Does Shoulder Surgery for a Labral Tear Improve Outcomes?

I posted a link last week to a research study that showed arthroscopic knee surgery–the most common orthopedic surgery in the world–to be ineffective for knee pain. Another study was recently published in the British Medical Journal regarding another common orthopedic surgery and the results are similar.

Shoulder surgery for a labral tear is also one of the most common orthopedic procedures performed and one for which the rehabilitation and recovery is a long, […]

By |June 15th, 2017|Categories: Pain Management|Tags: , |0 Comments


I just got back from Philadelphia, PA where I had the wonderful opportunity to attend a seminar discussing the advances in neurostimulation. Neurostimulation is also known as spinal cord stimulation or SCS. This is a science that has been around for 50 years, and actively prescribed for chronic pain issues ~40 years.

As I do not possess an advanced degree in physics or engineering, my plan was to lay the ground work of the […]

By |June 14th, 2017|Categories: Pain Management|Tags: |0 Comments

The Benefits of Sports Medicine for Anyone with an Injury

Unfortunately, there is a good likelihood that at some point during your life, you will suffer some sort of sports-related injury. When you have been injured severely enough that you require physician assistance, it can be devastating and take some time before you return to full strength and mobility.

However, there is something that can help anyone who has sustained an injury: sports medicine. Here are a number of benefits you can get with […]

By |June 12th, 2017|Categories: Sports Medicine|Tags: |0 Comments

Our Story

A brief history of Eastern Idaho Spine, Sports and Rehab Center, 2005-2017

We started out in 2008 as Eastern Idaho Spine Center. Dr. Shane Mangrum, a skilled and exceptional physiatrist, moved to Idaho Falls in 2005 and created his own business, Western Rehabilitation. Due to his passion for exceptional medical care, he quickly grew his practice and recruited Dr. Sarah Vlach to join him and they co-founded Eastern Idaho Spine Center. In its early years, […]

By |June 10th, 2017|Categories: About Our Practice|Tags: |0 Comments

What is Arthritis?

The other day while reviewing an MRI with a patient, she asked a simple, but thought-provoking question, “What is arthritis?” I started thinking—as providers of medical care, we throw out a lot of common terms under the assumption that patients have a general understanding of the material discussed. It appears that this is not always the case.

So, today I’m going to discuss the basics of arthritis. As there are different forms […]

By |May 23rd, 2017|Categories: Regenerative Medicine|Tags: |0 Comments

Research Shows Arthroscopic Knee Surgery Is Not Effective

Check out this new article just published in the British Medical Journal – Arthroscopic knee surgery (getting your knee “scoped”) is the most common orthopedic procedure in the world and yet research shows it is not effective for relieving pain or improving function.

An international panel of surgeons and patients agreed to change the guidelines for knee arthritis, recommending conservative measures instead of surgery.

Another reason to come see us and see what we […]

By |May 20th, 2017|Categories: Pain Management|Tags: |0 Comments

Supplements: What Exactly Are You Taking?

This article highlights some of my concerns when patients tell me they are taking fistfuls of supplements:

FDA Finds Majority of Herbal Supplements at GNC, Walmart, Walgreens, And Target Don’t Contain What They Claim – Instead Cheap Fillers Like Wheat And Soy Powder

It’s a downer to pay a lot of money and not even be getting the active ingredients!

In general, I don’t recommend a lot of supplements to my patients. Ideally, we would get most of our nutrients from natural food sources. However, in this day and age, between our nutritionally-depleted and stripped processed foods and stressed lifetstyles […]

By |May 19th, 2017|Categories: Healthier Lifestyle|Tags: |0 Comments

Can neck exercises prevent concussions?

A lot of concussion research has tried to identify why some people are more susceptible to concussion than others and neck strength has been increasingly mentioned as a possible factor.

This World News article talks about a recent study that was conducted at Westminster College in Salt Lake City that found a specific regimen of neck exercises played a role in decreasing rates of concussion amongst their athletes.

The study was actually presented at […]

By |April 25th, 2017|Categories: Concussions|Tags: , |0 Comments


One statement I have regularly used in reference to back pain is, “We are starting a new epidemic of poor posture and there is concern it is contributing to a lot of spinal pain/issues.” Some may question this line of thinking, because there is this general thought or need that there has to be some underlying mechanical problem whether due to heredity or trauma.

This statement may not be as far-fetched as it sounds. […]

By |April 10th, 2017|Categories: Back Pain|Tags: , |0 Comments


Scoliosis is defined as an abnormal curvature of the spine—lateral (sideways) and sometimes including rotation. There are 3 forms of scoliosis: Congenital, Neuromuscular and Idiopathic. Overwhelmingly, the most common form is Idiopathic and the type with which most people are familiar. When one has a scoliosis check in school—they are looking for idiopathic, the other types would have been diagnosed much earlier. Idiopathic simply stated means that there is […]

By |March 31st, 2017|Categories: Back Pain|Tags: |0 Comments