Interventional Spine & Pain Rehabilitation Center,ltd
Dr. Michael F. Stretanski, DO, DABPM&R, DABNEM, DABPM, DAADEP, FIPP, DAAARM
Medical Director / Fellowship Director Mansfield - Wyandot (Upper Sandusky)
Main tel: 419 522 1100 / fax: 419 522 4118 , Wyandot: 419 294 5887
Welcome To The Pictured is an original Wolf Spine Endoscope designed with Dr. Anthony Yeung featuring: *Not shown is a single "Band-Aid". This Band-Aid will be the only evidence we removed part of your disk. You May Have Heard About:
Interventional Spine & Pain RehabilitatiOn Center Website
www.ISPRoC.com
(still under construction)
Our website is less than perfect, but there is plenty of good information. No website should be used as a substitute for medical advice from a medical doctor with sound clinical judgement. Alone, this site is not to be taken to endorse any device or treatment and does not constitute medical advice. However, we would be happy to see you for formal consultation.
Congratulations to our colleague, Dr. Albert Leo Timperman, MD, on his retirement after 36 years of service to the Mansfield community as a neurosurgeon. We wish he and his wife Diana safety in their upcoming travels.
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What We Do:
We are a minimally-invasive spine center and pain management center offering interventional pain therapies from a holistic rehabilitation medicine perspective. We use state-of-the-art technologies, most commonly with different types of interventions including tubes, radio wands, wands, probes and cement to address underlying structural abnormalities to relieve pain and improve function.
Where we cannot improve or change structural problems, we can almost always improve your quality of life and monitor you long-term making sure no other new structural issues arise. The term "serial-exam" has been applied. We deal with any new issues at that time.
This area of medicine is moving fast with frequent new technology. Many of the problems which used to require open surgery no longer do.
We work closely with doctors of other specialties including different types of spine surgeons and orthopedists as well as different types of therapists.
No one is hopeless.
No one is "too far gone".
No one is "at the end of the line".
NO ONE should give up.
Why Are We Different?
We provide comprehensive care which we have found to be quite unique AND effective.
Comprehensive care includes ordering diagnostic tests, reviewing those tests with you and formulating a treatment plan. It includes medication management, including which one(s) to avoid, selection of those medications, adjustment of those medications over time at follow-up visits, ordering and directing therapies (PT/OT/Biofeedback), adjustment of those therapies, use of manual medicine and the whole host of the interventional treatments which are the primary focus of the practice.
One procedure we may use is Endoscopic Diskectomy:
2.7 mm Spine Endoscope
Click here to see more at the company's website
Our Ultimate Goal:
While we follow many patients long-term, we try not to keep you in a never-ending cycle of treatment. We want you to feel better and say you are doing well enough for us to leave you alone. The greatest thing we like to hear patients say is, "I'm doing great and I'll call you when I need you!"
Many of the problems that have existed before and after surgery, or even after several surgeries, can be alleviated. This is especially true if you have had prior surgery on your lower back.
Dr. Mike's favorite patients are the ones who have had multiple surgeries and have been told there is nothing else that can be done.
DO NOT BELIEVE THERE IS NOTHING THAT CAN BE DONE FOR YOUR PAIN.
Common Problems/Who We Can Help
Persons with:
* Compression fracture
* Lower back pain
* Herniated disks
* Degenerative disk disease
* Post laminectomy pain
* Neck pain
* Leg or arm pain
* Head pain: headache and migraine
* Bursitis
* Shoulder impingement
* Chest wall pain
* Osteoarthritis of any joint
* Sciatica
* Fibromyalgia
* Spasticity from any cause
We Offer:
* Botox® for pain, dystonia, spasm
* Suboxone®
* Radiofrequency for longer pain relief
We can also provide some degree of guidance and care for:
* Spinal cord injury
* Traumatic brain injury
* Stroke, cerebral palsy and multiple sclerosis
(click on these 7 links)
ANS - Spinal Cord Stimulator
Boston Scientifc - Spinal Cord Stimulator
Neuromodulation
Percutaneous Diskectomy
Synvisc®
Supartz®
Arthritis Foundation ®
Related Terminology:
IDET, Radiofrequency, Facet Pain, Lumbar Radiculopathy, Cervical Radiculopathy, Spinal Stenosis, Reflex Sympathetic Dystrophy (arm or leg), Complex Regional Pain Syndrome, Causalgia, Myopathy, Neuropathy, Post-Herpetic Neuralgia, Migraine, Tension Headache, Trigeminal Neuralgia, Cluster Headache, Interstitial Cystitis, Post-Polio Syndrome, Lumbar sprain/strain, Cervical sprain/strain, Compression Fracture, Greater Occipital Neuralgia
Facet injection in neck Dr Mike Attaching SCS
for neck and head pain leads in a patient who failed
lower back surgery
The Lybian Cybil
Head Pain
Neck Pain
Thoracic Pain
Low Back Pain
Hand Pain
Wrist Pain
Foot Pain
The red clay study Michaelangello's Lybian Cybil, ceiling
of Sistine Chapel, Rome, is calmly holding the open book
of life. She symbolizes structure, function and interdependence. As our logo, she not only embodies the interrelation of neuromusculoskeletal structures but demonstrates a fluidity and effortlessness when all parts are working together in concert. There are several other cybils on the ceiling.
Dr Michael F. Stretanski
"Dr. Mike"
Board Certified, Physical Medicine & Rehabilitation
Board Certified, Electrodiagnostic Medicine
Board Certified, Pain Management
Board Certified, Independent Medical Examiner
Fellowship Director, ISPRoC, ltd. (PASSOR Accredited)
Board Certified, American Academy of Anti-Aging and Regenerative Medicine
(including cosmetic interventions) click here for A4M Website
Board Certified, Interventional Pain Medicine
(International Accreditation, FIPP, World Institute of Pain)
What does that mean?
Member, American College of Addiction Psychiatry
Member, Northeastern Ohio Chapter Arthirtis Foundation
Certified Suboxone Provider
What Else Should You Know?
As part of the comprehensive care approach, it is essential to have different physicians of different specialties working side-by-side, in an interdisciplinary fashion. Physical therapists, occupational therapists and other professionals such as orthotists and biofeedback experts are all part of the pain-management team.
Physical Medicine and Rehabilitation is just one “specialty of origin” from which pain management physicians spring forth. The American Board of Pain Medicine has a definition (click Here) of Pain Medicine, but even it is incomplete and perhaps nebulous. Dr. Mike has met their requirements, sat for their exam and passed their exam as well. This is Board Certification in Pain Medicine through the American Board of Pain Medicine.
We do not believe that there is really any such thing as a doctor who does exclusively "pain management" anymore than there is a surgeon who does one type of stitch or a carpenter that drives in one type of nail.
Many patients do not fully understand the term Pain Management. There is a common misconception that we are predominantly controlling symptoms, but are treating the underlying problem as well. Patients are often unaware of recent advances and how quickly state-of-the-art standard of care is moving. (See below)
There also tends to be a misunderstanding that Pain Management is a source for chronic pain pills (oxycontin®, percocet, methadone an others). We do provide this service where we fell it is appropriate, we do not, and never have, writen for long-term benzodiazepines (valium, xanax or others). The fact is that any doctor with a valid DEA certificate can write for any controlled substance, but it may not be part of their practice or "in the scope" of their practice.
Interventional Procedures are a primary focus of the practice and are performed in our comfortable well-equipped office, hospital or a certified ambulatory surgical center (ASC). They are done under fluoroscopic (X- ray) guidance (see below) with contrast agent. This is the safest, most accurate way. It is also the most effective and most comfortable for the patients. It is quickly becoming recognized at the standard-of-care, and people who have had "shots" other ways are often quite pleasantly surprised to see what see can do to help.
We have the capability to sedate patients who choose to “sleep through” procedures, but we add Bicarbonate (a form of baking soda) to our local anesthetic (numbing medicine) to prevent the burning.
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Patient Educational Resource Section
Click on these links for more info on our technology and our equipment:
Click Here for more information on Endoscopic Disk removal. This is an exciting new option for patients with leg and back pain
www.nucleoplasty.com/information on Nucleoplasty® or
to see the Nucleoplasty Video (you will need to click on the left)
Read about Stimulators from Boston Scientific (Advanced Bionics)
Order a CD-Rom about the Stimulators to be shipped to your home for information on solid-state stimulators, or rechargeable systems
Click Here on Arthrocare information on Nucleoplasty® and percutaneous disk treatments
Click here on Stryker information on DeKompressor® or radiofrequency
Click Here on Epimed information on Lysis of Adhesions and catheter-based injections for leg and back pain
www.Ziehm.com/ information on our imaging equipment
www.endo.com/ information on Lidoderm® and migraine medications
www.synvisc.com/ information on Synvisc®
www.allergan.com/ information on Botox®
www.poweroveryourpain.com for patient based information on stimulators
Please Note:
No money or support of any kind has been provided by any of the above companies. The existence of the link does not endorse the company policy or opinions in any way. A large proportion of pain medicine and rehab medicine is technically "off-label" despite being well-within the standard-of-care. We believe well-informed patients make the best decisions and patient-based informational materials should be available to you in a comfortable setting, not just in the doctor's office.
In the interest of full disclosure, any member or employee of ISPRoC, ltd. may possibly own stock or have another financial interest in any of these companies and/or their competitors. This does not affect our decisions to use or not use any agent or piece of equipment either on or off-label. In fact, multiple off-label, non-FDA approved used are engaged in daily by most medical practices, especially rehab medicine, neurology and/or pain medicine.
World Institute of Pain (WIP) is an Organization that examines doctors from around the world for competency in Interventional Pain Medicine. This is the only exam and accreditation where an organization actually checks that a doctor is capable of placing a needle where they say.
The first past of the exam required a two day written exam in the US. After grading and passing the exam doctors are invited to take the second part in Budapest, Hungary (see below).
The Second part was given in Budapest, in the country of Hungary. It involved a 2 day project with another written part, Then a part involving looking at X-rays, MRI's and scans. Then the worst part - the part involving actual injections on a person with two examiners that are not from the candidates home country - Dr Mike's examiners from from Israel and The Netherlands. Then a final one hour verbal exam with different examiners.
After passing all parts of this exam sequence the title "Fellow of Interventional Pain Practice" or FIPP is bestowed. This signifies the highest level of competancy available for a doctor for this type of work in the US or Internationally. At the time Dr Mike was given this honor, there were only 240 other American doctors to take and pass all parts and earn the title FIPP.
Dr Mike thinks back on this exam as the most miserable experience of his professional career, he now has more grey hair and less hair in general than in the above picture, but truly enjoyed meeting so many other doctors from so many parts of the world and see how many of our challenges are so similar. 
Above, a very tired Dr. Mike after after 2
days of exams in a different time zone
One of the most beautiful churches in all of Europe
