Second Opinions

Second Opinions

Second Opinions

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Let’s Talk

Second Opinions

You are in pain! Your back, neck, shoulder or knee are killing you. You’ve been to see a physician and surgery is recommended. Yay! You are going to feel better. Not so fast…

Let’s talk…….

If you are in enough pain, you will agree to anything to make it stop. We know that. We also know that in 90% of neck and back pain cases, you will get better with time and maybe a few non-invasive treatments. The hard part is getting through the bad times without making a spur-of-the-moment decision.

After any back or neck injury, a thorough medical assessment needs to be done. The big reason for this is to make sure emergency surgery is not required. Any signs of spinal cord injury, cauda equina syndrome, foot drop etc. need to be treated right away. This would include any type of paralysis,incontinence or “balance” problems.

Once you are cleared of any emergent problems, time and movement become your greatest allies. The old thought of lying in bed waiting to get better (even if that is what you want to do) are outdated. We now know that sensible movement and exercise will speed up healing and also help you avoid the side effects of lying in bed for days. Walking and stretching are two necessities to any regimen. A Physical Therapist or Chiropractic Physician should put you on the right track.

 

Medications may be ordered for you by your own physician or in the ER. No one should be in severe pain or spasm but caution should be used with narcotics or muscle relaxers. Anti-inflammatories, if you can tolerate them, will often work well to alleviate pain and steroid packs, if used properly, can be very effective. For severe or long term pain, steroid injections are often recommended. Sometimes one does the trick; sometimes a group of three are required. If you do not get significant improvement with injections, it is not necessary to repeat them. The side effects and expense outweigh anything less than a 50% improvement in discomfort.

If any of these treatments do not improve your symptoms in 6 -8 weeks, it is then time to consider a surgical consult. From previous blogs, you know how to pick a spine surgeon. PICK TWO! Do not pick two who work in the same place or the same practice and make sure they both have access to all the same films, reports and notes. Make sure they do a physical (neurological) exam and explain what surgery is being done, why, and what you can expect theresults to be. If you have opposing opinions, get a third. Remember, you have one spine. A decision made in pain may not be the best one in the long run. Be informed, be careful, and be well.

Citations

  • Vialle E. Second opinion in spine surgery: a Brazilian perspective. Eur J Orthop Surg Traumatol. 2015 Jul;25 Suppl 1:S3-6. PubMed PMID: 25947932

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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.

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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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