as our predominant treatment
methodology for the treatment of spine and peripheral joint pain. This approach is
described in detail on this website. We identify specific focal soft tissues that are the
cause of joint pain and dysfunction and target those tissues for intervention. We
occasionally use minimally invasive surgical procedures when needed, and minimize
the use of corticosteroid injections, epidural injections, and placing our patients on longterm opioid medications. We feel that long-term opioid management and the escalating
use of long-acting opioids has, for the most part, been a dismal failure in the US. We
do not focus on "neural ablation" procedures as most conventional pain management
physicians. These procedures thermally ablate nerves that simply regenerate.
Typically, our targeted patient population is those individuals with predominantly
orthopedic and musculoskeletal pain that failed conventional management but have the
potential for recovery. During our consultation process we try to make the decisions in
regards to whether or not our technologies will be helpful or get the patients to other
physician specialists and subspecialty clinics that can help.
And finally, Dr. Brown has a rather "old-fashioned view" on the practice of medicine. He
takes the time. The time necessary for a detailed history, physical assessment, records
and diagnostic imaging review as well as the time it takes to walk through the complex
steps required of assessment and management of complex pain patients.