Author: Dr. Shim:

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Disc Degeneration Causes Abnormal Motion

As Physicians,  and especially as Spine Specialists,  we know that disc degeneration is a normal aging process.  We also know that back pain prevalence does correlate to age,  but at the later stages of life,  there is usually less back pain.  While some of the causes of pain,  is not purely physical,  we are getting […]

Accident Related Neck and Back Pain

Having accident Related Neck and Back Pain?  Frustrated you cannot get an appointment to see your Family Doctor for the problem?  Why don’t you go see the Spine Specialist? Before we criticize our Family Physician for not giving you an appointment.  Please understand the Family Physician’s predicament.  Your regular Health Insurance carrier required your Doctor […]

The risks of waiting too long for Cervical Disk Surgery

While it is prudent to wait at least 6 weeks for elective cervical disk surgery,  waiting more than 6 months can lesser your chances of a more acceptable outcome. Unless you have a severe loss of muscle control,  or inability to control your bowel and bladder control,  most patients should wait at least 6 weeks […]

Low Back Pain After Lumbar Discectomy

Unfortunately,  up to 25% of patients who had lumbar discectomy surgery may have recurrent back pain after surgery.  A recent study out of Vanderbilt University performed a meta analysis of available studies on discectomy patients,  as well as prospectively following patients that had surgery at Vanderbilt.  The results of both the meta analysis and the […]

Do Cold Temperatures increase Back Pain?

Cold Temperatures are associated with more back pain.   While most of us believe that,  there is some scientific data that suggests the statement is true.  The Northeast has experienced a record cold winter,  and I am sure many are tired of the effects of Old Man Winter.  Unfortunately,  the cold is associated with increased […]

Minor Trauma Does not Cause Serious Low Back Problems

People come to the Doctor’s office because they have concerns that they caused a major low back problem with a minor traumatic event.  Luckily,  the research shows that Minor Trauma does not lead to a permanent change to the spine. The study was performed at Stanford University by Carragee et al.   There were 200 […]

Spine Surgery Effective for Senior Population

There is a healthy fear of spine surgery,  especially in the senior citizen population.  At the same time,  so many are in such pain,  there is a willingness to have spine surgery.  Luckily,  there is evidence that Spine Surgery is safe for the over 80 year old population. In the February 4, 2015 edition of […]

Spine Surgery Information on the Internet

How do you know the Spine Surgery information on the internet is true?  Unfortunately,  it can be difficult to know.  The internet is a wonderful result of much scientific effort.  Prior to its existence,  information was controlled by governments, publishing entities and media conglomerates.  By virtue of the costs,    very few could disseminate information […]

Different Spine Surgery Recommendations

In the October 2014 Spine Journal,  there was a fascinating Study presented by Dr. Mroz of the Cleveland Clinic regarding “Differences in the surgical treatment of recurrent lumbar disk herniation among spine surgeon in the United States”. The study identified significant differences among US spine surgeons,  regarding the use of Lumbar spinal fusion in combination […]

The Framingham Spinal Stenosis Study

Most people know about the Famous Framingham Heart Study.  The study followed a group of volunteers from Framingham Massachusetts for an extended period of time.  The first group of 5209 volunteers were 30-60 year old men and women enrolled in the study from 1948.  All sorts of measures were documented.  In 1971,  5124 children of […]

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