Dr. Ashu Goyle is the founder of Integrated Spine, Pain, and Wellness in Scottsdale, Arizona. Double board-certified in anesthesiology and interventional pain management with fellowship training from the Cleveland Clinic, he specializes in regenerative medicine and interventional pain procedures for musculoskeletal conditions.
Scottsdale golfers experience unique injury patterns from year-round play on desert terrain. Learn how advanced regenerative medicine offers faster recovery than traditional treatments.
Active patients with knee pain can explore regenerative medicine as an alternative to joint replacement. PRP and stem cell therapies may reduce pain, improve function, and delay surgery for appropriate candidates with mild-to-moderate osteoarthritis.
Epidural steroid injections deliver anti-inflammatory medication directly to compressed nerve roots, providing temporary relief for conditions like sciatica and herniated discs. While common side effects resolve within days, these injections address symptoms rather than underlying structural problems, making them a short-term solution in comprehensive pain management strategies.
Foraminal stenosis occurs when the bony openings where spinal nerves exit the spine become narrowed, compressing nerve roots and causing radicular pain, numbness, and weakness. This comprehensive guide covers causes, symptoms, diagnostic methods, and non-surgical treatment options, including physical therapy, medications, and epidural injections, plus when surgery becomes necessary.
Sacroiliac joint pain presents as buttock discomfort near the PSIS that typically radiates to the posterior thigh but not below the knee. Conservative treatments, including physical therapy, SI belts, and activity modification, form the first line of care, with corticosteroid injections or radiofrequency ablation reserved for cases that fail to improve after 6-12 weeks.
Medial branch block injections are diagnostic procedures that help identify whether facet joints in your spine are causing chronic neck or back pain. This fluoroscopy-guided injection delivers local anesthetic near small nerves that transmit pain signals from facet joints, providing critical information that determines candidacy for longer-lasting treatments like radiofrequency ablation.
Understand the causes of inner knee pain, recognize warning signs requiring specialist care, and explore evidence-based treatment options from conservative therapy to advanced regenerative medicine that can help you avoid surgery.
Sudden severe lower back pain can indicate anything from muscle strain to cauda equina syndrome. Learn the emergency red flags, causes, diagnostic steps, and treatment options, plus when conservative care is appropriate versus when immediate ER evaluation is mandatory.
Understand the critical differences between herniated and bulging discs, including symptoms, natural healing timelines, and when conservative care or surgery may be appropriate for your recovery.
Lower left back pain can stem from muscles, facet joints, discs, SI joints, or internal organs. Learn which patterns suggest nerve involvement, when imaging is appropriate, and what red flags require urgent evaluation.