Patients looking for a guarantee of surgical outcome are advised to stay away from any doctor who says that he or she can guarantee a cure.
The best way to place your trust in a physician is by choosing a board-certified surgeon in good standing and who is able to show objective clinical outcomes that support his or her treatment methods.
Unlike most doctors who have recently started performing these procedures, Dr. Aaron G. Filler of the Institute for Nerve Medicine has been long established as a leading expert in clinical determination and treatment of complex spine and peripheral nerve conditions. He has proven clinical methods that are often copied by other providers, many of whom never actually achieve the same successful results.
For example, many patients who have Piriformis Syndrome do not know that this is a widely encompassing term for multiple peripheral nerve and complex spine pain conditions.
Unlike other surgeons who have to resort to a major, invasive surgery, Dr. Filler's techniques allow him to perform a minimal access surgery and distinguish if there is an actual Piriformis muscle anomaly or perhaps if there is involvement of adjacent peripheral nerve branches like the Sciatic, Pudendal or Superior Gluteal nerves.
Simply put, it is the difference between:
- Operating blind and waiting to resolve an issue when you stumble across it; or
- Operating with a GPS navigation system where you know exactly where you are going and what you will encounter along the way.
Patients who have been living with chronic pain after years of failed in-network treatment have every right to be skeptical. They ask, “How do I know Dr. Filler won’t abandon me like my other doctors did when they could not fix me?”
The answer to this question was actually featured in recent profile of Dr. Filler by Fox 11 News in Los Angeles, accompanying this article. In the piece, the Fox reporter referred to Dr. Filler as "the real House MD," because he does not stop trying to find the right treatment — even when the initial intervention fails to correct all pain conditions.
Please be assured our dedication to providing exceptional clinical care means we provide patients with unparallel access to patented technology and treatment planning.
The cornerstone of our success is supported by detailed data resulting from MR Neurography studies. With this advanced imaging of soft tissue elements, we can see nerve elements outside of the spinal column. Basically, we are able to see what other doctors cannot see.
Next, we confirm the diagnosis by using Interventional MRI guidance to target and pre-treat the area just prior to surgery. After-surgery is a critical time period for most patients, since this is when scar tissue may build up, impacting the outcome. Our strategy is to provide additional surgical care post-surgery to maximize the chances of successful outcome. We do this by completing additional Interventional MRI procedures to help achieve the best patient results.
This type of clinical planning and staged surgical procedure provides two unique diagnostic planning methods to optimize the surgery and a comprehensive third post-operative procedure to speed patient recovery.
While no doctor can guarantee clinical outcomes, doctors should be able provide patients with a list of peer-reviewed references and clinical research indicating his outcomes.
The Institute for Nerve Medicine will gladly provide medical peer review papers to patients interested in learning about the standard of care and who are debating whether or not to have surgery.
To learn more, click here to request additional information from our office.




Do You Really Need Back Surgery? by Dr. Aaron G. Filler, MD PhD, is a best-selling paperback every sufferer of spine and nerve pain should read. Written in everyday language, the book is a must-read.
Dr. Aaron Filler is the world’s leading expert in treatment of nerve and spine pain, having revolutionized treatments by inventing several new technologies, including MR Neurography. Dr. Filler has also pioneered minimal-access surgery methods to treat complex nerve and spine problems with outpatient surgeries.