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…

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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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…

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