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.
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.
Most adults experience back pain at some point, but knowing when that pain signals degenerative disc disease, and when to seek treatment, can prevent years of unnecessary suffering. Many dismiss early warning signs as “just getting older,” missing the critical window when conservative intervention proves most effective. Recognizing the early signs of disc degeneration and…
Facet joint injections deliver corticosteroid anti-inflammatory medication and local anesthetic directly to the small joints along your spine that can become a source of chronic back pain. This minimally invasive, image-guided procedure may provide significant relief for 40 to 70% of patients for 3 to 6 months, facilitating physical therapy and identifying candidates for longer-lasting treatments such as radiofrequency ablation.
MLS M7 laser therapy uses synchronized dual-wavelength technology to penetrate 3-5cm deep, reducing pain and inflammation while accelerating tissue healing. With FDA clearance, 30+ years of research backing, and 60-80% pain reduction rates in clinical trials, this non-invasive treatment offers Scottsdale residents a proven alternative to surgery and long-term medication. Learn how this advanced technology works, what conditions it treats, and where to access it locally.
Side sleeping with a pillow between the knees is the most effective sleep position for lower back pain. This evidence-based guide from a board-certified pain specialist explains how sleep positioning affects disc pressure, nerve compression, and overnight healing, and when position changes alone are not enough to address structural spinal pathology.
Hip pain that radiates down the leg points to nerve involvement, joint degeneration, or structural compression, not a problem that rest alone will fix. This guide covers the most common causes, when to see a specialist, and what non-surgical options are available in Scottsdale.