Back Talk Doc

Managing inflammation and back pain goes beyond taking medication and undergoing surgeries or therapy. It requires overhauling your lifestyle to one that will support your healing, which involve taking care of your mental well-being, regular exercise, and a nutrition-dense diet. One of the food plans that is known for its anti-inflammatory benefits is the Mediterranean Diet, of which olive oil is a key component.

In this episode of Back Talk Doc, Dr. Sanjiv Lakhia speaks to Mary Mori, director for technical services at California Olive Ranch on olive oil. She talks about the olive fruit itself, the different methods of making olive oil and its different variants and how to store it properly in your pantry.

Mary recommends using extra virgin olive oil, for its naturally occurring phenols, as well as the presence of antioxidants, unsaturated fats and fatty acids. These contribute to the anti-inflammatory, cardiovascular and skin benefits that olive oil brings. Additionally, she gives tips on how you can use olive oil in your day-to-day life. Besides cooking with it and adding it to smoothies and ice cream, you can include it in your skincare routine as an exfoliant or moisturizer.

There are many advantages to incorporating olive oil in your everyday diet to minimize inflammation, without adding toxic medications to your body.

Process of making olive oil 07:49

Life cycle of an olive 11:28

Difference between black and green olives 12:35

Difference between the fruit and olive oil in terms of taste 14:02

Regions famous for olive gardens and high-quality olive oil 15:22

How to determine the quality of the olive oil 16:57

How to store olive oil 19:36

Explaining the dates on olive oil bottles 21:05

Extra virgin olive oil 22:52

Phenol content in olive oil for health 26:01

Olive oil's anti-inflammatory benefits 28:19

Benefits of eating whole olives 29:53

How to adopt olive oil in your diet 31:21

Avocado oil as a great alternative 33:10

Benefits of replacing you roil with olive oil 33:34

Personal tips to stay healthy 35:33

California Olive Ranch

California Olive Ranch Instagram

California Olive Ranch Facebook page

Back Talk Doc: The Recommended Diet to Reduce Inflammation

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

If you are experiencing lower back pain or sciatica, it’s important to determine its cause for proper treatment and better pain management. However, there are some cases where patients, who reported to have issues in this region, find out through medical diagnosis that the cause is not rooted in bulging or degenerative lumbar discs.

In this episode of Back Talk Doc, Dr. Sanjiv Lakhia dives deep into the top 5 reasons behind your lower back pain. These are the piriformis syndrome, sacroiliitis, lumbar and gluteal trigger point syndrome, hamstring strains and lumbar facet referral pain patterns. Most of these are related to certain muscle groups in the lower region of the body and spinal joints. He discusses the causes behind each condition, common symptoms, ways to diagnose these and treatment options.

He also points out to thoracic myelopathy, a serious upper back condition that not only causes lumbar pain, but dysfunction of the spinal cord as well.

For Dr. Lakhia, it’s important that you always refer to a specialist or skilled practitioner to properly diagnose your pain. They are able to give you the best treatment and pain management options, which normally include physical therapy and medication.

• The importance of personal experience 01:02
• Piriformis syndrome 02:56
• Causes of piriformis syndrome 04:01
• Treatment options for piriformis syndrome 05:35
• Sacroiliitis 08:14
• Factors that aggravate the sacroiliac joint 09:07
• Diagnosing sacroiliitis 10:08
• Lumbar and gluteal trigger point syndrome 11:36
• Common trigger points that cause back pain 12:57
• Treatment options for lumbar and gluteal point syndrome 14:14
• Hamstring strains 23:48
• Lumbar facet referral pain patterns 25:51
• Treatment options for lumbar facet referral pain 27:51
• Thoracic myelopathy 28:52

Every episode of Back Talk Doc includes a Health Matters segment intended to provide actionable health information you can immediately put into practice in your life. This week, Dr. Lakhia talks about active rest techniques and how you can incorporate these in your daily lifestyle. He refers to strategies outlined in the book The Power of Rest by sleep expert Dr. Matthew Edlund.

It’s essential that you engage in activities that rejuvenate your mind and that provide you with mental rest, social rest, spiritual rest and physical rest. He also encourages taking a nap about 3 hours before your normal bedtime for improved productivity during the day. Making social connections, deep breath work and mediation are other techniques you can incorporate to optimize your health through rest.

Back Talk Booklet by Dr. Sanjiv Lakhia

Travell & Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual

The Power of Rest by Dr. Matthew Edlund

The Rest Doctor

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

It’s pretty common to have your posture be significantly affected by a spine condition. Whether you’ve had congenital scoliosis as a child or went through an accident that caused the deformity, it’s important to have an understanding of these so you know your options are towards recovery.

In this episode of Back Talk Doc, Dr. Sanjiv Lakhia speaks with Dr. Matt McGirt, a partner doctor at the Carolina Neurosurgery and Spine Associates. Dr. McGirt dives deep into spinal deformities that occur in adults, including complex spines and scoliosis. He discusses the types of scoliosis that develops in children, and once it stabilizes, as they grow older. The main thing to check for as an adult is the pelvic-spine-shoulder alignment, making sure that any malalignment does not progress over time.

He also lists down the various symptoms that signal a worsening spinal deformity, including more muscle strain and stress around the spine area. Conservative care is always the first option, where your quality of life is improved first, including doing minor outpatient procedures. It’s only when there’s a severe loss of quality of life such as reduced lung capacity that spinal surgery becomes an option, which Dr. McGirt gives a brief overview on.

Before things take a turn for the worse, you can help yourself by doing activities such as building core strength and flexibility, stretching, and losing weight.

Dr. McGirt suggests adopting healthy habits like cultivating relationships, developing hobbies and doing breathwork, to improve your overall health and well-being.

• What is a complex spine 06:14
• Definition of spinal deformities 08:53
• Types of scoliosis developed in kids and adults 11:04
• Routine imaging for an individual with mild scoliosis 14:05
• Symptoms that signal worse spinal deformity 15:16
• Schroth method 17:20
• Symptoms to determine if surgery should be considered 18:17
• Non-musculoskeletal symptoms 19:40
• Surgeries to address adult spinal deformity 21:47
• Big scoliosis surgery 24:13
• Going to work after spinal surgery 27:38
• Surgical approaches 29:16
• Dr. McGirt’s personal health habits 31:50

• Dr. Mark McGirt on the Ellen show with Dean Otto
• Schroth method

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

Did you know that nutrition plays an important role in contributing to your better quality of health and overall well-being? According to research, about 700,000 deaths and 15% disability cases have a correlation to poor nutrition. It’s not just diseases, but the pain that you’re feeling right now in your back and other parts of the body may be because of high levels of inflammation. And as clinics are not operating at full-capacity with the COVID-19 pandemic still underway, you can make a difference in managing your pain with the food that you eat.

In this episode of Back Talk Doc, Dr. Sanjiv Lakhia dives deep into the anti-inflammatory diet and how it can help with pain. He debunks certain misconceptions about inflammation and the role food plays in exacerbating this condition, and affecting our body. One type of diet he highly recommends is the Mediterranean diet, which is more of a pattern and way of eating rather than specific recipes. It’s one that’s backed up by studies that have shown positive results to one's health.

Dr. Lakhia further breaks down the Mediterranean diet, and the different food groups that you can consume while following it. He further specifies the type of food you can and cannot eat, such as nuts, the type of protein, fats and carbohydrates, to name a few. You can also tweak the Mediterranean diet and make adjustments to your meal plans, for as long as you follow the basic principles it espouses.

Improving your nutrition is a great way to supplement pain management, especially if you’re already taking medicine to lower inflammation levels. If you start providing your body with good nutrition and being consistent with it, then you’re going to see the results and benefits in the long run. 

• Important statistics 03:56
• The truth behind inflammation 04:49
• How food contributes to inflammation 05:54
• Determine existence of high levels of inflammation in your body 06:53
• The Mediterranean diet 08:05
• The Mediterranean diet as a pattern of eating 09:44
• PREDIMED trial on the Mediterranean diet and cardiovascular disease 11:07
• Debunking fats 12:13
• On nuts 14:09
• On carbohydrates 15:09
• On fruits and vegetables 16:57
• The importance of spices 19:40
• Consumption of alcoholic beverages 20:39
• 16 top food sources for the anti-inflammatory diet 22:12

• Back Talk education booklet
• Integrative Medicine by Dr. David Rakel
• PREDIMED trial
• What Is The Anti-Inflammatory Diet And Food Pyramid? by Dr. Andrew Weil
• 16 Top Sources for the Anti-Inflammatory Diet by Dr. Andrew Weil

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

The world has shifted to a new normal due to the Coronavirus pandemic. Everyone is encouraged to stay at home, resulting in the medical community not operating at full capacity. You may not have the same access to your medical practitioner, but you can empower yourself and manage your pain while waiting for the storm to pass.

In this episode of Back Talk Doc, Dr. Sanjiv Lakhia shares 8 apps that can help you deal with pain in your back and in other parts of your body. Although these won’t provide the equivalent relief of a prescription pill or a corticosteroid injection, you can still enjoy the benefits to your overall health and well-being.

Some of these apps help you track your vitamin D intake and measure the quality of your sleep, as vitamin D levels and sleep have direct correlations to pain, particularly chronic pain. He also suggests apps that are in the mind-body medicine realm, such as those that teach guided meditation, journaling and acupuncture.

Additionally, he encourages you to stay physically active, through apps that provide exercise routines, and even workout programs that address specific injuries you have sustained.

Dr. Lakhia believes that the combined effects of these interventions have a positive impact not just on your pain, but on your energy levels and mood, which is a huge help especially as we go through a crisis like today.

Dminder – the importance of Vitamin D 02:58

Sleep Cycle, Sleep++ – correlation of sleep and chronic pain 06:50

Acupressure 08:59

Headspace – the advantages of meditation 12:24

Omvana – using meditation to target specific pain areas 13:25

How meditation works 14:37

7 Minute Workout – how to exercise major muscle groups in a short amount of time 15:38

The Ready State – injury specific workout programs 18:28

Five Minute Journal – how reflection can help you deal with chronic pain 20:53

·     Dminder

·     Sleep Cycle

·     Sleep++

·     Acupressure: Heal Yourself

·     Headspace

·     Omvana

·     7 Minute Workout

·     TRS The Ready State

·     Five Minute Journal

·     Worth a Shot? Spinal Injections with Dr. Andrew Sumich

·     Sports and Spine with Jake Beamon PTA

·     Glute power with Ryan Klomparens, PT

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

Dr. Tony Asher, who specializes in brain and spine surgery, talks about the science of practice in this episode of Back Talk Doc. He introduces this concept, that’s being done on a national level, in order to accomplish three goals: boosting healthcare, cost efficiency and patient satisfaction. These outcome science programs aim to collect quantitative data based on studies and experience, and analyze that information, leading to better care for patients.

He also shares how physicians can be involved in this initiative, without sacrificing the heart of medicine. There is a risk of devaluing the patient-physician relationship, especially if you only treat their case as part of a data set. This relationship should not be sacrificed for the sake of data.

Dr. Asher stresses the importance of medical practitioners staying up-to-date with the latest knowledge and drawing up from their own experiences to determine the best course of action for them.

• Evolution of clinical care in neurosurgery 05:48
• Practical aspects of the neurosurgery practice 08:35
• How healthcare groups are being measured in terms of performance, quality and outcomes 14:08
• How the processes benefit patients 18:30
• Efforts done on a national scale 21:23
• How to reconcile the art and science of medicine 23:18
• Clarifications 28:36
• Additional resources for patients who want to be more involved in their care 30:42
• Tips to improve your own personal health and wellness 33:14

• “The Science of Practice”, Neurosurgical Focus Journal
• American Association of Neurological Surgeons
• NeuroPoint Alliance
• American Academy of Orthopedic Surgery
• American Spine Registry

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

Not to be mistaken with the epidural administered during pregnancy labor and prior to childbirth, injecting medication to the spine has been an option widely considered by patients with low back pain. Whether they experience leg pain or not, or if their inflammation is related to disc herniations, more people are asking for this type of treatment. But did you know that, in particular, epidural steroid injections are not the best course to treat back pain?

This week’s episode features Dr. Andrew Sumich of Carolina Neurosurgery and Spine Associates, whose expertise revolves around musculoskeletal medicine and interventional spine care. He dives deep into the role of spinal injections as it relates to alleviating back pain, particularly steroid injections. In particular, he makes the distinction of an epidural steroid injection, which is better for relieving symptoms and helping the physician make an accurate diagnosis.

Dr. Sumich shares the different techniques used to administer medication to the spine and what they’re typically comprised of. While these procedures are relatively safe, there are still some risks present. However, if the right equipment is used and a skilled doctor is following the processes, then the chances of any serious complications are minimal to none. Though this is the case, he also cautions about having too many injections done frequently. This means that the treatment may not be effective and a minimally-invasive surgical procedure may be a better alternative.

For Dr. Sumich and Dr. Lakhvia, common sense should rule when it comes to using spinal injections for back pain. You should always consult with your doctor to know which option is the best to treat this problem.

• Role of spinal injections for back pain 06:12
• What is an epidural steroid injection 07:11
• Techniques to inject steroids for pain relief 09:30
• Risk and complications 11:24
• Transforaminal epidural steroid injection vs. selective nerve root block 12:52
• Types of medication administered and what happens during the procedure 15:02
• Risk for spinal cord injury 16:32
• Deciding factors for choosing surgery over epidural steroid injection 21:07
• Number of injections usually done 24:38
• Other options for back pain 27:51
• Research on biologic or regenerative agents for back pain 30:56
• Challenges to disc healing 34:29
• Personal approach to maintain health and wellness 42:30

Every episode of Back Talk Doc includes a Health Matters segment intended to provide actionable health information you can immediately put into practice in your life. This week, Dr. Lakhia discusses vitamin D, which is not only essential to maintaining good health, but can reduce back pain. This is because this fat-soluble vitamin can control inflammation by lowering levels of C-reactive protein and inflammatory cytokines.

The correlation was seen in a study that showed a strong reduction of pain in patients who were given 3200 international vitamin D supplements every day for 5 weeks. More research is still being done, but the results have so far been positive. So, if you’re planning to consume more vitamin D, consult with your physician first and have your vitamin D levels checked.

• Intracept procedure
• Preoperative Supplementation with Vitamin D, Attenuated Pain Intensity and Reduce the Level of Pro-Inflammatory Markers in Patients After Posterior Lumbar Interbody Fusion, Frontiers in Pharmacology Journal, May 2019

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

You don’t need to be a professional athlete to know that it’s important to give your body the rest and recovery it needs after a grueling workout or training session. Some people forget this and push themselves beyond their limit, increasing the risk of sustaining serious injuries. Even those who regularly exercise, no matter the age group, are as susceptible to getting injuries as an elite athlete.

This episode of Back Talk Doc features Dr. Joshua Kollman, chiropractor at Carolina Sports Clinic and physical therapist Bridget Kelly, experts on the topic of recovery from physical exertion. They talk about the different recovery tools and strategies available not only to athletes, but to anyone who is taking up sports casually or exercising regularly. Pain and injuries are typically caused by what you do or don’t do prior to and after a physical activity, rather than the activity itself.

For Dr. Kollman, the best approaches are multidisciplinary and involve not just doing something after a workout, but even before starting. He stresses the importance of doing functional specific warm-up exercises prior and static stretching towards the end of a warm-down. He also talks about what you should do on rest days, which should also involve doing light mobility work.

Both Dr. Kollman and Bridget share the variety of tools and programs that they use in their own practice. These include state-of-the-art machines that conduct cryotherapy and thermogenesis, to simple massage therapies and acupuncture. Additionally, it’s important that you support these tools by giving your body the proper nutrition, hydration and quality sleep it needs.

They also stress the necessity of consulting with an expert team of medical practitioners before trying out any recovery equipment or procedures. Sometimes, they can detect things like movement patterns and behaviors better than any machine could.

• Definition of an athlete 10:44
• What to do before and after exercise 14:08
• What to do on days off 18:35
• Fascial stretch therapy or massage therapy 20:09
• On cryotherapy and thermogenesis as recovery tools 24:39
• Compression therapy 29:36
• New technology as an alternative to manual therapy 32:47
• The importance of personal medical evaluation 35:11
• Using nutritional supplements for recovery 37:27
• Supplement recommendations 40:04
• Protocol to prevent back pain 45:23
• Dr. Kollman's nutrition and exercise strategies 49:00
• Bridget's nutrition and exercise strategies 51:29
• Recommended apps or books 52:22

• Carolina Sports Clinic
• NormaTec
• Marc Pro
• TENS
• Compex
• Game Ready
• Theragun
• Hypervolt by Hyperice
• NAD IV therapy
• Boundless: Upgrade Your Brain, Optimize Your Body & Defy Aging by Ben Greenfield
• The Obstacle Is the Way: The Timeless Art of Turning Trials into Triumph by Ryan Holiday

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

Very often you hear this saying in the fitness world and athletic arena, “No pain, no gain”. It’s as if pain should be expected when you do exercise or undergo training for a sport and if you don’t, whatever you’re doing isn’t going to be effective. This kind of misinformation that exists in this field is one of the main reasons why injuries, particularly on the back, are prevalent among athletes. Because the truth is, the most you should feel while training is a little soreness or muscular discomfort.

Today’s guest on Back Talk Doc is Jake Beamon, a physical therapy assistant at Carolina Neurosurgery & Spine Associates and avid CrossFit enthusiast. He discusses the many causes of back injuries among athletes, with one of the main reasons is a lack of understanding of the importance of core strengthening. Another is muscle asymmetry, which is often in the case in those who play golf, baseball and basketball.

Injuries also occur when there is lack of warm-up or excessive non-essential training. Jake is a believer of adopting functional sports-specific training and working your body out as a whole unit, and not separating certain muscle groups.

Jake also dives into how you can protect your back if you’re into athletics, or even as an ordinary person who’s into fitness programs like CrossFit. Besides strengthening your core and improving mobility, you must maintain functional body movements of hip hinging, squatting and jumping/walking/running regardless of age and fitness level.

Always consult your doctor or expert before embarking on any sport or training regimen. Additionally, putting good nutrition in your body should be of priority as well. The benefits will only be seen when you incorporate a healthy balanced diet in your everyday routine.

• Reasons athletes tend to injure their back 06:05
• The body's core muscle system 07:56
• Pelvic muscles in healthy spinal movements 09:34
• Characteristics of a strong core 10:26
• Breathing and core stability 11:49
• Effects of yoga 14:28
• Sports that create the most muscle asymmetry 15:07
• Excessive non-essential training 17:34
• Kettlebell swings as alternatives to deadlifts 19:17
• Weight training for sports 20:18
• Increasing muscle bulk from weight training to prevent back injuries 21:49
• Ideal exercise program for people with varying levels of fitness 31:41
• Back injury prevention for golfers 32:50
• How to tell you're physically fit for CrossFit 35:15
• Health habits to follow 38:31
• Favorite apps, books or other tools 39:20

Every episode of Back Talk Doc includes a Health Matters segment intended to provide actionable health information you can immediately put into practice in your life. This week, Dr. Lakhia talks provides insight into the nutritional content of dairy and other plant-based milk alternatives. While cow’s milk is a great source of calcium, many are unable to consume this due to lactose intolerance or allergy to casein. Almond milk, coconut milk, oat milk, pea mil, rice milk, soy milk and hemp milk or some of his recommended alternatives, which not only provide the calcium you need but are also infused with the right vitamins and minerals that your body needs.

• Glute power with Ryan Klomparens, PT
• Becoming a Supple Leopard by Kelly Starrett
• Diaphragmatic breathing technique
• Golf specific training for hip mobility
• Carolina Neurosurgery & Spine Golf rehab program
• MobilityWOD
• Plant -based milk alternatives

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.

One of the toughest conditions to treat is nerve injuries, particularly when it’s related to spinal conditions such as sciatic nerve injury. There are a lot of options for treatment when it comes to these conditions, which often involve a lot of pain relief medications, for instance. However, there is growing evidence on the effectiveness of the inclusion of herbal and alternative medicine and systems in treatment plans for patients suffering nerve damage. And a growing number of doctors are considering these types of products too.

This episode of Back Talk Doc features Dr. Alan Tillotson, a registered herbalist and natural medicine specialist, with an expertise in Western and Oriental herbal medicine for over 30 years. He gives insight into the causes of nerve injury, which not only include poor lifestyle choices but exposure to harmful chemicals, trauma and hereditary factors. He also reveals how inflammation of the connective tissues in the nerve system and poor circulation leads to damage in the nerves.

The body has its own healing process and many times, we are prohibiting it by using medicine, like many pain killing medications that only provides temporary relief. He suggests using substances that contain specialized pro-resolving mediators (SPMs) which can provide better pain management without the side effects that most traditional opioids in the market have.

For Dr. Tillotson, treating nerve injuries need to involve a more holistic approach – reduce the inflammation, improve the body’s internal circulation of nutrients and remove harmful toxins. And you can adopt certain practices outside traditional Western medicine, like yoga or meditation, to help supplement the healing process.

• Basics of nerve anatomy 09:08
• Health risk factors for nerve dysfunction 13:37
• Differences of treatment in acute and chronic nerve injuries 14:45
• Importance of guidance from a professional clinician before starting on alternative treatments 17:51
• Sample treatment models 19:10
• Problematic area in healing injuries 20:32
• What are specialized pro-resolving mediators 22:31
• The problem with pain relief 34:12
• The goal of inflammation treatment 35:55
• Diet and food plan for healing nerve injury 40:12

• Chrysalis Natural Medicine
• The One Earth Herbal Sourcebook
• Ayurveda in Nepal: The Teachings of Vaidya Mana Bajra Bajracharya
• Chinese Herbal Medicine Combined with Prednisone
• Alan’s Food Preferences
• Research Articles on SPMs
• Bone Fracture Pain
• New Class of Non-Opioid Analgesics
• SPMS for Chemotherapy-Induced Peripheral Neuropathy

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.