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Metabolic and Lifestyle Care

Sleep, blood sugar and inflammation are not a wellness add-on. In chronic pain they are frequently the thing keeping the pain switched on.

What it is

A nervous system running on poor sleep and unstable glucose amplifies pain signals. This is why two people with identical scans can have entirely different pain, and why treating only the structural problem sometimes fails.

What we use it for

  • Peripheral neuropathy driven by glucose dysregulation
  • Fibromyalgia and central sensitization
  • Chronic pain that has not responded to structural treatment
  • Weight, diabetes and prediabetes where they are feeding the pain

What to expect

  • Testing that goes beyond a single fasting glucose, because early dysregulation hides behind a normal fasting result.
  • Continuous glucose monitoring where it is informative.
  • Sleep assessment — untreated sleep apnoea undoes a great deal of pain treatment.
  • Practical dietary change rather than a leaflet.

Risks

Every injection carries a small risk of bleeding, infection, an allergic reaction, or a temporary increase in pain. Steroid can raise blood sugar for several days, which matters if you are diabetic. Serious complications are rare, and we will go through the specific risks for your procedure and your health before you consent to anything.

To discuss whether this is appropriate for you, call (314) 310-5577 or request an appointment.

Common questions

What has my blood sugar got to do with my back?

Glucose dysregulation damages small nerves and drives systemic inflammation. In a patient whose pain will not settle, it is one of the more common untreated contributors.

Hurt in an accident? Start here.

You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.

Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.

Hurt in an accident? Start here.

You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.

Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.