A Normal Lumbar MRI Is a Rare Finding for Anyone Older Than 40
By John H. Shim, MD, FAAOS | Orthopaedic Spine Surgeon | ShimSpine.com If you are over the age of 40 and your lumbar MRI comes back showing degenerative changes, disc bulges, or mild arthritis — welcome to the club. You are, statistically speaking, perfectly normal. In fact, a completely “clean” lumbar MRI in a middle-aged […]
Back pain, neck pain, and disc problems start not from a dramatic injury, but from hours in a chair.
The Spine Was Not Built for the Chair The human spine evolved for movement; for walking, bending, lifting, and carrying. When you sit for extended periods, especially with poor posture, the compressive load on your lumbar discs increases significantly. Research by Nachemson and others has shown that intradiscal pressure is actually higher during sitting than […]
After the Crash: What You Need to Know About Spine Injuries and Auto Accidents
Motor vehicle accidents are one of the most common causes of acute spine injuries in the United States. Each year, millions of Americans experience neck or back pain following a collision. Navigating the medical, legal, and insurance landscape after an accident can be confusing and stressful. This post provides a factual overview of what typically […]
Summer Sports and Your Spine: What Pickleball, Golf, and Swimming Can Do to Your Back
Warm-weather sports such as pickleball, golf, and swimming can support spine health when played wisely, but each activity also carries specific back-injury risks.
What causes disc herniations and how can I prevent it?
What causes disc herniations and how can I prevent it? In our spine practice, I am often the first person to talk with patients about their orthopaedic and spine problems during the course of their visit. Through our educational website and during consultations, Dr. Shim has presented a wealth of information on how we manage […]
When is Spine Pain an Emergency?
So often we hear from people who are upset with Emergency Rooms because they feel their neck or back pain was not treated with the seriousness it deserved. A traumatic event such as a bad fall or a serious car accident with any sign of severe pain, or abnormal neurological signs such as paralysis, should […]
Questions for the Spine Surgeon
Have you been told you need Spinal Surgery? If possible, it is always wise to get a second opinion. But wait! Do your homework first. This is what I would do before seeing a spine surgeon for a second opinion…. 1. Go with a trusted friend or family member. Two sets of ears and two […]
How Come my Doctor did not order an X-Ray?
That is a question often asked of me and my staff. The better question is “Why should you get an X-ray for back pain?” The answer to that question is “It depends.” I know. you want a better answer. But, there is a logic to the response. The most important determining factor on the need […]
Are you carrying an extra “backpack”?
Weight loss is a difficult thing to discuss. As a physician, I am always worried that somehow, the patient will be offended by this discussion. If I talk to some of my Primary Care colleagues, some have stopped bringing this topic up, as some patients have gotten upset enough to “fire” them, or even worse, […]
10 Causes of Back Pain
If you live long enough, you will eventually experience back pain. Depending on the source, up to 80% of the population will experience a back pain episode that will cause at least temporary disability. Luckily, most will recover, and will get on with their life. There are many potential causes of back pain. 1. […]
