Archives:
The Advantages of Cervical Foraminotomy
I am assuming you have already had the discussion about the need for a neck surgery for a pinched nerve in the neck. Let us assume you have already failed the standard non-surgical treatments including time, medications, therapy and injections. Let us further assume certain diagnostic tests have isolated the pinched nerves to a specific […]
Treatment for back pain: NSAIDS, Exercise, Injections, and Vitamin D?
How many times have you seen a physician for low back pain and it was recommended that you take Vitamin D to treat it? The answer for most will be never. Depending on the nature of your back pain, a combination of physical therapy exercises, non-steroidal anti-inflammatory medications and perhaps a corticosteroid injection is more […]
The Cost of Healthcare in the USA
Healthcare expenses in the United States exceeds 17% of GDP and over $2.8 trillion in 2012. Yet the Physician fee component of that expense is only 8%. In this debate over how to control expenses, most of the focus seems to be on curbing the Physician fee. WHY? Should we not focus on […]
Update on Adjacent Segment Degeneration
There remains considerable controversy on the nature of Adjacent Segment Degeneration after lumbar fusion. To the non-spine surgeons, the issue is the theory that a fusion operation places more stress on the levels above or below the fusion, and will lead to accelerated degeneration and subsequent surgery. In fact, most surgeons will tell patients about […]
Spine Arthritis
Spine Arthritis has many forms. The most common is secondary to the natural aging process. While there are many scientific studies on why we get arthritis, we have to accept the fact that our bodies are programmed to degenerate over time. All things wear out over time. The human body does have an amazing ability […]









