I had gone to this doctor for several years; yes he can be very rude. Makes sexual advances and is scattered in his thoughts, half the time I think he is stoned out of his mind. I agree with the post above, the head nurse that he has working for him needs to pull her head out of her back side. Doctor has given me more then 100 trigger point injections and even after asking to have my blood work done to check cortisone levels he tells me that I am fine. If you need a real doctor, don’t go to Dr. Altman. Not only that, he’ll eat a in the exam room and give the injections without washing his hands. Just nasty, the entire staff.