Before his passing on August 13, 2026, Dr. Tennant received about 350 to 400 emails requesting his opinion each month from patients, caregivers, family members, and medical professionals. He answered each individually and usually attached clinical guidelines that pertained to the case with instructions to share the email and attachments with their primary care physician. We encourage you to select the guidelines that pertain to your case, print them, and take them to your physician. You do not need an adhesive arachnoiditis specialist. Few, if any, exist due to the rarity of AA. Obtain the help your physician will provide and then use the self-help provided in these guidelines to develop an effective treatment regimen.
Physicians also sought information on how to treat a specific condition or person. On occasion, the physicians did not 100% agree with Dr. Tennant’s methods and approach. Dr. Tennant always encouraged colleagues who did not agree with him to build upon his work and develop alternative measures. The guidelines presented on this page of our website represent his most recent findings and recommendations. Study them and improve on his work if you can.
The Blue link will take you to a printable PDF document.
3-Pathologic Developments of Adhesive Arachnoiditis
4-Screening Test for Ehlers-Danlos Syndrome
5-Symptoms of AA and Cauda Equina Inflammatory Disorder
6-Screening Test for Ehlers-Danlos Syndrome
7-Blood Test for Adhesive Arachnoiditis
9-Palliative Pain Care for Late Stage (3 & 4) Adhesive Arachnoiditis
10-AA is a Nerve Entrapment Disease
12-Peptides in Treatment of Adhesive Arachnoiditis
13-Non-Adhesive Arachnoiditis: A Hidden Cause of Pain
14-Stages and Categorization of Adhesive Arachnoiditis
15-Exercises for Regeneration and Recovery
16-Maximal Daily Dosages for 90mg Morphine Equivalence
18-Medrol (methylprednisolone) Test for Inflammation as a Cause of Pain
19-Diagnosis of Lumbar-Sacral Adhesive Arachnoiditis
20-The Empty Sac Sign: What Does it Mean?
21-Constant Pain is a Compilation of Three Types of Pain
22-Multi-Receptor Pain Therapy is Essential in Adhesive Arachnoiditis
23-Descending Pain: New Discovery to Control Chronic Pain
24-Screening for Epstein-Barr Virus Autoimmunity
25-Epstein-Barr Testing for Medical Management of Adhesive Arachnoiditis
26-Prevention of Epstein-Barr Virus Reactivation
27-Herbal and Natural Anti-Inflammatories for Adhesive Arachnoiditis
29-Tarlov Cysts and Adhesive Arachnoiditis
30-Protocol for Spinal Fluid Leakage
31-Cauda Equina Inflammatory Disorder is an Antecedent to AA
32-Spinal Fluid Flow Exercises
33-Spinal Inflammatory Disease
35-Water Soaking for Adhesive Arachnoiditis
36-Special Hydromorphone Formulation Required for Severe Pain Flares
37-The Foundation of Adhesive Arachnoiditis Treatment
38-Association of Ehlers-Danlos Syndrome and Adhesive Arachnoiditis
39-How Lumbar Punctures, Epidural Injections, and Surgery Cause Adhesive Arachnoiditis
40-Low Dose Ketorolac and Methylprednisolone for Adhesive Arachnoiditis
41-Screening Test for Hypermobile Spectrum Disorder and Collagen Deficiency Diseases
42-Necessity to Suppress Daily Pain Exacerbation in Adhesive Arachnoiditis
43-Treatment for Pain and Complications After Epidural Injections and Spinal Punctures
44-The Tennant Protocol for Adhesive Arachnoiditis
45-Necessity for a 3-Component Medical Treatment Program for Adhesive Arachnoiditis
46-Pain Relief: First Step in Treatment of Adhesive Arachnoiditis
47-Palmitoylethanolamide (PEA): A New Drug for Intractable Pain
48-What Every Chronic Pain Patient Should Know About Neurosteroids