Archive for the ‘Mayo Clinic Spine 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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San Antonio Spine Surgeon, San Antonio Back Doctor, Mayo Clinic Trained Spine Surgeon, Bexar County Orthopedic Surgeon
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Spine Surgeon Dallas, Mayo Clinic Trained Spine Surgeon, Back Doctor, Spine Pain Doctor
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BecomePainFree.com Treats
- https://www.becomepainfree.com/
Herniated discs - Pinched nerves
- Degenerative spine disease
- Spinal stenosis
- Spondylolisthesis (slipped spine)
- Scoliosis (deformity)
- Low back pain / neck pain
- Spine trauma
- Spine infection
- Osteoporotic fractures
- Spine and spinal cord tumors
- Peripheral nerve injury
- Chiari malformation
- Cavernous malformation
- Vascular malformation
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About Minimally Invasive TLIF Transforaminal Lumbar Interbody Fusion
Overview from https://www.becomepainfree.com/
A Transforaminal Lumbar Interbody Fusion (TLIF) is an operation often indicated for patients suffering from back and/or leg pain caused by the natural degeneration of the disc space or some type of traumatic event.
The Minimally Invasive TLIF technique is a less invasive option incorporating the use of specially designed instruments that allow surgeons to achieve the same clinical goals of traditional, “open” TLIF but with much smaller incisions, causing less damage to the surrounding soft tissue.
The technique incorporates use of the II Tubular Retractor System and CD II Spinal System. The METRx® II System provides minimally invasive access to the spine through tubular portals, while the CD II Spinal System uses an innovative arc device to percutaneously (without a large skin incision) deliver screws and rods for spinal fusion.
* Through a minimal incision in the patient’s back, the surgeon uses specially designed dilators in the II Tubular Retractor System to spread the muscle and tissues of the back. A tubular retractor, or “portal”, is then inserted over the dilators to maintain a clear pathway to the spine.
* Accessing the spine through the II Tubular Retractor, the surgeon removes a portion of the bone and the disc material, and places an implant in the disc space between the vertebral bodies. This spacer may serve to restore the natural height of the disc space, “unpinch” the nerves, and act as a scaffold for bone growth or “fusion” between the vertebral bodies.
* Finally, the surgeon may use the Spinal System to place screws and rods in a minimally invasive fashion. These screws and rods are intended to stabilize the vertebral bodies while the bone fuses or heals.
Your browser may not support display of this image. Traditional, “open” TLIFs may often involve significant blood loss and a lengthy hospital stay. However, the Minimally Invasive TLIF technique may offer many patient benefits, including:
* Decreased intraoperative blood loss2
* Shorter hospital stays1
* Smaller incisions and scars
* Decreased post-operative medication needed while in the hospital1
Minimally Invasive Spine surgery These Dallas Doctors perform minimally invasive spine procedures:
(These surgeons have extensive experience in both neurosurgery and orthopedics)
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Robotic Guided Spine Surgery, State Of The Art Spine Surgery Technology, Robotic Spine Surgery, Spine Surgery Robot
Spinal disorders encompass a spectrum of pathologies which result in either pain, deformity or paralysis to the patient.
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No age is spared and the need for the surgical correction of the problem crosses the barrier of age and gender. Most of the surgical procedures involve the fusion, stabilization or correction of the deformity or pathology by putting in screws in the individual vertebrae. Screw placement is fraught with inherent risk of injury to the nerves, spinal cord or blood vessels, as it is a free hand procedure based on the surgeon’s orientation of the anatomy and guided by a radiological device called C arm. The disadvantage was the lack of accuracy in these machines to detect possible injury to the vital structures in complex anatomical deformities of the spine or in patients who were already oper-ated and needed a revision surgery. Thus a need for a more accurate and safe guidance device to improve the safety levels in screw placement was increasingly felt. The concept of a monitoring and navigating device to aid the surgeon in operating on deformed and crooked spines has been developed since the late 1990s. The early systems rely on the use of reference points on the spine, which are fed into a computer which calculated the path of a safe screw in the vertebra, based on a CT scan reconstruction of the spine. This system has its own flaws and required the surgeon to navigate the spine, which makes the process cumbersome. Moreover the accuracy of such systems in large trials was suspect, as it is still a free hand procedure. This led to the development of a highly advanced state of the art technology, where a small robot aligns itself in the direction of the pedicle, which is a part of the backbone where the screws are put. The robotic arm is moved by a software which matches the preoperative high resolution CT scan of the patient’s spine with the images of the patient’s spine captured by a C-arm, which is a portable X-ray device used to see the bones during orthopedic surgery. Once the bones are matched and the individual parts are registered on the machine this aligned robotic arm guides the surgeon to place the screws in a very accurate fashion. The path of the screws is planned by the surgeon on the day prior to the surgery on a computer. All the details of the surgery including the sizes of the screws and implants, number of implants and the various other angles and distances for the respective screws are programmed by the surgeon. On the day of the surgery, these details are available to the surgeon at the click of a button. This makes the whole procedure faster, safer and more accurate. The recent advances in spine surgery has included Minimally Invasive Spine Surgery, also called Keyhole surgery in common parlance. In these surgeries, the skin is not cut in great lengths on the back. The entire surgery is done through one or more small incisions the sizes of small keyholes. This gives the patient the advantage of a faster return to work and easier rehabilitation, lesser blood loss and pain. For these types of surgeries, a number of X rays are taken during the surgery to determine the correct level and the exactness of implant placement. This endangers the patient, surgeon and other operating room personnel to a lot of radiation hazards. The robotic guided surgery decreases the amount of radiation exposure by 10 times vis-à-vis a standard keyhole procedure. Ever since the Spine Surgery Unit headed by Dr Sajan Hegde conceived of getting this technology to India for the first time, it has been followed very keenly in the hospital. The robotic guidance system called Mazor Rennaisance, is developed by an Israeli company called Mazor Robotics Limited. The company sent its prog-rammers and trainers to Chennai to our Hospital to train and instruct the various theoretical and practical intricacies. An instructional course with training was given to the surgeons, OT nurses and all the other involved personnel. A dry run on bone models was carried out and once it was sure that all the systems necessary were in place, only then Dr Hegde’s team went ahead and performed the surgeries. Since the whole team was new to this procedure, a few technicians and programmers from the company came down to India along with the machine and helped in the initial few surgeries to avoid any glitches. Since its launch to date, close to 20 spine surgeries have been operated, some of which were extremely complex deformities and would have been very difficult, if not impossible to perform without guidance. One young girl, who had been operated many times on her back for her scoliosis with failures at each attempt, came to us with a desire to get operated for the deformity. During the surgery we saw that the whole of the anatomical landmarks necessary for the free hand placement of the implants was lost and there was no way the screws could have been put. It was at that time we realized the value of the robotic guided system to enable us to place the screw in the bone without any damage to the blood vessels or nerves. Another patient who was suffering from severe kyphosis (hunch-back) due to a disease called Ankylosing spondylitis was operated with a deformity correction and eventual straightening of the back. Many of the surgeries which were planned to be done in the minimally invasive way were executed with as less as 10% of the radiation in a standard C arm guided keyhole surgery. There are patients in whom the robot has been used to obtain tissue for biopsy from an exact preplanned location, as in the case of an elderly woman with breast malignancy and metastases to the spinal column. Another useful instance has been in a middle aged lady who had a severe scar on her back due to a previous burn. This lady came to us with infection of the backbone and incomplete paralysis of the lower limbs. Since the skin of the back did not permit a standard open back surgery, a keyhole stabilization was done beautifully using the robot. Planning and executing of this project was both technically and logistically difficult. There were initial teething problems in getting everything to fall in its place. The time taken in the initial surgeries was slightly long. But the learning curve became shorter with each case. Once all the participants in the surgery were familiar with the procedure of the robot, the surg-ical times decreased drastically. Also the understanding of the system improved and hence a smooth flow was seen in the oper-ation theatre in the subsequent cases. This technology (Rennaissance, Mazor) has helped us to achieve accuracy levels as high as 98% compared to a standard free hand accuracy which rarely exceeds 90 percent. More so in the scenario of a very complex deformity in young adults or children where the risk of improper and dangerous surgery is high, the robot has assured the surgeon and the patient with the high safety levels it provides. Though the instrument is expensive and requires the use of a certain amount of disposables each time, the actual cost incurred to the patient rarely exceeds an additional 20 percent on the total expenses for the surgery. The patient can be comfortable knowing that the surgery planned is a highly accurate one and that there is no scope for any untoward complication. Thus the benefits compared to the extra cost involved are high enough to take this up. With respect to the hospital, we can be proud that we are the first hospital to introduce this technology in Asia (outside of Israel ), beating countries like China , Singapore , Japanand Korea to the mark. This has helped brand our hospital as a pioneer in the safe management of complex and otherwise dangerous spinal deformities. As of date, we have patients from other countries too who have been operated using this state of the art technology. This bears testimonial to our superiority in technology advancement in the field of spine surgery, making our hospital one among the top centers in the world. The operating room personnel too are benefitted as the radiation exposure due to an image intensifier is reduced to miniscule proportions. The surgeon and his team, at the end of the day, return home with the satisfaction of having done an accurate and safe surgery. At the same time we would like to also mention that the surgery as such is normal as a conventional surgery, but the robot finds the safest possible path. In that sense the robot does not replace the surgeon, as is the normal misconception. On the contrary, the surgeon is backed up by the foolproof planning done prior to the surgery on the robotic software. Our review of all the patients operated has been excellent and we can confidently assert that the robotic guided surgery has made spine surgery a safer proposition, in addition to reducing the stress on the surgeon and his team in the operation theater. The future of spine surgery is shaping in the direction of minimally invasive surgeries where the stress shall be on earlier return to productive activity to the patient and reduction of the hospital stay and expenses. From the surgeon’s perspective too, the use of the robotic guiding systems would mean more safety levels, lesser radiation hazards and stress free situations in the operating room. |
Technology is ever advancing and it is the duty of the medical fraternity to keep abreast with it as the patient has the right to benefit from every such advancement.
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Mayo Clinic, Spine Surgeon, Mayo Clinic Back Surgeon, Mayo Clinic Pain, Mayo Clinic Fellowship Trained Surgeon, Mayo Clinic Doctor, Mayo Clinic Back pain
We have two spine surgeons in our group and one on the way from the world famous Mayo Clinic. These Mayo Clinic surgeons are some of the best in the United States of America both of these Mayo Clinic trained doctors work in Texas. Dallas, Fort Worth, San Antonio we ave you covered with Mayo Clinic trained spine surgeons. Here is the information on these doctors below.Check out our website at https://www.becomepainfree.com/
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Steven J. Cyr, M.D., FAAOS
Mayo Clinic Trained Spine Physician
Steven J. Cyr, M.D., is a Board Certified Orthopaedic Surgeon who received extensive training to specialize in the delicate science of Spine Surgery. Anyone who knows Dr. Cyr well will tell you that he is a man driven for quality and excellence. His high standards can be seen throughout his educational process and career.
He received top honors at Southwest Texas State University by graduating Summa Cum Laude and Valedictorian with a Bachelor of Science in Biology. In addition to rigorous academics, he was also a member of the Bobcat football team during his three years at SWTSU.
Dr. Cyr gained early acceptance into medical school and earned his MD from the University of Texas Health Science Center in San Antonio. He then began his service to the United States Air Force with a transitional internship at Wilford Hall Medical Center. He served the air force community as a flight surgeon for two years before beginning residency training in orthopaedic surgery at Wilford Hall.
Following residency, Dr. Cyr was honored to be chosen from among the country’s top residents as the only fellow for the highly competitive and prestigious spine fellowship at the Mayo Clinic in Minnesota. This training program has ranked number one for orthopaedic and neurosurgical training programs in America for the last 20 years. Mayo combines these two fields, giving their surgeons an understanding of nerve and spine function unparalleled in most other programs.
Upon completion of his fellowship, Dr. Cyr and his family moved back to San Antonio, where he served the military population as the Chief of Air Force Spine Surgery and Spine Surgery Consultant to the Surgeon General of the Air Force. For six years, Dr. Cyr taught future air force orthopaedic surgeons in residency at Wilford Hall and has twice served our war wounded in Iraq at the Air Force Theater Hospital in Balad.
He has brought innovative techniques to the military and was the first to perform the total disc replacement procedure as well as endoscopic spinal surgery. He specializes in complicated spine issues and has gained notoriety for successful repairs of failed surgeries on patients from numerous other states and around the world. Dr. Cyr’s expertise and skills are now available to civilian patients at the Orthopaedic and Spine Institute, where his passion for excellence and quality keep him at the leading edge of spine surgery.
Mayo Clinic Trained Spine Physician
Dr. Venkat Sethuraman M.D.
Mayo Fellowship Trained Board-Certified Spine Surgeon
Minimally Invasive Spine Specialist
Education Undergraduate: Rutgers College, New Brunswick, NJ
Medical: Medical College of Pennsylvania, Philadelphia, PA Training Orthopaedic Surgery
Residency: Thomas Jefferson University Hospital, Philadelphia, PA Spine
Fellowship: Mayo Clinic, Rochester, MN
Hospital Affiliations Baylor Irving Medical Center Irving Coppell Surgical Center Irving
Offices:
Coppell :
2021 N. MacArthur Blvd 400 West IH 635 Bldg. @, Suite 115
Irving:
Plaza 1, Suite 200
Irving, TX 75061
Irving, TX 75063
Plano:
2301 Marsh Lane,
Plano, TX 75093
Certificates/Diploma’s:
Listing Details
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Become Pain Free, Pain, Back Pain, Spine Pain, Spine Surgery, Chronic Pain 