Archives:

Dermatome Patterns

Dermatomal Patterns help physicians define nerve radiculopathy patterns.  Most neurologists/spine specialists  accept certain associated sensation, muscle strength, and reflex changes patterns to specific nerve roots. L5 radiculopathy is typically associated with weakness of the extensor hallucis longus muscle.  That is the muscle that allows the great toe to point upwards.  L5 radiculopathy also follows a […]

Artificial Disk Replacement

  Have you been told you need an Artificial Disk Replacement?  Usually,  it means you have had neck or back pain, and have not improved with conservative treatments.  Assuming you have had appropriate treatments, but still have significant pain, artificial disk replacement may be an option for you. But,  there are certain questions you need […]

Epidural Steroid Injections

  Should you get Epidural Steroid Injections?      It depends on the rationale for the treatment.  In my practice,  I use Epidural Steroid Injections for both treatment as well as diagnostic purposes.  The research for these injections have been significant, but the conclusions by the various authors have been very different.  If you must […]

Did the Accident Cause the Disk Herniation?

Hi I'm Dr. John Shim, and today I will try to answer a very common question. Did the car accident cause my disc herniation? To really know the answer, we must have an MRI or study of the spine immediately before the accident then immediately after the accident another MRI or study. […]

The Best Spine Surgeon in Tampa Bay

WHO is the BEST Spine Surgeon in Tampa Bay?  That answer should be a simple one.  It is the physician who will be operating on YOU.  Having been in practice in the Tampa Bay area since 1993,  I am happy to say that there are many excellent spine surgeons, and many of them are both […]

Does my Doctor Own his Private Practice?

  Does my Doctor own his Practice?  This may or may not be important to you.   When you are hurting, and need help, it is probably the last thing on your mind.  But,  if you are carefully weighing your options, and seek a solution to a chronic condition,  perhaps you should answer that question.  Is […]

Do Not Smoke!

  80 % of people will have back pain sometime in their life.  Often, I am asked how can I avoid having back pain.  Unfortunately,  we cannot avoid the natural wear and tear to our bodies.  Just by living,  you will wear out your joints, bones and ligaments.  In addition,  some of us will cause […]

Laser and Back Surgery

What the deal with laser and back surgery? This is a common question we are asked by patients. Our answer to this question is “not much” . The laser is a tool that has been used in surgery for over 35 years. Many associate the use of the laser as ultimate fix all as its […]