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The Blog of Dr. Ann Conn

Pain Problems


New Study Strengthens Case for Injections in Chronic Low Back Pain

8/20/2014 9:19 am
Posted by Dr. Ann Conn

A new study in Pain Physician (2014;17:E489-E501) suggests that transforaminal epidural injections are an effective way to manage chronic low back pain especially for disk herniation and spinal nerve irritation. In patients with pain for greater than 6 months, researchers found …


Lumbar Disc Degeneration Associated with Genetic Mutation

1/8/2014 12:22 pm
Posted by Dr. Ann Conn

A large genetic study in families with early onset of lumbar disc disease revealed a gene mutation linked to the enzymes that form the ‘jelly’ within lumbar discs.  This mutation impaired the key enzyme that provides hydration of the center …


Brain Changes Predict Development of Chronic Pain

10/21/2013 11:41 am
Posted by Dr. Ann Conn

Changes in brain circuits are associated with the conversion of acute pain to chronic pain.   Corticostriatal functional connectivity predicts transition to chronic back pain Marwan N. Baliki; Bogdan Petre; Souraya Torbey; Kristina M. Herrmann; Lejian Huang; Thomas J. Schnitzer; …


Transcranial Direct Current Stimulation for Chronic Pain Treatment

10/17/2013 1:10 pm
Posted by Dr. Ann Conn

Transcranial Direct Current Stimulation (tDCS) is low current brain stimulation.  Many applications are currently under investigation, including treatment of chronic pain.  Zachary Leuschner MD of Albert Einstein College of Medicine, presented information at the 2013 meeting of the American Pain …


Low Back Pain Linked to Bacterial Infection

6/3/2013 12:54 pm
Posted by Dr. Ann Conn

It is possible that 40% of chronic low back pain is related to bacterial infection.  A study published in European Spine Journal revealed that a group of patients with both disc herniation and Modic type 1 changes demonstrated by MRI could be helped …


Migraine, Depression & Brain Size

5/29/2013 11:54 am
Posted by Dr. Ann Conn

Patients that suffer with both depression and migraine may have smaller brains.  It has been shown that patients with migraine have an increase incidence of depression.  A new study published by Larus S. Gudmundsson, PhD, revealed that patients with both depression …


Trigeminal & Occipital Stimulation for Migraine

5/13/2013 9:19 am
Posted by Dr. Ann Conn

At out Northshore clinic, we have been treatment an increasing number of patients with trigeminal and occipital neurostimulation.  We have seen significant success with these procedures.  Below in a seminal article on Neurostimulation for migraine.  I fully evaluate, diagnose and …


Fibromyalgia Associated with Abnormal Brain Receptor Function

4/1/2013 12:00 pm
Posted by Dr. Ann Conn

A presentation at the 2012 American College of Rheumatology Meeting examined abnormal pain processing in the brain of patients with fibromyalgia.  The brain’s normal pain inhibiting processes malfunction in these patients.  The study revealed a connection between u-opioid receptor function and …


Exercise & Counseling Reduced Days Off With Back Pain in Recruits

3/28/2013 9:59 am
Posted by Dr. Ann Conn

A study published March 2013 in Spine revealed fewer lost work days due to low back pain in military recruits in Finland when treated with exercise and counseling.  791 recruits were followed for six months.  They were instructed to avoid full …


Pain in Lumbar Spinal Stenosis Worsened with Vitamin D Deficiency

3/20/2013 9:33 am
Posted by Dr. Ann Conn

A study published in the March issue of Pain Physician Journal examined the relationship between pain in lumber stenosis and Vitamin D Deficiency.   The patients were evaluated bases on location and severity of pain.  The groups for analysis were …