Transverse Lumbar Interbody Fusion:  TLIF

There are 3 things to know about any form of treatment for back pain: Everything works for someone Nothing works for everyone We often don’t know what will work for whom or the extent to which it will work. Considering that, in most cases, a completely accurate diagnosis  for the cause of back pain cannot…

The Crazy Maze of Spine Care

The current approach in managing low back pain leaves a lot to be desired. The risk of a poor treatment outcome is higher than ever before. The incidence of chronic low back pain has risen 64% since the year 2000. BUT..the actual percentage of people experiencing “new” episodes of back pain has remained unchanged. Permanent…

BUYER BEWARE

There is a great paradox in spine-related care. That paradox is…… Everything works for someone. Nothing works for everyone. As clinicians, we cannot exactly predict what will “work” for whom, and the extent to which it will “work.”  Referring to this as a “Supermarket of Spine Care”, Dr.’s Scott Haldeman and Simon Dagenais (1) have…

wherestheBeef

A tiny piece of meat engulfed by a massive bun caused the frail, grey haired grannie to loudly exclaim: “WHERE’S THE BEEF?” The now iconic statement first appeared over 30 years ago in a Wendy’s commercial as actress Clara Peller, portraying the hamburger-eating grannie, lamented a lack of substance to her meal. Back pain treatment…

spineline42

Many people receive treatment based on the presumption that a perfectly accurate diagnosis for the source of their spinal pain can be made. This presumption is often false and at least partly responsible for the increasing epidemic of spine-care failures, especially when surgery is involved. This is particularly true when surgery is performed to correct…

spineline14

Serious medical conditions such as infections, internal disease, tumors, fractures, and metabolic disease should always be considered in anyone suffering from low back pain.  In these situations, a “definitive” diagnosis is often straight-forward and determined by paying attention to key “red flags” and performing the appropriate tests. Once these above situations have been excluded, there…

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