Coordinating Evidence-Based Care for Chronic Pain: Multimodal Therapies for a Multidimensional Disease
Managing Chronic Pain in Primary Care: From Disease Mechanisms to Individualized Multidimensional Care
Persistent and Breakthrough Pain: Opioid-Based Therapy for Fluctuating Pain Profiles
- Acute and Post-Operative Pain
- Cancer-related Pain
- Chronic Noncancer Pain
- Comorbid Conditions
- Fibromyalgia
- Headache
- Interventional Modalites
- Low Back Pain
- Medico-Legal-Ethical Issues
- Neuropathic Pain
- Nonopioid Pharmacotherapy
- Nonpharmacologic Treatment
- Opioid Pharmacotherapy
- Osteoarthritis
- Palliative Care
- Risk Management
- Scientific Perspectives
- Special Patient Populations
Douglas Schottenstein, MD, opened his own private practice so that he could deliver the highest quality of care in an advanced, self-contained center. He is one of only 200 physicians in the nation who is double-board certified in neurology and interventional pain management.
Dr Schottenstein and his expert staff at NY Spine Medicine treat patients suffering from a variety of acute and chronic painful conditions. Dr Schottenstein performs a variety of diagnostic and therapeutic procedures and surgeries, including epidurals, transforaminal nerve blocks, sympathetic blocks, facet and sacroiliac joint injections, radiofrequency lesioning, provocative discography, annuloplasty, nucleoplasty, spinal cord stimulation, and intrathecal pumps.
Dr Schottenstein received his interventional pain management training at Columbia University/New York Presbyterian Hospital, rated one of the top five hospitals in the nation. He received his neurology training at Emory University, the highest ranked department in the South, and one of the leading programs in the nation.
In addition to leading NY Spine Medicine, Dr Schottenstein is an attending physician at New York Presbyterian-affiliated hospitals, the top-rated hospital system in the region.
Dr Schottenstein is a highly active member of the American Academy of Neurology, the American Society of Anesthesiology, the American Society of Regional Anesthesia, the International Spine Intervention Society, and the American Society of Interventional Pain Physicians.
Continuing Education Activities
NY Spine Medicine
Attending Physician
New York Presbyterian
New York, New York
Continuing Education Activities
Assistant Professor
Department of Physical Medicine and Rehabilitation
Feinberg School of Medicine
Northwestern University
Medical Director
Rehabilitation Institute of Chicago
Chronic Pain Care Center
Chicago, Illinois
PM R. 2011 Jul;3(7):664-70.
Spinal Cord Stimulation Versus Re-operation in Patients With Failed Back Surgery Syndrome: An International Multicenter Randomiz
Joint Bone Spine. 2011 Oct;78(5):466-70....
Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised control
Chronic low back pain: a heterogeneous condition with challenges for an evidence-based approach.
Mortality in spondylarthritis.
Joint Bone Spine. 2011 Oct;78(5):466-70....
Clinical practice guidelines recommend that clinicians conduct a focused history and physical examination to categorize low back pain into 1 of 3 broad subtypes: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. Assessment of psychosocial risk factors that predict chronic disabling back pain is critical.
Intraspinal juxtafacet cysts are relatively rare growths that present in patients with various painful conditions, including low back pain, radiculopathy, and neurogenic claudication, among others.
Deep trunk muscles often contribute to low back pain (LBP), the most common type of pain reported by adults in the United States. Lumbar stabilization—an exercise program that improves strength, endurance, and motor control of these muscles—has been shown to improve pain scores and prevent LBP recurrence.
The American Society of Interventional Pain Physicians (ASIPP) has recently published evidence-based guidelines for interventional strategies in the management of chronic spinal pain. These guidelines evaluate a number of commonly employed interventional treatment strategies and provide recommendations that can be utilized across specialties and organizations.
Epidural steroid injections are commonly used to treat chronic spinal pain, including axial and radicular pain.
Rates of lumbosacral and cervical injections for the treatment of patients with musculoskeletal pain have increased significantly over the last decade, despite at times conflicting evidence regarding their efficacy.
Common and costly, low back pain can be challenging to manage. Clinical practice guidelines on LBP recommend preferred treatment strategies based on reviews of published evidence.
Lumbar radiculopathy secondary to a herniated disk is a prevalent problem, affecting as many as 1 in 3 men and almost 1 in 2 women at some point in their lifetimes.
Current diagnostic techniques often fail to identify pain generators in patients with low back pain.
Low back pain is prevalent and expensive, often causing job-related disability, interfering with activities of daily living, and adversely affecting quality of life.