Advanced Pain Management & Spine Specialists

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/

11/10/2025

11/10/2025

SW FL interventional pain management physician Jonathan S. Daitch, MD discusses the positive results of the MILD (minimally invasive lumbar decompression) and MinuteMan procedures with a recovering patient at her post-op appointment.

https://youtu.be/hfXP-yFAbKM?si=pnS-Mv7HGwEIPqET

Evelyn had previously experienced difficulty walking or standing, enduring miserable pain that ran from her lower back down her leg. In this interview, Dr. Daitch reviews how the removal of a small amount of offending ligament and implantation of a stabilizing device - the combination of two minimally invasive procedures performed through a 1-inch incision - have given the patient restored comfort and ease of motion.

Now excited about resuming a life where day to day tasks are performed with ease, Evelyn is especially pleased to know she can cook again and stand for long periods without experiencing pain.

MILD (minimally-invasive lumbar decompression) is an outpatient procedure that relieves pressure in the spinal canal through an incision the size of a baby aspirin. This outpatient procedure is quick (about 30 mins) and covered by Medicare nationwide.

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

Minuteman is performed through a one-inch incision and does not involve cutting any muscles or bone. There is minimal blood loss and you return home the same day - generally within an hour after the procedure ends. There is also minimal discomfort after this type of stabilization procedure.

In this, a heavy-duty toggle bolt (with wings) is placed through the rear elements of the spine. Once the bolt is placed, the toggle wings are opened. The bolt opens the spinal canal and creates room where the pinched spinal nerve roots exit. The wings catch on the spinous processes and a “nut” tightens everything into position, stabilizing the spine. Bone cement is added to further ensure proper fusion/stabilization of the spine.

The device is a permanent implant and can be surgically removed in the future if needed but does not burn any bridges should further treatment be necessary.

Minuteman can be especially beneficial for patients who have been offered more extensive surgical fusion procedures and prefer a less invasive option or for patients who may be unable to withstand more complex in-hospital procedures as well. It is also an excellent option for patients with single level disease (for example L4-5 or L3-4) who meet certain criteria of spinal stenosis, or spinal slippage (spondylolisthesis).

Dr. Daitch, founder and senior physician at Advanced Pain Management & Spine Specialists of Fort Myers, FL, is known for providing innovative options that restore comfort and mobility to patients with acute and chronic pain, many of whom have suffered for decades with severe and debilitating pain.

Dr. Daitch accepts new patients and a referral is not always needed. Call 239-437-8000 or visit https://www.apmss.net/

SW FL interventional pain management physician Jonathan S. Daitch, MD discusses the positive results of the MILD (minimally invasive lumbar decompression) an...

11/10/2025

On November 4th, Dr. Jonathan S. Daitch performed the very first INTRACEPT procedure in Florida with the upgraded equipment and technology called “Edge”

This allows for more precise placement of the heating probe to treat the basivertebral nerve to address Vertebrogenic pain.

It is an honor for Dr. Daitch, a board certified interventional pain management physician, and his practice, Advanced Pain Management & Spine Specialists (APMSS) to be chosen for this milestone.

This is just another one of the many new technologies that Dr. Daitch has brought to interventional pain in Fort Myers over the past 25 years.

Learn more about Dr. Daitch and Intracept at:
https://www.apmss.net/
or call: 239-437-8000

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

11/07/2025

Avoid major open surgery for a HERNIATED DISC through a minimally invasive outpatient procedure.

Symptoms of a herniated disc include:
- Pain
- Numbness
- Tingling or weakness in the back and/or leg

When conservative measures fail to provide sufficient relief and you wish to avoid (or delay) major open surgery, Disc-FX® may be an option.

Disc-FX provides quick relief of symptoms and offers an earlier return to normal activities versus open surgery in a hospital. An outpatient procedure, Disc FX requires only minimal anesthesia and is performed in just 30-45 minutes.

Learn more at:
https://www.apmss.net/treatments/

Begin with a consultation with one of our board certified Pain Management physicians. Call 239-437-8000 to learn more.