Lumbar spinal stenosis is a condition where there is inadequate space for the neural and vascular elements in the lumbar spinal canal. The reduced space is often due to to age-related spinal degeneration and typically occurs in one of 3 regions. The Central Canal The Lateral Recess The Lumbar Intervertebral foramen. Symptoms, causative factors, and…

KEY POINTS: Lumbar facet joints can be a cause of pain. Facet pain is difficult to reliably confirm based solely on pain patterns or standard clinical bedside examination procedures. Diagnostic nerve blocks are considered the gold standard for confirmation but they also suffer from limitations. Pain relief from Facet Denervation (Medial Branch Neurotomy), although often…

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People suffering with Depression (or Depression-like) illness should ask one critically important question. Is this really depression or something else? This post will address that question and provide additional background for thought to help guide decision making in diagnosis and treatment.   Lets take just a glimpse at the magnitude of the problem. Major depressive…

Lumbar Flexion Injury

Tony Romo’s season, if not career, are at risk because of ego and poor judgement.  This is understandable from an injured, elite, competitive athlete desiring return to the field of play.  It’s even understandable from an owner like Jerry Jones. Jerry has always envisioned himself as a GM and coach.  He has now given tangible…

deep-thoughts

The incidence of dementia continues to rise and is expected to steepen as the Boomer Generation moves into their golden years.  Interesting to note is that Type II diabetes is also 10 times more common in those over age 65 as compared to 45 year olds. (1) Recent research has begun to show links between…

Ran across this video when doing some preliminary research about how common it is for people to receive care without being fully informed about the treatment they are receiving. As I have written before, there is way to much hype and mis-information in the realm of spine care. Far to often, people choose treatment based…

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A patient saved money the other day after consulting with me for a single concern.   His question pertained to the necessity of having a certain type of diagnostic test that had been recommended by another doctor he had been seeing. He wasn’t in critical condition.  His low back problem responded decently to treatment but periodically…

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Briefly reviewing what I had previously written HERE and HERE; the lumbar micro-discectomy he had is designed ONLY to remove disc material compressing a nerve and relieve sciatic pain.   It does NOT treat low back pain. It does NOT heal or repair the damaged disc fibers. It does not improve a lumbar disc’s ability to…

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Once a disc has lost its water content and annular tears have developed, progressive structural changes can occur because of the asymmetry in how spinal forces are distributed.  It is important to know that these can initially be asymptomatic or cause only minimal low back pain.   So, now that I’ve discussed the stages of lumbar…

A concise, no hype video explaining lumbar disc pain.

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