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Spinal Arthritis

The vertebral column is loaded with joints throughout the spine and provide contact points between each vertebra.  These joints allow mobility of the spine. These joints are most commonly called facet joints or zygapophysial joints (z-joints).  They are prone to...

Epidural Steroid Injections

Epidural steroid injections are among the most common procedures performed in pain clinics. It is a safe and effective procedure for several common causes of pain. The same principles discussed here also apply to the cervical and, less commonly, thoracic spine. This...

What is a Pain Medicine Specialist?

Training To be board-certified in the field of Pain Medicine, a doctor completes a residency in a specialty, such as Anesthesiology, Physical Medicine and Rehabilitation, or Neurology. Primary board certification in the field of residency training can then be...

Meet Dr. Joyal

Dr. Joyal established Advanced Spine and Pain to help patients suffering from a wide variety of pain conditions regain function and restore quality of life. Dr. Joyal’s extensive training and board certifications in both Anesthesiology and Pain Medicine allow him to...