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Systematic review data puts the prevalence of central sensitization features among knee osteoarthritis patients at approximately 36 percent by validated instrument. More than one in three patients carrying an orthopedic diagnosis you trust, presenting with pain that structural intervention may only partially address. The joint pathology on the imaging is real. The dominant pain mechanism is incompletely characterized.
Fifty million Americans wake up in chronic pain every day. Not soreness. Not the dull ache of a hard week. Pain that has dismantled careers, ended marriages, and driven people, my patients, over 25 years, to suicide, overdose, and a slow erasure of self. I trained at USC and UCLA, spent three decades in interventional pain management, and I can tell you with clinical certainty: the system we built to treat these patients has been a catastrophe.
You will get an expanded package of goods - jewellery , scarves , statues , spices , incense and a small surprise from us. + A 2 hour skype conversation where you could hear all the details about how I ended up losing this extreme amount of money and how things rolled after that event. Here you will also see your good name in the credits.
As a journalist, you can create a free Muck Rack account to customize your profile, list your contact preferences, and upload a portfolio of your best work.