Advanced Pain Management & Spine Specialists

12/23/2025

12/18/2025

RADIOFREQUENCY ABLATION

With age, the small joints in the rear of the spine degenerate or wear down as the soft tissues between the joints thins This causes the joints to rub together, leading to inflammation, stiffness and pain.

This can lead to a severe, deep ache that worsens with standing, walking, bending or leaning backwards. Twisting, lifting, or even doing everyday chores can further aggravate the pain.

If conservative measures do not provide sufficient relief, RADIOFREQUENCY ABLATION may be an option recommended. This procedure can “short circuit” the corresponding joint’s nerve.

Radiofrequency Ablation has a strong success level with 80% of patients having pain relief for up to 2 years. The procedure can be repeated if the pain returns.

Resume an active, comfortable life. Call 239-437-8000 for an examination. Or visit: https://www.apmss.net/treatments/

12/15/2025

Hanukkah - Begins the evening of December 14 and is celebrated through Monday, December 22nd.

12/09/2025

Could one injection relieve months (or years) of miserable pain?

In some cases, a correctly targeted injection provides significant relief, or even eliminates long-standing pain.

Why suffer through pain that can be simply eased through an injection by a skilled pain management physician?

At APMSS, we offer a variety of injections to relieve pain at its source. The most common include:

• Epidural Steroid Injections – Local anesthetic and steroid are injected to treat persistent sciatica and nerve root pain.

• Selective Nerve Root Injections – Local anesthetic and steroid are injected along the exiting spinal nerve root to treat sciatic pain emanating from the nerve root.

• Facet Joint Injections - Diagnostic facet injections address back pain coming from your arthritic joints. After two diagnostic injection sessions, we can follow with a long-lasting radio frequency ablation procedure for potential pain relief for a year or longer.

• Sacroiliac Injection – Inflammation of the joints on both sides of the spine where it joins the pelvis can cause low back pain. Steroid and local anesthetic are injected to diagnose and alleviate the pain.

Most injections include lidocaine for optimal comfort during the procedure. Injections are also performed with imaging guidance so the medicine reaches the targeted point.

Make a decision NOW to enjoy life with less pain! Call 239-437-8000 to consult with Board Certified Interventional Pain Management physician Jonathan S. Daitch, MD.

12/08/2025

Some APMSS patients may remember...
Danielle Daitch Wilhour MD,
daughter of Dr. & Mrs. Jonathan S. Daitch,
was recently promoted to Associate Professor of Neurology at the University of Colorado (Denver).

To achieve this status, Dr. Wilhour completed many hours of dedication including research, teaching, seeing patients, serving as Director of Residents & Fellows and as a life coach for female medical students and residents as well as authoring various articles/findings. She is also a busy mom to a son and daughter.

Long-time patients of Advanced Pain Management & Spine Specialists may remember Danielle's time in the office assisting with patients during her time in college.

12/05/2025

INSPAN®
Is a minimally invasive solution for
Spinal Stenosis, Sciatica, and Listhesis

INSPAN® represents a significant advancement in spinal care that combines nerve decompression with stabilization for long-term relief of back and leg pain.

The INSPAN® procedure is performed through a small incision in the lower back. Through this, an implant is securely placed, creating space to relieve nerve compression while preventing abnormal vertebral motion.

The surgery takes about 45 minutes with the patient under sedation for optimal comfort. Most patients experience pain relief within a week and are able to return to light activities shortly after surgery.

If you or someone you know would like to learn more about INSPAN® or other options for long term relief of pain, visit:
https://www.apmss.net/

Or call 239-437-8000 to schedule an appointment with Jonathan S. Daitch, a board certified pain management physician and founder of Advanced Pain Management & Spine Specialists in South Fort Myers, FL.

12/02/2025

Symptoms that may indicate a COMPRESSION FRACTURE …

• Sudden onset of severe back pain
• Severe pain with coughing or sneezing
• Increased pain with deep breathing
• Worsening pain when standing or walking
• Pain when changing position or bending
• Some pain relief when lying on one's back

Spinal fractures can occur anywhere in the spine. They are most common in the mid-back (thoracic spine) or upper lumbar segments, such as L1.

Spinal compression fractures are often the result of osteoporosis and most commonly occur after a fall in females over age 70.

At Advanced Pain Management & Spine Specialists, we perform minimally-invasive procedures to repair compression fractures, including:

VERTEBROPLASTY: A low viscosity cement that is injected directly into the collapsed vertebrae to stabilize the fracture and relieve associated back pain.

KYPHOPLASTY: A cavity is created and filled with cement to stabilize the bone and restore some or all vertebral height.

These procedures are safely performed while the patient is comfortably sedated. Relief is often experienced immediately or within 1-2 days.

Enjoy comfort and mobility again! Call 239-437-8000 to learn more, or visit: www.APMSS.net

11/30/2025

Dr. Daitch's "GOOD TO KNOW"

“Sciatica” refers to pain that runs along the sciatic nerve in the lower back and extends down one or both legs. It is the result of a herniated disk or bone spur in the spine that is pressing on the nerve.

Some patients describe the pain as shooting, or sharp jolts. Others describe it as burning, tingling or stabbing.

In our Lee County pain management office, we offer several options to relieve sciatic pain. These include:

• InSpan – placement of a minimally invasive interspinous fusion device to create room in the spinal canal to take pressure off pinched nerve roots, relieve spinal stenosis, and stabilize the spine.

• Epidural Steroid Injections – Local anesthetic and steroid are injected under fluoroscopic guidance to treat persistent sciatica and nerve root pain.

• Selective Nerve Root Injections – Local anesthetic and steroid are injected under fluoroscopic guidance along the exiting spinal nerve root to treat sciatic pain emanating from the nerve root.

• Percutaneous Disc (Perc D) Decompression – By removing a small amount of disc material, pressure on the nerve root is alleviated through this minimally invasive procedure. This is beneficial for patients who have not experienced adequate relief from epidural or nerve root injections but do not need open spinal surgery.

Our advanced skills and techniques can eliminate or minimize many conditions causing you acute and chronic pain. Learn more by calling 239-437-8000 to schedule an appointment. Or visit: https://www.apmss.net/treatments/

11/25/2025

HAPPY THANKSGIVING to you and yours!

11/21/2025

A reminder...

Advanced Pain Management & Spine Specialists will be CLOSED on Thanksgiving and the Friday following (11/27 & 28).

We want you to be comfy through this special time with friends and family!

Please arrange appointments ASAP if you need to be seen before these dates. Call 239-437-8000.

11/13/2025

Our goal is to alleviate or greatly minimize acute or chronic pain for our patients.

While medication therapy is occasionally used as a temporary part of treatment, Advanced Pain Management & Spine Specialists provides procedures that often target the cause of pain, eliminating the need for pain medications.

Our pain management physicians perform some of the most advanced options available to help patients avoid the need for medications that merely mask pain rather than resolve it.

Minimally invasive options are often advised to treat…

• Chronic Back Pain
• Sciatica
• Spinal Stenosis
• Neck Pain
• Spinal Fractures
• Post-Surgical Pain
• Cancer Pain
• Shingles
• Headaches
• Nerve Pain
• Neuropathy
• Neuralgia

If you (or someone you know) prefer a life of comfort without the risks of addictive pain medication, contact our Fort Myers pain management office to schedule an examination.

Call 239-437-8000 or learn more at: https://www.apmss.net/