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Dallas Spine Pain Center, Spine Pain Help Dallas, Dallas Spine Pain Doctors

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If you are looking for a specialist in spine surgery, Dallas may be your next destination. BecomePainFree.com’s Dallas office provides:

Free MRI or CT scan evaluation. Have you tried conservative therapies for your chronic back pain, and wonder if a medical procedure is the next best step? Allow our staff to evaluate your medical case. Our physicians will provide the most conservative recommendation deemed appropriate for your special case.

Free medical referral service. If you choose, your assigned patient coordinator will handle the logistics for any medical procedure recommended by one of our physicians.

Board-certified physicians. Our Dallas-based specialists collectively provide expertise in neurosurgery and interventional pain management, and provide a range of procedures, from epidural steroid injections to spinal fusion. They are unique providers of the BecomePainFree.com procedure.

Free back pain seminar. BecomePainFree.com’s Dallas office provides regular educational seminars so chronic pain sufferers can learn about the BecomePainFree.com procedure and talk directly to someone who can answer all of their questions.

Surgical facility. Victory Medical Center in Plano, TX is one of the newest surgical facilities in Dallas-Fort Worth.

 

Located in the center of the United States, the Dallas laser spine center also provides a convenient option for chronic back pain sufferers across the country – just a short plane-ride away. BecomePainFree.com’s Dallas office has partnered with the Hyatt Place, for traveling patients.

The BecomePainFree.com headquarters is also in Dallas TX. So when you visit, make sure to say hello to the patient coordinator and insurance teams, who strive to help patients like you find a solution for their pain.

Address:
13601 Preston Road, Suite E575
Dallas, TX 75240

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About us: BecomePainFree.com provides patient advocacy for spine pain sufferers. Patient care may be described as a table with patients on one side looking for a solution, and physicians on the other side providing a service; since BecomePainFree.com does not practice medicine, it is uniquely positioned on the patient’s side of the table, providing a compass to navigate the often confusing world of spine surgery and interventional pain management.

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Dallas skyline (Photo credit: dherrera_96)

Written by becomepainfree

February 19, 2013 at 3:16 pm

Posted in About Laser Spine Surgery, Adult Stem Cell Therapy, Back Pain Plano, Back Pain Relief, Back pain sufferers, Back Surgeon Texas, Best Spine Doc in Texas, Best Spine Doctor, Chronic Pain, Complex regional pain syndrome, Comprehensive list of advanced minimally invasive procedures, Dallas Doctors, Dallas Spine Pain Center, Dallas Texas Pain Doctor, Discectomy and Stabilization, Endoscopic and Laser Spine Surgery, Failed back surgery syndrome, Innovative pain mapping process, interventional therapies, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Lumbar Microdiscectomy, Minimal Access Spinal Technologies, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Neck pain, Neck Pain Treatment Texas, non-invasive procedures, Open Surgery and Minimally Invasive Surgery, Pain, pain disorders, Pain Doctor, Pain Doctor Dallas, Pain Doctor Fort Worth, Pain Doctor Irving, Pain Doctor Plano, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Pain Prevention, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Safe and Effective:, San Antonio Spine Surgeon, Sciatica, Scoliosis, spinal cases from children, Spinal cord injury spasticity and pain, Spinal Cord Stimulator Trial, Spinal Fusion, Spinal Stenosis, Spine Microdiscectomy, Spine Pain Plano, Spine Surgery, Spine Surgery Addison, Spine Surgery Coppell, Spine Surgery Dallas, Spine Surgery Doctor, Spine Surgery Houston, Spine Surgery McKinney, Spine Surgery Mesquite, Spine Surgery Plano, Spine Surgery Robot, sports injuries, Stem Cell Therapy, stem cells, surgical treatment of spinal disorders, Texas, Top Docs, Top Spine Dr in the USA, Top Texas Surgeons, Transforaminal Endoscopic Discectomy, True minimally invasive procedures, Tx Top Spine Dr, Work Comp Injury, Workers Compensation Injury

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San Antonio Spine Surgeon, San Antonio Back Doctor, Mayo Clinic Trained Spine Surgeon, Bexar County Orthopedic Surgeon

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February 17, 2013 at 9:25 pm

Posted in About Laser Spine Surgery, ACDF, Adult Stem Cell Therapy, American Academy of Orthopaedic Surgeons, Another Chance at Life, Anterior cervical discectomy, Back Pain Relief, Back pain sufferers, Back Surgeon Texas, Best Spine Doc in Texas, Best Spine Doctor, Central Cord Syndrome, Chronic Pain, Complex regional pain syndrome, Comprehensive list of advanced minimally invasive procedures, cts, Discectomy and Stabilization, Endoscopic and Laser Spine Surgery, Failed back surgery syndrome, fellowship in Disorders of the Spine, fellowship trained Orthopaedic Spine Surgeon, Fellowship-trained spine surgeons, Fibromyalgia, Headache, Injured on the Job, injured workers, Innovative pain mapping process, interventional therapies, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Mayo Clinic, Mayo Clinic Spine Surgeon, Mayo Clinic Trained Surgeons, Medical Education, Microdiscectomy, Minimal Access Spinal Technologies, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Natural and Ethical, Neck pain, Neck Pain Treatment Texas, Neuropathic Pain, non-invasive procedures, North American Spine Society, Obese Patients, Open Surgery and Minimally Invasive Surgery, Overuse Injuries, Pain, pain disorders, Pain Doctor, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Pain Prevention, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Pelvic pain/Genital pain, posterior spinal fusion, Proven Results, PRP, Radicular Syndrome, Radiofrequency Ablation and Lesioning, Regenerative Medicine, Robotic Guided Spine Surgery, Robotic Spine Surgery, Safe and Effective:, San Antonio Spine Surgeon, Scoliosis, Spine Surgery Robot, sports injuries, Stem Cell Therapy, stem cells, surgical treatment of spinal disorders, Texas, Texas Health Pain, Texas Spine Consultants, Top Back Doctors, Top Docs, Top Spine Dr in the USA, Top Texas Surgeons, Transforaminal Endoscopic Discectomy, True minimally invasive procedures, Tx Top Spine Dr, Work Comp Injury, Workers Compensation Injury

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Spine Surgeon Fort Worth Texas, Spine Surgeon Tarrant County, Texas Back Institute, TBI, Shawn Henry DO

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Become Pain Free | Pain Specialist in Texas

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February 17, 2013 at 9:18 pm

Posted in Medical Education, Microdiscectomy, Migraine Doctor Dallas, Migraine Treatment, Minimal Access Spinal Technologies, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Natural and Ethical, Neck pain, Neck Pain Treatment Texas, Neuropathic Pain, non-invasive procedures, North American Spine Society, Open Surgery and Minimally Invasive Surgery, Overuse Injuries, Pain, pain disorders, Pain Doctor, Pain Doctor Dallas, Pain Doctor Fort Worth, Pain Doctor Irving, Pain Doctor Plano, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Pain Prevention, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Pelvic pain/Genital pain, Pinnacle Pain, Pinnacle Pain Group, Positive Side Effects, posterior spinal fusion, Presbaterian Pain, Proven Results, Radicular Syndrome, Radiofrequency Ablation and Lesioning, Regenerative Medicine, Robotic Guided Spine Surgery, Robotic Spine Surgery, Rockwall Back Doctor, Safe and Effective:, San Antonio Spine Surgeon, Sciatica, Scoliosis, Screening Colonoscopy, spinal cases from children, Spinal cord injury spasticity and pain, Spinal Cord Stimulator Trial, Spinal Fusion, Spinal Stenosis, Spine Microdiscectomy, Spine Pain Plano, Spine Surgery, Spine Surgery Addison, Spine Surgery Coppell, Spine Surgery Dallas, Spine Surgery Doctor, Spine Surgery Houston, Spine Surgery McKinney, Spine Surgery Mesquite, Spine Surgery Plano, Spine Surgery Robot, Texas Back Institute, Texas Health Pain, Texas Spine Consultants, Top Back Doctors, Top Docs, Top Spine Dr in the USA, Top Texas Surgeons, Transforaminal Endoscopic Discectomy, True minimally invasive procedures, Tx Top Spine Dr

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Spine Surgeon Dallas, Mayo Clinic Trained Spine Surgeon, Back Doctor, Spine Pain Doctor

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Become Pain Free | Pain Specialist in Texas

Written by becomepainfree

February 17, 2013 at 9:05 pm

Posted in Back Pain Plano, Back Pain Relief, Back pain sufferers, Back Surgeon Texas, Best Spine Doc in Texas, Best Spine Doctor, Chronic Pain, Complex regional pain syndrome, Dallas Doctors, Dallas Texas Pain Doctor, Discectomy and Stabilization, Endoscopic and Laser Spine Surgery, Failed back surgery syndrome, fellowship in Disorders of the Spine, fellowship trained Orthopaedic Spine Surgeon, Fellowship-trained spine surgeons, Fibromyalgia, Fort Worth Orthopedic Surgeon, Headache, Injured on the Job, Innovative pain mapping process, interventional therapies, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Lumbar Microdiscectomy, M.D., Mayo Clinic, Mayo Clinic Spine Surgeon, Mayo Clinic Trained Surgeons, Medical Education, Microdiscectomy, Minimal Access Spinal Technologies, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Neck pain, Neck Pain Treatment Texas, Neuropathic Pain, non-invasive procedures, Obese Patients, Open Surgery and Minimally Invasive Surgery, Overuse Injuries, Pain, pain disorders, Pain Doctor, Pain Doctor Dallas, Pain Doctor Fort Worth, Pain Doctor Irving, Pain Doctor Plano, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Pain Prevention, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Positive Side Effects, posterior spinal fusion, Proven Results, PRP, Radicular Syndrome, Radiofrequency Ablation and Lesioning, Regenerative Medicine, Robotic Guided Spine Surgery, Robotic Spine Surgery, Safe and Effective:, Sciatica, Scoliosis, Spinal cord injury spasticity and pain, Spinal Fusion, Spinal Stenosis, Spine Microdiscectomy, Spine Pain Plano, Spine Surgery, Spine Surgery Addison, Spine Surgery Coppell, Spine Surgery Dallas, Spine Surgery Doctor, Spine Surgery Houston, Spine Surgery McKinney, Spine Surgery Mesquite, Spine Surgery Plano, Spine Surgery Robot, sports injuries, Stem Cell Therapy, stem cells, surgical treatment of spinal disorders, Texas Health Pain, Top Back Doctors, Top Docs, Top Spine Dr in the USA, Top Texas Surgeons, Transforaminal Endoscopic Discectomy, True minimally invasive procedures, Tx Top Spine Dr, Uncategorized, Work Comp Injury, Workers Compensation Injury

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15 Remedies for Back Pain Relief

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By , About.com Guide

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Updated October 03, 2012

About.com Health’s Disease and Condition content is reviewed by our Medical Review Board

Most people struggle with back pain at some point in their lives. According to the National Institutes of Health, back pain is the second most common neurological disorder in the United States — only headache1 is more common.

If you have back pain, the first step is to be properly assessed by your primary care provider. Back pain has many causes, from muscle strain to more serious conditions such as a herniated disc, spinal stenosis, spondylosisthesis, osteoporosis2, or a tumor, so it’s important to find out what is causing the back pain.

Here’s a look at 15 of the more popular natural remedies. Although more research is needed before any of these options can be recommended instead of conventional treatment, some of them may provide relief for mild to moderate pain, especially when used as part of a comprehensive treatment plan.

1) Acupuncture

A 2008 research review published in the journal Spine found “strong evidence that acupuncture can be a useful supplement to other forms of conventional therapy” for low back pain. Analyzing 23 clinical trials with a total of 6,359 patients, the review’s authors also found “moderate evidence that acupuncture is more effective than no treatment” in relief of back pain. The authors note that more research is needed before acupuncture can be recommended over conventional therapies for back pain.

How does acupuncture work? According to traditional Chinese medicine3, pain results from blocked energy along energy pathways of the body, which are unblocked when acupuncture needles are inserted along these invisible pathways.

Acupuncture may release natural pain-relieving opioids, send signals to the sympathetic nervous system, and release neurochemicals and hormones.

An acupuncture treatment generally costs between $60 and $120. Acupuncture may be tax-deductible (it’s considered a medical expense) and some insurance plans pay for acupuncture.

If you want to try acupuncture, plan on going one to three times a week for several weeks initially.

2) Massage Therapy

When many people have backaches and pain, the first thing they think of is massage. Indeed, a number of studies indicate that undergoing massage therapy may help soothe back pain.

In a 2009 research review published in Spine, researchers looked at 13 clinical trials on the use of massage in treatment of back pain. The review’s authors concluded that massage “might be beneficial for patients with subacute and chronic nonspecific low back pain, especially when combined with exercises and education.” Noting that more research is needed to confirm this conclusion, the authors call for further studies that might help determine whether massage is a cost-effective treatment for low back pain.

Also found to reduce anxiety4 and depression5 associated with chronic pain, massage therapy is the most popular therapy for low back pain during pregnancy.

3) Chiropractic

Back pain is one of most common reasons people see a chiropractor. Doctors of chiropractic use chiropractic spinal manipulation to restore joint mobility. They manually apply a controlled force to joints that have become restricted by muscle injury, strain, inflammation, and pain. Manipulation is believed to relieve pain and muscle tightness and encourage healing.

Chiropractic care involving spinal manipulation appears to reduce symptoms and improve function in patients with chronic low back pain, acute low back pain, and sub-acute low back pain, according to a research review published in the Journal of Manipulative Physiological Therapeutics. In their analysis of 887 documents (including 64 clinical trials), the review’s authors concluded that combining chiropractic care with exercise is “likely to speed and improve outcomes” and protect against future episodes of back pain.

4) Capsaicin Cream

Although you may not have heard of capsaicin before, if you’ve ever eaten a chili pepper and felt your mouth burn, you know exactly what capsaicin does. Capsaicin is the active ingredient in chili peppers.

When it is applied to the skin, capsaicin has been found to deplete substance P — a neurochemical that transmits pain — causing an analgesic effect.

For a 2011 research review published in the British Journal of Anaesthesia, investigators sized up the available research on the use of topically applied capsaicin in treatment of several types of chronic pain6. This included two clinical trials on back pain, both of which found that capsaicin helped reduce low back pain without causing notable side effects.

Capsaicin cream, also called capsicum cream, is available in drug stores, health food stores, and online. A typical dosage is 0.025% capsaicin cream applied four times a day. The most common side effect is a stinging or burning sensation in the area.

If possible, wear disposable gloves (available at drugstores) before applying the cream. Be careful not to touch the eye area or open skin. A tube or jar of capsaicin cream typically costs between $8 and $25.

5) Vitamin D

Chronic muscle pain can be a symptom of vitamin D deficiency. What’s more, some research suggests that treatment with vitamin D supplements may lead to clinical improvement in back pain symptoms among people with low initial concentrations of vitamin D, according to a 2005 report published in the British Medical Journal.

An essential nutrient available in certain foods (such as fortified milk and fish with small bones), vitamin D is produced naturally by the body during exposure to the sun’s ultraviolet rays. But since it’s difficult to obtain your recommended daily intake of D solely through dietary sources and sun exposure, many medical experts recommend increasing your vitamin D levels by taking a dietary supplement.

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Written by becomepainfree

February 13, 2013 at 3:19 pm

Stem Cells for Spine Surgery: 7 Points

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Written by  Laura Miller | May 23, 2012

Become Pain Free | Pain Specialist in Texas

Here are seven points about using biologics and stem cells during spine surgery from Richard Hynes, MD, President of The B.A.C.K. Center in Melbourne, Florida.


How we got here

Dr. Hynes was one of the many spine surgeons who participated in Medtronic’s original trials for BMP-2 in the 1990’s.  While scientists have known about the ability of stem cells and BMP to generate bone for several years, Medtronic was the first company to develop a safe and effective molecule to stimulate cell growth.  After completing the pre-market approval trials, the Food and Drug Administration granted approval for the BMP-2 product, Infuse, in 2002 for creating fusion in the Lumbar Spine placed through an anterior approach in a LT cage.

“In the original study, I experienced 100 percent of enrolled patients in my Practice achieving bone growth when combining BMP with the local cells that were already there,” says Dr. Hynes.  “Local ‘stem cells’ respond to BMP and become activated thereby creating bone.  When I saw it worked in 100 percent of my enrolled patients, I was a true believer.  I have used it in my practice since the study and FDA approval going back greater than 10 years.”

What has changed is our ability to concentrate stem cells; Dr. Hynes harvests the stem cells from the iliac crest to combine with the BMP.  It takes less than five minutes for his physician’s assistant to harvest the cells, which are spun in a centrifuge while he begins the operation.  After 10-15 minutes, the cells are ready and Dr. Hynes adds a small amount to the surgical field along with the BMP.  The collagen sponge is placed within an interbody LT cage to keep the material from migrating.

“This has been an effective Bone Graft method and it has been an advantage for my patients who can avoid Iliac Bone Graft surgery and Donor Bone issues and cost,” says Dr. Hynes.  “It doesn’t add to my usual procedure time.  It does add a small cost, but I find it’s worth the value proposition.”

Since its inception and release, surgeons have been experimenting with its use in several different capacities, on- and off-label.  However, articles published in The Spine Journal in July 2011 suggest complication rates may be higher than the original studies reported.  Several physicians have reported positive and negative events based on individual practice date, and further research into its use will be necessary going forward.  As with all products, on label and off label use is routine practice and common place.  When used correctly, minimal side effects of swelling, seroma and osteolysis occur.

What the research says

There have been several clinical studies and basic science research projects published in professional journals discussing the efficacy of using BMP with local stem cells to enhance fusion.  However, research on the impact of increasing the number of stem cells is still lacking.  Dr. Hynes’ current clinical work focuses on whether there is a better chance of achieving fusion with a higher concentration of stem cells.

He harvests stem cells from the iliac crest, percutaneously and painlessly, or vertebral body and extract about 60-80 ccs of blood.  The desired stem cells are concentrated to a few ccs with centrifugation and has about a 50,000 cell count per “Spine Smith research data.”

“We already know the mechanism by which BMP-2 activates stem cells.  The stem cells are already very effective,” says Dr. Hynes.  “If we add to the population of stem cells that are already there that are available to regenerate new bone, it could make the procedure even better.  Anecdotally, I have a high fusion rate for my spine patient population even before adding the extra concentration of stem cells.  With the additional stem cells, I hope to achieve fusion at almost any level no matter how many levels are needed such as in degenerative scoliosis.  In osteoporosis and aging spine patients, this has been extremely beneficial when compared to poor iliac crest from bone harvest.

Dr. Hynes’ ethereal practice goal is to someday be able to “guarantee” that they will achieve fusion for every patient who undergoes surgery.  This means stabilization.  However, fusion does not guarantee “success” of the surgery but increases odds of the surgical success.  At this point, he is close, with approximately a 95 percent fusion rate.  “What I want to do before I retire is to be able to guarantee a fusion,” he says.  “I can’t guarantee pain relief or other clinical outcomes, but I want to be able to confidently guarantee the fusion or stabilization component.”

Options for harvesting stem cells

There are several bone graft options spine surgeons can choose from to achieve a fusion, and in the wake of recent controversies some surgeons are looking for an alternative to using BMP.  Surgeons can go back to the traditional fusion method – the iliac crest – or using an allograft.  Dr. Hynes says harvesting bone from the iliac crest can leave 30 percent of patients in more pain and add significant surgical time in the OR with increased blood loss.  Allografts also have downsides, including graft consistency, quality, processing issues and less potential to achieve fusion than iliac crest or autogenous grafting methods.

“The bone for allografts may not be prepared correctly,” says Dr. Hynes.  “We don’t always know the quality or consistency of the allograft compared to the patient’s natural bone.  If I’m putting a piece of bone in patients, it’s better if it comes from their own bodies.  That way, you can’t tell the difference between the bone you grow and the natural bone.  (What we are doing is creating a nice bone graft that balances the biomechanics of the fusion construct better than the allograft.)”

In some cases, the allograft bone could migrate or fracture or reabsorb after the procedure, which can cause significant pain and complications, often resulting in revision procedures.  By using the combination of BMP and stem cells in an interbody device, Dr. Hynes is able to avoid most of those complications because the cells are attracted to the BMP, which is restrained in the cage.

Patients should have the final say – “Informed Consent”!

Like many surgeons, Dr. Hynes describes the different fusion options to his patients and allows them to choose which procedure they feel most comfortable with.  He discusses the pros and cons of each technique, including the most recent concerns about BMP, as well as his personal outcomes.  He says patients often choose BMP combined with stem cells because they like the idea of regenerating their own bone naturally, avoiding the extra surgery and potential pain of iliac crest bone grafts and decreased potential or effect of donor allograft bone.

“The psychology of healing is part of this,” says Dr. Hynes.  “Patients understand the procedure and like the idea of using their own cells as healing factors.  People are very positive about that process because they feel like they are doing something natural instead of synthetic.  Healing and surgery isn’t just biomechanics and science; it’s psychological as well.  Successful outcomes of surgery depend on subjective relief as well as objective factors.”

In his practice, Dr. Hynes says a significant number of his patients chose the BMP and stem cell combination with given the option.  However, when the patients choose a different option, he performs the other procedures as well.  “It’s our duty to give patients their choice,” he says.  “I’m not always smart enough to know what the best choice is for any one individual, but I’ve practiced many years and learned that if you take time to educate patients to all the reasonable options, they will make good decisions and take responsibility for them.”

Deciphering the complications

While Dr. Hynes hasn’t experienced significant complications among his patients, it’s clear that other surgeons have reported complications when they perform spinal fusions using BMPs.  One reason for the discrepancy could be the dosage; well-documented evidence suggests that a higher dosage of BMP could cause swelling complications when used in the cervical spine.  By using low doses of BMP and a pre and post-surgical protocol, swelling is completely avoidable in the cervical spine.  Another factor is the surgical approach; Dr. Hynes says retrograde ejaculation (“RE”) – one of the severe complications mentioned in the studies this past summer – is a complication risk of any anterior spine surgery and not related to use of BMP.  “I have performed thousands of anterior procedures before and after approval of BMP for anterior lumbar surgery and I find no difference in RE noted in my patients.”

“Every spine surgeon knows RE is a risk during anterior procedures and it usually will reverse on its own,” says Dr. Hynes.  “RE occurs in an extremely low frequency.  RE occurs because of disruption ‘surgically’ of small nerves to a sphincterine the bladder.  BMP does not cause this effect, but the use of the electrocautery tool, during surgery, likely does.  Use a small dose of BMP and a cage as well.”

In his practice, Dr. Hynes has never experienced a critical airway complication using cervical BMP.  In early years, too high a dose would lead to swelling but not airway compromise which more commonly occurs with hematoma or blood clot, says Dr. Hynes.  Papers published in The Spine Journal also mention cancer as an associated complication, which is something he hasn’t necessarily noted either.  “I haven’t seen a rash of cancer in my patients, but I haven’t been surveying for it either,” he says.

He is currently going through his patient base to determine whether he can detect any cancer cases that could be associated with the procedure.

Whether to use BMPs

As surgeons report different findings based on their individual practice data, many of the studies and discrepancies have been reported in the media.  However, full understanding of these complex issues is often lost in news reports.  “I hate to see some of the surgeons and journals duking it out in the media,” says Dr. Hynes.  “That isn’t the place to argue over the efficacy of stem cells and BMPs.  We have to do it in the meetings where people understand the context.  To lay this out in the newspapers exacerbates political agendas and confuses our patients.  We need to speak honestly with each other about this at professional and scientific meetings, not in the press.”

This controversy isn’t the first time new spinal technology and procedures have been under attack.  For a period of time, pedicle screws – which are a standard of care now – were under the microscope because complications were reported.  In some instances, surgeons were sued and restricted from use at their hospitals for their alleged unfavorable outcomes.  Now pedicle screws are the mainstay of spinal fusion procedures.

“At the time, there was only approval that pedicle screws could be used on single-level surgeries,” says Dr. Hynes.  “Now we use them at multi-levels.  The pedicle screws ultimately won the day, but with public stimulation ‘in the news’ in the early 1990s, we almost lost the ability to use them.  This was a public attack on the advent of a new fusion technology, and now we are seeing similar phenomenon’s with BMP and other medical products.”

Covering the cost of BMP

In some cases, surgeons may have a difficult time receiving reimbursement for BMP products because they were more expensive in the past.  Dr. Hynes and his colleagues have worked with hospitals and surgery centers to cover the cost in both out-of-network and in-network contracts.  In some cases, patients are willing to cover the cost of using stem cells with BMP.  Due to the success and demand, the cost has now become competitive considering operative costs of iliac bone surgery or allograft.  “The increased volume of use and effectiveness has caused a dramatic decrease in cost,” says Dr. Hynes.

“I see patients from out of the Country and they are usually cash pay patients,” says Dr. Hynes.  “We have to line item every part of the procedure to show the actual cost and there is almost no increased cost for the use of low concentrated BMP compared to iliac bone grafts or allograft when taking OR time, surgeon’s time and other OR costs into consideration.”

Fortunately, the hospitals in Dr. Hynes’ community allowed him to use BMP and conduct the clinical studies there.  “We have more experience in our community with the benefits of this technology because we started so early,” he says.  “Our surgeries are very efficient and our operative time is less because of our long-term experience with the procedure using stem cells and BMP.”

However, in some cases Dr. Hynes has made sacrifices to mitigate these costs.  “I think about what I could live without and forego those expenses for stem cells and BMP,” he says.  “I might use less expensive blades or a new set of tools for the next year.  I might continue to use my old led apron or do surgery without a super drape.  I’m there to give patients a better outcome and I want to make sure they have the opportunity to have the stem cells.”

More Articles on Spine Surgeons:

8 Spine Surgeons on the Future of Spinal Fusions

6 Spine Surgeons on How Young Surgeons Can Position Themselves for Success in the Future

What Percentage of Your Spine Practice is Medicare Patients?

Become Pain Free | Pain Specialist in Texas

Pain Prevention

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Become Pain Free | Pain Specialist in Texas

Once you encounter back or neck pain, you are four times as likely to experience it again. This is why prevention is essential to your long-term recovery.

One of the best ways to avoid back pain is by exercising and stretching. Low-impact aerobics, such as walking or swimming, is an ideal way to prevent or treat back pain. Stop if the exercise becomes painful, and always remember to stretch. Stretching is easy to incorporate into your daily routine. You can even do it in front of the television.

Below are some more specific ways to prevent back or neck injuries:

Sitting for long periods

The spine likes movement. Anything that puts the spine in a static position creates stress, which can cause back and neck pain. Every hour, stand, walk around, bend, arch backward gently, and twist. Doing so at regular intervals will lengthen the amount of time you can sit comfortably. Also, get an ergonomically-designed chair or an orthopedic insert to support your spine, espetexas spine center provides information about preventing back pain neck pain ergonomic chaircially if your job involves long periods of sitting. Or roll up a towel, and place it behind your low back.

A comfortable way to stand

Prolonged standing can also strain the back. If you have to stand for long periods of time, prop one foot on a small stool or telephone book to reduce stress in the low back. Alternate with the other foot. Every half hour, bend over and touch your toes, with your knees slightly bent, or do some of the stretching exercises shown in the Seton Spine and Scoliosis website. They will help loosen your muscles, ligaments and joints.

Plane rides

While traveling on a plane, it helps to raise your feet on a briefcase or a bag underneath the seat in front of you. Ask for a pillow to place behind your low back to improve lumbar support. It is important to get up frequently and walk to the bathroom and back, whenever possible. Avoid hour-long periods in your seat.

The best sleeping position

Avoid sleeping on your stomach, which arches your back and puts pressure on your spine. Instead, lie on your back with a small pillow tucked under your knees. This position unloads the spine. An alternate position is to lie on your side with a pillow between your knees. If you like sleeping on your stomach, place a soft, flat pillow under your stomach to eliminate some of the arch that can stress your back.

texas spine center provides information about preventing back pain neck pain, information about choosing the right mattress, sleeping position

Mattress considerations

It is important to sleep on a mattress with optimal back support, whether it is a conventional mattress or a waterbed. Older waterbeds were mushy and provided little support. However, now there are waterbeds that allow you to adjust their firmness. A good mattress should relate to your body shape. Generally, go with what feels comfortable to you.

Pain is a signal from the body to the brain that something is wrong. Either the back is too weak, too inflexible, or the wrong body mechanics were used to perform a task.

 

Become Pain Free | Pain Specialist in Texas

Written by becomepainfree

February 11, 2013 at 7:45 pm

Posted in Complex regional pain syndrome, Dallas Doctors, Dallas Texas Pain Doctor, Discectomy and Stabilization, Endoscopic and Laser Spine Surgery, Failed back surgery syndrome, fellowship in Disorders of the Spine, fellowship trained Orthopaedic Spine Surgeon, Fibromyalgia, Fort Worth Orthopedic Surgeon, Injured on the Job, injured workers, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Lumbar Microdiscectomy, M.D., minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Natural and Ethical, Neck pain, Neck Pain Treatment Texas, Neuropathic Pain, non-invasive procedures, North American Spine Society, Obese Patients, Open Surgery and Minimally Invasive Surgery, Pain, Pain Doctor, Pain Doctor Dallas, Pain Doctor Fort Worth, Pain Doctor Irving, Pain Doctor Plano, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Pain Prevention, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Pelvic pain/Genital pain

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