Chronic Pain Chronicles with Dr Karmy

Episode 29: Why Back Pain is Not Just Wear and Tear

Tue, 17 Feb 2026 12:00:00 -0500

Most of the time long long-standing pain is due to wear and tear or, in medical terminology, degenerative changes or degenerative disc disease.

Join me for a fascinating interview with Dr. Poddubnyy, where we discuss more rare causes of back pain that doctors often overlook.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 28: Is Permanent Nerve Block Possible Featuring Dr. Cornish?

Tue, 06 Jan 2026 12:00:00 -0500

Most of the patients who get nerve blocks experience complete pain relief for the first few hours after the block, but the effect becomes weaker after that.

Wouldn't it be wonderful if that effect could last forever?

Join Dr Karmy for an in-depth interview with Dr. Cornish, who developed a brand new treatment that may just do that.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 27: Weightlifting in Health and Disease Featuring Dr. Maria Fiatarone Singh

Tue, 02 Dec 2025 12:00:00 -0500

Should patients with chronic pain do weightlifting? This question comes up a lot because patients are worried about injury.

Join me for an interview with Dr. Maria Fiatarone Singh, who started her career by trying to get the most fragile and injury-prone segment of our society to do weight lifting-nursing home residents in their 80s and 90s. In the interview, we discuss her weightlifting protocol and the impact it has, not just on pain, but also on a number of other chronic diseases.

Center For Strong Medicine: https://www.strongmedicine.org.au/mariafiataronesingh/

Stronger Book: https://www.michaeljosephgross.com/stronger

Watch the Video Interview here: https://www.youtube.com/watch?v=crtq7xB5zbo&feature=youtu.be

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Episode 26: Platelet Rich Plasma-beyond arthritis and musculosceletal pain with Dr. Leonardo

Tue, 18 Nov 2025 12:00:00 -0500

Most people are familiar with athletes using platelet-rich plasma for injuries. Some of you may also know that it is used for osteoarthritis.

Did you know that the uses extend far beyond those two indications?

Join us for an in-depth interview with Dr. Leonardo, where we discuss newer uses of PRP ranging from erectile dysfunction to hair loss.

Watch the Video Interview here: https://www.youtube.com/watch?v=J6F-l4ro4Ac

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 25: Interview with Dr. Andrea Furlan Part 2

Tue, 21 Oct 2025 12:00:00 -0400

Dr. Andrea Furlan is the closest thing we have to an influencer in the field of chronic pain management.

She is a content creator who has a very popular YouTube channel and an author who has written several books for patients with chronic pain.

She is also an educator who has developed programs for healthcare providers.

Join us as we continue our discussion about what she learned about chronic pain after practicing in the field for almost 20 years.

Watch the video version of this episode here: https://youtu.be/DkxNZOdUeEY

Dr Furlan's Website: https://www.doctorandreafurlan.com/

Dr Furlan's YouTube Channel: https://www.youtube.com/@DrAndreaFurlan

8 Steps to Conquer Chronic Pain Book: https://www.doctorandreafurlan.com/book

Curable App: https://www.curablehealth.com/

Free Programs from Pain Canada: https://www.paincanada.ca/resources/resources-for-people-with-pain

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 24: Update on Medical Marijuana

Tue, 30 Sep 2025 12:00:00 -0400

Medical marijuana is often used for chronic pain, but how effective is it? Also, what about the risks: does natural mean safe?

Find out.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 23: Spinal Cord Stimulation for Chronic Pain

Tue, 09 Sep 2025 12:00:00 -0400

You tried injections, physiotherapy and even surgery for your sciatica, but the pain is still there. What else can you try?

Find out.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 22: Interview with Dr. Andrea Furlan - a Physician, Researcher and Educator on Lifestyle Based Approaches to Pain Management

Tue, 19 Aug 2025 12:00:00 -0400

Dr. Andrea Furlan is the closest thing we have to an influencer in the field of chronic pain management.

She is a content creator who has a very popular YouTube channel and an author who has written several books for patients with chronic pain.

She is also an educator who has developed programs for healthcare providers.

Join Dr Karmy for an interview with Dr. Furlan, where she discusses what she learned about chronic pain after practicing in the field for almost 20 years.

Dr Furlan's Website: https://www.doctorandreafurlan.com/

Dr Furlan's YouTube Channel: https://www.youtube.com/@DrAndreaFurlan

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 21: The Role of AI in Chronic Pain Research

Tue, 15 Jul 2025 12:00:00 -0400

Artificial Intelligence (AI) is all over the news with headlines promising that AI will replace all human workers or possibly even take over the world. Hype aside, how will AI impact pain research?

Join me for a fascinating interview with Dr. Di Ieva, a neurosurgeon and computer scientist who is using AI to study chronic pain.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 20: Zymedyne and the Search for New Medications for Pain

Tue, 24 Jun 2025 12:00:00 -0400

What is it like trying to discover new medication for chronic pain?

Join Dr. Karmy for an interview with Dr. Chris Bladen, CEO of Zymedyne, a Calgary biotech start-up, to learn what it takes to bring a new medication for chronic pain to patients.

Learn more about Zymedyne Theapeutics here: https://zymedyne.ca/

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 19: New Treatments for Headaches

Tue, 03 Jun 2025 12:00:00 -0400

Join Dr. Karmy for an interview with Dr. Warren Goldstein, a neurologist with extensive experience in headache management.

In this episode, we will have an in-depth discussion about a new class of migraine medications that block CGRP neuropeptides. Are the risks worth the benefits? What about insurance coverage?

Should you try this new class of medications? Find out.

If you have any questions for Dr. Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 18: A New Non Invasive Treatment for Lower Back Pain - HIFU

Tue, 06 May 2025 10:00:00 -0400

Traditionally, the Radio Frequency Ablation (RFA) procedure for chronic back pain requires approximately six injections with 2-4 inch needles followed by the insertion of heated probes to burn the nerves that supply joints of the spine called facet joints. What if you could do all that without the need for injections or heated probes? An innovative Medtech company, Fusmobile took on that challenge and produced a device called Neurolyzer XR.

Join me for an in-depth interview with Dr. Michael Gofeld who is the first doctor in Ontario to use Neurolyzer XR.

Will Neurolyzer XR replace traditional RFA? Should you try it, now that it is available in Ontario?

Find out.

Learn more about HIFU and watch an animated explanation at: https://unikamed.com/non-invasive-hifu-treatment-for-low-back-pain/

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 17: Cortisone Side Effects You Did Not Know About!

Wed, 16 Apr 2025 09:00:00 -0400

In this episode, join Dr. Karmy as he discusses lesser-known side effects of cortisone injections.

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 16: Journavx - Nerve Block in a Pill! A Game-Changer for Pain Management or Just Hype?

Tue, 18 Mar 2025 12:00:00 -0400

In this episode, Dr. Karmy will review everything known so far about the newest and first-in-class non-addictive pain medication, Journavx.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 15: Fibromyalgia - A Basic Approach to Management

Tue, 25 Feb 2025 12:00:00 -0500

This episode describes Dr. Karmy's approach to patients with fibromyalgia. He delves into what are the treatments he finds the most helpful and the pros and cons of each approach.

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 14: Why Won't My Earache Go Away? One Patient's Experience of Trying to Deal with a Rare Chronic Pain Disorder

Tue, 21 Jan 2025 12:00:00 -0500

Most of us have experience with earaches, either in our children or sometimes through personal experience. Although the pain is severe, it does resolve in a few days.

What if the pain never went away?

Join Dr Karmy for an interview with a clinic patient who has a very unusual chronic pain condition. In this interview, we discuss how our patient found a path forward both emotionally and medically and what lessons can be learned from her experience.

One of the first resources Savitri tried to help manage her pain was an online course recommended by her physiotherapist called: The Pain Truth

The courses they provide perspectives from pain sufferers with different diagnoses. It's a resource to help move through the helpless cycle chronic pain sufferers feel and helps foster the feeling of "taking charge" of one's life while coming to terms with accepting the new reality.

The program can be accessed with the following link: https://www.thepaintruth.org/

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 13: Cervicogenic Headaches, Nerve Blocks and the Birth of Chronic Pain Medicine in Ontario Part 2

Tue, 17 Dec 2024 15:00:00 -0500

In the second part of the interview with Dr.Howard Jacobs, one of the fathers of pain management in Ontario, we discuss how the medical discipline of Chronic Pain developed in the last 20 years and the challenges facing it in the future.

Listen to Episode 10-Part 1 of this interview to discover how Dr. Howard Jacobs revolutionized chronic pain management in Ontario: https://www.buzzsprout.com/2329542/episodes/15984433

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 12: Regenerative Medicine from a Biotech Industry Perspective

Tue, 03 Dec 2024 10:00:00 -0500

Join Dr. Karmy for an in-depth interview with Dr. Jennifer Woodell-May who was instrumental in the development of the newest treatment for osteoarthritis.

In this episode, Dr. Woodell-May answers the following questions:

1. How are new autologous and regenerative treatments created?
2. What are some of the obstacles to creating new autologous, cell-based therapies?
3. What does the future hold for this field as seen from the perspective of biotechnology industry insiders?

Tune in to this podcast episode to find out!

Zimmer Biomet: https://nstridecanada.zimmerbiomet.com/

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 11: Acorn Biolabs and the Future of Stem Cell Treatments in Canada

Wed, 20 Nov 2024 10:00:00 -0500

Join Dr. Karmy for an interview with Acorn Biolabs CEO, Dr. Taylor, where they discuss the unique approach his company is taking to stem cell treatments.

The wide ranging discussion will also cover his vision for the future of his company and how it fits into the broader field of regenerative medicine.

Acorn Biolabs: Acorn Biolabs - Personalized Regenerative Medicine

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 10: Cervicogenic Headaches, Nerve Blocks and the Birth of Chronic Pain Medicine in Ontario Part 1

Tue, 29 Oct 2024 10:00:00 -0400

There was a time in Ontario when chronic pain patients who didn’t respond to physiotherapy or surgery were often given only basic advice to exercise or referred to a psychologist or psychiatrist to ensure they weren’t suffering from depression. But then, Dr. Peter Rothbart changed everything by founding the first community-based chronic pain clinic in the province.

In this episode, I interview Dr. Howard Jacobs, who, alongside Dr. Rothbart, played a pivotal role in creating the field of chronic pain management in Ontario. Together, they revolutionized the way chronic pain is treated, paving the way for modern pain management practices.

Ever wonder what it takes to create an entirely new medical field? Join Dr Karmy to find out.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 9: Can Cortisone Injections Really Help with Joint Pain? Debunking Myths and Clearing Up Misconceptions

Wed, 25 Sep 2024 09:00:00 -0400

In this episode, Dr. Karmy dives into the facts and misconceptions surrounding cortisone injections. Often misunderstood, these powerful anti-inflammatory treatments can offer significant relief for joint pain, tendon issues, and nerve inflammation.

Join Dr Karmy as he explores when cortisone is most effective, its potential risks, and why it may not be the silver bullet for chronic pain that many expect.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 8: Botox Injections for Chronic Migraines - It's Not Just for Wrinkles

Tue, 10 Sep 2024 11:00:00 -0400

Botox is best known as a cosmetic treatment, however in addition to cosmetic uses it has a wide range of medical applications.

In this episode, Dr Karmy explores the role of Botox therapeutic injections in managing chronic migraines—a condition that impacts millions worldwide and is often resistant to traditional medications.

Join Dr. Karmy as he breaks down the science behind Botox for migraine relief, discusses its pros and cons, and explains how it works as a powerful muscle relaxant to reduce pain and prevent attacks.

Tune in to find out how well it works for chronic pain as well as other medical conditions.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 7: Radiofrequency Ablation - A Novel OHIP Covered Treatment for Back Pain

Tue, 27 Aug 2024 11:00:00 -0400

In this episode, Dr Karmy explores the world of radiofrequency ablation—a novel, OHIP-covered treatment for chronic back pain. He goes over the differences between radiofrequency ablation, pulsed radiofrequency, and cooled radiofrequency ablation, uncovering how each technique works and when they should be considered viable treatment options.

Join Dr Karmy as he breaks down these advanced procedures and helps you determine if they could be the key to managing your chronic pain effectively.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 6: Neurobiology of Pain - Exploring Neuropeptides

Wed, 07 Aug 2024 09:00:00 -0400

In this episode, Dr Karmy is joined by Dr. James Henry, a pioneering expert in the field, where they dive deep into the neurobiology of pain.

Trained at McGill University and with a distinguished career spanning Western University and McMaster's Michael De Groote Pain Center, Dr. Henry brings a wealth of knowledge on the role of neuropeptides in chronic pain.

Join in on their conversation, as they explore how pain signals travel through the nervous system, the discovery and function of substance P, and the intricate interplay between the nervous and immune systems. They also discuss the challenges and limitations of translating animal model research to human chronic pain treatment.

This episode is a must-list for anyone interested in the cutting-edge science behind pain management.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 5: Is the nSTRIDE Injection the Future of Knee Osteoarthritis Treatment?

Thu, 11 Jul 2024 09:00:00 -0400

In this episode, Dr Karmy will take an in-depth look at the newest treatment for osteoarthritis—the nSTRIDE Autologous Protein Solution (APS) kit. Like Platelet Rich Plasma (PRP), this treatment is made from the patient's own blood.

How does it compare to PRP? Is it worth trying? Dr. Karmy will not only explain the science behind nSTRIDE from existing clinical literature but also share insights from his own research and patient experiences.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 4: Regenerative Medicine in Pain Management - Is it a medical breakthrough or a scam?

Tue, 11 Jun 2024 09:00:00 -0400

An in-depth discussion of the most popular regenerative medicine approaches to chronic pain management in Ontario. Approaches discussed include Prolotherapy, Prolozone, nSTRIDE, PRP, and autologous stem cell injections. The pros and cons of each approach is discussed to help you decide whether or not you want to dip your toes into one of these approaches.

Tune in to learn about which regenerative pain treatment is the right fit for you!

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 3: Nerve Blocks in Chronic Pain Management - How Nerve Blocks Can Help Manage Your Pain?

Wed, 22 May 2024 14:00:00 -0400

Nerve blocks are the most common procedure performed for chronic pain management in Ontario. Over 55,000 patients receive this treatment every year. Yet despite the widespread use of this procedure, there is some controversy about this approach.

Nerve blocks happen to be one of the first procedures Dr. Grigory Karmy learned to perform. In this episode, Dr. Karmy will share what he has learned after performing nerve blocks for over 20 years on patients with a wide variety of chronic pain conditions.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 2: Infusions in Chronic Pain Management: Psychedelics, Lidocaine, Vitamins - Which Infusion is Right for You?

Tue, 14 May 2024 09:00:00 -0400

Dr. Grigory Karmy offers a comprehensive analysis of the therapeutic potential of ketamine and lidocaine infusions in managing various medical conditions, from chronic pain to treatment-resistant depression. He elucidates how these infusions work, their mechanisms of action, and the scientific evidence supporting their use.

Tune in to learn about ketamine and lidocaine infusions in chronic pain management, exploring their potential to transform lives while navigating the controversies that accompany their rise.

If you have any questions for Dr Karmy, feel free to email us at karmychronicpain@gmail.com.

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Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/

Episode 1: Should Opioids be a Part of Your Treatment Regimen for Chronic Pain in 2024?

Tue, 30 Apr 2024 12:00:00 -0400

This episode explores the current approach to opioids in Ontario from the perspective of a clinician with over 20 years of experience in chronic pain management. The segment takes a close look at how the approach to opioids has evolved over the past two decades.

Despite their longstanding presence in pain management, opioids remain shrouded in confusion and misconceptions. Through expert analysis and up-to-date research, we unravel the latest information surrounding this crucial class of drugs, shedding light on their current role in medical practice.

Tune in to learn about the complexities of opioid therapy and the current landscape of chronic pain management in 2024 and beyond.

Send us a text with your thoughts on this episode!

Learn more about pain management treatments offered at our clinic: https://karmyclinic.com/