Articles
Plain explanations of what these assessments measure, written for the person having them and for the clinician reading the report.
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Before the Diagnostic Nerve Block: What the Referring Chart Needs
Placement, volume, sedation and vascular uptake all bend a diagnostic block result. What the referring physician should document, and which baseline measurements belong before the referral.
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Blind Injection Accuracy: What a Failed Shot Does and Doesn’t Prove
A needle placed by feel often misses, and nobody can tell. What that means for your next procedure, and which measurements of your own body belong in the decision.
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Epidural Steroid Injection Overuse: Measuring the Terrain First
Spinal procedure volume is well counted and poorly explained. The evidence on repeats, medication burden and remission, and a documentation standard for measuring the terrain before the next injection.
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Screening for Cluster Headache in Primary Care: A Three-Item Workflow
Cluster headache is misrouted to dentists, sinus surgeons and migraine labels for years. A three-item screen, a documentation standard and an honest account of what autonomic testing does not answer.
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Cluster Headache Misdiagnosis: The Measurement No Scan Can Make
Cluster headache takes years to name because it hides from the tests people are sent for. Here is the three-question screen, a log you can keep, and what autonomic testing can and cannot show.
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Low Back Pain Emergency Department Visits: The Primary Care Follow-Up
Emergency back-pain care excludes red flags well and names causes rarely. Which discharged patients to prioritize, the terrain measurements the ED cannot order, and how to make follow-up reproducible.
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After an ER Visit for Chronic Pain: What Was Never Measured
The emergency room confirms you are not dying and sends you home with a label. What it measured, what it could not, and which numbers to ask for in the week that follows.
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Fibromyalgia and Small Fiber Neuropathy: Screening the Terrain
Small-fiber pathology is common in fibromyalgia and does not explain the pain. Which patients to test, which terrain measurements add information, and how to document them.
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Central Sensitization Symptoms: What Your Numbers Can Show
Pain that spreads, light touch that hurts, normal tests. What a routine visit checks, what it misses, and the body composition, lab, autonomic and nerve measurements that show the terrain.