Archive for the ‘Fort Worth Orthopedic Surgeon’ Category
You May Get relief from chronic pain by walking
If you are suffering from chronic pain from fibromyalgia or another medical condition, you know the frustration that comes with the attempts to control pain. While medication and therapies are a key factor in pain management, exercise can also work to relieve pain and improve quality of life. Inactivity can lead to more pain – the more you move, the less you will feel your pain.
If you are suffering from chronic pain, begin introducing regular walking workouts into your daily routine. Walking is the most basic form of aerobic exercise. There are several benefits of aerobic exercise, including: building stamina, boosting energy and reducing stiffness and pain. Specific health benefits of walking for exercise include:
- Strengthening muscles – By strengthening the muscles in the feet, legs, hips and torso, you will increase stability of the spine. Spinal stability may reduce symptoms of chronic back pain.
- Improves flexibility and range of motion – With improved range of motion, you will be less susceptible to injury due to stiffness or awkward movements.
- Strengthening joints – A low-impact workout such as walking improves strength and flexibility of the joints, as well as muscles and tendons surrounding the joints.
Research has shown that low-impact aerobic exercise is most effective for improving chronic pain symptoms. It provides a means of relaxation for both the body and mind. Exercise in short intervals has been shown to be most successful in relieving chronic pain. For example, rather than going for one 30-minute walk each day, take three short, 10-minute walks instead.
In a study of 52 sedentary patients with chronic lower back pain, Dr. Michal Katz-Leurer and colleague Ilana Shnayderman found that a simple daily walking routine can improve chronic lower back pain symptoms. Katz-Leurer, from Tel Aviv University’s Stanley Steyer School of Health Professions at the Sackler Faculty of Medicine, and Shnayderman, a graduate student at the Department of Physical Therapy and a practicing physiotherapist at Maccabi Health Care, published their findings in the journal Clinical Rehabilitation.
If you suffer from chronic pain, make a point to exercise daily. By exercising, you will help prevent muscle atrophy and decrease joint pain. Start with a simple 30-minutes of exercise each day, gradually increasing if you are able.
Consult with your physician before beginning any exercise routine.
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Herniated Disk in the Lower Back
Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as well as leg pain (sciatica).
Between 60% and 80% of people will experience low back pain at some point in their lives. A high percentage of people will have low back and leg pain caused by a herniated disk.
Although a herniated disk can sometimes be very painful, most people feel much better with just a few weeks or months of nonsurgical treatment.
Your spine is made up of 24 bones, called vertebrae, that are stacked on top of one another. These bones connect to create a canal that protects the spinal cord.
Five vertebrae make up the lower back. This area is called your lumbar spine.
Other parts of your spine include:
Spinal cord and nerves. These “electrical cables” travel through the spinal canal carrying messages between your brain and muscles.
Intervertebral disks. In between your vertebrae are flexible intervertebral disks. They act as shock absorbers when your walk or run.
Intervertebral disks are flat and round, and about a half inch thick. They are made up of two components:
- Annulus fibrosus. This is the tough, flexible outer ring of the disk.
- Nucleus pulposus. This is the soft, jelly-like center of the disk
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Spine Surgeon Dallas, Mayo Clinic Trained Spine Surgeon, Back Doctor, Spine Pain Doctor
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Pain Prevention
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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:
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, espe
cially if your job involves long periods of sitting. Or roll up a towel, and place it behind your low back.
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.
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.
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.
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.
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Kyphoplasty Surgery, Kyphoplasty, Kypho, Vertebroplasty, Back Surgery, Spine Surgery
What is Vertebroplasty & Kyphoplasty?
Vertebroplasty and kyphoplasty are minimally invasive procedures for the treatment of vertebral compression fractures (VCF), which are fractures involving the vertebral bodies that make up the spinal column.
When a vertebral body fractures, the usual rectangular shape of the bone becomes compressed, causing pain. These compression fractures may involve the collapse of one or more vertebrae in the spine and are a common result of osteoporosis. Osteoporosis is a disease that results in a loss of normal bone density, mass and strength, leading to a condition in which bones are increasingly porous, and vulnerable to breaking. Vertebrae may also become weakened by cancer.
In vertebroplasty, physicians use image guidance to inject a cement mixture into the fractured bone through a hollow needle. In kyphohplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space. The cement is injected into the cavity once the balloon is removed.
Performing Kyphoplasty Surgery
- During kyphoplasty surgery, a small incision is made in the back through which the doctor places a narrow tube. Using fluoroscopy to guide it to the correct position, the tube creates a path through the back into the fractured area through the pedicle of the involved vertebrae.
- Using X-ray images, the doctor inserts a special balloon through the tube and into the vertebrae, then gently and carefully inflates it. As the balloon inflates, it elevates the fracture, returning the pieces to a more normal position. It also compacts the soft inner bone to create a cavity inside the vertebrae.
- The balloon is removed and the doctor uses specially designed instruments under low pressure to fill the cavity with a cement-like material called polymethylmethacrylate (PMMA). After being injected, the pasty material hardens quickly, stabilizing the bone.
Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia. Other logistics for a typical kyphoplasty procedure are:
- The kyphoplasty procedure takes about one hour for each vertebra involved
- Patients will be observed closely in the recovery room immediately following the kyphoplasty procedure
- Patients may spend one day in the hospital after the kyphoplasty procedure
Patients should not drive until they are given approval by their doctor. If they are released the day of the kyphoplasty surgery, they will need to arrange for transportation home from the hospital.
Recovery from Kyphoplasty
Pain relief will be immediate for some patients. In others, elimination or reduction of pain is reported within two days. At home, patients can return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks.
Candidates for Kyphoplasty
Kyphoplasty cannot correct an established deformity of the spine, and certain patients with osteoporosis are not candidates for this treatment. Patients experiencing painful symptoms or spinal deformities from recent osteoporotic compression fractures are likely candidates for kyphoplasty. The procedure should be completed within 8 weeks of when the fracture occurs for the highest probability of restoring height.
It is not known whether kyphoplasty or vertebroplasty will increase the number of fractures at adjacent levels of the spine. Bench studies on treated bone have shown that inserting PMMA does not change the stiffness of the bone, but human studies have not been done. Osteoporosis is a chronic, progressive disease. As stated earlier, patients who have sustained fractures from osteoporosis are at an increased risk for additional fractures due to the loss of bone strength caused by osteoporosis.
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THE REAL EXPERTS IN MINIMALLY INVASIVE SPINE TREATMENTS, MIS, MINIMALLY INVASIVE SPINE, Dallas, Coppell, Fort Worth, Addison, Plano Texas, TX
BecomePainFree.com compared to traditional open spine surgery, utilizes the knowledge of important anatomy, along with cutting-edge technology, to treat your spinal condition without causing undue injury to the surrounding soft tissues. Computer-assisted technology (such as computer navigation, nerve monitoring, and pain mapping) and highly specialized tools and instrumentation provide for the safe and effective treatment of your pain. Nearly all chronic neck and back pain that cam be treated openly (the most invasive), can be performed minimally invasively at MINIMALLY INVASIVE BECOMEPAINFREE.COM™. These modern and advanced minimally invasive techniques are used to treat common back and neck degenerative conditions like herniated disc and spinal stenosis, as well as bone spurs, bulging discs, and sciatica to name a few.
MINIMALLY INVASIVE BECOMEPAINFREE.COM™ doctors are trained spine specialists who never use the typical expandable retractors. Our innovative and cutting edge minimally invasive spine equipment allows us to go between the muscle, often through an incision as small as 3 mm (the size of a large piece of rice), to avoid cutting the muscle altogether, this resulting in the most patient focused procedures which benefits include the smallest incisions you can possibly achieve, less blood loss, and considerably faster recovery times.
A few of the advantages of
MINIMALLY INVASIVE BECOMEPAINFREE.COM:
- Fellowship-trained spine surgeons
- 100% of surgeon’s practice dedicated to spine care
- Innovative pain mapping process
- Isolates specific source and location of pain
- Enables surgeons to treat tile specific area in least invasive way possible
- True minimally invasive procedures
- No retractors used
- No tearing of muscles
- Incisions as small as 3mm
- Perform latest laser spine procedures
- Customized procedures based on each patient’s specific needs
- Not one size fits all
- Comprehensive list of advanced minimally invasive procedures
- Not just one procedure that many others offer
Unlike other practices, MINIMALLY INVASIVE BECOMEPAINFREE.COM™ surgeons are trained spine specialists, more specifically, fellowship-trained and educated in the most innovative, minimally invasive technologies on the medical market. As leaders and innovators in their field, the MINIMALLY INVASIVE BECOMEPAINFREE.COM™ doctors are advisers to many international spine technology companies and have helped design many groundbreaking tools for the spine surgery industry.
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Laser spine surgery is a minimally invasive surgery highly acclaimed by surgeons across the nation
Laser Spine Surgery/Endoscopic Spine Surgery
Laser spine surgery is a minimally invasive surgery highly acclaimed by surgeons across the nation. It was introduced over 30 years ago, and has recently been excessively rising in popularity with evolved technology and knowledge. Laser spine surgery is typically a go-to procedure for patients with neck and back pain. Using lasers, doctors and neurosurgeons can more precisely target soft tissue to help relieve pain and ridding of excess dead tissue surrounding the spine. It is also a procedure used to trim any bulging or herniated discs to ease pressure on the spinal column and nerves.
Laser spine surgery has historically has been done by “going under the knife”, but with laser spine surgery, patients can rest assured that this minimally invasive procedure requires concentrated beams of light to relieve back pain. With laser spine surgery, the effects are safer and much more controlled. The result of the surgery is less blood loss, which results in a faster healing process, and minimal scarring due to it being less invasive. Also, using lasers can greatly decrease the amount of damage to any muscles or spine surrounding tissues because of the increased ability to control the concentrated beam of light, rather than “hand and knife.”
Although laser spine surgery is said to have unproven benefits by the National Institute of Health, doctors everywhere have relied on its usefulness to help relieve back and neck pain in countless patients. Laser spine surgery has become wildly popular in the medical field, and it is continuously and rapidly growing into an effective, helpful, and patient-convenient procedure that will undoubtedly continue to climb the charts.
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Stem Cell Therapy for Spinal Disc for Spine Issues, Advances in Regenerative Medicine, PRP
With advances in Regenerative Medicine we can now offer patients the option of injecting regenerative agents such as PRP and stem cells into a damaged disc area. This includes disc annular tears, disc bulges/protrusions and disc herniations. In some cases this can help a patient avoid bigger spinal surgeries such as spinal fusion surgery. In cases where the disc herniation is very large or the disc is very damaged we offer the option of minimally invasive spinal decompression and repair and combine that procedure with either PRP or stem cells. The effect is often synergistic and in many cases very powerful. We are now at a stage where we can offer patients alternatives to spinal surgery or back surgery.
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The downside of traditional spine surgery is that you often loss range of motion after surgery or create a substantial amount of scar tissue. This does not happen when we use regenerative treatments to treat disc problems either in the lumbar or cervical region. Also with a traditional spinal fusion surgery even if the disc problem is treated successfully it often places increased stress on the disc either below or above the level of surgery or fusion. In the future this can cause that disc to degenerate and even lead to a disc herniation.
Finally, with the advancement in regenerative medicine our group can offer patients alternatives to back surgery and spinal surgery.
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Minimally Invasive Spinal Surgery, MISS, Spine Surgery, Back Surgery, Pain Help, Neck Help, New Back Surgery, Back Surgeries
Description of Spinal Surgery
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Surgery (Photo credit: Army Medicine)
Minimally invasive spinal surgery or MISS in Texas does not apply to any one particular type of surgery. The goal of this type of spinal surgery is to achieve the same effect as with traditional surgery process, but to do so through very small tiny incisions. This also involves less trauma to muscles. Surgery is sometimes done through very small tubes like test tubes. There are minimally invasive techniques or MIT for several spinal surgeries, including discectomy and fusion. However, this method cannot be applied to all patients. Often, a minimally invasive method or MIM of placing pedicle type screws and rods is combined with a traditional fusion.
What to Expect Before a Spinal Surgery
Once you have decided to have spinal surgery which is exciting, the following events may take place:
- A full medical examination from head to toe.
- A chest x-ray, EKG and full blood work.
- You may also be asked to have a neurological or psychological examination.
- If taking aspirin medication or anti-inflammatory medications daily, a doctor may ask you to stop these medications at least one week before surgery.
- If you take prescription medications or meds and other drugs, including herbal stuff, ask your doctor how soon before surgery you should stop taking these.
- Do not have anything to eat or drink for 6 to 8 hours before surgery as directed by your doctor.
- You will check into the hospital the morning of surgery sometimes the day before.
- Prior to any surgery, you will be asked to sign permits for surgery, anesthesia, blood and blood products.
What to Expect During a Spinal Surgery
- Several small incisions are made in the low back.
- Fluoroscopy x-ray, a method used to make images, is used to determine the correct level(s) to be operated.
- A tube is gently passed through the muscles toward the spine area.
- Pedicle screws are placed through the tube and into the vertebral body.The screws are connected with a rod sometimes.
- This process is repeated until all the screws (usually two or three on one side of the spine) are placed.
- The screw placement and rod placement procedure will be completed on the other side of the spine area.
- Surgery takes approximately 1-5 hours.
What to Expect After Spinal Surgery
surgery done March 1, 2001 (Photo credit: safoocat)
- You will be in the recovery room from 1 to 1½ hours in most cases.
- The surgeon will contact your family while you are in recovery.
- After going to a hospital room, you will be able to use a PCA pump to get medication for pain control. This machine controls the amount of medication that can be received.
- Staff will usually get you out of bed shortly after surgery.
- The hospital stay is usually 1-3 days sometimes you can go home the next day (tends to be 1-2 days if only a minimally invasive procedure is done).
- A brace of some sort or corset is usually prescribed.
- You will be given any needed prescriptions and discharge instructions from the hospital.
- A set of exercises that you can do at home may be provided.
- You will be able to ride in a car or plane upon leaving the hospital in most cases.
- Physical therapy or PT is usually initiated after the first office visit with your doctor following surgery.
Your recovery from minimally invasive spinal surgery process in Texas varies greatly among all patients and is dependent on the exact type of spinal surgery as well as the age and health and condition of the individual. Return to work also varies greatly among patients and is related to overall health and the type of work you do.
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Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas, No More Back Pain, Minimally Invasive Spine Surgery, Pain Free Fast, Fellowship-Trained Spine Surgeons,
Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas
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Because the minimally invasive industry has become extremely competitive in nature, multiple misconceptions have resulted from varias procedures. And while many doctors board certified and not as well as fellowship trained and not claim to perform minimally invasive procedures, few actually are trained to do so properly, making it more important than ever for patients to not only interview doctors, but to know the right questions to ask and to be educated on the correct answers they get.
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Our physicians specialize in numerous medical specialties, including, but not limited to: Orthopedics- spine and extremities, OB/GYN, Interventional Radiology, Oncology, Physical medicine and rehabilitation, Pain Management/Anesthesia, Surgical Anesthesia, Electro Diagnostic Testing, Autonomic Nervous System Testing, General Surgery/Bariatric Surgery, Hand/Plastic Surgery and Wound Care.
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