EXPERT
Dr. Gregory Vassilev
Pain Management Specialist
Dr. Gregory Vassilev practices Pain Medicine in Beverly Hills, CA. Pain medicine is concerned with the prevention of pain, and the evaluation, treatment, and rehabilitation of patients experiencing pain. Pain medicine physicians use a broad-based approach to treat all pain disorders, ranging from pain as a symptom of disease to pain as the primary disease. Dr. Vassilev serves as a consultant to other physicians but is often the principal treating physician, providing care at various levels; such as treating the patient directly, prescribing medication, prescribing rehabilitative services, performing pain relieving procedures, counseling patients and families, directing a multidisciplinary team, coordinating care with other healthcare providers, and providing consultative services.
Dr. Gregory Vassilev
- Beverly Hills, CA
- University of California
- Accepting new patients
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Back pain
Traumatic impact injuries can produce, facet syndrome, fractures and disc ruptures. I advise you to be examined by MD, if needed get at least Xrays. Rest, Ice, NSAIDS followed READ MORE
Traumatic impact injuries can produce, facet syndrome, fractures and disc ruptures.
I advise you to be examined by MD, if needed get at least Xrays.
Rest, Ice, NSAIDS followed by PT. If no resolution in 4-6 weeks consider MRI with leg pain involvement.
I advise you to be examined by MD, if needed get at least Xrays.
Rest, Ice, NSAIDS followed by PT. If no resolution in 4-6 weeks consider MRI with leg pain involvement.
Can acupuncture help weak leg muscles?
Acupuncture works by releasing endorphins. In fact it can be blocked by Naloxone. If you are experiencing weakness, multiple causes can contribute. Vascular, Spinal Stenosis, READ MORE
Acupuncture works by releasing endorphins. In fact it can be blocked by Naloxone.
If you are experiencing weakness, multiple causes can contribute.
Vascular, Spinal Stenosis, Disc compression. I highly advise to go see a doctor.
Have them perform a neurological, ABI, perhaps a NCT/EMG and MRI. (Electrolytes, dehydration, low blood sugar are obviously less concerning).
DO NOT WAIT -it could become permanent
If you are experiencing weakness, multiple causes can contribute.
Vascular, Spinal Stenosis, Disc compression. I highly advise to go see a doctor.
Have them perform a neurological, ABI, perhaps a NCT/EMG and MRI. (Electrolytes, dehydration, low blood sugar are obviously less concerning).
DO NOT WAIT -it could become permanent
Is acupuncture for back pain safe?
YES and I highly recommend it!
How do you relieve pain in the bottom of your foot?
Assuming there is no trauma/fracture (ruled out by Xray) If it occurs with the first steps out of bed -likely plantar fasciitis. If worsening towards the middle and end of the READ MORE
Assuming there is no trauma/fracture (ruled out by Xray) If it occurs with the first steps out of bed -likely plantar fasciitis. If worsening towards the middle and end of the day - tarsal tunnel. If DMII, HIV, chemo -could be neuropathy -Try Lyrica/Cymbalta. Of course, best if you see a doctor. IT IS COMPLICATED!
Concern about lethal dosage of prescribed pain medication?
I would strongly encourage Pain-Psych/Psychiatry to get involved. Spinal Cord Stim/ TDDS Pump might also be an option if most of his pain is below nipples (T4), low back and legs READ MORE
I would strongly encourage Pain-Psych/Psychiatry to get involved.
Spinal Cord Stim/ TDDS Pump might also be an option if most of his pain is below nipples (T4), low back and legs is ideal.
Sound like an intervention (big University /not small private practice) is required!
Spinal Cord Stim/ TDDS Pump might also be an option if most of his pain is below nipples (T4), low back and legs is ideal.
Sound like an intervention (big University /not small private practice) is required!
I have numbness in my right first three fingers?
If on clinical exam consistent C6 Radiculopathy vs. Carpal Tunnel. Cervical MRI and/ or NCT/EMG
Right foot injury?
Start with rest, ice, elevation, and compression. If unable to walk after 3-5 days, strongly consider X-ray.
Right abdominal pain?
GO TO THE ER, PLEASE
I just need some suggestions on what I can do?
Workup should include a physical exam after Hytory. If appropriate, consider MRI and/or NCT/EMG.
What are possible knee injuries I could be facing due to slamming knee into cement curb? Should I be concerned?
Sorry about your suffering. Once fracture has been ruled out, one must examine the nerves with an NCT/EMG. If normal likely from the spine. The mechanism of forced flexion at the READ MORE
Sorry about your suffering. Once fracture has been ruled out, one must examine the nerves with an NCT/EMG. If normal likely from the spine. The mechanism of forced flexion at the hip frequently results in disc herniation. Your symptoms appear neuropathic, i.e., a nerve is being irritated. Provocative testing during PE can point in a better direction.
Good Luck.
Good Luck.
What medications can I take for chronic knee pain?
In your age group, PRP is best. Alternatives are Meloxicam due to synovial concentration of this NSAID.
What is the cause of my hip pain?
For 1 year? Then absolutely. AVN, Labral tear, etc., are concerning.
What can the pain in my neck be?
Neck pain must be worked up. From muscle strain to neoplasm. If pain at night, persistent for more than 6 weeks, and numbness tingling are present, an MRI must be obtained.
What kind of doctor should I see for pain?
Pain or Spine ortho
What can I do with my shoulder pain?
Absolutely! PRP, or platelet rich plasma, after an ultrasound exam is very effective in restoring joint ROM and decreasing pain. Find a doctor that is using TERUMO products. You READ MORE
Absolutely! PRP, or platelet rich plasma, after an ultrasound exam is very effective in restoring joint ROM and decreasing pain. Find a doctor that is using TERUMO products. You will do very well.
What is the best way to treat muscular pains after running?
1) If due to lactate build-up: Warm bath, fluids, bananas
2) If due to muscle tear: R.I.C.E.
3) If large muscle tear: PRP (Ultrasound)
2) If due to muscle tear: R.I.C.E.
3) If large muscle tear: PRP (Ultrasound)
Fibromyalgia
Duloxetine, Physical Therapy.....
I have severe back pain during my periods. Please help.
You are likely in need of a consultation with your GYN. You might need an exploratory laparoscopy to rule out extra-uterine seating.
My fingers hurt after playing tennis. Is this normal?
It could be Pronator Terres Entrapment. You should do Rest, Ice, Elevation, and Compression (RICE). If not better in 2-3 weeks, seek a pain MD.
