24 Reviews
Tell people what you think
Judith Bridge
· January 12, 2018
I was in a power chair for almost 10 years, outside my home. Dr. M. took care of me for a while, however , my spine collapsed some more. She was unable to help me further. I had surgery from Dr. Tann ...Nichols from Mayfield Clinic. This was my 2nd. major back sugery. It was successful. For the 1st time l learned to walk, however so painfully that Dr. Nichols sent me back to Dr. Magdelina. She did a temporary Boston Scientific lmplant in me. The pain since has been able to be tolerable. I call both Dr.'s my angels. I am glad for the opportunity to tell my story that it may help others. After my last operation for my spine, l walked like quzimoto from Notre Dame, today l walk upright and hardly anyone can tell. I am so grateful and happy for these two!!! I am now 77 yr.'s old , am digressing due to multiple bone issues but so grateful for the years l have had living a relatively normal life. I will fight my issues as long as possible. I recommend Dr. Kershner to everyone suffering from unbearable pain. To you Dr. M. Thankyou just isn't enough. See More
Sonya Arnold Porter
· January 28, 2018
I am always helped with my
Many issues of my bones.
I am so much better when
I walk out the door.
If you have any back problems I highly recommend The Pain Clinic.
Jessica Godby Chaliandros
· August 11, 2017
At first I wasn't sure, but they have really worked with me. At helped my needs as far as time and pain.
Travis Clark
· August 4, 2016
While the injections can be slightly uncomfortable, the relief is well worth it. For the first time in several years, I can stand without continuous pain in my lower back and right leg. Thank you, Dr.... Kerschner and staff!!!!! You rock!!! See More
Tammy Cooley
· August 10, 2016
Dr. K is a very trained Doctor. I've never felt more comfortable, and safe at any other doctors office. Ever .... She for sure knows what she's doing ! The staff is very nice to me and they all make m...e feel more comfortable! I never feel nervous at all any more. First couple times I came I was nervous, but having my dr k as my doctor, I never want to go no where but advance spine and spine ! I love them all ! See More
Chuck Kuehnle
· April 5, 2016
3 visits so far 5 hours first time prescription written wrong, 1 hr second time, and looking at probably 4-5 hours this visit. Great place if you have nothing else to do.

Dont forget to pack a lunch.
Vicky Staggs
· December 12, 2013
I just have to say EVERYONE at this clinic are the BEST!! They treat you like family!! I don't know what I would do without Dr Magdalena Kerschner and her staff!! They take the time to give individual... care to each patient!! They are the best around!! Thank you all!! See More
Karen Rae Mcguire Fisher
· February 11, 2016
Staff was very professional and nice, But sit in the waiting room for 4 hrs.! Had to sit in the back area for at least 21/2 hrs. Finally got to see the Dr. She talked to me about 3mins.after I had exp...lained my situation at this time and was not able NOW to accept her injections, she was rude, uncaring about my situation, as I took it, It was all about the all mighty $$ And Not Me. Needless to say I walked out of there dismissed and really cut short of my regular Meds. See More
Rhoda Barker Bertram
· September 17, 2015
I have gone here for 2 years and the Staff Is absolutely amazing and They make you feel so conformable , This is the absolute Best , This Place is Just Awesome .
Carol Woodruff Wright
· November 4, 2015
Instant relief! I've been going here for about 3 years. I could not walk when I started. I'm pretty much back to normal with no surgery!
Holly DeRose
· August 22, 2016
I jυѕт love Dr. Kerѕcнner and тнe ѕтaғғ!! Iғ yoυ ѕυғғer ғroм joιnт paιn or paιn ιѕѕυeѕ, ѕнe'ѕ тнe one тo ѕee!!
Jerry Staggs
· August 11, 2016
My wife visits Dr Kerschner and she comes home feeling wonderful! Thank You Dr Kerschner for helping her, you are the GREATEST!!
Tracie Littell Santana
· July 6, 2015
Takes the A++++ rating when it comes to a Pain medicine physician.
Samantha Marie Hance
· February 4, 2016
Terrible service uncomfortable chairs did not help
Rita Campbell
· February 3, 2015
Thanks Dr Kerschner for seeing me and treating the shingles ..Finally I feel some relief . Great pain doctor and hormone doctor .
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Magdalena Kerschner added 2 new photos — with Danielle Messinger Zicka and Danuta Connell.

At Ladies in Red event at Macy’s tonight benefiting American Heart Association.

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Magdalena Kerschner

Happy Holidays from Advanced Pain and Spine Institute

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Hamilton County is ahead of overdoses for 2016 already this year; Cincinnati ODs year-to-date are also ahead
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Laxmaiah Manchikanti is with Ram Pasupuleti and 5 others.

ASIPP delegation in Washington DC. Senate Russell Bldg Senate Rules Committee Room.

Get rid of pain scales, fifth vital signs, and anonymous patient satisfaction scores.

As the opioid crisis increases in the US, 17 states have stepped in to try to stop the spread.

They've enacted legislation to limit the length of prescriptions of the drugs.

At least 17 states have moved to curb the number of opioids doctors can prescribe, hoping to curb addiction and abuse.
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Laxmaiah Manchikanti added 2 new photos.

Recent data shows that illicit fentanyl is responsible for 20,100 deaths compared to 14,400 for prescription opioids, 15,400 for heroin, 10,600 for cocaine, 7,6...60 for methamphetamine, and 3,260 for methadone. It is so sad that methadone with the number of prescriptions at just 1% is contributing to as many as 19% of all deaths due to prescription opioids! It is also so sad, that authorities are focusing more on prescription opioids and on the combination of opioids and benzodiazepines rather than the real villains here.

In California, Orange County Health Care Agency, just released a report showing the largest number of deaths in white males 45-54. It may be that homeless vets may be becoming heroin/illicit fentanyl addicts.

Amazingly, Kentucky has the second steepest increase in deaths with Maryland being number 1, and Delaware at number 3. Regarding recreational marijuana, the numbers coming out of Colorado and Washington seem to be maintaining the same level of deaths from 2015 to 2016 without significant increase.

The focus must be on illicit fentanyl!!!

The First Count of Fentanyl Deaths in 2016:
Up 540% in Three Years
By JOSH KATZ SEPT. 2, 2017
New York Times

The first governmental account of nationwide drug deaths in 2016 shows overdose deaths growing even faster than previously thought.

Drug overdoses killed roughly 64,000 people in the United States last year, according to the first governmental account of nationwide drug deaths to cover all of 2016. It’s a staggering rise of more than 22 percent over the 52,404 drug deaths recorded the previous year — and even higher than The New York Times’s estimate in June, which was based on earlier preliminary data.
Drug overdoses are expected to remain the leading cause of death for Americans under 50, as synthetic opioids — primarily fentanyl and its analogues — continue to push the death count higher. Drug deaths involving fentanyl more than doubled from 2015 to 2016, accompanied by an upturn in deaths involving cocaine and methamphetamine. Together they add up to an epidemic of drug overdoses that is killing people at a faster rate than the H.I.V. epidemic at its peak.

This is the first national data to break down the growth by drug and by state. We’ve known for a while that fentanyls were behind the growing count of drug deaths in some states and counties. But now we can see the extent to which this is true nationally, as deaths involving synthetic opioids, mostly fentanyls, have risen to more than 20,000 from 3,000 in just three years.

Total U.S. drug deaths
Deaths involving prescription opioids continue to rise, but many of those deaths also involved heroin, fentanyl or a fentanyl analogue. There is a downward trend in deaths from prescription opioids alone. At the same time, there has been a resurgence in cocaine and methamphetamine deaths. Many of these also involve opioids, but a significant portion of drug deaths — roughly one-third in 2015 — do not.

The explosion in fentanyl deaths and the persistence of widespread opioid addiction have swamped local and state resources. Communities say their budgets are being strained by the additional needs — for increased police and medical care, for widespread naloxone distribution and for a stronger foster care system that can handle the swelling number of neglected or orphaned children.

Drug overdose deaths per 100,000 residents in 2015 and 2016
Of the 21 states that reported the highest quality data for 2016, the steepest rises were in Delaware, Florida and Maryland.
Note: Deaths were coded based on where the death occurred rather than residency.

It’s an epidemic hitting different parts of the country in different ways. People are accustomed to thinking of the opioid crisis as a rural white problem, with accounts of Appalachian despair and the plight of New England heroin addicts. But fentanyls are changing the equation: The death rate in Maryland last year outpaced that in both Kentucky and Maine.

This provisional data, compiled by the National Center for Health Statistics, was produced in response to requests from government officials after reporting from The Times in June. An early version of the report was posted online last month and will be formally published by the N.C.H.S. in the coming weeks. According to Robert Anderson, the agency’s chief of mortality statistics, the document is the first edition of what will be a monthly report on the latest provisional overdose death counts.
Because of delays in drug death reporting, the data is mostly but not entirely complete. The final numbers, released in December, could be even higher.

It’s too early to know what 2017 will hold, but anecdotal reports from state health departments and county coroners and medical examiners suggest that the overdose epidemic has continued to worsen. In March, President Trump created a commission to study the crisis. The commission’s interim report made a number of recommendations, but the administration has yet to take concrete action on any of them.

Data for 2016 is provisional and includes a small number of deaths from residents of other states (for the state data) or other countries. Some categories in the national chart include closely related drugs in addition to the named drug. (For example, “fentanyl” includes both fentanyl and fentanyl analogues as well as other synthetic opioids.) “Prescription opioids” excludes synthetic opioids. Categories are not mutually exclusive because deaths often involve multiple drugs. A small portion of the increase in deaths attributable to a specific drug may be due to improved cause-of-death reporting.

Source: National Center for Health Statistics, Centers for Disease Control and Prevention

Let us not say any more that no one saw this problem coming. ASIPP has been talking about this issue since 2000 and worked hard to get NASPER passed. It was 12 years ago, on August 11, 2005, that President Bush signed NASPER into law. So, we at ASIPP have seen it all and we have even predicted it.

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We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are…