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…

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…

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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…

A concise, no hype video explaining lumbar disc pain.

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…

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