What is Radio Frequency Ablation (RFA) ?
For certain people, the source of back pain is the irritation associated with cartilage wear in the facet joints of the spine. This wear and tear cause the nerves from that particular facet joint to excite, and causes pain. The typical pain is a back pain, that localizes to the lower back, and buttock, or […]
Before you have Spine Surgery
“Before you have Spine Surgery……..” there should be a discussion on the risks, benefits, and alternatives. I see patients for surgery second opinions almost every day. Naturally, the patients are in pain, and often have some weakness. But, I am surprised on how many patients have not truly explored their alternatives. So, here is a […]
Cervical Fusions in the NFL
Football is fun to watch, and play. But, as a NFL player, you are one down away from injury. Unfortunately, some injuries can be career ending. I had previously blogged about the rates of disk herniations in the NFL. But, there is not much information about the results of certain surgically treated injuries until recently. […]
5 Patient controlled Risk Factors for Spine Surgery
The TRUTH. YOU the PATIENT have control over 5 of the risk factors associated with SPINE SURGERY: 1. SMOKING. Smoking is associated with poor healing of the wounds. From a very basic science perspective, smoking decreases the blood flow to areas secondary by causing constriction of your arteries. The lack of blood supply impedes healing […]
Disk Herniations in the NFL
Football season is starting NOW! Whenever I watch the game, even as an orthopaedic spine surgeon, I am amazed there are not more injuries. Considering the size and speed of those players, you would think there would be an injury with every play. Sometimes I am asked to consider the bio mechanics of […]
Outpatient Anterior Cervical Discectomy and Fusion
In times past, people were admitted to the hospital for the simplest of surgical procedures. In the 1970’s, a two week admission to the hospital for a simple carpal tunnel surgery was routine. People would be admitted a day or two before surgery to get testing. Surgery was then performed. Then, the patient was discharged […]
51% vs 49%
It only takes one grain to tip the scale As a treating Physician, Spine Surgeon, and a Medical Expert, I am often asked to offer analysis on certain medical situations. I write letters, and sign forms regarding return to work, work restrictions, temporary disabled parking permits, the need for additional medications, and therapy. I am often […]
Why we have a Spine
Humans are considered a vertebrate animal. In otherwords, we have a spine. The spine serves as a scaffold by which the rest of the body attaches its ligaments, tendons and muscles, and in a coordinated fashion, allows purposeful movement. It is a marvel of engineering as it allows generation of precision maneuvers, powerful forces, and […]
Herniated Nucleus Pulposus
The intervertebral disc has the function of a ligament, a shock absorber and a spacer. It is the structure that most connects two adjacent vertebral bodies with each other. Unfortunately, it can also be the origin of extreme sciatica episodes when the inner part of the disc becomes a Herniated Nucleus Pulposus. Like many other […]
