Advanced Pain Management & Spine Specialists

10/09/2025

Dr. Daitch's "GOOD TO KNOW"

Advanced Pain Management & Spine Specialists is known for offering the latest in technology and techniques to eliminate or greatly minimize acute and chronic pain.

Although procedural videos are available to explain the process, many patients find it most helpful to hear from those who have "been there, done that."

To hear recovered patients share their experience, our "Treatments" page has a right-hand column that shares some patient interviews at post-op appointments, including patients who've had:

MILD (Minimally Invasive Lumbar Decompression)
MinuteMan
InSpan
FacetFuse
Intracept
SI Fusion
Sacroplasty
Targeted Injections
ViaDisc

These brief videos can provide a patient's perspective for those considering certain procedures, which often helps patients feel more confident in going forward with treatment.

Check these out at:

An Advanced Approach To Relieving Pain Non-Surgically Dr. Daitch offers the most advanced techniques and technology in modern pain relief and MinuteMan (spacer for spine stabilization)

10/07/2025

BURSITIS RELIEF

Bursae (bur-SEE), part of the skeletal system, allow tendons, muscle and bone to move together without friction.

Repetitive motion, accidents and injuries can irritate the bursae, causing fluid to build. This leaves less space for joints and connective tissue to move, leading to friction and pain.

BURSA INJECTIONS contain steroids that soothe inflammation and joint pain by reducing this swelling. BURSA INJECTIONS are commonly used to treat bursitis of the:
• Hip
• Shoulder
• Elbow
• Hamstring or buttocks
• Knee

Relief typically occurs within a few days. Stretching and strengthening exercises may help you avoid reoccurring symptoms. However, when inflammation involves the tendon (because of its proximity to the bursa in some joints), an injection to another area may be advised.

Our pain management physicians will discuss options to help you avoid (or delay) the need for surgery.

To learn more about injections that are administered comfortably and effectively, visit: https://www.apmss.net/treatments/

Or call: 239-437-8000

09/30/2025

October starts the beginning of the 2025 4th quarter. NOW is a great time to take measures that can provide you more active and comfortable years to come!

1). Schedule an appointment with interventional pain management physician JONATHAN S. DAITCH, MD. Dr. Daitch can determine which treatment options address the issues causing you pain and debilitation.

2). Take advantage of unused insurance benefits and learn how coverage can support your goals for restored activity and ease of movement.

3). Arrange to have your treatment before the end of the year, allowing sufficient time for recovery.

4). Look forward to a 2026 that allows you to be more social, sleep better, more active (and thus, healthier) with greater optimism toward life overall!

PLEASE NOTE: During the last months of the year, APPOINTMENT TIMES FILL QUICKLY! Please schedule your appointment(s) and procedure(s) EARLY to secure the dates/times that work best for you.

Call 239-437-8000.

09/25/2025

The anatomy of the spine is a complex assembly that includes:

• Vertebrae - These 33 bones are stacked on top of each other with a cushioning of intervertebral discs between each.

• Intervertebral discs - Between each vertebrae, these serve as shock absorbers. Their tough outer ring surrounds a soft inner core, known as the nucleus pulposus.

• Ligaments - These are "ropes" of tissue that connect the vertebrae and stabilize the spine.

• Facet joints - These joints are located on the back of each vertebra and connect to the one above and below. The facet joints are what allow for movement, such as bending and twisting. They also provide stability by preventing excessive motion.

• Spinal canal - This hollow tube through the center of vertebrae contains the spinal cord.

Specifically, a facet joint contains cartilage and lubricating fluid and is susceptible to arthritis and pain. When a spinal fusion is recommended, many people may have another, less invasive option.

FacetFuse® provides effective stabilization and pain relief with a faster return to normal activities. Unlike traditional multilevel “rods and screws fusion," FacetFuse stabilizes the spine through small incisions, reducing trauma to surrounding muscles and tissues. This less-disruptive approach prioritizes preservation of natural anatomy while ensuring optimal stabilization.

With shorter recovery times, fewer complications, and a quicker return to daily life, FacetFuse is redefining the way spinal fusion is performed.

FacetFuse is one of many minimally invasive procedures offered by Advanced Pain Management & Spine Specialists. Board certified interventional pain management physician Jonathan S. Daitch, MD is known for his commitment to restoring comfort and mobility to patients, often to those who have suffered with debilitating pain for decades.

Learn more by visiting: https://www.apmss.net/treatments/

Or call 239-437-8000 to schedule an appointment.

09/19/2025

Did you say hurricane? 😫

09/16/2025

IS IT SCIATICA?
Common symptoms of sciatica are:

• Shooting pain that extends from the lower back/buttocks down one leg
• Feeling of numbness, tingling, or muscle weakness in the affected leg
• Pain that worsens with sitting, coughing, or sneezing

At Advanced Pain Management & Spine Specialists, we offer several options to help relieve the nagging - and often debilitating - discomfort of sciatica. These include:

InSpan – This minimally invasive implanted device creates space between offending nerve roots and helps to stabilize the spine.

Epidural Steroid Injections – This injection delivers local anesthetic and steroid to treat pain from persistent sciatica.

Selective Nerve Root Injections – These injections deliver local anesthetic and steroid along the exiting spinal nerve root for sciatic pain emanating from the nerve root.

Percutaneous Disc Decompression – This minimally invasive procedure removes a small amount of disc that is pressing on the nerve root. This is particularly beneficial when injections do not provide adequate relief.

Because sciatica stems from a nerve rather than a muscle, rapid relief can occur when these simple yet effective measures are used in experienced hands. Jonathan S. Daitch, MD is an interventional pain management physician who has a longstanding reputation for relieving pain and helping patients get back to normal lifestyles.

Call 239-437-8000 or visit:

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

09/12/2025

CANCER PAIN & OTHER UNRESPONSIVE PAIN

Some pain is relentless, with minimal response to even advanced pain management protocols.

In cases such as these, we have options that can provide comfort to patients, without them being held hostage by harsh, addictive pain medications.

For cancer pain or other unresponsive pain, options are:

• SPINAL INFUSION PUMP – Providing more comfort with enhanced pain control, this implant dispenses morphine or Prialt directly into the spinal canal.

• SPINAL CORD STIMULATION – When scar tissue forms after back surgery, the resulting leg and back pain can be reduced through implantation of a spinal cord stimulator (SCS).

Modern versions of these implants have improved battery life and eliminate the "pins and needles" sensations associated with some older models.

If you - or someone you care about - is enduring debilitating pain and feels the options for relief are exhausted, call Advanced Pain Management & Spine Specialists for an appointment.

Jonathan S. Daitch, MD, a board certified interventional pain management physician, has a reputation for helping to restore comfort and mobility to individuals, even those who have had challenging pain for years.

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

09/05/2025

CAN YOU AVOID SPINAL FUSION SURGERY?
https://youtu.be/QJNslQmcaVE

A board certified Interventional Pain Management physician, Jonathan S. Daitch, MD interviews Christine, a recent INSPAN® patient, at her 4-week post-op appointment.

After a previous spinal surgery and then a spinal fusion, Christine was experiencing severe sciatica and low back pain. Dr. Daitch reviewed imaging and suggested the INSPAN® procedure to relieve pressure in the spine.

Traditional hospital surgeries (such as multilevel laminectomies or pedicle screw fusions) are highly invasive, require extended recovery, and disrupt normal spinal anatomy.

For those seeking a safer, less invasive alternative to traditional hospital surgery and fusions, INSPAN® offers lasting stability, reduced recovery times, and a quicker return to daily life.

Like Christine, InSpan patients can regain their mobility and quality of life without the drawbacks of more extensive open surgery.

Dr. Daitch is widely known for offering some of the most advanced options in today's pain management field, including the latest techniques and technology. He has an excellent reputation for success and in patient communication to ensure patients are fully informed of their needs and options. His Fort Myers FL pain management office is fully dedicated to the relief or elimination of acute and chronic pain and new patients are always welcome. A referral is not always needed.

Call 239-437-8000 to schedule an appointment. To view additional patient interviews or learn more about the many options at Advanced Pain Management & Spine Specialists, visit:
https://www.apmss.net/treatments/

A board certified Interventional Pain Management physician in SW Florida, Jonathan S. Daitch, MD interviews Christine, a recent INSPAN® patient, at her 4-wee...

09/03/2025

As a recognized speaker to fellow colleagues, JONATHAN S. DAITCH, MD is staying busy sharing his knowledge and experience.

While attending the Annual Meeting of the American Society of Pain and Neuroscience (ASPN) in Miami July 18, a presentation hosted by KIC Ventures featured Dr. Daitch who shared selected cases involving Facet Fusion. Attendees were fellow Interventional Pain Management physicians.

Upcoming speaking will feature Dr. Daitch as a key presenter at the Annual Conference of the Florida Society of Interventional Pain Physicians (FSIPP) and the Florida Society of Physical Medicine & Rehabilitation, to be held in Orlando September 4 - 7. Attendees will include clinicians, researchers, and industry leaders.

In addition to serving as a panelist in group discussions, Dr. Daitch will present:

• Spinal Stenosis: Pathophysiology and Beyond; ESI and PILD vs Spacer vs Surgery

• Treating the Difficult Patient

Dr. Daitch is also on the Board of Directors of FSIPP, which is dedicated to the promotion of "the development and practice of safe, high quality, cost-effective interventional pain management techniques for the diagnosis and treatment of pain and related disorders."

09/02/2025

In this video, Jonathan S. Daitch, MD discusses a combination of the InSpan procedure and Facet Fuse with Sharon at her two-week follow-up appointment.

Sharon was suffering with low back and leg pain, which was limiting her ability to walk as well as perform day-to-day tasks. The miserable pain would radiate from her lower back, into her groin and down her leg.

After injections and radiofrequency ablation failed to provide sufficient relief, Dr. Daitch presented options to Sharon that could help her avoid the rigors of invasive back fusion surgery that disrupts normal spinal anatomy and requires lengthy recovery time.

INSPAN represents a significant advancement in spinal care, offering a minimally invasive alternative 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, avoiding extensive muscle dissection and bone removal. The INSPAN implant is securely anchored between the offending discs, which creates space and relieves nerve compression.

Sharon’s treatment also included the FACETFUSE® procedure. FacetFuse provides a less disruptive treatment that provides stabilization and pain relief with a faster return to normal activities.

Unlike traditional multilevel “rods and screws fusion”, FacetFuse is a minimally invasive procedure and performed through small incisions. The process helps to preserve the spine’s natural anatomy while ensuring optimal stabilization. An appealing and effective alternative to the open surgery required for traditional spinal fusion, FacetFuse offers shorter recovery times, fewer complications, and a quicker return to daily life.

Dr. Daitch has a widespread reputation for helping his patients enjoy restored comfort and mobility by offering some of the most progressive techniques and technology in today's pain management field.

New patients are always welcome. Call 239-437-8000 to schedule an appointment.

08/28/2025

Offices closed August 29th & September 1st. Enjoy your Labor Day weekend!

08/27/2025

Becoming More & More Dependent On Pain Meds?

According to the National Institutes of Health (NIH), about one-third of American adults take over-the-counter (OTC) drugs (such as NSAIDS and acetaminophen) every day.

Taking daily OTC pain medications is effective for managing some pain, but on a practical basis. When acute or chronic pain requires daily or taking a higher dose than recommended, the risks include:

- Gastrointestinal issues
- Stomach bleeding
- Ulcers
- Kidney problems
- Liver damage (especially with alcohol consumption)

Advanced Pain Management & Spine Specialists (APMSS) is solely dedicated to the management or elimination of acute and chronic pain. They offer proven, advanced options, many that provide long term relief and even eliminate pain.

Our goal is to restore patients to active, comfortable lifestyles. It begins with accurate diagnosis to determine the true origin of pain (which sometimes emanates from more than one source).

If you feel the pain you are trying to minimize is demanding an ever-increasing need for pain medications, consider discussing your situation with APMSS founder and board certified pain management physician Jonathan S. Daitch, MD.

To make an appointment, call 239-437-8000 or visit www.apmss.net