Low Back Pain

What is Low Back Pain?

I know this sounds like a bit of a stupid question - of course "Low Back Pain" is pain in the low back. Unfortunately it's not always that easy. Questions we ask our patients include exactly what part of the low back hurts (a specific location or is it all over), the description of the pain (sharp, dull, achy, burning, etc), the severity of the pain, whether the pain radiates to other areas and if so where. Additional important questions include what brought on the low back pain, what aggravates it and what relieves it. We also need to know what kinds of treatments have been tried in the past (medicines, therapies, surgeries, etc).

Causes of Low Back Pain

Causes of Low Back Pain While low back pain can be caused by a multitude of things (eg infection, cancer, neurologic problems, gynecologic issues, etc), for most people the cause is typically musculoskeletal in origin. Unfortunately from this point things become a bit more confusing.

Different specialists will give different causes for the same problem - for instance a patient may be told by an orthopedist they have a bulging disc, a pain specialist they have inflammation around the nerve root, a chiropractor that the bones are out of alignment, a acupuncturist that there is a blockage in their chi, a physical therapist that their muscles are too weak and a massage therapist that the muscles are too tight. Each one of these specialists is giving a different cause for the exact same pain. Of note, each is giving a CAUSE that they have a TREATMENT for.

Here at Vance Medical we recognize this - that each different treatment modality is treating a different underlying CAUSE. We have several treatments for pain, and each looks at the problem through a different lens. Most of the treatments work on most of the patients, but by combining the treatments we can bring our success rates up to much higher.

Below are listed some of our treatment modalities:


Our most popular treatment for chronic pain is Prolozone. In fact, this was a treatment that changed Dr Vance's life - it was learning this therapy, and recognizing it was far superior to anything he'd ever seen before.

The theory behind Prolozone is that in order for chronic pain to occur there need to be two things happen: 1) a patient must have injured him/herself, and 2) the injury never fully healed. This brings to question WHY it didn't heal. The answer we give with Prolozone is that it didn't get enough blood supply. Of course the most important ingredient that the blood brings in is oxygen, so in Prolozone after injecting numbing medicines and vitamins we inject oxygen (mostly O2 with a small percentage of O3 (ozone)). We just inject the gas right in there, and instead of masking the problem it helps to actually cure the injury and thereby healing the cause of the pain and the pain itself.

For more information about Prolozone, click HERE.

Diseases LDN is Effective For

(per the Low Dose Naltrexone website)
Neurodegenerative Diseases
ALS, Alzheimer's, Autism, MS, Parkinson's, PTSD, etc
Autoimmune Diseases
AS, Behcet's, Celiac, Chronic Fatigue, Crohn's, Fibromyalgia, Hashimoto's, IBS, MG, Pemphigoid, Psoriasis, Rheumatoid Arthritis, Lupus, etc.
Bladder, Brest, Carcinoid, Colon/Rectal, Liver, Lung, Melanoma, Ovarian, Pancreatic, Prostate, etc.
Other Diseases
Common Colds (URI's), Emphysema (COPD), HIV/AIDS, Depression (Major; and Bipolar)

Visit Low Dose Naltrexone Website

How Do I Get It?

Because LDN is a low dose, it needs to be made at a compounding pharmacy (you can only get the "regular dose" at most pharmacies). The fact that the dose is low brings the cost down significantly, but the need for custom compounding brings it up to a medium price range. Each patient has their own particular dose that works best for them - it's definitely not a "one size fits all."

Side Effects

LDN is usually taken at night time just before going to bed. Occasionally patients take it in the morning. Most people tolerate the medicine very well, with the only common side effects of:

  • decreased sleep for the first couple of nights, (after that patients often sleep better than they've slept in years).
  • vivid, "funky" dreams (not nightmares). These may go away after a while or continue but are typically not bothersome to patients.