Are you being taken for an unhealthy ride?

Are you being taken for an unhealthy ride?

Are you being taken for an unhealthy ride?

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Recently this article was produced on PBS News Hour and upset a lot of people (read comments). It also received some positive reviews, mostly from medical practitioners. After reading it, I have to say there is a general agreement among the physicians I have spoken to that much of this article is right on target.

Let’s talk…

At some point almost everyone has back pain or has some type of injury that manifests itself as back pain. Unfortunately there are many people out in the medical world who take advantage of a patient’s (often temporary) suffering, the chance to make some money, and a medically under-educated client who needs to believe in someone.

Very often a network of chiropractors, lawyers, radiologists, surgeons and pain doctors can take a self-limiting problem, and while turning it into a lawsuit, turn a normal person into a drug addicted patient who has had one diagnosis turn into a multitude of life changing problems.

Is chiropractic care ever necessary for a back injury? Certainly, it will make some people feel better and that’s great, but if the chiropractor gives you 12 weeks of appointments, you need to question that. Most evidence based research shows little benefit for chiropractic manipulations after 6-8 weeks of ongoing DC or PT treatments for spine pain.

Pain meds need to be avoided. They make people unmotivated, sleepy and lead to addiction. They do not cure back pain. We need to work on the cause, not just the symptoms.  Anti-inflammatories, ice and exercise go to the cause and decrease the pain.

Don’t look at your MRI report and think you are in big trouble. Very often they are over-read and many of the things that are pointed out are just normal aging of the spine. If you feel less pain, numbness and tingling, and no weakness, you are getting better. It doesn’t matter what the MRI says.

Do you need surgery? 90% of people with back pain get better on their own with no help from any of us. Of the 10% left, maybe half of them will benefit from surgery. Ask the surgeon how many of his/her patients they operate on. Get a second opinion. And like the article says, if one doctor out of five recommends surgery, don’t do it.

As patients, we need to be more aware of what is happening with our care. If it doesn’t help, say no. Don’t let the promise of big dollars ruin your life and the lives of those around you. And most important of all, move. Your body and your mind need it!

Citations

  • Adams J, Peng W, Cramer H, Sundberg T, Moore C, Amorin-Woods L, Sibbritt D, Lauche R, Masters of Clinical Trials Research.. The prevalence, patterns, and predictors of chiropractic use among US adults: Results from the 2012 National Health Interview Survey. Spine (Phila Pa 1976). 2017 Apr 28; PubMed PMID: 28459779

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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