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What is myelopathy?

Myelopathy means a compromised state of the spinal cord.  And,  there are multiple reasons for that situation. The more uncommon reasons are secondary to vascular compromise.  Usually there is compromise of the blood supply to the spinal cord.  Typically,  it is the anterior spinal artery that is effected,  although,  posterior artery (there are two of […]

When Conservative Care Doesn’t Work

Throughout this website you will see all of us encouraging conservative care and not to have low back surgery until you have exhausted all other avenues. Most people do get better over time with physical therapy, medications, etc., but what if you don’t? Let’s talk……. If you have not improved in 3 months and the pain […]

Does Lumbar Spinal Fusion work?

Spine technology continues to evolve,  despite the background debate on the cost and efficacy of spine surgery,  in general.  Since the early 2000’s,  the spine surgery community has been closely scrutinized by the government, and the payers of spine surgery services. While still being debated,  there is no question that the utilization of the lumbar […]

Why do we blame your back for your leg pain?

Sciatica is one of the most common medical problems that take people to the doctor. Though you hear the word frequently, most people don’t understand what causes it and why we blame your back for that terrible pain in your leg. Let’s talk… . In your low back (lumbar spine) the nerves start separating within […]

Spine Surgeon “Tough Love”

No one should want to see a Spine Surgeon.  The evaluation is  secondary to pain, and loss of activity.  Spine Surgery is painful.  It is a necessary,  difficult process that is beneficial to the patient in the long run.  That definition can also be considered a form of  “Tough Love”. Those who have delivered “Tough […]

Concussions Affect the Spine

The concussions in sports conversation will surely be brought up again as football season starts.   Most of the discussion is about the affects on the brain.  As a spine surgeon, I made a video to further the discussion as the spine and neck are also affected by the forces that cause concussions. CitationsElkin BS, Elliott […]