Idaho Back Pain Relief Services Over 24 Years Of Experience

Lumbar Spine Surgery in Kamiah ID 83536

Back pain is a difficult problem to diagnose and treat. It costs our country billions in health care costs, lost time from work and disability both short and long term. How do you know if you need X-rays, a more thorough evaluation, or just a little TLC until your symptoms improve.

The average back pain gets better, if you do nothing, in about 90 Lumbar Spine Surgery Kamiah ID 83536 days. Most improve long before that. Some back pains are symptoms of more serious problems. Some settings in which back pain occurs indicate more serious problems. I will attempt to help you understand a few of these RED FLAGS. This is not meant to help you diagnose your problem, but to give you understanding so you can ask good questions and recognize a Kamiah ID 83536 need to go to a doctor sooner rather than later.

When I ask about how a back pain began and how it has progressed, I call that the historical data. Things in your history that should make you suspicious of a more serious problem are if you are over 70 years old or under 20 years old, if you have a history of osteoporosis, Lumbar Spine Surgery Kamiah ID 83536 if you have had fever with the onset of pain, if you took anti-inflammatory medications like prednisone – a steriod – recently, if you have had cancer in the past, if your pain is worse when you are at rest or if your pain radiates into your legs but only when you walk or exercise, if you are having trouble controlling your bowels Kamiah ID 83536 or bladder,or if you have a history of IV drug use. Have you lost weight for an unexplained reason before the onset of pain and are you experiencing night sweats with the onset of pain. If you experience pain with urination, discomfort with urination, difficult emptying your bladder or blood in your urine be alerted to other potentialy serious problems.

Things that happen that Kamiah ID 83536 indicate a potentially more serious problem are, major trauma like a fall from height above 5 feet. Any trauma like a slip and fall in a person over 50 years old. Pain and numbness in an extremity that is steady and slowly increasing in severity is another reason to suspect more severe problems.

Lumbar Spine Surgery in Kimberly ID 83341

In order to ensure that you get the best treatment for your problem, it is very important for you to communicate your back pain symptoms thoroughly to your doctor. If your doctor does not get a clear picture of the specific back problem that you are suffering from, he/she will not be able to prepare the right treatment plan for you. This is because of the fact that as of now, we Lumbar Spine Surgery Kimberly ID 83341 do not have any perfect definitive test that could diagnose and measure pain. The right diagnosis is subject to how clearly you explain your symptoms. Following are some of the important points to consider in this regard.

Intensity Of The Pain

Does your back pain badly? How bad? It is not possible through objective testing to get an accurate measurement of the intensity level. That is the reason why the doctor measures the intensity Kimberly ID 83341 based on the back pain symptoms you tell. Many health care professionals use several visual assessment tools for this.

The Type Of Pain

To say that you are suffering from pain is an ambiguous statement. It does not tell anything clearly. All pain is not the same. For example, depending upon the type of pain, you may feel electrical, burning, or even a stabbing sensation. Therefore, you must explain how you feel to your Lumbar Spine Surgery Kimberly ID 83341 doctor. Based on what you tell, the doctor will try and understand your condition better. For example, if your back pain symptoms include stiffening or tightening of back muscles, you are likely to have some posture problems.

Where Exactly Does It Hurt?

The location of the pain also plays a very important role in the right diagnosis. For example, if the pain is radiating down the leg or arm, it indicates that a nerve Kimberly ID 83341 is affected. It is probably a case of sciatica. Your doctor may use a body diagram to help you identify the exact location.

Pattern

Most of the times, you experience pain in a certain pattern. For example, there may be a specific point of time during the day when you experience it. It may be constant. You may be feeling different intensity levels at different times of the day. It may come suddenly or Kimberly ID 83341 gradually. Sometimes, it may not have any set pattern. It may show up any time of the day. Whatever the case is, the point is to give your doctor accurate details about what exactly you are experiencing.

Lumbar Spine Surgery in Tetonia ID 83452

Dr. Christopher A. Yeung of Desert Institute for Spine Care in Phoenix, AZ graduated magna cum laude from the University of California San Diego, and was in the top five percent of his medical class at The University of Southern California School of Medicine. Dr. Yeung completed an orthopedic residency at the University of California Irvine Medical Center. He then did a spine surgery fellowship at USC Center for Orthopedic Spine Surgery/Los Lumbar Spine Surgery Tetonia ID 83452 Angeles Spine Surgery.

Desert Institute for Spine Care (DISC) and Dr. Yeung in particular, have played a lead role in investigative FDA studies focusing on lower back pain and its treatment. Dr. Yeung has been the principal investigator in many FDA studies including the Flexicore lumbar artificial disc replacement, Cervicore cervical artificial disc replacement, and DASCOR total nucleus replacement. Dr. Yeung and the team at DISC are always striving to be among the Tetonia ID 83452 first to get these innovative techniques approved and available to those suffering from debilitating back pain.

Presently Dr. Yeung is heading up an investigational study to evaluate the benefits and efficacy of the Intracept Procedure, a one-hour treatment designed to treat chronic low back pain at its source. The SMART Clinical study is being conducted at several different locations throughout the country to determine whether this one-hour outpatient procedure, in which a probe Lumbar Spine Surgery Tetonia ID 83452 is advanced into the vertebrae and positioned at the basivertebral nerve, is effective at eliminating low back pain with minimal intrusion to the patient.

Radiofrequency energy is delivered directly into the nerve rendering it unable to produce pain signals. Only those individuals with lower back pain that does not extend into the lower extremities are eligible for participation in the SMART Clinical study. This procedure is potentially effective at treating low back pain Tetonia ID 83452 that is concentrated only in the lower back and does not radiate into the lower body.

We took a few minutes of Dr. Yeung’s busy schedule to ask him about the Intracept Procedure and how it may be on the cutting edge of minimally invasive spinal surgery.

Doctor, what made you get involved in the SMART Clinical Trial and how is this procedure different from other options that are available?

Doctor Yeung: The Company approached Tetonia ID 83452 us because of our experience in minimally invasive spine procedures. We do a lot of percutaneous endoscopic discectomy type of work and so they approached us to get involved in this new study.

I think one of the reasons was because it is a truly minimally invasive way to treat vertebrogenic degenerative back pain. Instead of a big open surgery, it’s actually treating the pain through a small incision, essentially like a large Tetonia ID 83452 needle, which allows a probe to go into the vertebral body and basically ablate or burn the nerve that transmits the pain from the vertebral body.

For us, it was really exciting to be a part of this study and we are honored to be a part of this study because it could revolutionize the treatment of degenerative disc disease and vertebrogenic back pain. It’s very exciting because it is a big difference Tetonia ID 83452 compared to open fusion.

Who would benefit from this procedure and how would someone qualify? Does this procedure treat all types of low back pain? Is there any type of hospitalization involved and what is the cost to the patient?

Dr. Yeung: There is no cost to the patient. The study sponsor absorbs all the cost of the treatment. The patients that would benefit from this are people with chronic low back pain without Tetonia ID 83452 any sciatica or radiculopathy, they don’t have any nerve compression. Nerve compression would cause pain going down the legs, if they have nerve compression they would be excluded from the study.

People with chronic back pain from the vertebral bodies are the people who would qualify for this. A lot of times it’s difficult to tell where the back pain is coming from because there is so many structures in the back that Tetonia ID 83452 can be causing pain. It could be the vertebra and those are the patients that would qualify or it could be the actual disc itself or it could be the facet joints in the back or maybe the muscles and the ligaments.

It’s sometimes difficult to figure out where the actual pain is coming from but for the study they are using MRI criteria. People who have chronic back pain and on the Tetonia ID 83452 MRI they have inflammatory changes or degenerative changes in the vertebral bodies themselves, those are the people that would qualify.

Those changes that we are looking for are called MODIC changes. We want to try to eliminate the people that have pain coming from their facet joints and looking mostly at people with pain coming from pressure across the vertebral bodies. As the discs degenerate and collapse they are not an effective cushion Tetonia ID 83452 between the two vertebral body bones. This causes more pressure across those bones and they get inflamed and you can see some chronic bony changes and those are the people we are targeting.

There is a nerve called the basil vertebral nerve that goes into the vertebral body and it branches out and innervates the weight bearing surfaces of those vertebral bodies. The study is designed to go in and ablate or burn Tetonia ID 83452 that nerve so that basically you can short circuit the pain response from those vertebral bodies in plates.

Doctor, how long does the surgery take with this procedure?

Dr. Yeung: Typically if you’re treating two vertebral bodies that would be like an L4 and L5 vertebral body and would be on either side of the L4 or L5 disc. That would probably take about an hour and ten minutes for the procedure. At each Tetonia ID 83452 level you have to heat the nerve for about fifteen minutes each. The set up usually takes about an hour. You don’t get general anesthesia, it is just local anesthetic and some sedation.

Is this technique the future of treating low back pain? Will this replace other methods of treatment for this specific type of back pain?

Dr. Yeung: I don’t think it will replace everything completely. I think it’s another weapon in our Tetonia ID 83452 fight against back pain. It can basically prolong the need for large fusion and also obviate the need for fusion.

If someone has degenerative disc disease and vertebrogenic back pain, right now the option is live with it or get fusion or disc replacement surgery. This can hopefully alleviate the pain from the source, from the nerve and then the patient won’t need to have that reconstructive spine surgery if their pain is Tetonia ID 83452 relieved.

Hopefully this pans out and it’s effective. That’s what the study is designed to figure out.

How can someone find out if they are eligible for this study? Where would they go for more information?

Dr. Yeung: The best place would be the website. On the website it shows all the participating sites across the country. Hopefully there is one close to that person that is seeking more information. I think there is contact Tetonia ID 83452 information there also. They can contact the company or if they are in Phoenix, Arizona they can just contact my clinic directly. DISC has clinics in Phoenix, Scottsdale, and Gilbert, Arizona. There are about fifteen clinics across the country they can contact.

What are some of the characteristics that differentiate Desert Institute for Spine Care from other practices?

Dr. Yeung: One of the things that differentiates us from other clinics is our ability to Tetonia ID 83452 offer a full spectrum of treatment from injection treatment to minimally invasive techniques. We can do endoscopic discectomy that not a lot of people know how to do. It is a seven millimeter incision that’s like scoping the knee so we can offer that to patients for herniated discs and that’s probably the biggest differentiator for us, not a lot of people can offer that.

We also offer all the traditional treatments such Tetonia ID 83452 as fusion and open laminectomies when that’s appropriate and they are not appropriate for the minimally invasive techniques. We offer a full spectrum of care from non-operative to bigger open surgeries with all the specialized minimally invasive techniques. We are also one of the few clinics that train a lot of people so we travel a lot to teach.

I’m here in New York to conduct a course to help train other neurosurgeons Tetonia ID 83452 out here on the technique.
My dad, myself and other partners, we travel all around and lecture about this and help teach it in cadaver labs. We support a lot of research and participate in FDA studies. Some of the newer cutting edge technologies that are being studied can be offered here for appropriate patients.

Doctor Yeung, thank you for your time and providing insight into Intracept Procedure and its potential benefits.

Dr. Yeung: Tetonia ID 83452 You’re welcome.

Dr. Christopher Yeung, MD, Desert Institute for Spine Care, can be contacted at 602-944-2900. For more information on DISC Phoenix, Scottsdale, and Gilbert clinics, visit: sciatica.com. For more information on The SMART Clinical Study and the Intracept Procedure contact Desert Institute for Spine Care directly at 602-944-2900 or visit http://www.smartclinicalstudy.com.

Kevin Nimmo is a writer and online media strategist. He interviews subject matter experts and educates his readers based Tetonia ID 83452 on information provided by experts in their respective fields. He is also Executive Editor of The Western Medical Journal.

By Kevin Nimmo

Lumbar Spine Surgery in Grangeville ID 83530

In order to ensure that you get the best treatment for your problem, it is very important for you to communicate your back pain symptoms thoroughly to your doctor. If your doctor does not get a clear picture of the specific back problem that you are suffering from, he/she will not be able to prepare the right treatment plan for you. This is because of the fact that as of now, we Lumbar Spine Surgery Grangeville ID 83530 do not have any perfect definitive test that could diagnose and measure pain. The right diagnosis is subject to how clearly you explain your symptoms. Following are some of the important points to consider in this regard.

Intensity Of The Pain

Does your back pain badly? How bad? It is not possible through objective testing to get an accurate measurement of the intensity level. That is the reason why the doctor measures the intensity Grangeville ID 83530 based on the back pain symptoms you tell. Many health care professionals use several visual assessment tools for this.

The Type Of Pain

To say that you are suffering from pain is an ambiguous statement. It does not tell anything clearly. All pain is not the same. For example, depending upon the type of pain, you may feel electrical, burning, or even a stabbing sensation. Therefore, you must explain how you feel to your Lumbar Spine Surgery Grangeville ID 83530 doctor. Based on what you tell, the doctor will try and understand your condition better. For example, if your back pain symptoms include stiffening or tightening of back muscles, you are likely to have some posture problems.

Where Exactly Does It Hurt?

The location of the pain also plays a very important role in the right diagnosis. For example, if the pain is radiating down the leg or arm, it indicates that a nerve Grangeville ID 83530 is affected. It is probably a case of sciatica. Your doctor may use a body diagram to help you identify the exact location.

Pattern

Most of the times, you experience pain in a certain pattern. For example, there may be a specific point of time during the day when you experience it. It may be constant. You may be feeling different intensity levels at different times of the day. It may come suddenly or Grangeville ID 83530 gradually. Sometimes, it may not have any set pattern. It may show up any time of the day. Whatever the case is, the point is to give your doctor accurate details about what exactly you are experiencing.

Lumbar Spine Surgery in Caldwell ID 83607

Many of us suffer from debilitating back pain, some lasting a few days, some lasting months at a time. In fact, lower back pain is one of the most common injuries treated in hospital emergency departments and urgent care facilities, and leading cause of long term disability around the world. Whether you injure yourself bending over to pick up a light box, or simply wake up with a backache Lumbar Spine Surgery Caldwell ID 83607 that just won’t go away, it important to determine the odds of the backache resolving spontaneously, or whether you need professional help.

As a back pain sufferer myself, I have personal experience in this subject. At the same time, I am also a medical provider in a major hospital emergency department, and routinely form treatment plans and write prescription medications for my patients. The following are some general recommendations for Caldwell ID 83607 home treatment of acute, minor back pain. Chronic back pain (severe pain lasting more than a week) should be deal with, by your physician.

One of the most common ways that patients injure their back is by simply lifting a box, turning their upper body, or some other innocent movement. If your body muscles are tight, and you over stretch them, they will simply tear. So if the event that Lumbar Spine Surgery Caldwell ID 83607 caused your minor back pain was from a minor twist or lifting an object, and it’s been less than a week since your accident, chances are you’ll be ok. In most cases of muscle strain, the healing process is spontaneous and supportive care is all you need to get well. Of course this doesn’t apply to significant falls, and car accidents and other forced trauma. So how can you Caldwell ID 83607 tell if it’s a “minor back pain?”

I don’t define a minor back pain simply by the degree of pain or suffering a patient is going through, but by the degree of co-morbidity that the patient is suffering. In other words, if the pain is simple pain, and the patient can still walk, is not incontinent of stool or urine, does not have any weakness or numbness in their legs Caldwell ID 83607 or numbness to the genitals, than it’s probably a minor lower back pain. However, if they have any of the above symptoms, they should be immediately evaluated by a physician as those symptoms may herald an impending lifelong neurological disability. Significant pain, coupled with weakness and numbness, is considered a true medical emergency. Of course, everyone has a different level of tolerance of symptoms, so you’ll have to use Caldwell ID 83607 your own judgment. If you’re not sure, go see a doctor.

Dealing with the lower back pain is easy if you understand the concepts of the initial injury. For simple lower back muscle strains, here are my usual discharge instructions to the patient:

• Clear your schedule. Rest your body so that you can heal quickly and correctly.

• If you need to stay home to recover, don’t feel guilty that you Caldwell ID 83607 can’t go to work. Personally, I’m a big fan of never missing work and not calling in sick, but keep this in mind. Everyone’s boss is counting on them; and the business will still be there when you get back! Your boss will not appreciate that you’re in pain, he’ll only be upset that you’re not performing your job well. He won’t hesitate to replace you if you become Caldwell ID 83607 disabled.

• If you do decided to go to work, then rest well when you get home.

• Sleep with a sofa cushion or pillow under your knees. This tilts your pelvis, lowering your lower spine to the mattress, giving you relief and support. If you’re a side sleeper, then place the pillow between your knees.

• Resist the temptation to stretch, massage, the injured part. If it tightens, simply change positions. Caldwell ID 83607 This includes chiropractic adjustments, at least for the first 10 days. An injured muscle wants to be left alone!

• If you can take NSAIDs, such as Ibuprofen, then take the recommended dosage, every 6 hours with food.

• Finally, ice is better than heat in any acute injury.