Advanced Pain Management & Spine Specialists

01/20/2026

FREQUENT HEADACHES.. can interfere with quality of life, and even impact that of those who rely on them.

Advanced Pain Management & Spine Specialists has helped patients who've suffered with headaches, often providing long-term relief through non-surgical options.

• Peripheral Nerve Block – When inflammation causes nerve pain, the pain signal can be alleviated by injecting steroids under fluoroscopic guidance.

• Cervical Facet Injection – Steroid and local anesthetic are injected under fluoroscopic guidance* to treat lower back pain or neck pain emanating from these joints.

• Cervical Radiofrequency – To alleviate some back or neck pain, this procedure works by heating the nerve to “short-circuit” the pain signal. Relief can last for a year or more.

• Sphenopalatine Ganglion Block – This simple nasal sq**rt can block nerves causing headaches and facial pain.

• Botox Injections – The injections of Botox relax muscles associated with severe pain. It can relieve headaches due to chronic daily migraines

If you (or someone you know) endure the misery of frequent headaches or migraines, consult with interventional pain management physician Dr. Jonathan S. Daitch. Through accurate diagnosis and appropriate treatment, Dr. Daitch may have a conservative solution for you.

Call 239-437-8000 or visit:
https://www.apmss.net/treatments/

01/18/2026

For patients who have a protruding or herniated disc, open surgery is not always required for relief of pain. Provided there is ample disc height, DISC FX can be a highly effective option to eliminate back or leg pain.

Between each vertebra in the spine is a disc that serves as a shock absorber to protect the vertebrae. These discs have an outer layer (the annulus) and an inner section (the nucleus). The discs can be damaged because of injury or age.

If the annulus is torn, the nucleus can leak, leading to what’s known as a protruding or herniated disc. Up to 50% of low back pain can be due to damaged discs with tears or protrusions.

Rather than endure the rigors of major surgery, Advanced Pain Management & Spine Specialists offers qualified candidates DISC FX to restore comfort and mobility. In a 30-45 minute procedure, DISC FX is able to decompress the disc and seal tears in the annulus.

To determine if you are a candidate, you’ll begin with a physical exam and diagnostic tests (such as MRI or discography). While highly successful for qualified candidates, DISC-FX may not be beneficial for discs that are severely degenerated and have lost too much height.

Call 239-437-8000 or visit:
https://www.apmss.net/

You can also download a brochure on the DISC FX procedure at:
https://www.elliquence.com/wp-content/uploads/2016/04/Patient-Brochure-Single-Pages.pdf

01/14/2026

A fairly common cause of Lumbar Spinal Stenosis (LSS) for older adults experiencing bone loss due to osteoporosis is deterioration of the vertebral structure.

Common symptoms of LSS are:
• Low back pain;
• Pain, weakness or numbness in the legs, calves or buttocks;
• Cramping in the calves with walking, requiring frequent short rests;
• Pain radiating into one or both thighs and legs, similar to sciatica;
• Pain relief when bending forward, sitting or lying down.

Fortunately, advanced options are available to relieve the symptoms associated with Lumbar Spinal Stenosis, without surgery.

MILD® (Minimally-Invasive Lumbar Decompression)
is an outpatient procedure that has provided long-term results for many APMSS patients. It relieves pressure in the spinal canal by removing excess ligament tissue.

The MILD procedure is quick (about 30 mins. for most patients) and performed through an incision that is less than an inch. It is also covered by Medicare.

MILD results are typically experienced within a few days, providing:
- Reduction in pain
- Restored mobility
- Increased standing time of up to an hour
- Increased walking distance (up to 4,000 ft)

The procedure is performed in the APMSS facility’s Park Center for Procedures. During this, the patient can relax in a “twilight sleep” state and return home within hours.

Want to learn more? Hear a MILD patient share his story through this brief video:

https://youtu.be/8FalZr1D764?si=PXQQ_DaoruXljmbA

If you feel MILD may be an option for you, call Advanced Pain Management & Spine Specialists at 239-437-8000 or visit our website at: https://www.apmss.net/

Advanced Pain Management & Spine Specialists in Ft Myers the first pain medicine/pain management clinic in SW Florida.

01/10/2026

Sciatica occurs when one or more of the nerves that extend from the lower back and into the legs become irritated or inflamed. Fortunately, this often improves with time and self-care.

Self-care can take a few weeks or several months. Improvement may occur with rest, gentle movement, anti-inflammatory medication, stretches, and exercises to strengthen the core muscles. Lifestyle changes may also be needed to prevent reoccurrence.

Improvement at home starts with...
• Anti-inflammatory medications
• Use of cold packs first, switching to heat after a few days
• Over-the-counter pain relievers as needed
• Gentle stretches for the back and legs
• Strengthening the core muscles through careful exercise

Sciatica has a high recurrence rate (around 80%). When sciatic pain does not improve through at-home care, it may be due to underlying issues such as a herniated disc, spinal stenosis, or tumor.

You should be seen by a physician promptly when...
• Pain becomes severe, worsens, or you experience weakness or numbness
• You experience pain on both sides of the body
• If your symptoms persist even with self-care for a few weeks

If sciatic pain is causing you discomfort and is not improving regardless of self-care, call Advanced Pain Management & Spine Specialists of Fort Myers FL to schedule an examination appointment.

Our Board Certified physicians offer several targeted injections that often provide long-term or even lasting relief. Minimally-invasive procedures are available if conservative measures fail to provide sufficient or total relief.

01/06/2026

01/05/2026

Spinal stenosis can cause...
• Decreased ability to walk more than a block or two
• Inability to stand for more than 10 - 15 minutes
• Buttock and leg pain that worsens with standing and walking
• Leg cramps, leg spasms, or “charlie horses” at night
• Choosing to sleep in a recliner or in a fetal position

Spinal fusion surgery in a hospital typically requires 3 - 4 hours followed by a 2 - 3 month recovery. This is where Minuteman, a minimally-invasive spine stabilizing device (fusion) is ideal for patients wishing to avoid open surgery and the lengthy recovery.

Minuteman takes about 30 - 40 minutes in our outpatient surgery center. It is performed through a one-inch incision and does not involve cutting any muscles or bone. Minuteman is especially beneficial for patients with single level disease (for example L4-5 or L3-4) who meet certain criteria of spinal stenosis, or spinal slippage (spondylolisthesis).

After surgery, leg pain should ease within days. Physical therapy will lead to increased walking and standing endurance as well as better balance and greater function.

If you suffer from spinal stenosis, buttock and leg pain and have not found relief from conservative treatments, Minuteman may be a solution. Call 239-437-8000 to schedule an examination.

You're also invited to hear one patient's story about his Minuteman procedure through this brief video interview with Dr. Daitch:
https://youtu.be/DhqCE8Wbun8?si=9Az6Fg8jU2cEgBbh

01/01/2026

Making New Year’s resolutions?
Consider taking steps to lessen risk factors associated with your spine. Some measures include:

• Do gentle exercises that strengthen core muscles, such as swimming, yoga, pilates and walking.

• Stretch daily.

• Check your posture while sitting.

• Lift with your legs.

• Maintain a healthy weight.

• Quit smoking.

Remember, the lower back endures the stress of supporting the entire upper body. Give it the attention it needs to do its job well!

If chronic low back pain is keeping you from living a comfortable lifestyle, call Advanced Pain Management & Spine Specialists for an examination. Our minimally invasive options can often eliminate or greatly minimize low back pain for many individuals, even for pain that has existed for decades.

12/31/2025

Closing at 3pm on Dec. 31. Closed January 1 and will reopen as normal January 2.

Have a safe and happy New Year's celebration!

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.