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Dr. Michael J. Spence, MD

Accepting New Patients

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)
Indiana University School of Medicine
Professional interests include: knee pain, hip pain, weakness, and more.
1650 45th Street Suite 2c
Munster, IN 46321

Dr. Michael J. Spence, MD is a physiatrist in Valparaiso, IN specializing in physiatry (physical medicine & rehabilitation). He graduated from Indiana University School of Medicine. Dr. Michael J. Spence, MD is affiliated with Powers Health.

View Doctor's Full Profile (219) 513-2267

Office Locations

Powers Health

1101 E. Glendale Boulevard Suite 107a
Valparaiso, IN 46383
(219) 242-8131
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Powers Health

1650 45th Street Suite 2c
Munster, IN 46321
(219) 513-2267
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3737 45th Street Suite 1
Highland, IN 46322
(219) 513-2267
(219) 510-5483
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Some issues Dr. Michael J. Spence, MD can help you with:

Hip Replacement

Hip replacement is a surgical procedure to replace parts of the hip joint that are damaged by disease or injury. It is most often done to treat arthritis, a common condition that causes stiffness and pain in the joints. Surgery is used only after other, less invasive treatments have failed to work.

The type of hip replacement patients receive is based on their age and the extent of damage to their hip. The hip joint has two parts: the femoral head, or hip ball, and the acetabulum, or hip socket. The hip ball is located on the upper end of the femur (thigh bone), and the hip socket is part of the pelvis. Depending on whether one or both parts require replacement, patients may need one of the following procedures:

  • Partial hip replacement, which is generally recommended in the case of hip fractures or other hip injuries. If a patient is having a partial hip replacement, only the hip ball will be replaced.
  • Total hip replacement, which is often used to treat the hip joint when it has become damaged due to arthritis. Both the hip socket and hip ball are replaced.
  • Hip resurfacing, which is usually performed for younger patients. A hip resurfacing procedure reshapes the hip ball and only replaces its surface. This preserves more bone and makes future surgeries easier. If a patient is having a partial hip resurfacing, only the hip ball is resurfaced and replaced. If a patient is having a total hip resurfacing, the hip socket will be replaced as well.

During hip replacement surgery, an incision is made along the side of the hip. The surgeon may access the joint directly through this incision, or by using small tools and a lighted tube called an arthroscope to see and treat the joint. The diseased tissue is removed, and the bones are smoothed out and fitted with metal ends. The metal pieces may be cemented in place, or they may have a porous structure that encourages bone to grow into them and hold them securely. A smooth plastic cushion is placed between the two bones to replace the cartilage and allow the joint to move freely.

Hip replacement surgery takes one to two hours, and afterwards patients may stay in the hospital for several days. When patients go home, they will have to use a cane, walker, or crutches at first. Patients will likely have physical therapy to improve their ability to move with their new hip. After the first few weeks, light exercise such as bike riding or swimming will help them heal, but certain actions, such as climbing stairs or bending over at the waist, may be difficult at first. It will take several weeks before they can drive or return to work. Full recovery may take six to 12 months.

Spinal Cord Injury

Spinal cord injury medicine is a branch of medicine that treats damage to the spinal cord from an injury or a nontraumatic myelopathy, which is any disorder that affects the spinal area. The spinal cord is a section of nerve tissue protected by the vertebrae (spinal bones). Trauma to the spinal cord, typically caused by compression or bent vertebrae, prevents the body and brain from communicating. This can result in pain, loss of sensation, and impaired physical function and movement. Acute spinal cord injuries (SCIs) are a leading cause of permanent disability. Spinal cord injuries may develop from accidents or myelopathies, disorders that provoke spinal compression. Traumatic incidents such as falls, sports injuries, vehicle accidents, and bullet or stab wounds can cause an acute spinal cord injury.

Spinal cord injury medicine seeks to stabilize the spine and to alleviate the symptoms of spine damage. Practitioners of spinal cord injury medicine are called spinal cord injury specialists. Spinal cord injury medicine is an interdisciplinary field, meaning physicians of various specialties may be trained to treat spinal cord injuries.

Damage to the spinal cord may initially be diagnosed through X-ray, MRI, or CT scans. Patients can also undergo spinal exams to evaluate their sensory ability and strength. Injuries to the spinal cord can be complete (no feeling or sensation) or incomplete (some feeling or sensation remains). Conditions spinal cord injury medicine specialists may treat include:

  • Paralysis, such as paraplegia (loss of function in the legs), or quadriplegia (loss of function from the neck down)
  • Spine fracture or trauma, which can lead to impairment and/or significant pain
  • Spinal infections
  • Myelopathies, such as herniated disks, spinal tumors, and rheumatoid arthritis
  • Inflammatory diseases such as ankylosing spondylosis, and degenerative conditions like Lou Gehrig's disease (ALS)

Treatment for spinal cord injuries often involves surgery, either directly after an injury occurs or at a later date. Surgery for spine injuries is intended to ease spinal compression and stabilize the spine. Surgical procedures can involve shifting vertebrae, removing bone, or altering spinal placement with implantable devices. Patients with significant spinal trauma may require urgent surgical intervention.

Surgical treatments can be complemented by rehabilitative physical therapy to improve mobility. Spinal cord injury specialists also treat complications arising from a spinal injury, such as respiratory or bladder conditions. Some patients with spinal cord injuries may require lifelong treatment. Spinal cord injury specialists aim to help these patients successfully adjust and lead an improved quality of life. An emerging treatment for spinal cord injuries is neural prosthetics, which replicate patients' lost nerve function. Neural prostheses may be used as artificial body parts or assistive devices that patients may cognitively control. Other assistive devices include wheelchairs and scooters.

Spinal cord injury specialists may collaborate with physical therapists, radiologists, neurologists, urologists, and orthopedists.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

  • Heart disease
  • Older age
  • Smoking
  • Diabetes
  • High blood pressure
  • High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2012 were diagnostic procedures, pain management, injections and nerve block.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

diagnostic procedures 168
doctor visit 669
injections 154
nerve block 14
pain management 154
spinal procedures 14

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2013 were injections, pain management, nerve block and spinal procedures.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 18
diagnostic procedures 11
doctor visit 946
injections 213
nerve block 19
pain management 195
spinal procedures 19

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 76
Female 99
Ethnicity
Non-Hispanic White 134
Black 25
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 37
From 75 to 84 0
85 and over 0
Less than 65 110

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2013

Hypertension 63
High Cholesterol 47
Stroke 0
Ischemic Heart Disease 35
Depression 32
Chronic Kidney Disease 21
Asthma 11
Osteoperosis 0
Atrial Fibrilation 7
Heart Failure 18
Chronic Obstructive Pulmonary Disease 25
Diabetes 34
Dementia 0
Cancer 6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2014 were injections, pain management, aspiration and nerve block.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 39
diagnostic procedures 13
doctor visit 1184
injections 214
nerve block 13
pain management 175
spinal procedures 13

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 97
Female 89
Ethnicity
Non-Hispanic White 143
Black 22
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 45
From 75 to 84 0
85 and over 0
Less than 65 115

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2014

Hypertension 59
High Cholesterol 43
Stroke 0
Ischemic Heart Disease 36
Depression 29
Chronic Kidney Disease 18
Asthma 17
Osteoperosis 0
Atrial Fibrilation 7
Heart Failure 19
Chronic Obstructive Pulmonary Disease 23
Diabetes 37
Dementia 0
Cancer 7

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2015 were injections, nursing home care, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 28
doctor visit 1076
injections 184
nursing home care 179
pain management 156

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 178
Female 246
Ethnicity
Non-Hispanic White 352
Black 36
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 94
From 75 to 84 68
85 and over 60
Less than 65 202

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2015

Hypertension 68
High Cholesterol 46
Stroke 9
Ischemic Heart Disease 36
Depression 41
Chronic Kidney Disease 30
Asthma 21
Osteoperosis 7
Atrial Fibrilation 15
Heart Failure 27
Chronic Obstructive Pulmonary Disease 29
Diabetes 37
Dementia 19
Cancer 8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2016 were nursing home care, injections, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 18
doctor visit 855
injections 105
nursing home care 1247
pain management 87

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 141
Female 208
Ethnicity
Non-Hispanic White 295
Black 30
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 86
From 75 to 84 83
85 and over 83
Less than 65 97

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2016

Hypertension 75
High Cholesterol 61
Stroke 15
Ischemic Heart Disease 47
Depression 47
Chronic Kidney Disease 49
Asthma 39
Osteoperosis 12
Atrial Fibrilation 21
Heart Failure 37
Chronic Obstructive Pulmonary Disease 38
Diabetes 41
Dementia 37
Cancer 10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2017 were nursing home care, injections, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 18
doctor visit 743
injections 104
nursing home care 767
pain management 86

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 102
Female 144
Ethnicity
Non-Hispanic White 213
Black 19
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 49
From 75 to 84 65
85 and over 54
Less than 65 78

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2017

Hypertension 75
High Cholesterol 49
Stroke 11
Ischemic Heart Disease 46
Depression 49
Chronic Kidney Disease 49
Asthma 11
Osteoperosis 11
Atrial Fibrilation 20
Heart Failure 35
Chronic Obstructive Pulmonary Disease 36
Diabetes 44
Dementia 35
Cancer 11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2018 were injections, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 28
doctor visit 758
injections 122
pain management 94

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 52
Female 80
Ethnicity
Non-Hispanic White 108
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 40
From 75 to 84 0
85 and over 0
Less than 65 67

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2018

Hypertension 66
High Cholesterol 48
Stroke 0
Ischemic Heart Disease 29
Depression 29
Chronic Kidney Disease 30
Asthma 15
Osteoperosis 8
Atrial Fibrilation 0
Heart Failure 17
Chronic Obstructive Pulmonary Disease 26
Diabetes 33
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2019 were injections, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 26
doctor visit 718
injections 91
pain management 65

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 49
Female 80
Ethnicity
Non-Hispanic White 108
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 44
From 75 to 84 0
85 and over 0
Less than 65 72

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2019

Hypertension 61
High Cholesterol 44
Stroke 0
Ischemic Heart Disease 29
Depression 28
Chronic Kidney Disease 19
Asthma 9
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 15
Chronic Obstructive Pulmonary Disease 22
Diabetes 35
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2020 were injections, pain management and aspiration.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

aspiration 38
doctor visit 937
injections 107
pain management 69

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 52
Female 82
Ethnicity
Non-Hispanic White 111
Black 11
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 49
From 75 to 84 0
85 and over 0
Less than 65 74

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2020

Hypertension 60
High Cholesterol 45
Stroke 0
Ischemic Heart Disease 30
Depression 33
Chronic Kidney Disease 27
Asthma 15
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 19
Chronic Obstructive Pulmonary Disease 19
Diabetes 36
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2021 were pain management, injections and diagnostic procedures.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

diagnostic procedures 29
doctor visit 874
injections 58
pain management 58

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 68
Female 86
Ethnicity
Non-Hispanic White 133
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 54
From 75 to 84 0
85 and over 0
Less than 65 66

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2021

Hypertension 69
High Cholesterol 55
Stroke 0
Ischemic Heart Disease 38
Depression 26
Chronic Kidney Disease 32
Asthma 12
Osteoperosis 9
Atrial Fibrilation 12
Heart Failure 18
Chronic Obstructive Pulmonary Disease 22
Diabetes 32
Dementia 0
Cancer 9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN during 2022 were pain management, injections and diagnostic procedures.

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

diagnostic procedures 34
doctor visit 795
injections 38
pain management 38

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 69
Female 68
Ethnicity
Non-Hispanic White 115
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 55
From 75 to 84 0
85 and over 0
Less than 65 45

Conditions of Medicare patients treated by Dr. Michael J. Spence, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 37
Depression 24
Chronic Kidney Disease 26
Asthma 17
Osteoperosis 10
Atrial Fibrilation 16
Heart Failure 18
Chronic Obstructive Pulmonary Disease 28
Diabetes 36
Dementia 0
Cancer 13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Michael J. Spence, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael J. Spence, MD treated as a physiatrist in Valparaiso, IN were nursing home care, injections, pain management and diagnostic procedures.

aspiration 26
diagnostic procedures 51
doctor visit 868
injections 126
nerve block 15
nursing home care 731
pain management 107
spinal procedures 15

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Michael J. Spence, MD.

Gender
Male 80
Female 107
Ethnicity
Black / African American 13
Asian / Pacific Islander 0
Non-Hispanic White 155
Native American / Alaskan Native 0
Hispanic 0
Other 0
Age
75 to 84 19
85 and over 17
Less than 65 84
65 to 74 50

Average of Total of Conditions of Medicare patients treated by Dr. Michael J. Spence, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Michael J. Spence, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension 61
High Cholesterol 46
Stroke 4
Ischemic Heart Disease 33
Depression 30
Chronic Kidney Disease 27
Asthma 15
Osteoporosis 5
Heart Failure 20
Chronic Obstructive Pulmonary Disease 24
Diabetes 33
Atrial Fibrillation 8
Dementia 8
Cancer 5

Education & Training

Dr. Michael J. Spence, MD graduated from Indiana University School of Medicine. He completed residency at Loyola University Affiliated Hospitals. He is certified by the Board Certification: Physical Medicine & Rehabilitation and has a state license in Indiana.

Medical School: Indiana University School of Medicine

Residency: Loyola University Affiliated Hospitals

Board Certification: Board Certification: Physical Medicine & Rehabilitation

Licensed In: Indiana

Affiliations & Hospitals

Dr. Michael J. Spence, MD is associated with these hospitals and organizations:

Powers Health

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Michael J. Spence, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Depomed, Inc. $4,342 Gralise
$2,134 		Gralise and Zipsor
$2,017 		Nucynta
$120 		Zipsor
$37 		Cambia
$34 		Other
$1
Purdue Pharma L.P. $352 OXYCONTIN
$139 		BUTRANS
$97 		HYSINGLA ER
$62 		SYMPROIC
$42 		INTERMEZZO
$11
Salix Pharmaceuticals, a division of Bausch Health US, LLC $336 Relistor
$324 		LUCEMYRA
$12
Scilex Pharmaceuticals Inc. $256 ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
$129 		ZTLido
$128
Collegium Pharmaceutical, Inc. $213 XTAMPZA
$163 		XtampzaER
$26 		Xtampza ER
$23
Other $2,245 Sprix
$229 		PENNSAID
$181 		Evzio
$168 		BOTOX
$140 		Duexis
$137 		Other
$1,391
Types of Payments
Food and Beverage $3,731
Honoraria $2,000
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $2,000
Education $13

Biography

Dr. Michael Spence specializes in physiatry (physical medicine & rehabilitation) and practices in Munster, IN, Valparaiso, IN, and Highland, IN. He obtained his medical school training at Indiana University School of Medicine and performed his residency at a hospital affiliated with Loyola University. His clinical interests include myasthenia gravis, sports health, and carpal tunnel syndrome. Dr. Spence's hospital/clinic affiliations include Powers Health and St. Mary's Hospital. According to Powers Health, he is currently accepting new patients at his office in Munster, IN.

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