Category: Research:

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Disk Degeneration in 21 Year Olds

During my training,  it was assumed that the average adolescent or teenager should have normal disc anatomy. It was assumed that  disc herniation/degeneration was a rare occurrence in that population.  But,  at that time,  technology such as a MRI scanner was relatively new, rare and expensive.  We did not have the capability to test to see […]

Dermatome Patterns

Dermatomal Patterns help physicians define nerve radiculopathy patterns.  Most neurologists/spine specialists  accept certain associated sensation, muscle strength, and reflex changes patterns to specific nerve roots. L5 radiculopathy is typically associated with weakness of the extensor hallucis longus muscle.  That is the muscle that allows the great toe to point upwards.  L5 radiculopathy also follows a […]

Did the Accident Cause the Disk Herniation?

That is a frequent question asked by many patients.The answer is, a definite maybe the accident caused the disk herniation. As a practicing orthopaedic spine surgeon,  I have seen many patients with complaints of pain after an auto accident.  In my community,  I have also been asked to evaluate patients in Auto accidents by attorney […]

Laser and Back Surgery

What the deal with laser and back surgery? This is a common question we are asked by patients. Our answer to this question is “not much” . The laser is a tool that has been used in surgery for over 35 years. Many associate the use of the laser as ultimate fix all as its […]

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