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‡Ž…‘‡–‘–Š‡…–‘„‡”‹••—‡‘ˆ Arizona Pain Monthly.‡Š‘’‡›‘— ƒ†›‘—”ˆƒ‹Ž‹‡•ƒ”‡ƒ„Ž‡–‘‡Œ‘› –Š‡…‘‘Ž‡”™‡ƒ–Š‡”Ǥ …–‘„‡”‹•ƒ–‹‘ƒŽƒŽ„‘—– ”‡•…”‹’–‹‘•‘–Šǡƒ† —”‰‡•’Š›•‹…‹ƒ•™‘”Ž†™‹†‡–‘ ‡†—…ƒ–‡–Š‡‹”’ƒ–‹‡–•”‡‰ƒ”†Ǧ ‹‰–Š‡‹”‡†‹…ƒ–‹‘•ǡƒ†ˆ‘” ’ƒ–‹‡–•–‘–ƒ‡ƒƒ…–‹˜‡”‘Ž‡ ‹”‡ƒŽ‹œ‹‰™Šƒ–‡†‹…ƒ–‹‘• –Š‡›ƒ”‡„‡‹‰’”‡•…”‹„‡†Ǥ‘– ‘Ž›‹•–Š‹•†‘‡‹Š‘’‡•‘ˆ Š‡Ž’‹‰’ƒ–‹‡–•–‘„‡––‡”—Ǧ †‡”•–ƒ†™Šƒ––‘‡š’‡…–ˆ”‘ –Š‡‹”‡†‹…ƒ–‹‘•ǡ„—–ƒŽ•‘–‘ ‡†—…ƒ–‡–Š‡’—„Ž‹…‘–Š‡”‹•‹‰ •–ƒ–‹•–‹…•”‡‰ƒ”†‹‰’”‡•…”‹’–‹‘ †”—‰ƒ„—•‡Ǥ‡•—…Š•–ƒ”–Ž‹‰ •–ƒ–‹•–‹…‹•–Šƒ–ͷ͸’‡”…‡–‘ˆ –Š‘•‡–”‡ƒ–‡†ˆ‘”’”‡•…”‹’–‹‘ ’ƒ‹‡†‹…ƒ–‹‘ƒ„—•‡”‡…‡‹˜‡† –Š‡‡†‹…ƒ–‹‘•ˆ”‘ƒˆ”‹‡† ‘””‡Žƒ–‹˜‡‹’‘••‡••‹‘‘ˆƒ ’”‡•…”‹’–‹‘ǡ‡ƒ‹‰–Š‡‡†‹Ǧ …ƒ–‹‘•™‡”‡‘„–ƒ‹‡†Ž‡‰ƒŽŽ›ǡ „—–”‡†‹•–”‹„—–‡†‹ŽŽ‡‰ƒŽŽ›ǤŠ‹• –Š”‘™•—’•‹‰‹ˆ‹…ƒ–”‡†ˆŽƒ‰ ‘–Š‡’”‡•…”‹„‹‰’”ƒ…–‹…‡• ‘ˆ’Š›•‹…‹ƒ•‹”‡‰ƒ”†–‘’ƒ‹ ‡†‹…ƒ–‹‘•Ǥ Page 2

–Arizona Pain Specialists, ƒ”‡Ǧ …‡–ƒ—†‹–‘ˆ‘—”’”‡•…”‹„‹‰’”ƒ…Ǧ –‹…‡••Š‘™‡†–Šƒ–͸ͻ’‡”…‡–‘ˆ ’ƒ–‹‡–•”‡ˆ‡””‡†–‘—•™‡”‡ƒ„Ž‡–‘ •‡‡ƒ”‡†—…–‹‘‹–Š‡‹”’”‡•…”‹„‡† ’ƒ‹‡†‹…ƒ–‹‘•ǡƒ†ͷʹ’‡”…‡– ‘ˆ’ƒ–‹‡–•”‡ˆ‡””‡†™‡”‡ƒ„Ž‡–‘ …‘’Ž‡–‡Ž›•–‘’–ƒ‹‰’”‡•…”‹’Ǧ –‹‘’ƒ‹‡†‹…ƒ–‹‘•Ǥ‹–Š–Š‡—•‡ ‘ˆ‹‹ƒŽŽ›‹˜ƒ•‹˜‡’”‘…‡†—”‡• ƒ†‘–Š‡”–”‡ƒ–‡–‘†ƒŽ‹–‹‡•ǡ ’ƒ–‹‡–•ƒ”‡ƒ„Ž‡–‘†‹•…‘–‹—‡–Š‡ —•‡‘ˆ’”‡•…”‹’–‹‘’ƒ‹‡†‹…ƒǦ –‹‘•Ǥ ††‹–‹‘ƒŽŽ›ǡƒ……‘”†‹‰–‘–Š‡ ‡–‡”•ˆ‘”‹•‡ƒ•‡‘–”‘Žǡ–Š‡”‡ ƒ”‡ͳͶǡͲͲͲ†‡ƒ–Š•†—‡–‘’”‡•…”‹’Ǧ –‹‘’ƒ‹‡†‹…ƒ–‹‘•‘—–‘ˆ–Š‡ͺ ‹ŽŽ‹‘…—””‡–Ž›’”‡•…”‹„‡†’ƒ‹ ‡†‹…ƒ–‹‘•‹–Š‡‹–‡†–ƒ–‡• ‡ƒ…Š›‡ƒ”ǤŠƒ–„”‡ƒ•†‘™–‘ͳ †‡ƒ–Š‹‡˜‡”›ͷ͹ͳ’‡‘’Ž‡’”‡Ǧ •…”‹„‡†’”‡•…”‹’–‹‘’ƒ‹‡†‹…ƒǦ –‹‘•Ǥ–Arizona Pain Specialists, ™‹–Š–Š‡ƒ‘—–‘ˆ’ƒ–‹‡–•™‡ …ƒ”‡ˆ‘”ǡ•–ƒ–‹•–‹…ƒŽŽ›ǡ™‡•Š‘—Ž† Šƒ˜‡•‡‡͵ͷ’”‡•…”‹’–‹‘’ƒ‹ ‡†‹…ƒ–‹‘”‡Žƒ–‡††‡ƒ–Š•Ȃƒ†™‡ ƒ”‡’”‘—†–‘•ƒ›–Šƒ–™‡Šƒ˜‡Šƒ† œ‡”‘Ǥ‡‘™‡–Š‹•–‘‘—”’”‡•…”‹„Ǧ ‹‰’”ƒ…–‹…‡•ǡ…‘’Ž‡‡–ƒ”›…ƒ”‡

‘ˆˆ‡”‡†ǡƒ†‘—”’ƒ–‹‡–‡†—…ƒ–‹‘ ’”‘‰”ƒ•Ǥ ‡‡…‘—”ƒ‰‡›‘—–‘ƒŽ™ƒ›•ƒ• “—‡•–‹‘•”‡‰ƒ”†‹‰–Š‡‡†‹…ƒǦ –‹‘•›‘—ǯ˜‡„‡‡’”‡•…”‹„‡†Ǥ• ƒ„‘—––Š‡†‘•ƒ‰‡ǡˆ”‡“—‡…›ǡ•‹†‡ ‡ˆˆ‡…–•ǡƒ†‹ˆ‹–‹–‡”ƒ…–•™‹–Šƒ› ‘–Š‡”‡†‹…ƒ–‹‘•›‘—ƒ”‡–ƒ‹‰ ‘”…‘†‹–‹‘•›‘—ƒ›Šƒ˜‡Ǥ‡ •ƒ”–ƒ„‘—–›‘—”‡†‹…ƒ–‹‘•Ȃ ‡‡’–Š‡‹ƒ•ƒˆ‡’Žƒ…‡™Š‡”‡ ‘Ž››‘—…ƒƒ……‡••–Š‡Ǥ ‡Š‘’‡–Šƒ––Š‹•‹••—‡‹•‡†—…ƒǦ –‹‘ƒŽƒ†‹ˆ‘”ƒ–‹˜‡Ǥ Ž‡ƒ•‡…‘–ƒ…–—•ƒ–‡™•Ž‡––‡”̷ ”‹œ‘ƒƒ‹Ǥ…‘‹ˆ›‘—Šƒ˜‡“—‡•Ǧ –‹‘•‘”…‘‡–•Ǥ ‡–Šƒ›‘—ˆ‘”›‘—”…‘–‹—‡† Ž‘›ƒŽ–›‹ˆ›‘—ƒ”‡ƒŽ‘‰Ǧ•–ƒ†‹‰ ’ƒ–‹‡–ǡƒ†™‡™‡Ž…‘‡›‘—–‘ –Š‡Arizona Pain SpecialistsˆƒǦ ‹Ž›‹ˆ›‘—ƒ”‡ƒ‡™’ƒ–‹‡–Ǥ –‹Ž‡š––‹‡ǡ”‡‡„‡”ƒ– Arizona Pain Specialists,we believe you can be pain free. Dr. Tory McJunkin & Dr. Paul Lynch Arizona Pain Monthly ȁOctober 2010


Roasted Vegetable Medley

Herb Marinade for Fish or Chicken

Sautéed Brussels Sprouts

Serves 4

Serves 4-6

Serves 4

x Sweet Potato (washed/1 inch cut) – 2

x Olive oil – ½ cup

x Brussels Sprouts - 1 pound

x Garlic (peeled) – 1 bulb

x Lemon juice – 2 tbsp

x Garlic (minced) – 3 cloves

x Bell Pepper (cut in quarters) – 2

x Garlic (diced) – 4 cloves

x Vegetable Stock – 2 ½ cups

x Fennel (cut into 1 inch squares) – 1

x Basil (diced) – 4 leaves

x Olive oil – 1 tbsp

x Green onion (1 inch cut) – 3 leaves

x Thyme (diced) – 3 sprigs

x Salt & Pepper – to taste

x Cauliflower (washed/ cut into 1 inch squares) – 1 head

x Rosemary (diced) – 1 sprig

x Olive oil – ¼ cup x Salt & Pepper – to taste After all veggies are washed and cut, place in large mixing bowl. Add olive oil and salt & pepper. Mix well. Preheat oven to 375, place all veggies on sheet pan evenly and place in oven for 25 to 30 minutes. Finish with fresh herbs if available.

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x Oregano(diced) – 2 sprigs x Cayenne Pepper – 1 tbsp x Salt & Pepper – to taste In a bowl combine all ingredients and mix everything well. Place fish (white) or chicken in a gallon Ziploc baggy. Pour marinade in bag and seal. Refrigerate for 1 to 1 & 1/2 hours for fish or 2-4 hours for chicken. Grill and enjoy.

Heat sauté pan on medium high. Add oil, garlic, and Brussels sprouts and mix well. Add 1 cup of vegetable stock and reduce. Once the stock is almost cooked off add another cup. Reduce again. When that is cooked off, add last ½ cup and reduce. Season with salt and pepper.

Recipes courtesy of Nature’’s Garden Delivered, www.naturesgardendelivered.com

Arizona Pain Monthly ȁOctober 2010


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Arizona Pain Monthly Č October 2010


ยšย’ย‡ย”ย– ย—ย‡ย•ย–ย”วค ย‡ยˆยˆย”ย‡ย› ย‹ย–ย– ย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย… ย’ยƒย‹ยย‹ย•ยƒย…ย‘ยย’ยŽย‡ยš ย’ยƒย‹ยย–ยŠยƒย–ย‹ย•ย—ย•ย—วฆ ยƒยŽยŽย›ยƒย…ย…ย‘ยย’ยƒยย‹ย‡ย† ย„ย›ย–ย‹ย•ย•ย—ย‡ย‹ยยŒย—ย”ย›วค ย‹ย–ยŠยย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย… ย’ยƒย‹ยวกยย‡ย”ย˜ย‡ฯย‹ย„ย‡ย”ย• ย–ยŠย‡ยย•ย‡ยŽย˜ย‡ย•ยยƒย› ย„ย‡ย‹ยยŒย—ย”ย‡ย†วกย†ยƒยวฆ ยƒย‰ย‡ย†วกย‘ย”ย†ย›ย•วฆ ยˆย—ยย…ย–ย‹ย‘ยยƒยŽวคยŠย‡ย•ย‡ย†ยƒยยƒย‰ย‡ย†ยย‡ย”ย˜ย‡ย• ย•ย‡ยย†ย‹ยย…ย‘ย”ย”ย‡ย…ย–ย•ย‹ย‰ยยƒยŽย•ย–ย‘ย–ยŠย‡ย’ยƒย‹ย ย…ย‡ยย–ย‡ย”ย•ย‹ยย–ยŠย‡ย„ย”ยƒย‹ยวคยƒย–ย‹ย‡ยย–ย•ยยƒย› ย‡ยšย’ย‡ย”ย‹ย‡ยย…ย‡ย’ยƒย”ย‡ย•ย–ยŠย‡ย•ย‹ยƒย•ศ‹ยย—ยย„วฆ ยย‡ย•ย•ยƒยย†ย–ย‹ยย‰ยŽย‹ยย‰ศŒวกย†ย›ย•ย‡ย•ย–ยŠย‡ย•ย‹ยƒย• ศ‹ย’ยƒย‹ยยˆย—ยŽย„ย—ย”ยย‹ยย‰ย‘ย”ย‡ยŽย‡ย…ย–ย”ย‹ย…ย•ยŠย‘ย…ย ย•ย‡ยย•ยƒย–ย‹ย‘ยย•ศŒวกยŠย›ย’ย‡ย”ย‡ย•ย–ยŠย‡ย•ย‹ยƒศ‹ย‹ยวฆ ย…ย”ย‡ยƒย•ย‡ย†ย’ย‡ย”ย…ย‡ย’ย–ย‹ย‘ยย‘ยˆยย‹ยŽย†ยŽย› ย’ยƒย‹ยยˆย—ยŽย•ย–ย‹ยย—ยŽย—ย•ศŒวกยŠย›ย’ย‡ย”ย’ยƒย–ยŠย‹ยƒ ศ‹ยย‹ยย‹ยยƒยŽย•ย–ย‹ยย—ยŽย—ย•ย‹ย•ย’ย‡ย”ย…ย‡ย‹ย˜ย‡ย†ยƒย• ย’ยƒย‹ยยˆย—ยŽศŒวกย‘ย”ยƒยŽยŽย‘ย†ย›ยย‹ยƒศ‹ยย‘ยวฆย’ยƒย‹ยยˆย—ยŽ ย•ย–ย‹ยย—ยŽย—ย•ย‹ย•ย’ยƒย‹ยยˆย—ยŽศŒวค

ศˆย‡ย—ย”ย‘ย’ยƒย–ยŠย›ย•ย‡ย…ย‘ยย†ยƒย”ย›ย–ย‘ย–ย—ยย‘ย” ย‹ยฯย‹ยŽย–ย”ยƒย–ย‹ย‘ยย‘ย”ยย‡ย”ย˜ย‡ย…ย‘ยย’ย”ย‡ย•ย•ย‹ย‘ย ศˆยŠยƒยย–ย‘ยย„ย”ย‡ยƒย•ย–ย’ยƒย‹ย ศˆย‘ย•ย–วฆยยƒย•ย–ย‡ย…ย–ย‘ยย›ย’ยƒย‹ย ศˆย‘ย•ย–วฆย”ยƒย†ย‹ยƒย–ย‹ย‘ยย’ยŽย‡ยšย‘ย’ยƒย–ยŠย›ยƒยย† ยย›ย‡ยŽย‘ย’ยƒย–ยŠย› Treatment of neuropathic pain: ย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย…ย’ยƒย‹ยย…ยƒยย„ย‡ย–ยŠย‘ย—ย‰ยŠย– ย‘ยˆยƒย•ยƒยŽย‘ย•ย•ย‘ยˆยย‘ย”ยยƒยŽย…ย‘ยย–ย”ย‘ยŽย‹ยย–ยŠย‡ ยย‡ย”ย˜ย‘ย—ย•ย•ย›ย•ย–ย‡ยวกยย‘ย–ย—ยยŽย‹ยย‡ย‡ย’ย‹วฆ ยŽย‡ย’ย•ย›วคย‹ยย…ย‡ย’ย‡ย”ย…ย‡ย’ย–ย‹ย‘ยย‘ยˆย’ยƒย‹ยย‹ย• ยย‡ย†ย‹ยƒย–ย‡ย†ย„ย›ย…ยŠย‡ยย‹ย…ยƒยŽย•ย‹ยย–ยŠย‡ย„ย”ยƒย‹ย ย…ยƒยŽยŽย‡ย†ยย‡ย—ย”ย‘ย–ย”ยƒยย•ยย‹ย–ย–ย‡ย”ย•วกยยƒยย› ย‘ยˆย–ยŠย‡ย–ย”ย‡ยƒย–ยย‡ยย–ย•ยˆย‘ย”ยย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย… ย’ยƒย‹ยยƒย”ย‡ย–ยƒย”ย‰ย‡ย–ย‡ย†ย–ย‘ย™ยƒย”ย†ยƒยŽย–ย‡ย”ย‹ยย‰ ย–ยŠย‡ย„ยƒยŽยƒยย…ย‡ย‘ยˆย–ยŠย‡ย•ย‡ยย‡ย—ย”ย‘ย–ย”ยƒยย•วฆ ยย‹ย–ย–ย‡ย”ย•วคย–ยŠย‡ย”ย–ย”ย‡ยƒย–ยย‡ยย–ย•ยƒย”ย‡ ย–ยƒย”ย‰ย‡ย–ย‡ย†ย–ย‘ย™ยƒย”ย†ย•ย–ยƒย„ย‹ยŽย‹ยœย‹ยย‰ย–ยŠย‡ยŽย‘ย•ย• ย‘ยˆย…ย‘ยย–ย”ย‘ยŽย‹ยย–ยŠย‡ยย‡ย”ย˜ย‘ย—ย•ย•ย›ย•ย–ย‡ยวค

Anti-depressants: ยŠย‡ย•ย‡ย†ย”ย—ย‰ย•ย™ย‘ย”ยย„ย›ยƒยŽย–ย‡ย”ย‹ยย‰ย–ยŠย‡ Common types of Neuropathic ย„ยƒยŽยƒยย…ย‡ย‘ยˆยย‘ย”ย‡ย’ย‹ยย‡ย’ยŠย”ย‹ยย‡ยƒยย† Pain Syndromes include: ย•ย‡ย”ย‘ย–ย‘ยย‹ยย‹ยย–ยŠย‡ย…ย‡ยย–ย”ยƒยŽยย‡ย”ย˜ย‘ย—ย• ย•ย›ย•ย–ย‡ยวคยŠย‡ย•ย‡ย†ย”ย—ย‰ย•ย‹ยย…ยŽย—ย†ย‡ ย‡ย”ย‹ย’ยŠย‡ย”ยƒยŽย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย…ยƒย‹ยย›ยวฆ ยƒยย‹ย–ย”ย›ย’ย–ย›ยŽย‹ยย‡ศ‹ยŽยƒย˜ย‹ยŽศŒวกย˜ย‡ยยŽยƒยˆยƒยšย‹ยย‡ ย†ย”ย‘ยย‡ย•วฃ ศ‹ยˆยˆย‡ยšย‘ย”ศŒวกย†ย—ยŽย‘ยšย‡ย–ย‹ยย‡ศ‹ย›ยย„ยƒยŽย–ยƒศŒวก ศˆย‘ยย’ยŽย‡ยšย”ย‡ย‰ย‹ย‘ยยƒยŽย’ยƒย‹ยย•ย›ยย†ย”ย‘ยย‡ ยƒยย†ย‘ย–ยŠย‡ย”ย•วค ศˆ ย—ยยƒยย‹ยยย—ยย‘ย†ย‡ฯย‹ย…ย‹ย‡ยย…ย›ย˜ย‹ย”ย—ย• Anti-convulsants: ศ‹ ศŒย•ย‡ยย•ย‘ย”ย›ยย‡ย—ย”ย‘ย’ยƒย–ยŠย› ยŠย‹ยŽย‡ย–ยŠย‡ยย‡ย…ยŠยƒยย‹ย•ยย‘ยˆยƒย…ย–ย‹ย‘ยย‘ยˆ ศˆย‡ย”ยƒยŽย‰ย‹ยƒย’ยƒย”ย‡ย•ย–ยŠย‡ย–ย‹ย…ยƒ ย–ยŠย‡ย•ย‡ย†ย”ย—ย‰ย•ยƒย”ย‡ยย‘ย–ยˆย—ยŽยŽย›ย—ยย†ย‡ย”วฆ ย•ย–ย‘ย‘ย†วกย–ยŠย‡ย›ยƒย”ย‡ย–ยŠย‘ย—ย‰ยŠย–ย–ย‘ย”ย‡ย†ย—ย…ย‡ ศˆยƒย‹ยยˆย—ยŽย†ย‹ยƒย„ย‡ย–ย‹ย…ยย‡ย—ย”ย‘ย’ยƒย–ยŠย› ย‘ย˜ย‡ย”ยƒย…ย–ย‹ย˜ย‡ยย‡ย”ย˜ย‡ย…ย‡ยŽยŽย•ย‹ยย–ยŠย‡ย„ย”ยƒย‹ย ศˆยŠยƒยย–ย‘ยยŽย‹ยย„ย’ยƒย‹ย ยƒยย†ย’ย‡ย”ย‹ย’ยŠย‡ย”ยƒยŽยย‡ย”ย˜ย‡ย•วค ศˆย‘ย•ย–วฆยŠย‡ย”ย’ย‡ย–ย‹ย…ยย‡ย—ย”ยƒยŽย‰ย‹ยƒ Opiods: ศˆย‘ย•ย–วฆย–ยŠย‘ย”ยƒย…ย‘ย–ย‘ยย›ย’ยƒย‹ย ย’ย‹ย‘ย†ย•ย…ยƒยย„ย‡ย‡ยˆยˆย‡ย…ย–ย‹ย˜ย‡ยˆย‘ย”ยƒย•ย‡ยŽย‡ย…ย– ศˆย”ย‹ย‰ย‡ยย‹ยยƒยŽยย‡ย—ย”ยƒยŽย‰ย‹ยƒ ย•ย—ย„วฆย‰ย”ย‘ย—ย’ย‘ยˆย’ยƒย–ย‹ย‡ยย–ย•วค Central Neuropathic Pain SynTopical medications: dromes: ยƒย–ย…ยŠย‡ย•ย‘ย”ย…ย”ย‡ยƒยย•ย…ยƒยย„ย‡ย—ย•ย‡ย†ย–ย‘ ศˆย‡ยย–ย”ยƒยŽย’ย‘ย•ย–ย•ย–ย”ย‘ยย‡ย’ยƒย‹ย ย–ย”ย‡ยƒย–ย•ยยƒยŽยŽยƒย”ย‡ยƒย•ย–ยŠยƒย–ยƒย”ย‡ยŠย›ย’ย‡ย”วฆ ศˆ ยย›ย‡ยŽย‘ย’ยƒย–ยŠย› ย‡ย•ย–ยŠย‡ย–ย‹ย…วคยšยƒยย’ยŽย‡ย•ย‹ยย…ยŽย—ย†ย‡ย–ย‘ย’ย‹ย…ยƒยŽ ยŽย‹ย†ย‘ย…ยƒย‹ยย‡ศ‹ย‹ย†ย‘ย†ย‡ย”ยศŒวกย‘ย”ย…ยƒย’ย•ยƒย‹ย…ย‹ย ศˆย—ยŽย–ย‹ย’ยŽย‡ย•ย…ยŽย‡ย”ย‘ย•ย‹ย•ย’ยƒย‹ย ย…ย”ย‡ยƒยวค ศˆยƒย”ยย‹ยย•ย‘ยวฏย•ย†ย‹ย•ย‡ยƒย•ย‡ย’ยƒย‹ย Physical therapy: ศˆย’ย‹ยยƒยŽย…ย‘ย”ย†ย‹ยยŒย—ย”ย›ย’ยƒย‹ย ย‹ยย…ย‡ยย—ย•ย…ยŽย‡ย•ย’ยƒย•ยย•ยƒย†ย†ย–ย‘ย’ยƒย‹ยวก ศˆย›ย”ย‹ยย‰ย‘ยย›ย‡ยŽย‹ยƒ ย‹ย–ย‹ย•ย‹ยย’ย‘ย”ย–ยƒยย–ย–ย‘ยย‡ย‡ย’ยย—ย•ย…ยŽย‡ย•วก ยŽย‹ย‰ยƒยย‡ยย–ย•วกยƒยย†ย–ย‡ยย†ย‘ยย•ย‹ยย’ย”ย‘ย’ย‡ย” ศˆยƒยย…ย‡ย”ย•ย•ย‘ย…ย‹ยƒย–ย‡ย†ย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย… ย…ย‘ยย†ย‹ย–ย‹ย‘ยวคยšย‡ย”ย…ย‹ย•ย‡ย…ยƒยยŠย‡ยŽย’ย–ยŠย‡ ยƒย‹ยย›ยย†ย”ย‘ยย‡ย• ศˆยŠย‡ยย‘ย–ยŠย‡ย”ยƒย’ย›วฆย‹ยย†ย—ย…ย‡ย†ย’ย‘ยŽย›ยย‡ย—วฆ ย„ย”ยƒย‹ยย–ย‘ย’ย”ย‘ย†ย—ย…ย‡ยยƒย–ย—ย”ยƒยŽย’ยƒย‹ย ยย‹ยŽยŽย‹ยย‰ย…ยŠย‡ยย‹ย…ยƒยŽย•ศ‹ย‡ยย†ย‘ย”ย’ยŠย‹ยย•วก ย”ย‘ย’ยƒย–ยŠย› Page 5

ย‡ยยย‡ย’ยŠยƒยŽย‹ยย•ศŒยƒยย†ย•ยŠย‘ย—ยŽย†ย„ย‡ยƒย’ยƒย”ย– ย‘ยˆยƒยย›ย’ยƒย‹ยยยƒยยƒย‰ย‡ยย‡ยย–ย’ย”ย‘ย‰ย”ยƒย ย™ย‹ย–ยŠย‹ยย–ยŠย‡ยƒย„ย‹ยŽย‹ย–ย›ย‘ยˆย–ยŠย‡ย‹ยย†ย‹ย˜ย‹ย†ย—ยƒยŽ ย’ยƒย–ย‹ย‡ยย–วค Injections:

ยยŒย‡ย…ย–ย‹ย‘ยย•ยยƒย›ย‘ยˆยˆย‡ย”ย–ย‡ยย’ย‘ย”ยƒย”ย› ย”ย‡ย†ย—ย…ย–ย‹ย‘ยย‘ยˆย’ยƒย‹ยยˆย‘ย”ย•ย‘ยย‡ย‘ยˆย–ยŠย‡ ยย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย…ย’ยƒย‹ยย•ย›ยย†ย”ย‘ยย‡ย•วค Counterstimulation treatments: ย’ย‹ยยƒยŽย…ย‘ย”ย†ย•ย–ย‹ยย—ยŽยƒย–ย‘ย”ย•ยƒย”ย‡ย™ย‹ย”ย‡ย• ย–ยŠยƒย–ยƒย”ย‡ย’ยŽยƒย…ย‡ย†ย‹ยย–ยŠย‡ย•ย’ย‹ยย‡ย…ย‘ยวฆ ยย‡ย…ย–ย‡ย†ย–ย‘ยƒย„ยƒย–ย–ย‡ย”ย›ย’ยƒย…ยย–ยŠยƒย– ย’ย”ย‘ย˜ย‹ย†ย‡ย•ยƒย…ย‘ยย–ย‹ยย—ย‘ย—ย•ย‡ยŽย‡ย…ย–ย”ย‹ย…ยƒยŽ ย•ย–ย‹ยย—ยŽย—ย•ย–ย‘ย–ยŠย‡ย•ย’ย‹ยยƒยŽย…ย‘ย”ย†วค ศ‹ย–ย”ยƒยย•ย…ย—ย–ยƒยย‡ย‘ย—ย•ย‡ยŽย‡ย…ย–ย”ย‹ย…ยƒยŽยย‡ย”ย˜ย‡ ย•ย–ย‹ยย—ยŽยƒย–ย‘ย”ศŒย…ยƒยย„ย‡ย‡ยˆยˆย‡ย…ย–ย‹ย˜ย‡ย‹ยย”ย‡วฆ ย†ย—ย…ย‹ยย‰ยย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย…ย’ยƒย‹ยวค Psychological therapy: ยŠย”ย‘ยย‹ย…ย’ยƒย‹ยย…ยƒยย…ยƒย—ย•ย‡ย•ย‡ย˜ย‡ย”ย‡ย’ย•ย›วฆ ย…ยŠย‘ยŽย‘ย‰ย‹ย…ยƒยŽย†ย‹ย•ย–ย”ย‡ย•ย•วกย™ยŠย‹ย…ยŠย…ยƒยย‹ยวฆ ย…ย”ย‡ยƒย•ย‡ย’ยƒย‹ยย’ย‡ย”ย…ย‡ย’ย–ย‹ย‘ยวกยƒยย†ย…ยƒย—ย•ย‡ ย†ย‡ย’ย”ย‡ย•ย•ย‹ย‘ยวคย•ย›ย…ยŠย‘ยŽย‘ย‰ย‹ย…ยƒยŽย•ย—ย’ย’ย‘ย”ย– ย™ย‹ย–ยŠยƒย…ย‘ย—ยย•ย‡ยŽย‘ย”ยยƒย›ย„ย‡ยŠย‡ยŽย’ยˆย—ยŽวค ย‘ย‰ยƒวกย–ยƒย‹ย…ยŠย‹วกยƒย…ย—ย’ย—ยย…ย–ย—ย”ย‡วกย„ย‹ย‘วฆ ยˆย‡ย‡ย†ย„ยƒย…ยวกย”ย‡ยŽยƒยšยƒย–ย‹ย‘ยย–ย‡ย…ยŠยย‹ย“ย—ย‡ย•วก ยŠย›ย’ยย‘ย•ย‹ย•วกยƒยย†ย‹ยยƒย‰ย‡ย”ย›ยยƒย›ยƒยŽยŽย„ย‡ ย—ย•ย‡ยˆย—ยŽย–ย‘ย”ย‡ย†ย—ย…ย‡ย’ยƒย‹ยวค Conclusion ยย—ยŽย–ย‹ยย‘ย†ยƒยŽยƒย’ย’ย”ย‘ยƒย…ยŠย–ย‘ย–ยŠย‡ย’ยƒวฆ ย–ย‹ย‡ยย–ย™ย‹ย–ยŠย‡ย—ย”ย‘ย’ยƒย–ยŠย‹ย…ยƒย‹ยย›ยวฆ ย†ย”ย‘ยย‡ย•ยยƒย›ย„ย‡ย–ยŠย‡ยย‘ย•ย–ย‡ยˆยˆย‡ย…ย–ย‹ย˜ย‡ ย™ยƒย›ย–ย‘ยƒย•ย•ย‹ย•ย–ย–ยŠย‡ย•ย‡ย’ยƒย–ย‹ย‡ยย–ย•วคยˆย–ย‡ยวก ย–ยŠย‹ย•ยยƒย›ย”ย‡ย“ย—ย‹ย”ย‡ย›ย‘ย—ย”ย”ย‹ยยƒย”ย›ยƒย”ย‡ ย”ย‘ย˜ย‹ย†ย‡ย”วกย‡ย—ย”ย‘ยŽย‘ย‰ย‹ย•ย–วกยƒยย†ยƒย‹ย ยƒยยƒย‰ย‡ยย‡ยย–ยŠย›ย•ย‹ย…ย‹ยƒยวค ย‡ย–ย–ย‹ยย‰ย–ยŠย‡ ย”ย‹ย‰ยŠย–ย†ย‹ยƒย‰ยย‘ย•ย‹ย•ย‹ย•ย–ยŠย‡ฯย‹ย”ย•ย–ย•ย–ย‡ย’ย‹ย ยƒย•ย•ย‹ย•ย–ย‹ยย‰ยƒยย‹ยย†ย‹ย˜ย‹ย†ย—ยƒยŽย™ย‹ย–ยŠย‡ย—ย”ย‘วฆ ย’ยƒย–ยŠย‹ย…ยƒย‹ยวค Dr. Jeffrey Gitt is a Board Certi๏ฆied Neurologist who has been practicing in Phoenix since 1987. He specializes in Neurology, Sleep Disorders, and is a Multiple Sclerosis specialist. He is in practice with Dr. Justin Mussomeli at North Valley Neurology & Sleep at 3815 E. Bell Rd., #2400, Phoenix, Arizona 85032 www.NVNSAZ.com 602-482-2116 phone 602-482-9563 fax

Arizona Pain Monthly ศOctober 2010


Arizona Pain Monthly ”‘—†–Š‡ Ž‘„‡‘–‡•–

And the Winners Are...

–ƒ‡ ‘”›‘ˆDzŠ‘–‘ ‰ –‡ ƒ … ‡ Š – ‹ ‡ˆˆǤ™‹• …‘––•†ƒŽ‡ǡǤdz  ”‘ ˆ •– ‡ ˆ—”–Š ‘• ‡ˆˆ Ǩ ‘‰”ƒ–—Žƒ–‹

ƒ—”‹Ǥ™‹ • ™‹–Š‘•–ˆ ‹–Š‡…ƒ–‡‰‘”›‘ˆDzŠ‘ ƒ‘—•’‡”• –‘–ƒ‡ ‘Ǥdz ‘‰”ƒ–—Žƒ–‹ ‘•ƒ—”‹Ǩ

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Arizona Pain Monthly ȁOctober 2010


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Arizona Pain Monthly Č October 2010


‡Ž…‘‡ǡ”Ǥ‹…‘Ǩ



‡š…‹–‹‰‡™ƒ††‹–‹‘–‘–Š‡•–ƒˆˆƒ–Arizona Pain Specialists,”Ǥ”‹•–ƒ‹…‘”‡…‡–Ž›…‘’Ž‡–‡†Š‹• ˆ‡ŽŽ‘™•Š‹’‹’ƒ‹ƒƒ‰‡‡–ƒ––Š‡’”‡•–‹‰‹‘—• †‡”•‘ƒ…‡”‡–‡”ǡ–Š‡ƒ–‹‘ǯ•’”‡‹‡”…ƒ…‡” –”‡ƒ–‡–ˆƒ…‹Ž‹–›Ǥ ”Ǥ‹…‘‹•ƒ–ƒŽ‡–‡†’Š›•‹…‹ƒ™Š‘‹•’ƒ••‹‘ƒ–‡ ƒ„‘—––”‡ƒ–‹‰’ƒ–‹‡–•‹ ’ƒ‹ƒ†Šƒ•™‹–‡••‡† ϐ‹”•–ǦŠƒ†–Š‡†‡˜ƒ•–ƒ–‹‰ ‡ˆˆ‡…–•’ƒ‹…ƒŠƒ˜‡‘ƒ ’‡”•‘ǯ•Ž‹ˆ‡Ǥ Dz›‰”ƒ†ˆƒ–Š‡”™ƒ• †‹ƒ‰‘•‡†™‹–Š…‘Ž‘ …ƒ…‡”ǡƒ† •ƒ™Š‹‹ ’ƒ‹Ǥ –”‡ƒŽŽ›…Šƒ‰‡†Š‹• Ž‹ˆ‡ǡŠ‡„‡…ƒ‡—ƒ„Ž‡–‘ ‰‘’Žƒ…‡•ƒ††‘•‹’Ž‡ –Š‹‰•Ž‹‡‰‘‘—––‘‡ƒ–Ǥ Šƒ–ǯ•™Šƒ–ƒ†‡‡”‡Ǧ ƒŽŽ›™ƒ––‘Š‡Ž’’‡‘’Ž‡ ™‹–Š’ƒ‹ˆ—Ž…‘†‹–‹‘•Ǥdz –†‡”•‘ǡ”Ǥ ‹…‘Šƒ†–Š‡‘’’‘”–—Ǧ ‹–›–‘™‘”™‹–Š™‘”Ž†Ǧ ”‡‘™‡†‡š’‡”–•‹–Š‡ ϐ‹‡Ž†‘ˆ’ƒ‹ƒƒ‰‡Ǧ ‡–ǡƒ†Ž‡ƒ”‡†–Š‡ ‘•–ƒ†˜ƒ…‡†–‡…ŠǦ ‹“—‡•ƒ†’”‘…‡†—”‡• –‘Š‡Ž’’ƒ–‹‡–•™Š‘ƒ”‡•—ˆˆ‡”‹‰ˆ”‘…Š”‘‹…’ƒ‹Ǥ ‡‹•‡ƒ‰‡”–‘„”‹‰–Š‹•‘™Ž‡†‰‡–‘Š‹•’ƒ–‹‡–•ƒ– Arizona Pain Specialists. Dz ǯ‡š…‹–‡†–‘„‡ƒ„Ž‡–‘–”‡ƒ–’ƒ–‹‡–•™‹–Šƒ™‹†‡ ”ƒ‰‡‘ˆ–Š‡”ƒ’‹‡•Ȃ‘–‘Ž›‹Œ‡…–‹‘•ǡ„—–‡†‹…ƒǦ –‹‘•ǡ„‹‘ˆ‡‡†„ƒ…ƒ†…Š‹”‘’”ƒ…–‹……ƒ”‡Ǥ ǯŽ‘‘‹‰ ˆ‘”™ƒ”†–‘–”‡ƒ–‹‰’ƒ–‹‡–•‹’ƒ‹™‹–Š–Š‡˜ƒ”‹‡–›‘ˆ ‘†ƒŽ‹–‹‡•–Šƒ–ƒ”‡ƒ˜ƒ‹Žƒ„Ž‡–‘–Š‡Š‡”‡Ǥdz ”Ǥ‹…‘ǯ•ˆƒ–Š‡”‹•ƒŽƒ™›‡”ǡƒ†‘”‹‰‹ƒŽŽ›ǡ”Ǥ‹…‘ –Š‘—‰Š–Š‡™ƒ–‡†–‘ˆ‘ŽŽ‘™‹Š‹•ˆ‘‘–•–‡’•ǡ„—–Š‹• ˆƒ–Š‡”‡…‘—”ƒ‰‡†Š‹–‘ˆ‘ŽŽ‘™Š‹•‹–‡”‡•–•‹•…‹Ǧ ‡…‡ƒ†‰‘‹–‘‡†‹…‹‡Ǥ Dz ‡™ ™ƒ–‡†–‘†‘•‘‡–Š‹‰™Š‡”‡ ™ƒ•™‘”Ǧ ‹‰™‹–Š’‡‘’Ž‡‡˜‡”›†ƒ›–‘Š‡Ž’–Š‡ϐ‹š’”‘„Ž‡•ǡ ƒ†‹–Œ—•–ƒ†‡•‡•‡–‘„‡…‘‡ƒ’Š›•‹…‹ƒǤdz –†‡”•‘ǡ”Ǥ‹…‘•ƒ™Š—†”‡†•‘ˆ’ƒ–‹‡–• ƒ†™ƒ•ƒ„Ž‡–‘Š‡Ž’ƒ›’‡‘’Ž‡Ǥ ‘™‡˜‡”ǡ‘‡’ƒǦ –‹‡–‹’ƒ”–‹…—Žƒ”•–‘‘†‘—–ǡƒ†•–‹ŽŽ•–ƒ†•‘—–‹Š‹• ‹†ƒ•ƒ’ƒ–‹‡––Šƒ–Šƒ•‹’ƒ…–‡†Š‹ƒ•ƒ’Š›•‹…‹ƒǤ Page 8

DzŠ‡ ™ƒ•ƒ–†‡”•‘Žƒ•–›‡ƒ”ǡ ‡–ƒ’ƒǦ –‹‡–™Š‘™ƒ•Œ—•–†‹ƒ‰‘•‡†™‹–Š—Ž–‹’Ž‡›‡Ž‘Ǧ ƒǡŠ‡™ƒ•‘Ž›ƒ”‘—†͵ͺ›‡ƒ”•‘Ž†ǡƒ†Š‡ƒŽ”‡ƒ†› Šƒ†ƒ”‡ƒŽŽ›ƒ†˜ƒ…‡†ˆ‘”‘ˆ–Š‡†‹•‡ƒ•‡ǡ‡˜‡ –Š‘—‰Š‹–™ƒ•ƒ‡™†‹ƒ‰‘•‹•ǡdz”Ǥ‹…‘‡š’Žƒ‹•Ǥ Dz‡™‡”‡…‘•—Ž–‡†„‡…ƒ—•‡Š‡™ƒ•‹ƒ„•‘Ž—–‡ ƒ‰‘›ǡ‹–‘•‘ˆ’ƒ‹ǤŠ‡ ™‡––‘Š‹•”‘‘ǡŠ‡ Ž‹–‡”ƒŽŽ›…‘—Ž†‘–‡˜‡ ”‘ŽŽ‘˜‡”‹„‡†ǡŠ‡™ƒ• Œ—•–‹‡š…”—…‹ƒ–‹‰’ƒ‹Ǥ ‡’‡”ˆ‘”‡†ƒ›’Š‘Ǧ ’Žƒ•–›’”‘…‡†—”‡ǡƒ† –Š‡‡š–†ƒ›ǡ™Š‡™‡ ™‡––‘‰‘…Š‡…‘Š‹ǡ Š‡‰‘–—’‘—–‘ˆ„‡†ǡ ™ƒŽ‡†ƒ…”‘••–Š‡”‘‘ ƒ†•Š‘‘›ƒ––‡†‹‰ ’Š›•‹…‹ƒǯ•Šƒ†ǡƒ† •Š‘‘›Šƒ†Ǥ ‡•ƒ‹†ǡ Ǯ–Šƒ›‘—•‘—…Šˆ‘” Š‡Ž’‹‰‡Ǥ —•––Šƒ ›‘—•‘—…ŠǤǯ –™ƒ•Ž‹–Ǧ ‡”ƒŽŽ›Ž‹‡‹‰Š–ƒ††ƒ›ǡ ‹–™ƒ•—„‡Ž‹‡˜ƒ„Ž‡Ǥ – ”‡ƒŽŽ›Ž‡ˆ–ƒ‹’”‡••‹‘ ‘‡Ȃ”‡ƒŽŽ›ǡ”‡ƒŽŽ›Ž‡ˆ– ƒ‹’”‡••‹‘Ǥdz ”Ǥ‹…‘‹•‘”‹‰‹ƒŽŽ› ˆ”‘ Ž‡†‘”ƒǡƒŽ‹Ǧ ˆ‘”‹ƒǡ‹•ƒ””‹‡†ƒ† Šƒ•–Š”‡‡‹†•Ǥ ‡‹• ‡š…‹–‡†–‘„‡‹”‹œ‘ƒ–‘‡Œ‘›–Š‡™‡ƒ–Š‡”ƒ† ‘—–†‘‘”ƒ…–‹˜‹–‹‡•ǡƒ†’Žƒ•–‘–ƒ‡Š‹•ˆƒ‹Ž›•‹Ǧ ‹‰ƒ–‘™„‘™Ž‹–Š‡™‹–‡”Ǥ”Ǥ‹…‘‹•‡•’‡…‹ƒŽŽ› ‡š…‹–‡†ƒ„‘—–™Šƒ–Š‡…ƒ„”‹‰–‘Š‹•’ƒ–‹‡–•‘™ –Šƒ–Š‡‹•ƒ–Arizona Pain Specialists.Dz ǯ†Ž‹‡–‘ –Š‹–Šƒ– —†‡”•–ƒ†–Šƒ––Š‡‹”Ž‹˜‡•ƒ”‡‹’ƒ…–‡† ‡˜‡”›†ƒ›ƒ†‹’ƒ…–‡†‹‡˜‡”›’‘••‹„Ž‡™ƒ›„› –Š‡‹”’ƒ‹Ǥ ‘™–Šƒ––Š‡›ǯ”‡ˆ”—•–”ƒ–‡†ǡ…‘ˆ—•‡† ƒ†•‘‡–‹‡•…‘…‡”‡†–Šƒ–‘–Š‹‰™‹ŽŽŠ‡Ž’ –Š‡™‹–Š–Š‡‹”’ƒ‹Ǥdz ”Ǥ‹…‘…‘–‹—‡•ǡDz ”‡ƒŽŽ›™ƒ––‘„‡ƒ„Ž‡–‘‰‹˜‡ ›’ƒ–‹‡–•ƒ•‡•‡‘ˆŠ‘’‡Ǥ ™ƒ––‘•Š‘™–Š‡ –Šƒ––Š‡”‡ƒ”‡ƒ›ƒ˜‡—‡•–Šƒ––Š‡›ƒ›‘–Šƒ˜‡ –”‹‡†„‡ˆ‘”‡ǡƒ†–Š‹‰•…ƒ‰‡–„‡––‡”Ǥ‘ƒ› ’ƒ–‹‡–•Šƒ˜‡„‡‡–‘Ž†„›ˆ”‹‡†•ǡˆƒ‹Ž›‡Ǧ „‡”•ƒ†‡˜‡‘–Š‡”’Š›•‹…‹ƒ•–Šƒ––Š‡›ƒ›‘– Šƒ˜‡ƒ‰‘‘†”‡ƒ•‘–‘Šƒ˜‡’ƒ‹ǡ‘”–Šƒ–‘–Š‹‰ …ƒ„‡†‘‡ˆ‘”–Š‡‹”’ƒ‹Ǥ‘–Šƒ˜‹‰ƒ›Š‘’‡‹• –Š‡™‘”•–ˆ‡‡Ž‹‰ǡƒ† ™ƒ––‘„‡ƒ„Ž‡–‘‰‹˜‡› ’ƒ–‹‡–•–Š‡Š‘’‡–Šƒ––Š‹‰•…ƒȂƒ†™‹ŽŽȂ‰‡– „‡––‡”Ǥdz Arizona Pain Monthly ȁOctober 2010


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Arizona Pain Monthly Č October 2010


–‹•„‡…‘‹‰‹…”‡ƒ•‹‰Ž›…Ž‡ƒ” –Šƒ–ƒŠ‘•–‘ˆ‹ŽŽ‡••‡•Ǧ‹…Ž—†‹‰ •‘‡ˆ‘”•‘ˆ…Š”‘‹…’ƒ‹ǡŒ‘‹– ’ƒ‹ǡ•’‹‡’ƒ‹ǡ†‹•…’ƒ‹ǡ—•…Ž‡ ’ƒ‹ǡŠ‡ƒ”–†‹•‡ƒ•‡ǡƒ›…ƒ…‡”•ǡ †‡‰‡‡”ƒ–‹˜‡„”ƒ‹†‹•‡ƒ•‡ƒ†ŽǦ œŠ‡‹‡”ǯ•†‹•‡ƒ•‡Ǧƒ”‡’”‡†‹•’‘•‡† ‹Žƒ”‰‡’ƒ”–„›…Š”‘‹…‹ϐŽƒǦ ƒ–‹‘ǤŠ‹•‹•ƒ’”‘…‡••‹™Š‹…Š –Š‡‹—‡•›•–‡„‡…‘‡•‘ˆˆ „ƒŽƒ…‡ƒ†’‡”•‹•–•—‡…‡••ƒ”‹Ž› ‹‹–•‡ˆˆ‘”–•–‘”‡’ƒ‹”–Š‡„‘†›ƒ† ˆ‡†‘ˆˆ’ƒ–Š‘‰‡•ǤŠ‹•’”‘Ž‘‰‡† ’”‘…‡••”‡•—Ž–•‹†ƒƒ‰‡–‘ Š‡ƒŽ–Š›–‹••—‡ƒ•™‡ŽŽǤŠ”‘‹…’ƒ‹ǡ •–”‡••ǡŽƒ…‘ˆ‡š‡”…‹•‡ǡ‰‡‡–‹…’”‡Ǧ †‹•’‘•‹–‹‘ƒ†‘–Š‡”Ž‹ˆ‡•–›Ž‡ˆƒ…Ǧ –‘”•…ƒƒŽŽ’”‘‘–‡‹ϐŽƒƒ–‹‘ǡ „—–’‘‘”†‹‡–‹•’‡”Šƒ’•–Š‡„‹‰‰‡•– …‘–”‹„—–‘”ǡƒ†‹•–Š‡‹†‡ƒŽ’Žƒ…‡–‘ „‡‰‹ƒ††”‡••‹‰‹ϐŽƒƒ–‹‘Ǥ ƒ––›ƒ…‹†•’Žƒ›ƒƒŒ‘””‘Ž‡‹ –Š‡‡†‹ƒ–‹‘‘ˆ–Š‡‹ϐŽƒƒ–‘”› ‡…Šƒ‹•Ǥ ƒ––›ƒ…‹†•ǡ•’‡…‹ϐ‹…ƒŽŽ› …‡”–ƒ‹‡„‡”•‘ˆ–Š‡‘‡‰ƒǦ͸ ƒ†‘‡‰ƒǦ͵’‘Ž›—•ƒ–—”ƒ–‡†ˆƒ– ˆƒ‹Ž‹‡•ƒ›‹ϐŽ—‡…‡Ž‘…ƒŽ–‹•Ǧ •—‡ǤŽ‹‹…ƒŽ•–—†‹‡•Šƒ˜‡•Š‘™ –Š‡‘•–’”‘‹•‡ˆ‘”‹…”‡ƒ•‹‰ ˆ‘‘†ƒ†•—’’Ž‡‡–ƒŽ•‘—”…‡•‘ˆ ‘‡‰ƒǦ͵ƒ†ȋƒ†‡ˆ”‘‘‡Ǧ ‰ƒǦ͵Ȍ„‡‰‹‹‰ƒ–ƒ„‘—–ͷͲͲ‰Ȁ †ƒ›ˆ‘”Š‡ƒ”–†‹•‡ƒ•‡’”‡˜‡–‹‘ ƒ†͵ǡͲͲͲ‰Ȁ†ƒ›ˆ‘”…Ž‹‹…ƒŽ ƒ–‹Ǧ‹ϐŽƒƒ–‘”›‡ˆˆ‡…–Ǥ…ƒ „‡ˆ‘—†‹›‘—”Ž‘…ƒŽŠ‡ƒŽ–Šˆ‘‘† •–‘”‡Ǥ Ž‡ƒ”Ž›–Š‡„‡•–‡˜‹†‡…‡ˆ‘” †‡•‹‰‹‰–Š‡ˆƒ––›ƒ…‹†•…‘–”‹„—Ǧ –‹‘–‘ƒƒ–‹Ǧ‹ˆŽƒƒ–‘”›†‹‡– ‹•–‘‹…”‡ƒ•‡‹–ƒ‡ˆ”‘ ƒ”‹‡•‘—”…‡••—…Šƒ•‘›•–‡”•ǡ ‘‹Ž›ˆ‹•Šȋ•ƒŽ‘ǡ•ƒ”†‹‡•ǡŠ‡”Ǧ ”‹‰ǡ–”‘—–ǡ„Žƒ……‘†Ȍƒ†’Žƒ–Ǧ „ƒ•‡†ˆ‘‘†•Ǥ‡ǯ•‰‘ƒŽ•Š‘—Ž†„‡ –‘…‘•—‡–Š‡•‡ˆ‘‘†••‡˜‡”ƒŽ –‹‡•ƒ™‡‡Ǥ –‹•Œ—•–ƒ•‹’‘”Ǧ –ƒ––‘”‡†—…‡†‹‡–ƒ”›•‘—”…‡•‘ˆ ƒ”ƒ…Š‹†‘‹…ƒ…‹†ȋ’”‘Ǧ‹ˆŽƒƒ–‘Ǧ ”›Ȍƒ†‡„›–Š‡„‘†›™Š‡‡ƒ–ǡ Š‹‰ŠǦˆƒ–‹Žǡ…Š‡‡•‡’”‘†—…–•ǡ Page 10

ƒ†‡‰‰•ƒ”‡…‘•—‡†Ǥ ‘‡‘–Š‡”ˆƒ…–‘”•–‘’ƒ›ƒ––‡Ǧ –‹‘–‘™Š‡‘ƒƒ–‹Ǧ‹ϐŽƒƒǦ –‘”›†‹‡–‹•–‘ƒ˜‘‹†–‘‘ƒ›…ƒŽ‘Ǧ ”‹‡•ǡ–‘‘ƒ›•ƒ–—”ƒ–‡†ˆƒ–•ǡ–‘‘ —…ŠƒŽ…‘Š‘Žǡ–‘‘—…Š•—‰ƒ”ǡ–‘‘ ƒ›…ƒ”„‘Š›†”ƒ–‡•ǡŠ‹‰Š‘‡‰ƒǦ͸ –‘‘‡‰ƒǦ͵”ƒ–‹‘ƒ†Š‹‰Š•‘†‹— –‘’‘–ƒ••‹—”ƒ–‹‘Ǥ ‘”‡šƒ’Ž‡ǡŠƒ˜‹‰ƒ…Š‡‡•‡„—”‰Ǧ ‡”ˆ‘”Ž—…Šƒ†–Š‡–Š”‡‡•Ž‹…‡• ‘ˆ’‹œœƒ™‹–Š•ƒŽƒ†ȋ‹…‡„‡”‰Ž‡––—…‡ǡ –‘ƒ–‘‡•ǡ…Š‡‡•‡ǡƒ†…”‘—–‘• ™‹–Š„Ž—‡…Š‡‡•‡‘””ƒ…Š†”‡••‹‰Ȍ ˆ‘”†‹‡”™‹ŽŽ•‡†–Š‡„‘†›‹–‘ƒ ’”‘Ǧ‹ϐŽƒƒ–‘”›•–ƒ–‡ǤŠ‡•‡ƒ”‡ ˜‡”›’‘’—Žƒ”‡”‹…ƒ‡ƒŽ•ƒ† …‘•‹•–‘ˆƒϐ‹˜‡’‘‹–’”‘Ǧ‹ϐŽƒǦ ƒ–‘”›‡š’‘•—”‡ȋŠ‹‰Š…ƒŽ‘”‹‡ǡŠ‹‰Š ”‡ϐ‹‡†…ƒ”„‘Š›†”ƒ–‡•ǡŠ‹‰Š•ƒ–—”ƒ–Ǧ ‡†ˆƒ–•ǡŠ‹‰Š•‘†‹—–‘’‘–ƒ••‹— ”ƒ–‹‘ƒ†Š‹‰Š‘‡‰ƒǦ͸–‘‘‡‰ƒǦ͵ ”ƒ–‹‘ȌǤ‘—•Š‘—Ž†…‘•—‡–Š‡•‡ –Š‹‰•‹‘†‡”ƒ–‹‘Ǥ ƒ›’ƒ–‹‡–•ƒ›™‘†‡”‹ˆ‘‡ ’”‘Ǧ‹ϐŽƒƒ–‘”›‡ƒŽŠƒ•ƒ„‹‰‡ˆǦ ˆ‡…–‘–Š‡„‘†›ǫ –‹•‹’‘”–ƒ––‘ ‘™–Šƒ–•ƒŽŽ’‘”–‹‘•‘ˆˆ‘‘†• ™Š‹…Š—’Ǧ”‡‰—Žƒ–‡‹ϐŽƒƒ–‘”›”‡Ǧ ƒ…–‹‘•™‹ŽŽ‘–…ƒ…‡Ž‘—––Š‡‡ˆˆ‡…– ‘ˆƒ’”‹ƒ”‹Ž›ƒ–‹Ǧ‹ϐŽƒƒ–‘”› ‡ƒŽȀ†‹‡–Ǥ ‘”‡šƒ’Ž‡ǡƒˆ‡™ˆ‘‘†• –Šƒ–™‹ŽŽ–‡†–‘—’Ǧ”‡‰—Žƒ–‡–Š‡ †‡‰”‡‡‘ˆ‹ϐŽƒƒ–‘”›”‡•’‘•‡ †—”‹‰–Š‡‡–ƒ„‘Ž‹……‘—”•‡–Šƒ– ˆ‘ŽŽ‘™‹‰‡•–‹‘‹…Ž—†‡‡”‹…ƒ …Š‡‡•‡ǡ„ƒ…‘ǡ„‘Ž‘‰ƒǡ„”ƒ–™—”•–ǡ „”‘™‹‡•ǡ™Š‹–‡„”‡ƒ†ǡ„—––‡”ǡ…‘” …Š‹’•ǡ…”‡ƒǡ†‘—‰Š—–•ǡ‡‰‰”‘ŽŽ•ǡ ˆ”—‹–Œ—‹…‡•ǡ‹…‡…”‡ƒǡŠ‘–†‘‰•ƒ† Š‘‡›–‘ƒ‡ƒˆ‡™Ǥ††‹–‹‘ƒŽŽ›ǡ ˆ‘‘†•–Šƒ–…ƒ†‘™Ǧ”‡‰—Žƒ–‡–Š‡ ‹ϐŽƒƒ–‘”›’”‘…‡••ƒ›Ž‘•‡ •‘‡‘”ƒŽŽ‘ˆ–Š‡‹”„‡‡ϐ‹–„›„‡‹‰ „ƒ––‡”‡†‘”†‡‡’Ǧˆ”‹‡†Ǥ ‘‘†•–‘‹…Ž—†‡‹ƒƒ–‹Ǧ ‹ϐŽƒƒ–‘”›†‹‡––Šƒ–™‹ŽŽ…ƒ—•‡ †‘™Ǧ”‡‰—Žƒ–‹‘‘ˆ‹ϐŽƒƒ–‹‘ ‹…Ž—†‡ƒ’’Ž‡•ǡƒ’”‹…‘–•ǡƒ”–‹…Š‘‡•ǡ ƒ˜‘…ƒ†‘•ǡ„‡ƒ•ǡ„‡””‹‡•ǡ„”‘……‘Ž‹ǡ ‡‰‰’Žƒ–ǡ‘Ǧˆƒ–†ƒ‹”›ǡƒŽ‡ǡŽ‡Ǧ

‘•ǡ—•Š”‘‘•ǡ’‡…ƒ•ǡ’‡’’‡”•ǡ ™‹Ž†‰ƒ‡ǡ—–‡‰ǡ‘”‡‰ƒ‘ƒ† •’‹ƒ…ŠŒ—•––‘ƒ‡ƒˆ‡™Ǥ ‹ϐŽƒƒ–‘”›†‹‡–…ƒƒŽ•‘ …ƒ—•‡†‡…”‡ƒ•‡†‡‡”‰›Ž‡˜‡Ž•ǡ ™Š‹…Š…ƒ’”‘†—…‡„‘†›Ǧˆƒ–—’Ǧ –ƒ‡ǤŠ‹•‹•‘ˆ–‡‘˜‡”Ž‘‘‡†ƒ• ƒ…ƒ—•‡‘ˆ•›•–‡‹…‹ϐŽƒƒ–‹‘ ƒ†‹…”‡ƒ•‡†’ƒ‹‡†‹ƒ–‘”•‹ –Š‡„‘†›Ǥ –•Š‘™•–Šƒ–‡ƒ–‹‰–‘‘ —…Šǡ–‘‘‘ˆ–‡ƒ›„‡‘‡‘ˆ –Š‡‘•–‹ϐŽ—‡–‹ƒŽˆƒ…–‘”•–Šƒ– •—’’‘”–ƒ•›•–‡‹…‹ϐŽƒƒ–‘”› ”‡•’‘•‡ǤŠ‡‹–…‘‡•–‘•›•Ǧ –‡‹…‹ϐŽƒƒ–‹‘ǡ–Š‡ƒ‘—–‘ˆ ’Š›•‹…ƒŽƒ…–‹˜‹–›†‘‡•‘–’Žƒ›ƒ• Žƒ”‰‡‘ˆƒ”‘Ž‡‹–Š‡’”‘…‡••ƒ•–Š‡ ƒ‘—–‘ˆ‡š…‡••„‘†›™‡‹‰Š–ƒ› …ƒ””›†—‡–‘‘—”†‹‡–Ǥ ‘”‡šƒ’Ž‡ǡ ƒ†‹‡–ƒ”›‹„ƒŽƒ…‡‘ˆ‡ƒ–‹‰–‘‘ ƒ›—’Ǧ”‡‰—Žƒ–‘”›‹ϐŽƒƒ–‘”› ˆ‘‘†•’”‘‘–‡•‘˜‡”‡ƒ–‹‰„›–”‹‰Ǧ ‰‡”‹‰‡—”‘…Š‡‹…ƒŽ”‡•’‘•‡• –Šƒ–Š›’‡”•–‹—Žƒ–‡‘—”ƒ’’‡–‹–‡Ǥ †‹’‘•‡ȋˆƒ–Ȍ–‹••—‡‹–•‡Žˆ’”‘†—…‡• ‡†‹ƒ–‘”•…ƒŽŽ‡†ƒ†‹’‘‹‡•Ǧ•‘‡ ƒ”‡’”‘Ǧ‹ϐŽƒƒ–‘”›ƒ†•‘‡ ƒ”‡ƒ–‹Ǧ‹ϐŽƒƒ–‘”›ǤŠ‡–Š‡”‡ ‹•‡š…‡••ƒ†‹’‘•‡–‹••—‡ǡ–Š‡’”‘Ǧ ‹ϐŽƒƒ–‘”›‡†‹ƒ–‘”•‘˜‡”…‘‡ –Š‡ƒ–‹Ǧ‹ϐŽƒƒ–‘”›‡†‹ƒ–‘”•Ǥ

–‹•‡˜‹†‡––Šƒ–‘•–’‡‘’Ž‡†‘ ‘–‡ƒ–ƒƒ†‡“—ƒ–‡ƒ‘—–‘ˆ˜‡‰Ǧ ‡–ƒ–‹‘ǡŽ‡ƒ‡ƒ–ƒ†ϐ‹•ŠǤ ƒ††‹Ǧ –‹‘–‘ƒŠ‡ƒŽ–Š›ƒ–‹Ǧ‹ϐŽƒƒ–‘”› †‹‡–ǡƒ‘’–‹‘ƒŽ„ƒ•‹…•—’’Ž‡‡– ƒ’’”‘ƒ…Š–‘•—’’‘”––Š‡†‡ϐŽƒ‹‰ …‘—”•‡‹…Ž—†‡•ƒ‰‡•‹—ǡϐ‹•Š ‘‹Žǡƒ—Ž–‹˜‹–ƒ‹ƒ†˜‹–ƒ‹Ǥ ”‘”‡ƒ†‹‰–Š‡ƒ„‘˜‡ǡ‹ˆ›‘—ϐ‹† ›‘—‹‰Š–Šƒ˜‡ƒ‹ϐŽƒƒ–‘”› †‹‡–ƒ†Ȁ‘”•—ˆˆ‡”ˆ”‘…Š”‘‹… ’ƒ‹ǡ‹–™‘—Ž†„‡„‡‡ϐ‹…‹ƒŽ–‘ ™”‹–‡†‘™ƒ†‹‡–Š‹•–‘”›‘˜‡”͵Ǧ͹ †ƒ›•ƒ†ƒ‡ƒ†Œ—•–‡–•™Š‡”‡ ‡‡†‡†Ǥ ‘’‡–Š‹•Š‡Ž’•ƒ†Šƒ’’› ‡ƒ–‹‰Ǥ Tiffany Moat, D.C.

Arizona Pain Monthly ȁOctober 2010


Page 11

Arizona Pain Monthly Č October 2010


I recently had a shoulder injury. My primary care doctor said the joint is in๏ฆlamed, and recommended I see a pain management physician for joint injections. Can you explain in๏ฆlammation and what a joint injection is?

ย‡ย†ย„ย›ยšวฆย”ยƒย›ย‰ย—ย‹ย†ยƒยย…ย‡ศŒวกยƒยย†ย‹ยยŒย‡ย…ย–ย‹ยย‰ ย–ยŠย‡ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย‹ยย–ย‘ย–ยŠย‡ย’ยƒย‹ยยˆย—ยŽยŒย‘ย‹ยย–วค ย‹ยย…ย‡ย–ยŠย‡ย‹ยยŒย‡ย…ย–ย‹ย‘ยย™ย‹ยŽยŽย„ย‡ย‰ย‘ย‹ยย‰ย‹ยย–ย‘ ยƒย’ยƒย‹ยยˆย—ยŽยƒย”ย‡ยƒวกย‹ย–ย‹ย•ยƒย†ย˜ย‹ย•ย‡ย†ย–ย‘ย‹ย…ย‡ย–ยŠย‡ ยƒย”ย‡ยƒยƒยย†ย„ย‡ยƒย™ยƒย”ย‡ย–ยŠยƒย–ย›ย‘ย—ยยƒย›ย„ย‡ ย–ย‡ยย†ย‡ย”ย‹ยย–ยŠยƒย–ยƒย”ย‡ยƒยˆย‘ย”ย—ย’ย–ย‘ย–ย™ย‘ย†ยƒย›ย• ยƒยˆย–ย‡ย”ย›ย‘ย—ย”ย‹ยยŒย‡ย…ย–ย‹ย‘ยวคยŠย›ย•ย‹ย…ยƒยŽย–ยŠย‡ย”ยƒย’ย› ย‡ยšย‡ย”ย…ย‹ย•ย‡ย•ยƒย”ย‡ย‘ยˆย–ย‡ยย—ย•ย‡ย†ย–ย‘ย‹ยย…ย”ย‡ยƒย•ย‡ ย–ยŠย‡ยย‘ย„ย‹ยŽย‹ย–ย›ย‘ยˆย–ยŠย‡ย‹ยฯยŽยƒยย‡ย†ยƒย”ย‡ยƒยƒยย† ย’ย”ย‡ย˜ย‡ยย–ย–ยŠย‡ย‹ยยŒย—ย”ย›ยˆย”ย‘ยย”ย‡ย…ย—ย”ย”ย‹ยย‰วค

ย„ยƒยŽยƒยย…ย‡ย‘ยˆย•ย‘ยย‡ย•ย‘ย”ย–วค ย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒ ย‹ย•ยƒย…ย‘ยย’ยŽย‡ยšย…ย‘ยย†ย‹ย–ย‹ย‘ยยƒยย†ย‘ยย‰ย‘ย‹ยย‰ ย”ย‡ย•ย‡ยƒย”ย…ยŠย‹ย•ยŽย‘ย‘ยย‹ยย‰ย‹ยย–ย‘ย–ยŠย‡ย”ย‡ยƒย•ย‘ยย• ย–ยŠยƒย–ย…ย‡ย”ย–ยƒย‹ยย’ย‡ย‘ย’ยŽย‡ย•ย—ยˆยˆย‡ย”ยˆย”ย‘ยย–ยŠย‹ย• ย†ย‹ย•ย‡ยƒย•ย‡วค

ยŠย‡ย–ย”ย‡ยƒย–ยย‡ยย–ย…ยƒยย„ย‡ย’ยƒย”ย–ย‹ย…ย—ยŽยƒย”ยŽย› ย†ย‹ยˆฯย‹ย…ย—ยŽย–วกย„ย—ย–ย™ย‡ยย‘ย™ยŠยƒย˜ย‡ย–ยŠย”ย‡ย‡  ยƒย’ย’ย”ย‘ย˜ย‡ย†ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ยˆย‘ย”ฯย‹ย„ย”ย‘ยย›ยƒยŽวฆ

ยฯยŽยƒยยยƒย–ย‹ย‘ยย…ยƒยย„ย‡ย…ยƒย—ย•ย‡ย†ย™ย‹ย–ยŠย‹ย ย‰ยƒวฃย›ย”ย‹ย…ยƒฬบวกย›ยย„ยƒยŽย–ยƒฬบวกยƒยย†ยƒย˜ย‡ยŽวฆ ยƒยŒย‘ย‹ยย–ยƒยย†ย–ย‘ย‹ย–ย•ย•ย—ย”ย”ย‘ย—ยย†ย‹ยย‰ย•ย–ย”ย—ย…วฆ ยŽยƒฬบวคยŠย‡ย•ย‡ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ยƒย”ย‡ย„ย‡ยŽย‹ย‡ย˜ย‡ย† ย–ย—ย”ย‡ย•ศ‹ยŽย‹ย‰ยƒยย‡ยย–ย•วกย–ย‡ยย†ย‘ยย•วกยย—ย•วฆ ย–ย‘ย”ย‡ย‰ย—ยŽยƒย–ย‡ย…ย‡ยย–ย”ยƒยŽยย‡ย”ย˜ย‘ย—ย•ย•ย›ย•ย–ย‡ย What treatment options are ย…ยŽย‡ย•วฅศŒวค ยฯยŽยƒยยยƒย–ย‹ย‘ยย‹ย•ย…ย‘ยยย‘ย ย‹ยย„ยƒยŽยƒยย…ย‡ย•วคยŠย›ย•ย‹ย…ย‹ยƒยย•ย™ย‹ยŽยŽยƒยŽย•ย‘ย‘ยˆย–ย‡ย available for those who suffer ยƒยˆย–ย‡ย”ย‘ย˜ย‡ย”ย—ย•ย‡วกย–ย”ยƒย—ยยƒวกยƒยย†ย‹ยฯยŽยƒยวฆ ย’ย”ย‡ย•ย…ย”ย‹ย„ย‡ยƒยย–ย‹วฆย†ย‡ย’ย”ย‡ย•ย•ยƒยย–ย•วกยย‘ยวฆ ยยƒย–ย‘ย”ย›ย…ย‘ยย†ย‹ย–ย‹ย‘ยย•ย•ย—ย…ยŠยƒย•ยƒย”ย–ยŠย”ย‹ย–ย‹ย•วค from ๏ฆibromyalgia? ย•ย–ย‡ย”ย‘ย‹ย†ยƒยŽยƒยย–ย‹วฆย‹ยฯยŽยƒยยยƒย–ย‘ย”ย›ย†ย”ย—ย‰ย• ย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย‹ย•ยƒย†ย‹ยˆฯย‹ย…ย—ยŽย–ย†ย‹ย•ย‡ยƒย•ย‡

ยฯยŽยƒยยยƒย–ย‹ย‘ยย‹ย•ย‘ยย‡ย‘ยˆย–ยŠย‡ย„ย‘ย†ย›วฏย• ศ‹ ย•ศŒวกยƒย…ย‡ย–ยƒยย‹ยย‘ย’ยŠย‡ยศ‹ย–ยŠย‡ยย‘ย•ย– ศ‚ย†ย‹ยˆฯย‹ย…ย—ยŽย–ย–ย‘ย†ย‹ยƒย‰ยย‘ย•ย‡วกย†ย‹ยˆฯย‹ย…ย—ยŽย–ย–ย‘ ฯย‹ย”ย•ย–ย”ย‡ยƒย…ย–ย‹ย‘ยย•ย™ยŠย‡ยยƒยยƒย”ย‡ยƒย‹ย• ย’ย‘ย’ย—ยŽยƒย”ย„ย”ยƒยย†ยยƒยย‡ย‹ย•ย›ยŽย‡ยย‘ยŽฬบศŒวก ย–ย”ย‡ยƒย–วกยƒยย†ย†ย‹ยˆฯย‹ย…ย—ยŽย–ย–ย‘ยŽย‹ย˜ย‡ย™ย‹ย–ยŠวคยƒยย› ยƒยย†ยย—ย•ย…ยŽย‡ย”ย‡ยŽยƒยšยƒยย–ย•วค ย‘ย™ย‡ย˜ย‡ย”วกย–ยŠย‡ย•ย‡ ย‹ยยŒย—ย”ย‡ย†วคยŠย‡ยย–ยŠย‡ย„ย‘ย†ย›ย•ย—ย•ย–ยƒย‹ยย• ย™ย‹ย–ยŠฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒฯย‹ยย†ย–ยŠยƒย–ย–ยŠย‡ย›ยƒย”ย‡ ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ยƒย”ย‡ย‘ยˆย–ย‡ยยย‘ย–ย…ย‘ยย’ยŽย‡ย–ย‡ยŽย› ย‹ยยŒย—ย”ย›วกย™ยŠย‹ย–ย‡ย„ยŽย‘ย‘ย†ย…ย‡ยŽยŽย•ยƒยย†ย‘ย–ยŠย‡ย” ย‹ยย…ย‘ยย•ย–ยƒยย–วกยƒยŽยŽวฆย‘ย˜ย‡ย”ย’ยƒย‹ยวกยƒยย†ย–ยŠยƒย– ย‹ยฯยŽยƒยยยƒย–ย‘ย”ย›ยย‡ย†ย‹ยƒย–ย‘ย”ย•ย‰ย‘ย–ย‘ย–ยŠย‡ ย‡ยˆยˆย‡ย…ย–ย‹ย˜ย‡ย‹ยย–ย”ย‡ยƒย–ย‹ยย‰ย’ยƒย‹ยย…ยƒย—ย•ย‡ย†ย„ย› ย–ยŠย‡ย”ย‡ย•ย‡ย‡ยย•ย–ย‘ย„ย‡ยŽย‹ยย‹ย–ย‡ย†ย”ย‡ย•ย‘ย—ย”ย…ย‡ย• ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒวคย’ย‹ย‘ย‹ย†ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย• ย‹ยยŒย—ย”ย‡ย†ย•ย‹ย–ย‡ยƒยย†ย’ย”ย‘ย–ย‡ย…ย–ย–ยŠย‡ย„ย‘ย†ย› ยˆย”ย‘ยย‹ยยˆย‡ย…ย–ย‹ย‘ยย™ยŠย‹ยŽย‡ยŠย‡ยŽย’ย‹ยย‰ย–ย‘ยŠย‡ยƒยŽ ย–ย‘ยŠย‡ยŽย’ย–ยŠย‡ยย™ย‹ย–ยŠย–ยŠย‡ย‹ย”ย’ยƒย‹ยยˆย—ยŽ ศ‹ยย‘ย”ย’ยŠย‹ยย‡วกย‹ย…ย‘ย†ย‹ยวกย‡ย”ย…ย‘ย…ย‡ย–วฅศŒยŠยƒย˜ย‡ ย…ย‘ยย†ย‹ย–ย‹ย‘ยวค ย–ยŠย‡ย†ยƒยยƒย‰ย‡ย†ยƒย”ย‡ยƒวคยŠย‹ย•ย’ย”ย‘ย…ย‡ย•ย• ยย‡ย˜ย‡ย”ย„ย‡ย‡ยย•ยŠย‘ย™ยย–ย‘ยŠย‡ยŽย’ย–ยŠย‘ย•ย‡ย™ยŠย‘ ย…ยƒย—ย•ย‡ย•ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ยยƒยย†ย‘ยˆย–ย‡ยย’ยƒย‹ยวค ย•ย—ยˆยˆย‡ย”ยˆย”ย‘ยฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒยƒยย†ยƒย”ย‡ย–ย›ย’ย‹วฆ ยŠย‹ยŽย‡ย’ย”ย‡ย†ย‘ยย‹ยยƒย–ย‡ยŽย›ย•ย‡ย‡ยย‹ยย™ย‘ยย‡ย ย…ยƒยŽยŽย›ยƒย˜ย‘ย‹ย†ย‡ย†วค ยƒย‰ย‡ย•อตอฒวฆอทอฒวกฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย…ยƒยยƒย…ย–ย—วฆ

ยฯยŽยƒยยยƒย–ย‘ย”ย›ย•ย›ยย’ย–ย‘ยย•ย™ย‹ย–ยŠย‹ย ยƒยŽยŽย›ยƒยˆยˆย‡ย…ย–ยƒยย›ย‘ยย‡วกย‘ยˆยƒยย›ยƒย‰ย‡วคยŠย‹ย• ยƒยŒย‘ย‹ยย–ยยƒย›ย‹ยย…ยŽย—ย†ย‡ย”ย‡ย†ยย‡ย•ย•วกย’ยƒย‹ยวก ย†ย†ย‹ย–ย‹ย‘ยยƒยŽย–ย”ย‡ยƒย–ยย‡ยย–ย•ยƒย”ย‡ยƒยŽย•ย‘ย—ย•ย‡ย†ย„ย› ย•ย–ย‹ยˆยˆยย‡ย•ย•วกยŽย‘ย•ย•ย‘ยˆย”ยƒยย‰ย‡วฆย‘ยˆวฆยย‘ย–ย‹ย‘ยยƒยย† ย’ยƒย‹ยยˆย—ยŽย…ย‘ยย†ย‹ย–ย‹ย‘ยย‹ย•ย…ยŠยƒย”ยƒย…ย–ย‡ย”ย‹ยœย‡ย†ย„ย› ย’ยŠย›ย•ย‹ย…ย‹ยƒยย•ยƒยย†ยย‹ย‰ยŠย–ย‹ยย…ยŽย—ย†ย‡ย’ยŠย›ย•ย‹ย…ยƒยŽ ย–ย‡ยย†ย‡ย”ยย‡ย•ย•ย•ย‡ย‡ยย‹ยย–ยŠย‡ย‡ยšย–ย”ย‡ยย‹ย–ย‹ย‡ย•วก ย•ยย‹ยย–ยŠยƒย–ย‹ย•ย™ยƒย”ยย–ย‘ย–ยŠย‡ย–ย‘ย—ย…ยŠวค ยˆย–ยŠย‡ ย–ยŠย‡ย”ยƒย’ย›ยƒยย†ยƒย…ย—ย’ย—ยย…ย–ย—ย”ย‡วคยƒย–ย‹ย‡ยย–ย•ย…ยƒย ยย‡ย…ยยƒยย†ย„ยƒย…ยวกยƒยย†ยย‘ย•ย–ย•ย’ย‡ย…ย‹ฯย‹ย…ยƒยŽยŽย› ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ยย‹ย•ยย‹ยŽย†ย‡ยย‘ย—ย‰ยŠวกย‹ย–ย…ยƒย ยƒยŽย•ย‘ย‡ยย’ย‘ย™ย‡ย”ย–ยŠย‡ยย•ย‡ยŽย˜ย‡ย•ย„ย›ย–ยƒยย‹ยย‰ ยƒย–วฒย–ย‡ยย†ย‡ย”ย’ย‘ย‹ยย–ย•วณย‹ยย–ยŠย‡ย•ย‡ย”ย‡ย‰ย‹ย‘ยย•วค ย„ย‡ย–ย”ย‡ยƒย–ย‡ย†ย™ย‹ย–ยŠย‘ย˜ย‡ย”วฆย–ยŠย‡วฆย…ย‘ย—ยย–ย‡ย” ยƒย…ย–ย‹ย‘ยย–ย‘ย™ยƒย”ย†ยŽย‹ย˜ย‹ยย‰ย™ย‹ย–ยŠยŽย‡ย•ย•ย’ยƒย‹ยวค ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย’ยƒย–ย‹ย‡ยย–ยยƒย›ย‡ยšย’ย‡ย”ย‹ย‡ยย…ย‡ ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ย•ย—ย…ยŠยƒย•ยย‘ยวฆย•ย–ย‡ย”ย‘ย‹ย†ยƒยŽ ยšย‡ย”ย…ย‹ย•ย‡ย‹ย•ยŠย‹ย‰ยŠยŽย›ย”ย‡ย…ย‘ยยย‡ยย†ย‡ย†ยˆย‘ย” ย•ย–ย‹ยˆยˆยย‡ย•ย•วกยƒยย†ยยƒย›ย‡ยšย’ย‡ย”ย‹ย‡ยย…ย‡ย’ยƒย‹ย ยƒยย–ย‹วฆย‹ยฯยŽยƒยยยƒย–ย‘ย”ย›ย†ย”ย—ย‰ย•ศ‹ ย•ศŒวก ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย’ยƒย–ย‹ย‡ยย–ย•วกย‡ย•ย’ย‡ย…ย‹ยƒยŽยŽย›ย›ย‘ย‰ยƒ ยˆย”ย‘ยยย‹ยย‹ยยƒยŽย•ย–ย‹ยย—ยŽย‹ย•ย—ย…ยŠยƒย•ย…ยŽย‘ย–ยŠย‹ยย‰ ยƒยย†ย‡ยšย‡ย”ย…ย‹ย•ย‡ย•ย–ยŠยƒย–ย…ยƒยย„ย‡ย’ย‡ย”ยˆย‘ย”ยย‡ย†ย‹ย ยŽย‹ยย‡ย‹ย„ย—ย’ย”ย‘ยˆย‡ยวค ย–ย‹ย•ย‹ยย’ย‘ย”ย–ยƒยย–ย–ย‘ ย„ย”ย—ย•ยŠย‹ยย‰ยƒย‰ยƒย‹ยย•ย–ย–ยŠย‡ย•ยย‹ยวกย‘ย”ย•ย‘ยย‡ย‘ยย‡ ยƒย’ย‘ย‘ยŽวคย˜ย‡ยย‹ยˆยƒฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย’ยƒย–ย‹ย‡ยย–ย‹ย• ยยƒยย‡ย•ย—ย”ย‡ย–ยŠยƒย–ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ยย‹ย•ย–ยŠย‡ ย„ย—ยย’ย‹ยย‰ย‹ยย–ย‘ย–ยŠย‡ยย‹ยยƒยŠยƒยŽยŽย™ยƒย›วค ย”ย‘ย ยŠยƒย˜ย‹ยย‰ยƒย’ยƒย”ย–ย‹ย…ย—ยŽยƒย”ยŽย›ย„ยƒย†ย†ยƒย›วกยƒวฒฯย‹ย„ย”ย‘วฆ ย•ย‘ย—ย”ย…ย‡ย‘ยˆย›ย‘ย—ย”ย’ยƒย‹ยวกย‹ยย•ย–ย‡ยƒย†ย‘ยˆย‹ยยˆย‡ย…วฆ ย–ย‹ย‘ยวค ยยˆย‡ย…ย–ย‹ย‘ยย…ยƒยยƒยŽย•ย‘ย…ยƒย—ย•ย‡ยยƒยย›ย‘ยˆ ย–ยŠย‡ย•ย‡ย•ย‡ย‡ยย‹ยย‰ยŽย›ย‹ยย•ย‹ย‰ยย‹ฯย‹ย…ยƒยย–ย•ย–ย‹ยย—ยŽย‹วก ฯยŽยƒย”ย‡วณย‹ยย…ย‘ยย•ย‹ย†ย‡ย”ยƒย–ย‹ย‘ยย‘ยˆย–ยŠย‡ย‹ย”ย’ยƒย‹ยวก ย–ยŠย‡ย•ยƒยย‡ย•ย›ยย’ย–ย‘ยย•ยƒยย†ย‹ยˆย•ย—ย•ย’ย‡ย…ย–ย‡ย†วก ยƒฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย’ยƒย–ย‹ย‡ยย–ย…ยƒยย‡ยšย’ย‡ย”ย‹ย‡ยย…ย‡ ย–ยŠย‡ย›ยƒย”ย‡ย•ย–ย‹ยŽยŽย‡ยย…ย‘ย—ย”ยƒย‰ย‡ย†ย–ย‘ย’ย‡ย”ยˆย‘ย”ย ย„ยŽย‘ย‘ย†ย™ย‘ย”ยย™ย‹ยŽยŽย’ย”ย‘ย„ยƒย„ยŽย›ย„ย‡ย‘ย”ย†ย‡ย”ย‡ย†วค ย‡ยšย…ย”ย—ย…ย‹ยƒย–ย‹ยย‰ย’ยƒย‹ยวกย™ยŠย‡ย”ย‡ยย‘ย•ย–ย’ย‡ย‘ย’ยŽย‡ ย–ยŠย‡ย‹ย”ย†ยƒย‹ยŽย›ย‡ยšย‡ย”ย…ย‹ย•ย‡ย”ย‘ย—ย–ย‹ยย‡วค ย–ยŠยƒย•ย„ย‡ย‡ย ย‘ย—ย”ย’ยŠย›ย•ย‹ย…ย‹ยƒยย™ย‹ยŽยŽยŠยƒย˜ย‡ย–ย‘ย†ย‡ย–ย‡ย”ยย‹ยย‡ ย™ย‘ย—ยŽย†ยŒย—ย•ย–ยˆย‡ย‡ยŽย–ยŠย‡ย•ย‡ยย•ยƒย–ย‹ย‘ยวคยŠย‘ย•ย‡ ย•ยŠย‘ย™ยย–ยŠยƒย–ย‡ย˜ย‡ยย–ยƒยย‹ยย‰ยƒย•ย‹ยย’ยŽย‡ย™ยƒยŽย ย™ย‹ย–ยŠฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย™ย‹ยŽยŽยƒยŽย•ย‘ย‰ย‡ยย‡ย”ยƒยŽยŽย› ย‹ยˆย›ย‘ย—ย”ย’ยƒย‹ยย‹ย•ย†ย—ย‡ย–ย‘ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ย ย…ยƒยยŠย‡ยŽย’ยƒฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย’ยƒย–ย‹ย‡ยย–ย‹ยวฆ ย‡ยšย’ย‡ย”ย‹ย‡ยย…ย‡ย†ย‡ย’ย”ย‡ย•ย•ย‹ย‘ยวกยƒยยšย‹ย‡ย–ย›ยƒยย† ยƒยย†ยยƒย›ย”ย‡ย“ย—ย‡ย•ย–ย‹ยยƒย‰ย‹ยย‰ศ‹ วก ยย‡ยย•ย‡ยŽย›วคยย‘ย–ยŠย‡ย”ย•ย‹ยย’ยŽย‡ยƒยย†ยย‹ยย‹ยยƒยŽยŽย› ย•ย…ยƒยวฅศŒย–ย‘ย„ย‡ย–ย–ย‡ย”ย•ย‡ย‡ย–ยŠย‡ย’ยƒย‹ยยˆย—ยŽยƒย”ย‡ยƒวค ย•ยŽย‡ย‡ย’ย†ย‡ย’ย”ย‹ย˜ยƒย–ย‹ย‘ยวค ย‘ย™ย‡ย˜ย‡ย”วกย‹ย–ย™ย‹ยŽยŽย„ย‡ ย‹ยย˜ยƒย•ย‹ย˜ย‡ย–ย”ย‡ยƒย–ยย‡ยย–ยˆย‘ย”ย’ยƒย‹ยย…ยƒย—ย•ย‡ย†ย„ย› ยย‘ย–ย‹ย…ย‡ย†ย–ยŠยƒย–ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ยย‹ย•ยย‘ย–ย—ย•ย—วฆ ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย‹ย•ย–ยŠย‡ย—ย•ย‡ย‘ยˆยƒย—ยย‹ย–วค ย‘ย‹ยย–ย‹ยยŒย‡ย…ย–ย‹ย‘ยย•ยƒย”ย‡ย’ย‡ย”ยˆย‘ย”ยย‡ย†ย™ยŠย‡ย ยƒยŽยŽย›ย’ย”ย‡ย•ย‡ยย–วค ยย‘ย™ยยƒย•ย–ย”ยƒยย•ย…ย—ย–ยƒยย‡ย‘ย—ย•ย‡ยŽย‡ย…ย–ย”ย‹ย…ยƒยŽ ย›ย‘ย—ย”ย’ยƒย‹ยย‹ย•ย•ย‡ย˜ย‡ย”ย‡ยƒยย†ย‹ย•ยย‘ย–ยƒย•ย•ย‹ย•ย–ย‡ย† ยย‡ย”ย˜ย‡ย•ย–ย‹ยย—ยŽยƒย–ย‹ย‘ยวกย–ยŠย‹ย•ย‹ย•ยƒย†ย‡ย˜ย‹ย…ย‡ย–ยŠยƒย– ย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย™ยƒย•ย‘ยย…ย‡ย„ย‡ยŽย‹ย‡ย˜ย‡ย† ย„ย›ย‘ย˜ย‡ย”ย–ยŠย‡ย…ย‘ย—ยย–ย‡ย”ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ยƒยย† ย‹ย•ย—ย•ย‡ย†ย‘ยย–ยŠย‡ย•ยย‹ยยƒยย†ย…ยƒยย„ย‡ย—ย•ย‡ย†ยƒย– ย–ย‘ย„ย‡ยƒยย‹ยฯยŽยƒยยยƒย–ย‘ย”ย›ย…ย‘ยย†ย‹ย–ย‹ย‘ยวก ย’ยŠย›ย•ย‹ย…ยƒยŽย–ยŠย‡ย”ยƒย’ย›วค ย‘ย‹ยย–ย‹ยยŒย‡ย…ย–ย‹ย‘ยย•ยƒย”ย‡ ยŠย‘ยย‡ย‘ยย…ย‡ยƒย’ยƒย–ย‹ย‡ยย–ยŠยƒย•ย„ย‡ย‡ยย–ย”ยƒย‹ยย‡ย†ย–ย‘ ย„ย—ย–ยย‘ย‹ยฯยŽยƒยยยƒย–ย‘ย”ย›ยยƒย”ยย‡ย”ย•ยŠยƒย˜ย‡ ยƒย•ยƒยˆย‡ยƒยย†ย‡ยˆยˆย‡ย…ย–ย‹ย˜ย‡ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ย–ยŠยƒย– ย—ย•ย‡ย–ยŠย‡ย†ย‡ย˜ย‹ย…ย‡ย‹ยย–ยŠย‡ย‘ยˆฯย‹ย…ย‡วค ย„ย‡ย‡ยย‹ย†ย‡ยย–ย‹ฯย‹ย‡ย†ยƒย•ย…ยƒย—ย•ยƒย–ย‹ย˜ย‡วคย‘ยย‡ ยยƒยย›ย’ยƒย‹ยยยƒยยƒย‰ย‡ยย‡ยย–ย’ยŠย›ย•ย‹ย…ย‹ยƒยย• ย„ย‡ยŽย‹ย‡ย˜ย‡ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย‹ย•ย”ย‡ยŽยƒย–ย‡ย†ย–ย‘ ย—ย•ย‡ย”ย‡ย‰ย—ยŽยƒย”ยŽย›วค ย‘ย‹ยย–ย‹ยยŒย‡ย…ย–ย‹ย‘ยย•ย—ย–ย‹ยŽย‹ยœย‡

ยยƒย†ย†ย‹ย–ย‹ย‘ยวกย–ยŠย‘ย•ย‡ย™ยŠย‘ย•ย—ยˆยˆย‡ย”ยˆย”ย‘ย ยƒยยƒย…ย–ย‹ย˜ย‡ย‘ย”ย’ย”ย‡ย˜ย‹ย‘ย—ย•ย‹ยยˆย‡ย…ย–ย‹ย‘ยย™ย‹ย–ยŠ ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒยŠยƒย˜ย‡ยˆย‘ย—ยย†ย–ยŠยƒย–ย’ย”ยƒย›ย‡ย”วก ย…ย‘ย”ย–ย‹ย…ย‘ย•ย–ย‡ย”ย‘ย‹ย†ย•วกย™ยŠย‹ย…ยŠย™ย‘ย”ยยƒย…ย–ย‹ย˜ย‡ยŽย› ยƒย„ยƒย…ย–ย‡ย”ย‹ยƒย‘ย”ยƒย˜ย‹ย”ย—ย•วคยŠย‹ย•ยŠยƒย•ยƒยŽย•ย‘ ย–ย‘ย”ย‡ย†ย—ย…ย‡ย‹ยฯยŽยƒยยยƒย–ย‹ย‘ยยƒยย†ยŠย‡ยŽย’ยƒยŽวฆ ยย‡ย†ย‹ย–ยƒย–ย‹ย‘ยยƒยย†ยŽย‘ย‘ยย‹ยย‰ยˆย‘ย”ย•ย—ย’ย’ย‘ย”ย– ยŽย‡ย˜ย‹ยƒย–ย‡ย’ยƒย‹ยวคยŠย‡ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ย‹ย•ย•ย‹ยย’ยŽย‡วก ยย‘ย–ย„ย‡ย‡ยย•ยŠย‘ย™ยย–ย‘ย„ย‡ยƒย†ย‡ฯย‹ยย‹ย–ย‹ย˜ย‡ ยˆย”ย‘ยยˆย”ย‹ย‡ยย†ย•ยƒยย†ยˆยƒยย‹ยŽย›ยย‡ยย„ย‡ย”ย• ย”ย‡ยƒย•ย‘ยยˆย‘ย”ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒวคยŠย‡ย…ย—ย”วฆ ยƒยย†ย…ย‘ยย•ย‹ย•ย–ย•ย‘ยˆย•ย–ย‡ย”ย‹ยŽย‹ยœย‹ยย‰ย–ยŠย‡ยƒย”ย‡ยƒวก ยŠยƒย˜ย‡ย„ย‡ยย‡ฯย‹ย–ย–ย‡ย†ย–ยŠย‡ยย‰ย”ย‡ยƒย–ยŽย›วค ยย—ยย„ย‹ยย‰ย–ยŠย‡ย•ยย‹ยวกย’ยŽยƒย…ย‹ยย‰ย–ยŠย‡ยย‡ย‡ย†ยŽย‡ ย”ย‡ยย–ย–ยŠย‹ยยย‹ยย‰ย‹ย•ย–ยŠยƒย–ฯย‹ย„ย”ย‘ยย›ยƒยŽย‰ย‹ยƒย‹ย• -Dr. Tory McJunkin ย™ย‹ย–ยŠย‹ยย–ยŠย‡ยŒย‘ย‹ยย–ศ‹ย™ยŠย‹ย…ยŠยยƒย›ย„ย‡ยƒย•ย•ย‹ย•ย–วฆ ยƒย…ย‡ยย–ย”ยƒยŽยย‡ย”ย˜ย‘ย—ย•ย•ย›ย•ย–ย‡ยศ‹ศŒย‹ยวฆ

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Arizona Pain Monthly ศOctober 2010


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Arizona Pain Monthly Č October 2010


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Arizona Pain Monthly Č October 2010


ย‡ย†ย‹ย…ยƒยŽย•ย•ย‹ย•ย–ยƒยย–ย•ยƒย”ย‡ย‘ยย‡ย‘ยˆย–ยŠย‡ฯย‹ย”ย•ย–ยˆยƒย…ย‡ย•ย›ย‘ย—วฏยŽยŽย•ย‡ย‡ย™ยŠย‡ยย›ย‘ย— ย…ย‘ยย‡ย–ย‘Arizona Pain Specialists. ยŠย‡ย›ยƒย•ย•ย‹ย•ย–ย–ยŠย‡ย†ย‘ย…ย–ย‘ย”ย•วกยย—ย”ย•ย‡ ย’ย”ยƒย…ย–ย‹ย–ย‹ย‘ยย‡ย”ย•ยƒยย†ย’ยŠย›ย•ย‹ย…ย‹ยƒยวฏย•ยƒย•ย•ย‹ย•ย–ยƒยย–ย•ย„ย›ย‰ยƒย–ยŠย‡ย”ย‹ยย‰ย‹ยยˆย‘ย”ยยƒย–ย‹ย‘ย ยƒย„ย‘ย—ย–ย–ยŠย‡ย’ยƒย–ย‹ย‡ยย–ย•ย™ยŠย‡ยย–ยŠย‡ย›ฯย‹ย”ย•ย–ยƒย”ย”ย‹ย˜ย‡วคยŠย‡ยย‡ย†ย‹ย…ยƒยŽยƒย•ย•ย‹ย•ย–ยƒยย–ย™ย‹ยŽยŽ ย–ยƒยย‡ย›ย‘ย—ย”ย–ย‡ยย’ย‡ย”ยƒย–ย—ย”ย‡วกย„ยŽย‘ย‘ย†ย’ย”ย‡ย•ย•ย—ย”ย‡วกยย‡ย†ย‹ย…ยƒยŽยŠย‹ย•ย–ย‘ย”ย›วกยŠย‹ย•ย–ย‘ย”ย›ย‘ยˆ ยƒยย›ยย‡ย†ย‹ย…ยƒย–ย‹ย‘ยย•ย›ย‘ย—ยƒย”ย‡ย‘ยยƒยย†ย™ย‹ยŽยŽยƒย•ยย›ย‘ย—ย‹ยˆย›ย‘ย—ยŠยƒย˜ย‡ยƒยย›ย•ย’ย‡ย…ย‹ฯย‹ย… ย“ย—ย‡ย•ย–ย‹ย‘ยย•ย‘ย”ย…ย‘ยย…ย‡ย”ยย•ยˆย‘ย”ย–ยŠย‡ย†ย‘ย…ย–ย‘ย”วค ยŠย‡ย›ย™ย‹ยŽยŽย–ยŠย‡ยย”ย‡ยŽยƒย›ย–ยŠย‡ย‹ยยˆย‘ย”ยยƒย–ย‹ย‘ยย–ย‘ย–ยŠย‡ย”ย‡ย•ย–ย‘ยˆย›ย‘ย—ย”ยย‡ย†ย‹ย…ยƒยŽย•ย–ยƒยˆยˆวก ยƒยย†ย™ย‹ยŽยŽย…ย‘ยย–ย‹ยย—ย‡ย–ย‘ยƒย•ย•ย‹ย•ย–ย–ยŠย‡ยย–ยŠย”ย‘ย—ย‰ยŠย‘ย—ย–ย›ย‘ย—ย”ย‘ยˆฯย‹ย…ย‡ย˜ย‹ย•ย‹ย–วคย‡ย†ย‹ย…ยƒยŽ ยƒย•ย•ย‹ย•ย–ยƒยย–ย•ยƒย”ย‡ย–ย”ยƒย‹ยย‡ย†วกยŽย‹ย…ย‡ยย•ย‡ย†ย’ย”ย‘ยˆย‡ย•ย•ย‹ย‘ยยƒยŽย•วกยƒยย†ย’ยƒย–ย‹ย‡ยย–ย•ย‘ยˆย–ย‡ยย…ย‘ยวฆ ยย‡ยย–ย–ยŠยƒย–ย–ยŠย‡ย›ย‡ยยŒย‘ย›ย–ยŠย‡ย‡ยšย–ย”ยƒยƒย–ย–ย‡ยย–ย‹ย‘ยย–ยŠยƒย–ย–ยŠย‡ยย‡ย†ย‹ย…ยƒยŽยƒย•ย•ย‹ย•ย–ยƒยย–ย‹ย• ยƒย„ยŽย‡ย–ย‘ย’ย”ย‘ย˜ย‹ย†ย‡วค ย‡ย‡ยŠย‘ย™ยย—ย…ยŠย›ย‘ย—ยŠยƒย˜ย‡ย‹ยย…ย‘ยยย‘ยย™ย‹ย–ยŠยย‰ย‹ย‡วจ

Meet Angie C., Medica l Assistant

Favorite activities: ยƒย”ย„ย‡ย“ย—ย‹ยย‰ย™ย‹ย–ยŠยˆย”ย‹ย‡ยย†ย•ยƒยย†ยˆยƒยย‹ยŽย›วกฯย‹ย•ยŠย‹ยย‰ยƒยย† ย„ย‘ย™ยŽย‹ยย‰วค Favorite movies: ย‡ยƒย•ย–ยยƒย•ย–ย‡ย”วกย›ย‘ย—ย•ย‹ยย‹ยยย›วกย–ย‡ย’ย”ย‘ย–ยŠย‡ย”ย•วค Favorite bands:ยŽย—ย‡ย…ย–ย‘ย„ย‡ย”ยƒยย†ย”ย‘ย‘ยย•ยƒยย†ย—ยยวค Favorite location in AZ:ยŠย‹ย–ย‡ย‘ย—ยย–ยƒย‹ยย•วค Where are you originally from: ย—ยยƒวกวค Favorite things about AZ: ย‘ย…ยƒย–ยƒย•ย–ย”ย‘ย’ยŠย‹ย…ยยƒย–ย—ย”ยƒยŽ ย†ย‹ย•ยƒย•ย–ย‡ย”ย•วจ Crazy fact about me: ยŠยƒย˜ย‡ย•ย‹ยšยย‹ย†ย•วค Favorite location in the world:ย‡ยƒย‘ย”ยŽย†วค Favorite sports team: ยŠย‡ย‹ยย‰ย•วจย›ย•ย‘ยวฏย•ยˆย‘ย‘ย–ย„ยƒยŽยŽย–ย‡ยƒยวจ Favorite TV shows: ยย‡ย”ย‡ย‡ ย‹ยŽยŽวกย‹ย‰ย”ย‘ย–ยŠย‡ย”ยƒยย†ย‡ยšย–ย‡ย”วค Favorite book:ยย›ย–ยŠย‹ยย‰ย„ย›วควคยย†ย”ย‡ย™ย•วค Famous person I would like to meet dead or alive and why:ยŠย”ย‹ย•  ยƒย”ยŽย‡ย›ย‘ย”ย†ยƒยยƒยย†ยŽย‡ย”วควควคย–ยŠย‡ย›ยƒย”ย‡ยŠย‹ยŽยƒย”ย‹ย‘ย—ย•วจ

ย–ยƒย”ย•ย‘ยˆย”ย‹ยœย‘ยยƒยƒย‹ยย’ย‡ย…ย‹ยƒยŽย‹ย•ย–ย• ย‡ยŽย‹ย•ย•ยƒย™ย‘ย”ยย•ยƒย•ยƒยย‡ย†ย‹ย…ยƒยŽยƒย•ย•ย‹ย•ย–ยƒยย–ย‹ยย–ยŠย‡ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ย…ย‡ยวฆ ย–ย‡ย”ยƒย–ย–ยŠย‡ย…ย‘ย–ย–ย•ย†ยƒยŽย‡Arizona Pain Specialistsย‘ยˆฯย‹ย…ย‡วคยŠย‡ยŠยƒย• ย™ย‘ย”ยย‡ย†ยƒย–Arizona Pain Specialists ยˆย‘ย”ย–ย™ย‘ย›ย‡ยƒย”ย•วกย‹ยย–ยŠย‡ย’ย”ย‘ย…ย‡วฆ ย†ย—ย”ย‡ยˆย‘ย”ย‘ยย‡ย›ย‡ยƒย”วกย„ย—ย–ยŠยƒย•ย„ย‡ย‡ยยƒยย‡ย†ย‹ย…ยƒยŽยƒย•ย•ย‹ย•ย–ยƒยย–ยˆย‘ย”ย•ย‡ย˜ย‡ย ย›ย‡ยƒย”ย•วค ย‡ย”ย‘ยˆฯย‹ย…ย‹ยƒยŽย–ย‹ย–ยŽย‡ย‹ย•ย‡ยƒย†ยƒย–ย‹ย‡ยย–ยƒย”ย‡ย‡ย…ยŠยย‹ย…ย‹ยƒยยˆย‘ย” ย‘ย—ยย–ยƒย‹ยย‹ย‡ย™ย—ย”ย‰ย‡ย”ย›ย‡ยย–ย‡ย”วกยƒยย†ยƒย•ย–ยŠย‡ย‡ยƒย†วกย•ยŠย‡ย‡ยย•ย—ย”ย‡ย• ย–ยŠยƒย–ย‡ย˜ย‡ย”ย›ย–ยŠย‹ยย‰ย”ย—ยย•ยƒย•ย•ยย‘ย‘ย–ยŠยŽย›ยƒย•ย’ย‘ย•ย•ย‹ย„ยŽย‡ยˆย‘ย”ย–ยŠย‡ย†ย‘ย…ย–ย‘ย”ย• ยƒยย†ยย—ย”ย•ย‡ย•ย‹ยย–ยŠย‡ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ย…ย‡ยย–ย‡ย”วค ย‡ยŽย‹ย•ย•ยƒยŠย‡ยŽย’ย•ย„ย›ย–ยƒยย‹ยย‰ย’ยƒย–ย‹ย‡ยย–ย•ย‹ยย–ย‘ย–ยŠย‡วกย„ย”ย‹ยย‰ย‹ยย‰ย–ยŠย‡ย ย‘ย—ย–ย‘ยย…ย‡ย–ยŠย‡ย‹ย”ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ยŠยƒย•ย„ย‡ย‡ยย’ย‡ย”ยˆย‘ย”ยย‡ย†วกยย‘ยย‹ย–ย‘ย”ย‹ยย‰ ย’ยƒย–ย‹ย‡ยย–ย•ย„ย‡ยˆย‘ย”ย‡ย–ยŠย‡ย›ย‰ย‘ยŠย‘ยย‡วกยƒยย†ยƒย•ย•ย‹ย•ย–ย‹ยย‰ย–ยŠย‡ย†ย‘ย…ย–ย‘ย”ย•ยƒยย† ยย—ย”ย•ย‡ย•ย™ย‹ย–ยŠยƒยย›ย–ยŠย‹ยย‰ย‡ยŽย•ย‡ย–ยŠย‡ย›ยยƒย›ยย‡ย‡ย†วค ย‡ยŽย‹ย•ย•ยƒย‹ย•ยƒย’ยƒย–ย‹ย‡ยย–ยˆยƒย˜ย‘ย”ย‹ย–ย‡วกยƒยย†ย•ยŠย‡ย•ยƒย›ย•ย–ยŠยƒย–ย•ยŠย‡ยŽย‹ยย‡ย™ย‹ย•ย‡ ยŽย‘ย˜ย‡ย•ย™ย‘ย”ยย‹ยย‰ย™ย‹ย–ยŠย–ยŠย‡ย’ยƒย–ย‹ย‡ยย–ย•ยƒยย†ยŠย‡ยŽย’ย‹ยย‰ย–ยŠย‡ยยˆย‡ย‡ยŽย…ย‘ยวฆ ยˆย‘ย”ย–ยƒย„ยŽย‡ย™ยŠย‹ยŽย‡ย–ยŠย‡ย›ยƒย”ย‡ยƒย–Arizona Pain Specialists. ยŠย‡ย•ยƒย›ย• ย™ยŠยƒย–ย•ยŠย‡ยŽย‹ยย‡ย•ย„ย‡ย•ย–ยƒย„ย‘ย—ย–ยŠย‡ย”ยŒย‘ย„ยƒย”ย‡ย–ยŠย‡ย’ยƒย–ย‹ย‡ยย–ย•ยƒยย†ยŠย‡ย”ย…ย‘วฆ ย™ย‘ย”ยย‡ย”ย•วกยƒยย†ยŠย‡ยƒย”ย‹ยย‰ย™ยŠย‡ยArizona Pain SpecialistsยŠยƒย•ย„ย‡ย‡ย ยƒย„ยŽย‡ย–ย‘ยŠย‡ยŽย’ย’ยƒย–ย‹ย‡ยย–ย•วค ย‡ยŽย‹ย•ย•ยƒย™ยƒยย–ย•ย’ยƒย–ย‹ย‡ยย–ย•ย–ย‘ยยย‘ย™ย–ย‘ยˆย‡ย‡ยŽยˆย”ย‡ย‡ย–ย‘ยƒย•ยย“ย—ย‡ย•ย–ย‹ย‘ยย•วก ยƒย•ย•ยŠย‡ยƒยย†ย–ยŠย‡ย‘ย–ยŠย‡ย”ย’ย”ย‘ย…ย‡ย†ย—ย”ย‡ย…ย‡ยย–ย‡ย”ย•ย–ยƒยˆยˆยƒย”ย‡ยƒยŽย™ยƒย›ย•ยŠยƒย’ย’ย› ย–ย‘ยŠย‡ยŽย’วกยƒยย†ย–ย‘ยยย‘ย™ย–ยŠยƒย–ย›ย‘ย—วกยƒย•ยƒย’ยƒย–ย‹ย‡ยย–ยƒย–Arizona Pain Specialists ยƒย”ย‡ย‹ยย–ยŠย‡ย„ย‡ย•ย–ยŠยƒยย†ย•ย’ย‘ย•ย•ย‹ย„ยŽย‡วจ

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Arizona Pain Monthly ศOctober 2010


Arizona Pain Monthly October  

Welcome to the October issue of Arizona Pain Monthly! Enjoy fresh, new recipes, an introduction to our newest staff addition, and tips on jo...