Do Not Smoke!

Do Not Smoke!

Do Not Smoke!

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80 % of people will have back pain sometime in their life.  Often, I am asked how can I avoid having back pain.  Unfortunately,  we cannot avoid the natural wear and tear to our bodies.  Just by living,  you will wear out your joints, bones and ligaments.  In addition,  some of us will cause injury to our joints, or muscles by a traumatic event.  But there are factors you can control.  The most common one is smoking.  Do not Smoke!

Your cardiologist does not want you to smoke, as it leads to heart disease, and puts you at risk for heart attacks.  Your oncologist does not want you to smoke as it leads to increased rates of cancer.  These are significant issues, but usually, people will not stop smoking until they have a event  that causes them to stop.  Cancer or a heart attack can often change ones habits pretty quickly.

As a spine surgeon,  I want you to know that smoking also increases back and neck pain.

How you say?  The nicotine in cigarettes cause constriction of blood vessels.  That is why you can have a heart attack.  But,  blood vessels supply oxygen to your muscles,  ligaments and disks.  Blood vessels suppy nutrients to these same areas.  If you do not have oxygen or nutrients,  these areas suffer damage.  SMOKING causes damage to your neck and back muscles, ligaments and disk.  This concept has now even made it to the general media.  The following link is from the news agency Reuters: http://www.reuters.com/article/2010/01/08/us-smoke-back-idUSTRE60755G20100108

Often times,   smokers will cough.  The internal forces associated with a cough is significant and causes potential damage to these structures.  Anyone with a history of a pinched nerve, or severe back pain will tell you that they brace their back or neck before a cough or a sneeze, as it causes severe pain.  Although not studied well,  it is my opinion that the smoker’s cough also contributes to degeneration of the above structures.  In addition,  secondary to constriction of the blood vessels,  smokers cannot repair the damages to the structures like non-smokers.

Lastly,  there is clear evidence that smoking affects surgical outcomes.  For all surgeries,  secondary to decreased blood flow,  you heal slower, and potentially have increased rates of wound problems and infections.  Specifically in spinal fusions,  a good blood supply is necessary to promote bone healing and fusion.  Without this blood supply,  often times the fusion does not happen, resulting is a potential suboptimal outcome.  The following links to a medical article about smoking and fusion. http://www.ncbi.nlm.nih.gov/pubmed/3824072

The bottom line is DO NOT SMOKE!  You get heart disease, cancer and a bad spine!

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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