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You May Get relief from chronic pain by walking

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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:

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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Written by becomepainfree

May 13, 2013 at 2:47 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 Plano, Back Pain Relief, Back pain sufferers, Back Surgeon Texas, Best Spine Doc in Texas, Best Spine Doctor, Carpal Tunnel Syndrome, Central Cord Syndrome, Chronic Pain, Coccydynia, Complex regional pain syndrome, Comprehensive list of advanced minimally invasive procedures, cts, Dallas Doctors, Dallas Spine Pain Center, 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, Headaches, Herniated discs, Importance of a Screening Colonoscopy, 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, Lumbar Microdiscectomy, M.D., Mayo Clinic, Mayo Clinic Spine Surgeon, Mayo Clinic Trained Surgeons, 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, PRP, Radicular Syndrome, Regenerative Medicine, Robotic Guided Spine Surgery, Robotic Spine Surgery, Rockwall Back Doctor, Safe and Effective:

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Herniated Disk in the Lower Back

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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.

Anatomy

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.

Parts of the 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:

Healthy intervertebral disk (cross-section view).
  • 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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Written by becomepainfree

March 18, 2013 at 3:53 pm

Posted in Back Pain Plano, Back Pain Relief, Back pain sufferers, Back Surgeon Texas, Best Spine Doc in Texas, Best Spine Doctor, Carpal Tunnel Syndrome, Central Cord Syndrome, Chronic Pain, Dallas Doctors, Dallas Spine Pain Center, 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, Headaches, Herniated discs, Huntley Chapman, Importance of a Screening Colonoscopy, Injured on the Job, interventional therapies, Lafayette University, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Lumbar Microdiscectomy, Mayo Clinic, Mayo Clinic Spine Surgeon, Mayo Clinic Trained Surgeons, Medical Education, Migraine Doctor Dallas, Migraine Treatment, 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, 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

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

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Written by becomepainfree

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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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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Minimally Invasive Spine Surgery

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Minimally Invasive Surgery:

Recent surgical advancements have focused on performing surgery through smaller incisions, with less disruption to surrounding soft-tissues. The idea behind minimally invasive surgery is to perform the same treatment without damage to normal surrounding tissues. The drawback of minimally invasive surgery is that sometimes the underlying problem may not be adequately addressed because of an inability to get to the problem. Whenever a new minimally invasive procedure is introduced, there is almost always controversy as to whether or not the procedure is as good as traditional surgery.

Endoscopic Spine Surgery:

Endoscopic spine surgery uses specialized video equipment inserted through small incisions to see the structures of the spine. Similar to arthroscopic surgery of a joint, endoscopic surgery has advanced over the past decade from merely being able to look to the area of interest, to the ability to repair and reconstruct a variety of complex problems.The benefit of endoscopic spine surgery is the potential to address problems through very small incisions. By not damaging the muscles around the spine, recovery can often be much faster than with a larger surgical exposure.

Microdiscectomy, Microlaminectomy and Microforamenotomy:

All of these micro-surgeries are variations of standard surgeries used to take pressure off of the nerves around the spinal cord. Traditionally done through larger incisions, the micro procedures use smaller incisions and specialized surgical instruments to accomplish the same goals of traditional surgery.There is no rule on where the line between traditional surgery and micro surgery is drawn. To some doctors this means a smaller incision, to others it means the use of special surgical instruments. Many variations of a procedure could be considered micro surgery.

Laser Spine Surgery:

Laser spine surgery is a technique that uses a laser to remove damaged tissues. Because a laser can be inserted through small incisions, it can be used to cut away damaged tissues (such as disc fragments) without having to make a large incision.There is significant controversy about laser spine surgery as this technique has not been shown to have significant benefits, despite advertising that may make you think otherwise. Often marketed in magazines and the Internet, laser spine surgery has become the focus of some lawsuits formisleading patients about expected results from surgery.

Is It Better?:

Is minimally invasive surgery better? There are many ways to answer this question. The bottom line is that we simply do not know. There are theoretic advantages, and there are possible downsides. But there are very few studies that compare the possible risks with the potential benefits of minimally invasive surgery.The bottom line I suggest is to find a surgeon who, above all, is interested in fixing your problem, not someone who is selling you on a smaller incision. If the same benefit can be achieved without damage to normal tissues, then minimally invasive surgery may be a good option.

Sources:

Mathews HH and Long BH “Minimally Invasive Techniques for the Treatment of Intervertebral Disk Herniation” J. Am. Acad. Orthop. Surg., March/April 2002; 10: 80 – 85.

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Regenerative Medicine

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Administering undifferentiated stem cells to an injured disc has made adult stem cell regenerative medicine in spine a reality. Adult stem cell regenerative medicine holds the promise of stabilizing or even reversing the degenerative changes associated with aging or following traumatic injury. Current clinical use of stem cells is very limited, in part by the cumbersome approval process. The use of concentrated bone marrow aspirate (BMC) as a “stem cell” preparation is currently the simplest and safest way of utilizing the regenerative potential for mesenchymal stem cells (MSCs) to promote tissue regeneration. In fact, stem cells concentrated from bone marrow have been shown to stimulate the formation of bone, cartilage, ligament and tendon, and dermal tissues.

stem_cells_2

Conservative treatment options for lumbar and cervical pain associated with discogenic disc disease (Pfirrmann Grades 3-6) are limited. Treatment options include pain medication, steroids, physical therapy, and chiropractic care. Reversal of disc pathology has not been achieved with current available treatment modalities. Failure of these nonoperative treatments may leave surgical intervention as a treatment option.

The goal of utilizing MSCs is to not only potentially provide pain relief from the painful degenerative disc, but to reverse the degenerative process. There are three methods for placing MSCs into the painful nucleus pulposus.

The use of allogeneic mesenchymal precursor cells (MPCs) is currently being evaluated as a part of an FDA Phase I clinical trial. Extracted from donors and expanded in number by tissue culture, this process isolates and grows the stem cells into pure MPCs which are injected into the nucleus pulposus. This technology does not have FDA approval.

Utilizing expanded, autologous MSCs for injection into the painful disc is the second method. Federal regulations require the approval of an Investigational New Drug application supported by prospective, randomized clinical trials for the use of expanded autologous MSCs. The FDA has not approved this technology.

The third method involves autologous point of care therapy. This technology does not require FDA approval. The patient’s own MSCs are directly injected into the nucleus pulposus of the symptomatic degenerated disc(s) using standardized two needle discography technique. This requires fluoroscopic visualization and 2-3cc of MSCs are slowly injected into the symptomatic nucleus pulposus.

Early analysis of the research data reveals the average lumbar pre-treatment Oswestry Disability Index (ODI) was 56.5% and improved to 22.4% at three-month follow-up (P=0.0001). The average lumbar pre-treatment Visual Analogue Scale (VAS) for pain was 7.9 (on a scale of 1-10) and improved to 4.2 at three months (P=0.0005).

There have been no complications associated with the iliac crest aspiration or disc injection. Thus far no patient in the study has undergone spine surgery following treatment. Results obtained with this technique suggest its potential clinical efficacy in the treatment of moderate to severe degenerative disc disease. These results require verification with longer follow-up and randomized prospective studies.

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Adult Stem Cell Therapy to Treat Back Pain, Stem Cell, Spine Stem Cells, Stem Cell Treatment

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Adult Stem Cell Therapy that doesn’t require FDA approval to treat lumbar and cervical spine conditions resulting from injury or aging, and is also involved with an FDA clinical trial investigating the use of Adult Stem Cells.

Stem Cell

Stem Cell

These stem cells are autologous – they are taken from an adult patient and returned to that same patient in a concentrated form to the damaged area in a 30-minute procedure. This type of adult stem cell therapy does not require FDA approval to administer.

When it comes to stem cells, there is often a lot of mystique surrounding them.  We hear from the media that we can create a human being out of a bundle of cells, which is not necessarily true.  We also tend to look at embryonic stem cells as being the only type of stem cell.  With these types of embryonic stem cells, one idea is to be able to create a liver or kidney in a Petri dish, which is not controllable or feasible at this point, and the work being done by the BecomePainFree.com medical group.

When we look at stem cell types, we have embryonic stem cells on one hand and adult stem cells on the other.  The characteristics of each of these are not like other cells.  For instance, a liver cell can divide but it will only ever be a liver cell.  These stem cells, both embryonic and adult, can turn into different types of cells.  The embryonic stem cells can really turn into any cell type, but adult stem cells are limited as far as the cells they can turn into.  This depends upon environment or niche and what they are already programmed to become.  A lot of people think there is a lot of promise with embryonic stem cells and there is, although we are not quite there yet.

We are still at the forefront of stem cell technology and embryonic stem cells in particular. With those cells, we do not have the ability to control what types of tissue they turn into. For example, we could be trying to manipulate these cells to turn into kidneys, but they might start to develop as pancreatic cells, which is troublesome.  Another key with all stem cells is that they can proliferate quite a bit, usually at a higher rate than just a regular somatic cell.  Although this sounds good at first glance, the issue with this, particularly with embryonic stem cells, is we cannot control that division.  Hence, these cells can keep going and going without dying.  In the normal bodily process, cells are programmed to die after a certain time, but these embryonic stem cells can evade that action and continue dividing, which takes on the characteristic of cancer cells.  In some animal studies, an issue that keeps arising is development of tumors in some of these animals. It is difficult to predict if tumors are going to form when using some sort of embryonic stem cell treatment.  This is still a scary area through which we are still trying to navigate.

However, the focus of the BecomePainFree.com medical group is on adult mesenchymal stem cells. On the whole, the media does not give a lot of attention to these kinds of stem cells, as using them avoids any kind of ethical or controversial issues. There is a great amount of research being done on adult mesenchymal stem cells, however, because they are very powerful.

First off, we can control what cell type they turn into much more easily.  For example, the treatment used by the BecomePainFree.com medical group focuses on Mesenchymal precursor cells (MPC).  Mesenchymal means these cells are not going to turn into any kind of blood product such as a red blood cell or white blood cell, although they are derived from bone marrow.  The fact that they are precursor cells means these MPCs are only going to differentiate into one of a few cell types.  They are either going to become bone cells, i.e., osteoblasts, or chondrocytes, i.e., cartilaginous tissue such that we see in intervertebral discs and joints, etc.  All of that really depends on the environment in which we place these adult stem cells where it is well suited to do this.  For example, we can inject these MPCs into a bone fracture, and because the cells are surrounded by bone tissue, these cells will receive signals from the surrounding cells that tell them to turn into bone. However, the cells we use will be injected into a disc or joint, and the cells composing the disc and joint tissue will signal the stem cells to develop into similar tissue.  Again, there is no chance of any sort of pancreatic cell or nerve cell type spontaneously forming because we are using certain adult stem cell types, which are limited and cannot turn into anything like that.  In addition, as the tissue surrounding the disc and joint is relatively avascular, there is not really any worry of these cells migrating through the blood stream to somewhere else in the body and causing any sort of problem.  As far as the proliferation issue with embryonic stem cells, we have not seen this issue with adult stem cells in terms of dividing exponentially without ceasing.  There is almost a preset limit to how many times these adult stem cells will divide.

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