Is Scoliosis Surgery Worth It?
Several years ago, one of our employees had severe scoliosis and was in severe pain. Given that this was a structural problem, I wasn’t sure we could help, but I developed a procedure called a percutaneous scolioplasty that did eventually make a difference. Let me review another patient today whose… Read More
How to Avoid Surgery and Steroids for a Slipped Disc
If you see an orthopedic physician or orthopedic surgeon for back pain that turns out to be a slipped disc, the overwhelming chances are that you will be treated with steroids, and when that fails, surgery. But in the risk versus benefit equation that should govern all medical treatment,… Read More
Does Chronic Back Pain Mean a Shorter Life?
If your back hurts, you’ve likely never considered that it may shorten your life. However, new research conducted with that aim may surprise you as it did me. Let’s dive in. What You Should Know About Chronic Back Pain According to the National Institute of Neurological Disorders and Stroke,… Read More
What You Need to Know Before Signing Up for Spinal Decompression
Much of modern back surgery is about solving one problem and then creating two others. Spinal decompression is no different. So let’s dive into this topic. Spinal Decompression Addresses One Problem but Creates Another Spinal decompression (aka laminectomy) damages local stabilizing muscles, so it is yet another procedure that… Read More
Why Back Surgery Side Effects Are so Common: BFH Syndrome
I write about what I see in clinic and around me. One of the interesting things from this week was a low back pain patient who had surgery that was so invasive it left a hole in his low back. I coined the term BFH syndrome (Big [Insert… Read More
Can Strong Back Muscles Lower the Risk of Knee Arthritis?
Our medical care system for orthopedics has a serious issue. It loves to chop people up into parts. You see the back guy for a spine problem, the foot and ankle guy, the shoulder doctor, and so on. The problem is that this isn’t consistent with the way… Read More
Low Back BioDisc: The Kitchen Sink Approach
If you read this blog, you know that I tend to blog about what happens in daily practice. Hence, I just learned of a new spine-treatment approach from a patient who asked me to review his medical records to see if I could help his long-standing low back… Read More
Avoiding Knee Replacement and Back Fusion and Still Dancing in the Caribbean
Our orthopedic surgery care system is dangerously broken. Why? Surgeons teach patients to obsess over the structure of their bones, cartilage, and joints to sell surgical procedures that we now know, for the most part, aren’t needed or are barely better than doing nothing. That same “scared into surgery” fate… Read More
Treating the Whole Spine with Orthobiologics
Treating the Whole Spine with Orthobiologics If you visit a doctor who injects the spine, it’s highly likely that he or she will focus on finding one spot that’s causing most of your pain. However, is that the best approach to… Read More
Exercise May Prevent Muscle Inflammation Due to Disc Degeneration
Should you be exercising if you have back pain and degenerative disc disease? The answer for my patients has always been a resounding “likely,” it all depends on what’s wrong. However, a new study would suggest that maybe we should all be pushing these patients harder. What… Read More