Category: General:

Are you carrying an extra “backpack”?

Weight loss is a difficult thing to discuss.  As a physician,  I am always worried that somehow, the patient will be offended by this discussion.  If I talk to some of my Primary Care colleagues,  some have stopped bringing this topic up, as some patients have gotten upset enough to “fire” them,  or even worse,  […]

Skiing and Back Pain

It is winter time in much of the country.  And the statistics indicates  about 11 million people will go skiing at least once this year.   While everyone is naturally concerned about a broken leg,  as a spine specialist I want to share the issues pertaining to Skiing and Back Pain. There has not been much information about the […]

Sex and Low Back Pain

Counseling on Sex and Low Back Pain is sensitive but necessary.  After gaining the trust of my patients,  this does become a common topic.  You could imagine,  it can be difficult to keep a straight face while fielding very graphic and detailed questions.  But,  there has been some research on this very topic  as sex is instinctual, with physical, […]

Spine Surgery? Sometimes, it is better to wait.

If you have a serious life or limb threatening condition,  you need to trust your physicians and get spine surgery if that is their recommendation. If you have a serious life or limb threatening condition,  I hope you are not reading this blog,  and instead getting medical care NOW. For the rest of you,  please […]

Most Sacroiliac Joints do not Hurt

As a Spine Surgeon,  I am constantly asked to find a surgical solution for various back complaints.  People come into the office with various test results including MRI’s,  CAT scans,  nerve tests and x-rays.  A certain percentage have already had surgery,  including lumbar spinal fusion,  and remain frustrated by the continued pain.  Lately,  I have […]

Time to Get off the Couch!

You all know that excess weight does lead to more spine complaints.      At the same time,  it takes more than weight control to keep your spine strong and functional.  It takes EXERCISE. In the December 15, 2015 Spine Journal,  a paper by Physical Therapist,  Ulrika Aasa, et al  (Physical Activity Might be a Greater Importance of […]