Archives:

Lumbar Discectomy yes, Lumbar Fusion, maybe.

You are in significant pain,  and the Doctors determined that your back and leg pain is caused by a Lumbar Disc Herniation.  Despite all the non surgical treatments such as medications,  therapy,  activity restrictions,  and injections,  you are not getting better and now want a surgical solution.   If your Surgeon recommends a surgery,  you should […]

Events related to Lumbar Disk Herniations

As logical creatures,  humans usually want to associate an event with a cause.  In our current culture,  we want a reason for many of our own medical conditions.  Regarding spine problems,  Physicians know that being over weight,  smoking,  and  genetics have bearing on the incidence of disk problems.  People,  however,  want to associate a disk […]

“That was the Worst X-Ray I have ever seen!”

As a Spine Surgeon and Specialist,  I have had the honor of treating many people.  It sounds cliche, but I enjoy the personal interaction, and my goal is to educate people to understand their condition.  While many are in significant pain during some of the evaluations,  it is important for me to communicate the nature of […]

Epidural Steroid Injections And Compression Fractures

Epidural Steroid Injections have been used to treat patients with both herniated disks as well as for patients with spinal stenosis.  In addition,  the same steroid compounds have been used by physicians to treat arthritic conditions of the spine, via the so called facet joint injection. Most prudent practitioners have always cautioned the patients that […]

Can Discography Cause Problems?

All invasive procedures have associated risks.  Traditionally,  Discography has been used to identify pain generators in the spine. Some clinicians have opined it was  good test, with acceptable low risks primarily due to needle placement and infections.  Research regarding longer term effects of discography has suggested it may also be a cause of disk degeneration,  and […]

Spine Surgery for Baseball Players

WE are now mid season for Major League Baseball,  and some injuries are starting to take its toll on various teams.  While shoulder and arm injuries are most common,  there is a small but significant number of players with spine related injuries. Historically,  we know several players have gone on to surgical management of herniated […]