Category: General:

Do all Disk herniations Cause Pain?

Surprisingly,  many disk herniations are not associated with pain.  The classic 1990 paper written by Boden et al demonstrated the prevalence of significant lumbar MRI findings in asymptomatic individuals. As a Doctor,  and Spine Specialist,  I know this to be true.  I see it almost on a daily basis in my office.  There is too common […]

Hoffmann Sign and Myelopathy

As Spine Specialists,  we often rely on the so called Hoffmann Sign to identify people who have cervical myelopathy.  The video above demonstrates a positive finding.  Various studies have opined that a positive Hoffmann Sign highly correlates to the presence of cervical myelopathy. It is accepted knowledge that a positive Hoffmann response can also indicate […]

Back Pain Again?

We do not have time for Back Pain. But,  unfortunately,  there is a good chance we will all experience back pain sometime in our lives.  The good news is that most episodes of back pain are not serious and resolve over time. But,  physicians are always on the lookout for more serious causes of back […]

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 […]