Category: Non Surgical:

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 […]

My core is weak and I have back pain: Should I do sit-ups?

One of the most commonly prescribed treatments for generalized back pain is physical therapy.  More specifically, a program to lessen pain while improving flexibility, posture, and provide strengthening are the overall goals of the program. Long-term, we discuss core strengthening to help promote a healthy and functioning spine.  The core represents the stabilizing muscles and […]

Prolotherapy and Spine Pain

As a Spine Specialist,  there are times when our traditional treatments just have not been beneficial.  In my opinion,  as a surgeon,  the patients with the very large disk herniations, and with the corresponding physical complaints and findings are the easiest to treat.  Epidural steriod injections are often beneficial.  For these patients,  surgical management is […]

Treatment for back pain: NSAIDS, Exercise, Injections, and Vitamin D?

How many times have you seen a physician for low back pain and it was recommended that you take Vitamin D to treat it? The answer for most will be never.  Depending on the nature of your back pain, a combination of physical therapy exercises, non-steroidal anti-inflammatory medications and perhaps a corticosteroid injection is more […]

The MRI and Myelopathy

Lately,  I have seen a few patients that have been told they had Myelopathy.  After evaluating them,  I was certain that they have been misinformed about the nature of Myelopathy.  In the most simplest definition,  Myelopathy means irritation or damage to the spinal cord. The confusion is secondary to the definition of irritation or damage […]

How much Chiropractic Care is Reasonable?

This is a very common question asked by my patients. In the past, I could only suggest the patient speak to the Chiropractor and discuss the costs versus the benefits. There has been some information collected and discussed by the RAND Corporation in the early 1990’s.  Recommendations of Chiropractic treatments varied between 1-5 visits a […]