Probiotics for irritable bowel syndrome: what does the medical evidence tell us?

Irritable bowel syndrome (IBS) is a chronic gastrointestinal condition associated with abdominal pain and changes in bowel movements. It affects approximately 12% of the population, and in practices devoted to abdominal and pelvic pain (like my own), up to a 1/3 of patients have IBS. Irritable bowel syndrome is subclassified based on “typical” bowel movements:¬†constipation […]

Michael Jackson, Conrad Murray, patient empowerment, and why sometimes doctors must say, “No.”

I am a big advocate for patient empowerment. My ideal patient is both informed and engaged in her health. I try and remember that there are not always hard and fast rules in medicine. While acute appendicitis should be treated with appendectomy, there are many chronic conditions can be treated in a variety of ways. […]

Persistent pain after a c-section: when is it nerve pain and what can you do?

Persistent pelvic and/or abdominal pain post c-section often poses a diagnostic and treatment dilemma, because most OB/GYNs¬†know very little about pain and most pain doctors know very little about the pelvis. But that’s where I come in, being both board certified in OB/GYN and Pain Medicine. It is hard to know how many women have […]

Sleep issues and fibromyalgia

Fibromyalgia is associated with fatigue, insomnia, and excessive sleepiness during the day. Many people with fibromyalgia report waking up frequently and when they do sleep, they don’t feel rested. Studies in sleep labs confirm that fibromyalgia is associated with a reduced sleep efficiency (meaning the total sleep time versus the time in spent in bed). […]

The risks of CT scans: what an informed patient should know

More than 60 million CT scans are performed every year in the United States. A CT scan uses a computer to assemble multiple x-rays taken in rapid sequence to produce a far more detailed image than a conventional x-ray. CT scans are helpful in the diagnosis and management of many medical conditions. All tests have […]