Please be advised that Centennial Spine and Pain does NOT write prescriptions for an initial consultation.

Providers

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David Lanzkowsky, MD

Nevada

David Lanzkowsky, MD, is a board-certified anesthesiologist with nearly four decades of experience. The founder of Centennial Spine and Pain in Las Vegas, Nevada, Dr. Lanzkowsky is passionate about helping those in his care find lasting relief from acute and chronic pain. Education has always played a central role in Dr. Lanzkowsky’s life.

David Lanzkowsky, MD, is a board-certified anesthesiologist with nearly four decades of experience. The founder of Centennial Spine and Pain in Las Vegas, Nevada, Dr. Lanzkowsky is passionate about helping those in his care find lasting relief from acute and chronic pain. Education has always played a central role in Dr. Lanzkowsky’s life. He completed his medical degree at Ponce Health Sciences University in Puerto Rico. He went on to refine his skills and training through an internship at Sinai Hospital of Baltimore in Maryland and residencies at North Shore University Hospital in Manhasset, New York, and Stony Brook Medicine in New York. In addition to years of hands-on medical care in the field of anesthesiology, Dr. Lanzkowsky has extensive experience in the med-legal field. He’s provided medical expertise for both plaintiffs and defendants during litigation, an experience that gives him a unique perspective when it comes to patient care. Dr. Lanzkowsky also provides in-depth second-opinion reports to give patients deeper insight into their treatment options. Extensive review of an individual’s medical record combined with a thorough diagnostic work-up can give patients a wider scope with which to view their treatment planning. Staying abreast of advancements in interventional pain relief is important to Dr. Lanzkowsky. He spends considerable time and effort researching the tools and techniques used to enhance his patients’ lives. Dr. Lanzkowsky can deliver services in both English and Spanish. When not working with patients, he enjoys spending time with his family. They especially enjoy exploring all of the outdoor adventures available in Park City, Utah.

David Alvarado

David Alvarado, MD

Nevada

After earning a bachelor’s degree with honors in microbiology from Oregon State University, he completed his Doctor of Medicine from Jefferson Medical College at Thomas Jefferson University in Philadelphia, PA.

A surgery internship at the University of Colorado at Anschutz followed. The University of Southern California served as the site for his anesthesiology residency and interventional pain management fellowship.
Dr. Alvarado was drawn to the pain management field through his desire to concisely target a specific point of anatomy or physiology without having to drastically alter the anatomy in order to improve someone’s life and functionality. “Any unknown pain condition that people don’t know how to treat, I want to see what I can do,” he said.
When approaching medication management as part of developing treatment plans, Dr. Alvarado tailors every aspect to each patient. “Pathology is diverse and varies among patients,” he said. “I will do my utmost to help my patients to the best of my ability and constantly search out other solutions if needed.”
When looking toward the future of pain management, there are a number of treatments and technologies Dr. Alvarado is excited about to help his patients. Some of the methods include advancements in spinal cord stimulators, SI fusions, endoscopic rhizotomies and dorsal root ganglion stimulation.
Away from the office, Dr. Alvarado may be found on the golf course, lifting weights, walking his chihuahua, and spending time with his wife and daughter.

Robert-Sawyer

Robert Sawyer M.D.

Nevada

Dr. Robert C. Sawyer is a dual board-certified Interventional Pain Management and Family Medicine physician with over nine years of clinical experience and 25 years of military service. He has extensive expertise in providing comprehensive care for chronic pain patients through advanced interventions such as spinal cord stimulator implants, interspinous process devices, vertebral nerve ablations, and intrathecal drug delivery systems.

Dr. Robert C. Sawyer is a dual board-certified Interventional Pain Management and Family Medicine physician with over nine years of clinical experience and 25 years of military service. He has extensive expertise in providing comprehensive care for chronic pain patients through advanced interventions such as spinal cord stimulator implants, interspinous process devices, vertebral nerve ablations, and intrathecal drug delivery systems. Dr. Sawyer’s background includes serving as an Interventional Pain Management Physician at Womack Army Medical Center, as well as various leadership roles in military medicine, including Chief Medical Officer for the California Medical Detachment and Primary Care Physician for Special Forces personnel. He holds board certifications in both Pain Management and Family Medicine, with a fellowship in Interventional Pain Management from Brooke Army Medical Center. Dr. Sawyer is also an accomplished military officer, with numerous awards, including the Bronze Star Medal and Meritorious Service Medals.

Dr. Krauchuck

Daniel Krauchuk D.O.

Nevada

Dr. Krauchuk is a double board-certified physician in Pain Medicine and Physical Medicine & Rehabilitation. He combines interventional pain management with physical conditioning to help patients achieve lasting results. A lifelong athlete, he brings the same discipline and dedication to his medical practice.

As a double board certified physician in Pain Medicine and Physical Medicine and Rehabilitation, Dr. Krauchuk has a strong belief in interventional pain management practices as well as strengthening the body through exercise to achieve results. Dr. K is a life-long athlete and to this day keeps a regimented schedule of two workouts per day and surfs regularly. When he’s not working or surfing, Dr. K spends his time doing motor sports or enjoying blues or jazz. 

Nels-Dahlgren

Nels Dahlgren M.D.

New Mexico

Dr. Dahlgren is triple board certified in Anesthesia, Interventional Pain Medicine and Addiction Medicine. His primary focus is comprehensive pain medicine. With extensive experience in the New Mexico area he looks forward to bringing advanced interventional pain management to members of the community.

Dr. Dahlgren is triple board certified in Anesthesia, Interventional Pain Medicine and Addiction Medicine. His primary focus is comprehensive pain medicine. With extensive experience in the New Mexico area he looks forward to bringing advanced interventional pain management to members of the community.

John-Watkins

John Watkins M.D.

New Mexico

Dr. Watkins earned degrees in Psychology and Biology at UNLV where he also completed requirements for medical school matriculation. After graduation Dr. Watkins completed his studies in Medicine at the University of Nevada Reno 1988. He was fortunate to have trained at UCLA in General Surgery and Anesthesiology and remained at UCLA/VA Medical Center as faculty and professor.

Dr. Watkins is a board-certified and accomplished Anesthesiologist and Pain Management specialist with a broad range of technical and clinical expertise mastering both complex pain management and anesthesia. This perspective provides him with the insight and experience to identify the most appropriate and effective methods of treating the full variety of spinal and neuropathic pain conditions.  His experience includes tertiary university settings, private practice and working at New Mexico Pain Centers and previously New Mexico Bone & Joint Institute.  He was Chief of Pain Management and Chief of Anesthesia on a Native Reservation at TCRHCC from 2011 to 2018. He has recently joined Centennial Spine and Pain in Albuquerque.

Dr. Watkins earned degrees in Psychology and Biology at UNLV where he also completed requirements for medical school matriculation. After graduation Dr. Watkins completed his studies in Medicine at the University of Nevada Reno 1988. He was fortunate to have trained at UCLA in General Surgery and Anesthesiology and remained at UCLA/VA Medical Center as faculty and professor. He went into private practice after six years and has been a founder of multi-disciplinary pain management centers in the Los Angeles area and established the first interventional pain center for Native Americans in the USA. He has been in medical practice for over thirty years.

His experience includes extensive experience in the Neurosurgical treatment of pain and medical management of pain conditions in private practice in California Arizona and New Mexico. Dr. Watkins surgical expertise includes spinal cord implants and stabilization techniques as well as cutting edge interventional pain management procedures.

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Andrew Blythe P.A.

Nevada

Andrew Blythe, PA-C is an advanced practice provider joining the practice from Tennessee. He received his bachelors degree from the University of Tennessee in Knoxville, TN where he graduated Summa Cum Maude from the Chancellors Honors Program.

Andrew Blythe, PA-C is an advanced practice provider joining the practice from Tennessee. He received his bachelors degree from the University of Tennessee in Knoxville, TN where he graduated Summa Cum Maude from the Chancellors Honors Program. While in college, he served as the student athletic trainer for the mens baseball team and was an essential member of Applied Physiology Research Laboratory. He received his Masters in Physician Assistant Studies from Trevecca Nazarene University in Nashville, TN. While in training, his focus was on acute care and trauma. He has extensive experience in both orthopedic surgery and interventional pain management. He is happily married and has two precious little girls. He enjoys spending time with family, watching Tennessee football, and Sunday brunch. Andrew is thrilled to be joining the practice and to help serve the people of Las Vegas.

Linda-Corall

Linda Corral N.P.

New Mexico

Linda Corral is a board-certified Family Nurse Practitioner and a native of New Mexico. With nearly 20 years of experience in healthcare, she has held various roles throughout her career. Linda began as a certified nursing assistant before earning her bachelor’s degree from New Mexico State University in 2007. In 2022, she earned her master’s degree from Grand Canyon University. She has experience providing care to pediatric, adult, and geriatric populations in her community.

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Christopher Harb, DO

Illinois

Christopher Harb, DO, earned both his bachelor’s degree and medical degree from Michigan State University. He completed his anesthesiology residency at DMC/Wayne State University School of Medicine, followed by an interventional pain fellowship at Rush University Medical Center in Chicago. Dr. Harb then completed an endoscopic spine surgery fellowship at the University of Florida and was the second-ever graduate of the nation’s only dedicated endoscopic spine fellowship. 

Christopher Harb, DO, earned both his bachelor’s degree and medical degree from Michigan State University. He completed his anesthesiology residency at DMC/Wayne State University School of Medicine, followed by an interventional pain fellowship at Rush University Medical Center in Chicago. Dr. Harb then completed an endoscopic spine surgery fellowship at the University of Florida and was the second-ever graduate of the nation’s only dedicated endoscopic spine fellowship. 

Dr. Harb is passionate about helping patients overcome chronic pain and regain quality of life. He focuses on providing durable or definitive treatment options for spinal conditions and is highly skilled in advanced interventional pain procedures and minimally invasive surgery.

Outside of medicine, he enjoys cooking, traveling, fitness, golf, and spending time with family and friends.

Dispelling the Myths: Debunking Common Misconceptions about Pain Management

Pain management is a complex field that is often surrounded by misconceptions and myths. These misconceptions can hinder individuals from seeking effective treatments and finding relief. In this blog post, we will debunk common myths about pain management, shedding light on the truth and empowering individuals to make informed decisions about their pain management journey.

Myth 1: Pain Medications are the Only Solution:

One prevalent myth is that pain medications are the sole solution for managing chronic pain. While medications can be helpful in many cases, they are not the only approach. Pain management encompasses a wide range of techniques, including physical therapy, cognitive-behavioral therapy, exercise, relaxation techniques, alternative therapies, and more. It is essential to work with healthcare professionals to explore a multidisciplinary approach that best suits your specific needs.

Myth 2: Pain is Just a Part of Aging:

Another common misconception is that pain is an inevitable part of the aging process. While it is true that some age-related conditions may cause pain, it is not a normal or unavoidable part of growing older. Pain should not be dismissed or ignored based on age. It is important to consult with healthcare professionals to identify the underlying causes of pain and develop appropriate management strategies.

Myth 3: Pain is All in Your Head:

Contrary to the belief that pain is purely psychological, pain is a complex interaction between physical, psychological, and social factors. The perception of pain involves the nervous system and can be influenced by emotions, stress, and past experiences. However, this does not mean that pain is imaginary or solely a result of psychological factors. Validating and addressing pain from a holistic perspective is crucial for effective pain management.

Myth 4: Rest is the Best Treatment for Pain:

While rest is essential for healing acute injuries, excessive rest is not always the best approach for managing chronic pain. Prolonged inactivity can lead to muscle weakness, stiffness, and increased pain. Physical activity, when tailored to individual capabilities, can strengthen muscles, improve flexibility, and promote overall well-being. It is important to strike a balance between rest and appropriate physical activity in consultation with healthcare professionals.

Myth 5: You Just Have to Live with the Pain:

Some individuals believe that chronic pain is something they have to endure indefinitely without hope for relief. However, there are various effective pain management strategies available. It is essential to work closely with healthcare professionals who specialize in pain management to explore different treatment options, including medications, therapies, and interventions that can help improve quality of life and reduce pain levels.

Myth 6: Alternative Therapies are Ineffective:

Alternative therapies, such as acupuncture, chiropractic care, massage therapy, and herbal remedies, are often dismissed as ineffective or lacking scientific evidence. While the effectiveness of these therapies may vary depending on the individual and the specific condition, many people find relief and improved well-being through alternative approaches. It is important to approach alternative therapies with an open mind and consult reputable practitioners.

Debunking common myths about pain management is essential to help individuals make informed decisions about their well-being. Pain management is a multidimensional approach that encompasses various techniques and strategies tailored to individual needs. By dispelling misconceptions, we can encourage individuals to seek appropriate treatments, explore diverse approaches, and work with healthcare professionals to find effective pain management solutions. Remember, pain management is a journey of discovery and collaboration, and everyone deserves the opportunity to live a fulfilling life with reduced pain.

Chronic Pain

Common Causes Of Chronic Pain And How To Identify Them

Chronic pain is a persistent pain that lasts for more than three to six months. It can be caused by a variety of factors, including injury, disease, or lifestyle. In this blog, we will discuss some common causes of chronic pain and how to identify them.

1. Arthritis
Arthritis is a common cause of chronic pain. It is a disease that causes inflammation in the joints, leading to pain, stiffness, and swelling. Arthritis can affect any joint in the body, but it most commonly affects the knees, hips, and hands.

Symptoms: Joint pain, stiffness, swelling, decreased range of motion

2. Fibromyalgia
Fibromyalgia is a chronic pain disorder that affects the muscles, tendons, and ligaments. It can cause widespread pain, fatigue, and sleep disturbances. The cause of fibromyalgia is unknown, but it is believed to be related to changes in the central nervous system.

Symptoms: Widespread pain, fatigue, sleep disturbances, headaches

3. Back pain
Back pain is a common cause of chronic pain. It can be caused by injury, poor posture, or a medical condition such as herniated discs or spinal stenosis.

Symptoms: Pain in the back or neck, stiffness, limited range of motion

4. Headaches
Headaches are a common cause of chronic pain. They can be caused by tension, migraines, or other medical conditions.

Symptoms: Pain or pressure in the head, sensitivity to light and sound, nausea

5. Neuropathic pain
Neuropathic pain is caused by damage to the nerves. It can be caused by injury, disease, or medication. Neuropathic pain can be difficult to treat and can last for a long time.

Symptoms: Burning, tingling, or shooting pain, numbness, weakness

How to identify chronic pain:

Chronic pain can be difficult to diagnose because there is no specific test for it. However, there are some signs that can help you identify chronic pain:

  1. Pain that lasts for more than three to six months
  2. Pain that is constant or recurring
  3. Pain that affects your daily activities
  4. Pain that does not go away with over-the-counter pain medication

If you are experiencing chronic pain, it is important to talk to your healthcare provider. They can help you identify the cause of your pain and develop a treatment plan. Treatment may include medication, physical therapy, or other therapies depending on the cause of the pain.

The Complex Link Between Mental Health and Chronic Pain

Chronic pain and mental health are two intricate aspects of human well-being that are deeply interconnected. While chronic pain refers to persistent discomfort lasting for more than three months, mental health encompasses emotional, psychological, and social well-being. This blog post delves into the complex relationship between these two domains, shedding light on how mental health influences chronic pain and vice versa.

The Mind-Body Connection:

The connection between mental health and chronic pain can be explained by the mind-body connection, which suggests that our mental state can significantly impact physical sensations. Research has shown that psychological factors such as stress, anxiety, and depression can exacerbate chronic pain symptoms. Likewise, individuals experiencing chronic pain are more likely to develop mental health disorders due to the ongoing physical and emotional distress.

Psychological Factors and Chronic Pain:

Psychological factors play a crucial role in the perception and experience of chronic pain. Stress, for example, triggers the release of stress hormones, intensifying pain sensations. Anxiety amplifies pain sensitivity, making individuals more prone to magnifying their discomfort. Depression, characterized by persistent sadness and loss of interest, often coexists with chronic pain, creating a vicious cycle where pain worsens depressive symptoms, and depression, in turn, heightens pain perception.

The Biopsychosocial Model:

The biopsychosocial model provides a comprehensive framework for understanding the connection between mental health and chronic pain. According to this model, chronic pain arises from a combination of biological, psychological, and social factors. Biological factors include genetic predispositions, nerve damage, and inflammation, while psychological factors involve mood disorders, cognitive processes, and coping mechanisms. Social factors encompass social support, cultural influences, and socioeconomic status. All three domains interact and contribute to the experience of chronic pain.

Impact on Treatment Outcomes:

The influence of mental health on chronic pain has significant implications for treatment outcomes. Traditional approaches focused solely on alleviating physical symptoms often fall short in providing comprehensive relief. Integrating mental health interventions, such as cognitive-behavioral therapy, mindfulness practices, and stress reduction techniques, can improve pain management outcomes. Addressing psychological factors not only enhances coping strategies but also helps individuals regain control over their lives, leading to better overall well-being.

The Importance of Holistic Care:

Considering the interdependence of mental health and chronic pain, adopting a holistic approach to care becomes crucial. Healthcare providers should adopt a multidisciplinary approach, collaborating with psychologists, physical therapists, and pain management specialists. By addressing both physical and psychological aspects, a more comprehensive treatment plan can be developed, tailored to each individual’s unique needs.

Self-Care Strategies:

Individuals living with chronic pain can also take proactive steps to improve their mental health and manage pain effectively. Engaging in activities that promote relaxation, such as meditation, deep breathing exercises, and gentle physical movement, can provide relief from both physical and emotional distress. Building a support network of friends, family, or support groups can also foster a sense of community and reduce feelings of isolation.

The connection between mental health and chronic pain is a complex and multifaceted one. Recognizing and addressing the psychological aspects of chronic pain is vital for effective management and improved quality of life. By adopting a holistic approach to care and integrating mental health interventions into treatment plans, individuals can experience a more comprehensive and balanced approach to healing. Remember, taking care of both your mind and body is essential in the journey towards better overall well-being.

Alternative Treatments for Pain Relief

Pain can be a debilitating condition that affects millions of people worldwide. While traditional treatments such as medication and physical therapy can be effective, some individuals may prefer alternative treatments for pain relief. Here are some alternative treatments that may help alleviate pain:

  1. Acupuncture: This ancient Chinese practice involves the insertion of thin needles into specific points on the body to stimulate the flow of energy and reduce pain.
  2. Chiropractic care: Chiropractors use spinal manipulation and other manual therapies to align the body and reduce pain.
  3. Massage therapy: Massage therapy can help relieve muscle tension and reduce pain by increasing blood flow and promoting relaxation.
  4. Yoga and stretching: Gentle stretching and yoga can help reduce muscle tension and improve flexibility, leading to a reduction in pain.
  5. Mind-body therapies: Practices such as meditation, biofeedback, and hypnosis can help reduce stress and promote relaxation, which can help alleviate pain.
  6. Herbal remedies: Some herbs and supplements, such as turmeric, ginger, and omega-3 fatty acids, may have anti-inflammatory properties and may help reduce pain.
  7. Heat and cold therapy: Applying heat or cold to the affected area can help reduce pain and inflammation.

It’s important to note that while alternative treatments can be effective for some people, they should not be used as a substitute for traditional medical care. It’s important to speak with a healthcare professional before trying any alternative treatments, especially if you have a chronic medical condition or are taking medication.

Additionally, not all alternative treatments may be suitable for everyone, and it’s important to research and choose a qualified and experienced practitioner for any alternative treatments you may consider. With proper guidance and supervision, alternative treatments can provide effective pain relief and improve overall well-being.

Coping Strategies for Dealing with Pain Flare-Ups

Living with chronic pain can be a daily struggle, and when a pain flare-up occurs, it can be especially difficult to manage. A pain flare-up is a sudden increase in pain intensity or a return of pain after a period of improvement. These flare-ups can be triggered by a variety of factors, including stress, weather changes, or overexertion. Coping with pain flare-ups can be challenging, but there are several strategies you can use to help manage your symptoms.

Here are some coping strategies for dealing with pain flare-ups:

  1. Practice relaxation techniques: When you experience a pain flare-up, it’s essential to relax your body and mind. Deep breathing, progressive muscle relaxation, and meditation are all effective relaxation techniques that can help reduce pain and stress.
  2. Use heat or cold therapy: Applying heat or cold to the affected area can help relieve pain and reduce inflammation. Experiment with both to see which works best for you. You can use a heating pad, hot water bottle, or warm towel for heat therapy, and a cold pack or bag of frozen vegetables for cold therapy.
  3. Adjust your activity level: During a pain flare-up, it’s important to adjust your activity level. Resting for a short period can help reduce pain and inflammation. However, too much rest can lead to stiffness and muscle weakness, so it’s important to find a balance. Gentle stretching, walking, and low-impact exercises like yoga can also help reduce pain and stiffness.
  4. Practice distraction techniques: Focusing on activities that you enjoy can help distract your mind from the pain. Reading, watching a movie, or engaging in a hobby can help take your mind off the pain and provide a sense of normalcy.
  5. Seek support: Living with chronic pain can be isolating, so it’s essential to seek support from family, friends, or a support group. Talking to others who understand what you’re going through can be comforting and provide a sense of community.
  6. Use pain medication as directed: Pain medication can be helpful in managing pain flare-ups, but it’s essential to use them as directed. Overusing pain medication can lead to dependence and other health complications, so it’s important to follow your doctor’s instructions.

In conclusion, pain flare-ups can be challenging to manage, but with the right coping strategies, you can reduce your symptoms and improve your quality of life. By practicing relaxation techniques, using heat or cold therapy, adjusting your activity level, practicing distraction techniques, seeking support, and using pain medication as directed, you can effectively manage your pain flare-ups and regain control of your life. Remember to always consult with your healthcare provider to determine the best approach for managing your chronic pain.

Addressing the Concerning Issue of Medication Shortages

Access to medications is an essential aspect of healthcare that should be readily available to everyone in need. However, an increasing concern in the healthcare industry is the occurrence of medication shortages. This blog post aims to shed light on this issue, discuss its causes, and explore potential solutions to ensure patients receive the medications they require.

Understanding Medication Shortages:

Medication shortages refer to situations where the demand for a particular drug surpasses the available supply. These shortages can affect both brand-name and generic medications, impacting patients across various medical conditions and treatment plans. The consequences of medication shortages are far-reaching and can lead to compromised patient care, delayed treatments, and increased healthcare costs.

Causes of Medication Shortages:

Several factors contribute to the occurrence of medication shortages. Some of the primary causes include:

  • Manufacturing Issues: Problems within the manufacturing process, such as production delays, quality control issues, or equipment failures, can disrupt the supply chain and lead to shortages.
  • Regulatory Challenges: Regulatory changes, including issues with drug approvals, recalls, or new safety requirements, can impact the availability of medications in the market.
  • Supply Chain Disruptions: Natural disasters, transportation challenges, or disruptions in the global supply chain can disrupt the flow of medications, causing shortages in certain regions or countries.
  • Market Dynamics: Market forces and economic factors, such as price fluctuations, low-profit margins, or consolidation within the pharmaceutical industry, can also contribute to medication shortages.

Addressing Medication Shortages:

Efforts are being made at various levels to mitigate medication shortages and ensure uninterrupted access to essential drugs. Here are some potential solutions:

  • Improved Communication and Transparency: Enhancing communication and transparency among stakeholders, including manufacturers, healthcare providers, regulators, and patients, can help identify and address shortages promptly.
  • Diversification of Suppliers: Reducing reliance on a limited number of suppliers or manufacturers can enhance supply chain resilience and reduce the impact of disruptions.
  • Regulatory Reforms: Regulatory agencies can play a significant role in streamlining the drug approval process, implementing policies to prevent shortages, and expediting the review of manufacturing facilities to ensure quality and reliability.
  • Collaboration and Information Sharing: Collaborative efforts among healthcare organizations, professional associations, and government agencies can facilitate information sharing, early identification of shortages, and coordinated responses to address them effectively.
  • Strategic Stockpiling: Building and maintaining strategic stockpiles of critical medications can help mitigate the impact of sudden shortages and ensure availability during emergencies.

Medication shortages are a complex issue that requires attention and concerted efforts from all stakeholders involved. By addressing the root causes, improving communication, and implementing proactive measures, we can work towards minimizing the impact of shortages on patient care. Together, we can ensure that every patient receives the medications they need, when they need them, for a healthier and more resilient healthcare system.

Note: The information provided in this blog post is for informational purposes only and should not be considered medical or professional advice. Please consult with a healthcare professional or pharmacist for specific medication concerns or questions.

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