Hopefully, you will feel better with PT and medical interventions for your sciatica in the first few weeks of PT after the onset of your pain. There is good evidence to support that the higher the level of your fear of movement and pain initially, the better the chance you […]
Studies vary on the prevalence of sciatica annually, however recent reviews of nine large studies found that the injury ranges between two and 34 percent of adults each year.
Surgical techniques for lumbar spine fusion can be separated into two categories based on amount of tissue disruption. Minimal access surgery is reported to have better short term perioperative results as it utilizes small incisions and minimal muscle disruption. This technique involves use of a tube or sleeve to complete […]
On the surface, with results such as shorter hospital stays, less blood loss, and a lower chance of infection, it would seem that minimal access surgery would be more cost effective than an open spinal surgery. However, the instrumentation required for these techniques is often expensive and can outweigh the […]
This important nerve bundle gives sensation and motor supply to the pelvic organs and lower limbs. When injured, persons with CES often have many functional problems with their bladder and/or bowels, experience decreased sensation in their crotch area, and may have sexual dysfunction.
In a study by Seo-Young Kim, MD, et al, they found 1/3rd of the studied subjects with overactive bladders had their highest level of spinal cord injury at or above the 2nd lumbar spine level. Two-thirds of the studied subjects thus had underactive bladders and had their highest level of […]
Spinal stenosis is the narrowing of the spinal canal which can lead to pressure on the spinal cord or nerve roots, resulting in pain in the back and legs. This condition is usually caused by changes related to aging in the disc, lumbar vertebra, and supporting structures. Surgery to relieve […]
Spinal cord stimulation is the use an electrode implanted into the spinal cord to help control chronic pain. This implanted electrode provides stimulation to the nerves that come from the source of the pain. This electricity changes the impulse of both the excitatory and inhibitory neurotransmitters to effectively block the […]
Patients with failed back surgery syndrome are typically treated with conventional medical management, which mostly includes medicines for pain and depression, physical therapy, and psychosocial therapy. Other treatments may include epidural injections, nerve blocks, and home based electrical stimulation units (TENS). If these usual courses of treatment continue to fail, […]
According to a recent study by Aleksiev the type of exercise, strengthening or flexibility, does not matter. Both caused a similar pain decreasing effect for patients with low back pain over a ten year period. The most important aspect of the exercise, according to this study, was the frequency, the […]
There is a lot of evidence that increasing abdominal strength can help to decrease low back pain. This increased strength improves lumbar spine stability and can decrease the effect of sudden loads on the muscles, joints, discs and ligaments in the spine which is often the cause injury and pain. […]
A recent review by McGregor, et al, mentions a few studies that support pre surgery rehabilitation. There is a suggestion by McGregor, et al, that the older age of spinal stenotic patients puts them at greater risk for comorbidiites and have a greater need for rehabilitation to improve outcomes. Along […]
There are numerous treatment options for back pain caused by discs. Injections sometimes work but there is debate over if the type of injection matters or if it is the needle itself that does the trick. There are also nerve ablative therapies that deaden the nerves so you don’t feel […]
An injection into the disc can help to alleviate symptoms. There is controversy over whether lidocaine alone or lidocaine with a steroid is more beneficial, with the latest overview of the literature showing a lidocaine injection alone is just as effective as when combined with a steroid. This is something […]
If you are looking into this procedure talk with a medical doctor that has performed this technique and discus with them the procedures positives and negatives.
There are multiple options out there: physical therapy, injections, medications, surgery and facet joint radiofrequency denervation. Each person’s case will be different as well as the intervention. It is a discussion to have with your healthcare provider.
According to the longest prospective study to date on lumbar fusion due to degenerative spondylolisthesis, the best long term outcomes occur when the result is a solid fusion. The body needs time without movement to fully fill in the spaces from the surgery around the bone graft and or instrumentation […]
When surgeons suggest using ceramics as an adjunct to a posterior lumbar fusion they aren’t meaning chips of your dinner plates. They use base substances that form ceramics, such as B-tricalcium phosphate or hydroxyapatite. In scientific studies these types of substances have been shown to attract osteopromotive cells called mesenchymal […]
This systemic review utilized search terms such as Quality Adjusted Life Years (QALYs), cost-benefit and cost-effectiveness in specific relation to economic studies. Two studies both demonstrated that patients with spondylolisthesis treated with a surgical procedure had gains over non-operative treatment in terms of QALYs ranging from 0.0991 to 0.22 during […]
While there seems to be an increasing amount of interest related to this topic the authors of this review conclude that there must be research efforts that focus on “higher quality trials with pre-determined cost values and longer follow up”.