Arrhythmias—abnormal heart rhythms—can be triggered or worsened by various environmental and lifestyle factors. Below are key insights and recommendations to help you avoid toxic substances and potentially prevent or reduce arrhythmias. Key Points & Recommendations 1. Alcohol Consumption Even a single drink—whether it’s a shot, a glass of wine, or a beer—can significantly increase the risk of arrhythmias. Cutting back on alcohol or eliminating it entirely may help lower your risk. 2. Caffeine Research shows caffeine can increase the likelihood of atrial fibrillation. If you’re sensitive to caffeine’s stimulant effects, consider avoiding caffeinated beverages at least 5–6 hours before bedtime. This can help improve the quality of your deep sleep and REM sleep. 3. PFAS “Forever Chemicals” 4. Air Quality Both outdoor pollutants (e.g., car exhaust, smog) and indoor pollutants (e.g., PM2.5, VOCs like benzene and formaldehyde) can contribute to arrhythmias. To reduce exposure: 5. Dietary Recommendations Video Resources For more tips on minimizing toxin exposure, check out these YouTube videos by Dr. Patel: Check out this video by Dr. Navara, on what atrial fibrillation is: Disclaimers Longevity SMAs Our Longevity Shared Medical Appointments (SMAs) are wellness and longevity-focused sessions offered through the CRISSP Longevity Clinic (a separate, out-of-network practice). A separate fee may be required per session. General Information This blog post offers general educational information and product references. It is not intended to replace professional medical advice. Always consult a qualified healthcare professional before making changes to your treatment plan. Affiliate Links Some links may be affiliate links. If you click and make a purchase, we may receive a small commission at no additional cost to you. Warm regards,Dr. Kunj Patel & Dr. Rachita NavaraCRISSP Clinicshttps://crissp.net

Chronic pain is generally defined as pain lasting more than 3 months. Many conventional treatments aim to reduce symptoms rather than address the root causes. Two advanced therapeutic approaches—Regenerative Medicine and Neuromodulation—are increasingly used when standard methods fall short. Here’s a closer look at how they work and what to consider if you’re exploring them. 1. Regenerative Medicine Platelet-Rich Plasma (PRP) Stem Cell Options Tenex (Water-Assisted Debridement) 2. Neuromodulation Interrupting the Pain Pathway Chronic pain can cause the nervous system to become overactive, creating a feedback loop that intensifies pain signals. Neuromodulation disrupts this loop by delivering gentle electrical impulses. Peripheral Nerve Stimulator (PNS) & Spinal Cord Stimulator (SCS) TENS Units Disclaimers General Education This post is for general educational purposes and does not substitute for professional medical advice. Always consult a qualified healthcare professional before making changes to your treatment plan. Longevity SMAs Our Longevity Shared Medical Appointments (SMAs) focus on wellness and longevity, offered through the CRISSP Longevity Clinic (separate and out of network). A separate fee may be required per session. Insurance & Fees Regenerative procedures (e.g., PRP, stem cell injections) are typically not covered by insurance. Neuromodulation may be covered under specific guidelines. Discuss all financial considerations with our billing department. Affiliate Links Some links in our posts may be affiliate links. If you click on these links and make a purchase, we may receive a small commission at no additional cost to you. Final Thoughts Regenerative Medicine and Neuromodulation represent cutting-edge options for those dealing with persistent, hard-to-treat pain. By targeting the source of the problem—either through natural tissue repair or interrupting abnormal pain signals—these therapies may offer new hope for lasting relief. Warm regards,Dr. Kunj Patel & Dr. Rachita NavaraCRISSP Clinicshttps://crissp.net

Introduction Chronic pain can be a life-altering condition, preventing you from engaging in the activities you love. The Curonix FREEDOM® PNS System presents a novel approach to relieving pain by combining flexibility, comfort, and advanced engineering—all aimed at getting you back to a more active lifestyle. Unique Features of FREEDOM® PNS · Wireless, Patient-Centric Design: FREEDOM® PNS places a premium on user comfort, featuring a lead and receiver system tailored to the individual’s anatomy. · True Flexibility: You decide when and where to wear the external stimulator, offering freedom from bulky equipment or permanent implants. · Micro-Technology for Targeted Relief: With microelectronic components and specialized leads, Curonix focuses on precision nerve targeting, which can reduce procedure time and potential complications. · Multi-Purpose Application: FREEDOM® is suitable for various chronic pain syndromes, including post-surgical pain, neuropathic pain, and musculoskeletal discomfort. How FREEDOM® Works 1. Core 5 Resource Booklet Guidance: Curonix provides thorough training resources and guidelines for both clinicians and patients, ensuring proper lead placement and aftercare. 2. Lead and Receiver Placement: A specialized lead is implanted near the affected nerve, while the external stimulator can be worn as needed. 3. Wireless Stimulation: Painless electrical impulses disrupt the pain signal pathway, providing targeted relief without a permanent battery implanted in the body. Safety and Efficacy · Reduced Invasiveness: FREEDOM® PNS is designed to minimize the surgical footprint, often requiring only small incisions or needle placements. · Clinical Support: Studies and real-world use cases indicate improvements in pain scores, mobility, and patient satisfaction. · Easy Maintenance: Because the power source is external, maintenance and battery checks are straightforward, avoiding repeated surgeries. Is FREEDOM® Right for You? If your chronic pain has persisted despite traditional therapies, or if you’re hesitant about permanent implants, the FREEDOM® system may provide a balanced blend of effectiveness and convenience. Talk to a qualified pain specialist or neuromodulation expert to see if Curonix FREEDOM® PNS aligns with your treatment goals. Conclusion The Curonix FREEDOM® PNS System prioritizes a patient-focused design, delivering targeted relief while letting you decide how and when to use the external stimulator. Its innovative, minimally invasive nature makes it a powerful contender in the realm of chronic pain solutions. Additional Resources: · Patient Testimonials and Case Studies · Curonix Resource Library for Healthcare Professionals

Introduction When chronic pain takes over, everyday tasks can become monumental challenges. If medications and therapies are not giving you relief, it may be time to explore alternatives like the SPRINT PNS System from SPR Therapeutics. This 60-day, incision-free treatment has transformed the pain management landscape, providing long-lasting relief without permanent implants. Key Highlights of SPRINT PNS · Short-Term Treatment, Long-Term Results: The leads stay in place for 60 days, after which they are removed. Many patients report significant pain relief that continues long after the treatment period ends. · Non-Surgical Approach: Because it’s incision-free, the procedure typically causes minimal discomfort and reduces the risks linked to invasive surgeries. · Drug-Free Alternative: For those looking to minimize or eliminate opioid usage, SPRINT provides a powerful, non-pharmacological solution. · Clinical Validation: Studies consistently show that 70-80% of patients experience significant reduction in pain and improved daily functioning with SPRINT. How SPRINT Works 1. MicroLead Placement: A small, open-coil lead is placed under the skin near the peripheral nerves responsible for pain signals. 2. External Pulse Generator: Instead of implanting a battery pack, an external unit delivers mild electrical stimulation. 3. Interrupting Pain: These electrical pulses disrupt pain signals before they reach the brain, offering targeted relief. Ideal Candidates · Postoperative Pain: Patients with lingering pain following surgery (e.g., knee replacement) have seen considerable benefits. · Shoulder, Back, or Lower Extremity Pain: The SPRINT system can target various body regions effectively. · Conservative Treatment Seekers: If you want a non-surgical path to pain relief or a temporary option before committing to a permanent implant, SPRINT might be the perfect fit. 60 Days to a Better Life During the 60-day treatment, patients can continue most daily activities with minimal restrictions. Following removal of the leads, many people enjoy lasting relief due to the “reset” effect on the pain pathway. Explore SPRINT’s Clinical Outcomes: Discover compelling clinical results in SPR Therapeutics’ Clinical Resources and Studies. Conclusion The SPRINT PNS System, developed by SPR Therapeutics, offers a cutting-edge, short-term therapy for lasting relief of chronic pain. Its minimally invasive nature, robust clinical validation, and simplicity make it an attractive option for those yearning for a pain-free future without the constraints of a permanent implant. Additional Resources: · SPRINT Patient Success Stories · Find a Provider for SPRINT Therapy

Introduction Chronic pain can be relentless, limiting your day-to-day activities and diminishing your overall quality of life. Whether it’s pain in the shoulder, lower back, knee, or foot and ankle, finding long-term relief can feel like an uphill battle. Fortunately, the Nalu Peripheral Nerve Stimulation (PNS) System offers an advanced, minimally invasive option for targeted pain management. What Makes Nalu Unique? · Micro-IPG Technology: At the heart of Nalu’s system is its micro-sized implantable pulse generator (micro-IPG), which is much smaller than traditional PNS devices. · Rechargeable Therapy Disc: An external Therapy Disc powers the system so you don’t need frequent battery replacement surgeries. Simply recharge or swap out your Therapy Disc as needed, minimizing downtime. · Extended Service Life: The Nalu System is cleared by the FDA for an impressive 18-year service life, ensuring durable, long-term pain relief. · Discreet Control: Control your therapy either via the Nalu App on your smartphone or using the Therapy Disc itself. How Nalu PNS Works 1. Lead Placement: Thin wires (leads) are implanted near the affected peripheral nerves under minimal sedation, using imaging guidance. 2. Signal Interruption: The micro-IPG sends mild electrical impulses that interrupt pain signals before they travel to the brain. 3. External Battery: Because the power source is worn on the outside, you won’t need an additional surgery to replace internal batteries. 4. Easy Trial: You can try the Nalu System temporarily, ensuring it effectively reduces your pain before fully committing. Clinical Benefits · Minimally Invasive Procedure: Typically involves a small incision with faster recovery times compared to more invasive surgeries. · Long-Term Relief: Patients often report sustained relief from chronic pain and an overall improvement in their daily activities. · Versatile Use Cases: Suitable for a range of chronic pain conditions, including shoulder, knee, lower back, and foot/ankle pain. Is Nalu Right for You? Nalu PNS may be ideal for individuals seeking a minimally invasive alternative to traditional pain therapies or those who’ve exhausted options like medications, physical therapy, or spinal surgeries. Explore further with your physician and check out patient testimonials and resources from Nalu. Conclusion The Nalu Peripheral Nerve Stimulation System offers a groundbreaking solution for chronic pain, combining minimal invasiveness with durable results. If you’re ready to reclaim your life and live with less pain, consider speaking to your doctor about Nalu PNS. Additional Resources: · Nalu System Overview· Nalu Clinical Research and Data

Chronic pain significantly reduces quality of life, affecting millions globally. Conditions commonly causing chronic pain include issues with the shoulder, foot and ankle, lower back, and knee. When traditional treatments fail, Peripheral Nerve Stimulation (PNS) emerges as an innovative, minimally invasive alternative. Understanding Peripheral Nerve Stimulation PNS directly targets nerves transmitting pain signals, effectively interrupting these signals before reaching the brain. Two notable FDA-cleared systems are the Nalu and SPRINT PNS Systems: · Nalu PNS System: Involves ultra-thin wires (leads) placed under the skin connected to a micro-IPG device, delivering mild electrical pulses to disrupt pain signaling. Its rechargeable Therapy Disc eliminates frequent battery replacement. · SPRINT PNS System: Employs a temporary, minimally invasive lead called the MicroLead placed near nerves causing pain. This 60-day treatment often delivers durable relief without the need for medications or permanent implants. Clinical Effectiveness and Research Support Clinical evidence strongly supports PNS effectiveness: · Pain Reduction: Research consistently shows that approximately 70–80% of patients experience significant reductions in pain severity and frequency after PNS treatment. · Long-Term Effectiveness: Studies document pain relief extending up to 14 months post-treatment, emphasizing PNS’s role as a reliable, non-opioid pain management option. · Functional Improvement: Recent studies highlight significant improvements in physical function and quality of life, including increased mobility and reduced pain interference in daily activities following PNS treatment. · Minimal Side Effects: Most patients report minimal complications, commonly mild skin irritation or discomfort at the insertion site. Serious adverse events are rare, and device-related complications like lead fractures are exceptionally low due to advanced technology. Common Nerve Targets for PNS Clinical guidelines identify over 20 peripheral nerves ideal for PNS treatment: · Upper Extremity: Suprascapular, axillary, radial, median, and ulnar nerves. · Lower Extremity: Sciatic, femoral, tibial, common peroneal, and genicular nerves. · Trunk and Back: Medial branch nerves, intercostal nerves, and cluneal nerves. Each nerve site provides targeted relief for different types of chronic pain, such as neuropathic pain, phantom limb pain, postoperative pain, and chronic musculoskeletal pain. Procedure: Detailed Overview The PNS procedure typically includes the following stages: · Consultation and Preoperative Assessment: A thorough evaluation to confirm PNS suitability. Diagnostic nerve blocks or temporary PNS trials may be used to predict patient response. · Lead Implantation: Ultrasound-guided placement ensures precise targeting, reducing the risk of complications like nerve or vascular injury. Fluoroscopy may be used for nerve targets harder to visualize. · Postoperative Care: Patients receive detailed instructions regarding device use, site care, and activity modifications. Most return quickly to daily routines. Safety and Best Practices According to guidelines by the American Society of Pain and Neuroscience, PNS carries a low-to-intermediate risk for bleeding and complications, provided careful assessment and ultrasound guidance are employed. Psychological evaluation may also be advised for optimal outcomes, given the complex nature of chronic pain. Broader Insights from Recent Research Recent studies demonstrate that PNS significantly improves patient outcomes beyond pain relief, such as increased functional mobility and enhanced quality of life, particularly in challenging cases like persistent postoperative pain after knee replacement. Importantly, PNS has also shown effectiveness in real-world clinical settings, with a broad range of patient populations and types of chronic pain conditions responding positively. These findings suggest PNS should be considered early in treatment for suitable patients, potentially preventing chronic pain development after surgeries or injuries. Is Peripheral Nerve Stimulation Right for You? PNS is ideal if you: · Have not found relief from conventional therapies. · Prefer minimally invasive, reversible treatments. · Seek a drug-free pain management alternative. Final Thoughts Peripheral Nerve Stimulation represents a significant advancement in chronic pain management, offering long-term relief and functional improvement through targeted nerve stimulation. Discuss with your healthcare provider if this innovative therapy aligns with your needs, and take the first step toward reclaiming your life from chronic pain.

If you’re living with chronic pain, you understand how debilitating and relentless it can be. Whether it’s your shoulder, foot and ankle, low back, or knee, chronic pain disrupts your daily life, affecting everything from your physical activities to sleep quality. Fortunately, advanced treatments like Peripheral Nerve Stimulation (PNS) offer innovative solutions to manage chronic pain effectively. In this post, we’ll explore how the revolutionary Nalu Peripheral Nerve Stimulation system can provide lasting pain relief and significantly improve your quality of life. What is Peripheral Nerve Stimulation (PNS)? Peripheral Nerve Stimulation is a minimally invasive treatment method designed to interrupt chronic pain signals before they reach the brain. Chronic pain occurs when nerves continuously send pain signals from affected areas like the shoulders, knees, lower back, or feet. How the Nalu Peripheral Nerve Stimulation System Works The Nalu PNS System disrupts these pain signals effectively through a small, state-of-the-art device called a micro-IPG. Here’s how it works: · Leads Placement: Thin wires called “leads” are carefully implanted under your skin, near the nerves that are sending pain signals. · Micro-IPG Implantation: These leads connect to the micro-IPG, a tiny implantable generator positioned just under your skin. · Pain Signal Interruption: The micro-IPG sends mild electrical pulses through the leads, stimulating the nerves and preventing pain signals from reaching the brain. An external “Therapy Disc” worn over the implanted micro-IPG powers the system, eliminating the need for repeat surgeries to replace batteries. The Therapy Disc comfortably attaches to your skin using medical-grade adhesive, ensuring ease of use and replacement. Benefits of Choosing Nalu PNS Minimally Invasive Procedure The Nalu micro-IPG is tiny, enabling your healthcare provider to perform a minimally invasive implantation procedure with minimal discomfort and quick recovery. Control and Flexibility The external Therapy Disc allows you to easily manage your treatment. You can discreetly control your pain relief via a smartphone app (Nalu App) or directly through the Therapy Disc itself. Moreover, when you don’t require active stimulation, you can simply remove the Therapy Disc. Long-lasting, FDA-approved Technology The Nalu PNS System is FDA-cleared for an impressive 18-year lifespan, giving you peace of mind and long-term pain management. Try Before You Commit One of the greatest advantages of Nalu’s technology is that you can “test drive” the system temporarily to see how effectively it manages your pain before committing fully. The Procedure: What to Expect During the procedure, your healthcare provider will: · Clearly explain the process, benefits, and rare risks (like potential needle complications) to ensure your comfort and informed consent. · Use ultrasound guidance to precisely place leads near targeted nerves for optimal pain relief. · Ensure a comfortable experience with local anesthesia (lidocaine) and sterile conditions to minimize infection risk. · Perform real-time testing during the procedure to confirm effective nerve stimulation and patient comfort. Following the procedure, waterproof bandages protect the site, and you’ll receive clear guidance on care and maintenance. Is Nalu Peripheral Nerve Stimulation Right for You? If chronic pain significantly impacts your daily life, sleep, or overall well-being, Nalu’s Peripheral Nerve Stimulation could be the life-changing treatment you need. It’s safe, minimally invasive, customizable, and designed with your comfort and convenience in mind. Contact your healthcare provider today to learn more about how Nalu PNS can help you reclaim your life from chronic pain.