Vermont Back Pain Relief Services Over 24 Years Of Experience

Lumbar Spine Surgery in Colchester VT 05439

When your back is stiff, you will feel it in your upper back, lumbar area, neck and sometimes in your tailbone. Everyone will experience this type of pain and it can be many issues that will trigger this pain. Most of the time, the pain will go away after a day or two, maybe even a week later.

But when the pain lingers or becomes more intense, it may Lumbar Spine Surgery Colchester VT 05439 be time to get medical attention. Most people will make schedule an appointment with their primary doctor first. He or she will examine the patient, ask questions, and take x-rays.

Once they a determination where the pain is at and what is causing it, they will prescribe pain medications. However, when that isn’t helping the patient any, their doctor may refer them to a pain clinic.

The Goal: Find The Colchester VT 05439 Problem

Before any doctor can heal an aching back, they must find out where the pain is and what is causing the pain. At the pain clinic, there will be several professionals assigned to a patient. They each have a focus on pain and will try to discover if there are any underlying issues that are causing the back pain. At a facility such as this, treating these types Lumbar Spine Surgery Colchester VT 05439 of conditions with the musculoskeletal system and each will have their own focus on the various pains.

They will start by eliminating things that may be causing the pain, such as bad posture, and injury or muscle strain. The most common cause of lower back pain is fractures, osteoarthritis, osteoporosis, spinal stenosis, and spondylolisthesis.

If it is determined that one of these causes the back pain, the pain clinic team will determine which member of the team is best suited for helping the patient. It may be recommended that the patient work with one or more of the specialists depending on what kind of pain, what is causing the pain and where the pain is located.

There are varieties of treatments available at a facility like this which will either cure the pain or help ease Colchester VT 05439 the pain for the patient. The treatments that are most typical for back pain include the following and some not listed here:

Heat Treatment

For chronic back pain that is mild, a pain doctor may recommend using hot compresses. This is something you can do in your home once you have received instructions from the pain clinic staff.

Massage Therapy

For a patient that has been experiencing back trouble for a long Colchester VT 05439 time, the pain clinic team may recommend massage therapy with a therapist at there.

Physical Therapy

When the pain has become uncontrollable and you aren’t able to perform your daily activities, the pain clinic team may recommend physical treatment. The specialist that will be in charge of this will have numerous exercises for you to do there and home, all to improve your muscle performance.

Lumbar Spine Surgery in Wells River VT 05081

An injury causes pain and a person suffering form back pain caused due to an injury needs for symptomatic treatment. He may pay a visit to the doctor and explain the cause of pain. Based on this report from the patient himself, the doctor can accurately diagnose the problem and prescribe medication to alleviate the pain. Chronic back pain is back pain that has been Lumbar Spine Surgery Wells River VT 05081 present for months on end without relief. In such circumstances, it may be very difficult for the doctor to diagnose the problem without knowing the causative factors. However, if the patient recollects pulling a muscle, or lifting a heavy object, the doctor’s job becomes that much easier, as he gets a fair idea of what to look for and where to start.

It is difficult to Wells River VT 05081 imagine that a person can develop chronic back pain without any reason. Most commonly, people complain of awaking with a severe backache and they cannot attribute any reason for it. In such cases, the patient will try various home remedies like heat therapy or a massage and rest. At times, this treatment may work and the pain may disappear in a couple of days. If Lumbar Spine Surgery Wells River VT 05081 the therapy does not work, the pain may worsen and continue for a long time, turning into chronic back pain. Trying to get medical treatment for the back pain at this point, may prove very difficult. The doctor has little information to depend on, so he has to start at the bottom and go to the root of the problem.

Chronic back pain without cause can Wells River VT 05081 be diagnosed quickly if there is no serious injury and the treatment can begin. However, in other cases a lot of time and money may be spent just to determine the cause of the problem before starting treatment. The doctor has nothing to base his theory on which he can make the prognosis, because nothing specifically happened to ’cause’ the back pain. He will start Wells River VT 05081 treatment by recommending exercises, heat therapy or prescribe over the counter medicines. If this does not help the next stage would be to prescribe pain relievers and muscle relaxants. This may help to relieve the tension in the stretched muscles. If none of these methods work, the doctor will run various tests like MRI, X-ray or ultrasound. These tests may help to locate the problem Wells River VT 05081 and provide the doctor the information to begin treatment.

If all efforts to locate the problem fail, the doctor may conclude it to be a psychological problem rather than a physical one and recommend counseling. This will help to determine whether the patient is suffering from depression or stress, both of which can cause chronic back pain. An efficient doctor will make all possible efforts to Wells River VT 05081 diagnose the problem of chronic back pain without a cause and treat it to the best of his ability. It is a challenging task, but if both the patient and the doctor work diligently towards finding a solution to the problem, success is not far behind.

Lumbar Spine Surgery in Stowe VT 05672

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 Stowe VT 05672 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 Stowe VT 05672 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 Stowe VT 05672 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 Stowe VT 05672 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 Stowe VT 05672 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 Canaan VT 05903

I enjoyed Dr. Bob Arnot’s “Wear And Tear: Stop The Pain And Put The Spring Back In Your Body.” It’s called a complete anti-aching program on the cover, and I find it a very useful book of advice for those who have the aches and pains from using your body the way it was meant to be used, to the fullest. It focuses Lumbar Spine Surgery Canaan VT 05903 on the wear and tear that erodes joints and stiffens ligaments and tendons and what you can do about it.

The first part of the book deals with what causes wear and tear. The five chapters are Heal Pounders, Stiff Man Syndrome, Fatal Flaws, The Weak Link, and Overload. These chapters focus on proper biomechanics, the lack of stretching and becoming stiff, skeletal malalignment, Canaan VT 05903 loss of muscle strength, and overloading your body with excess fat. The chapters are easy to understand and informative.

Part two is the section of the book I liked the most, it focuses on beating wear and tear. The first chapter of part two, chapter six, contains methods for killing the pain. Dr. Arnot discusses the options of painkillers like Acetaminophen, NSAIDs, and Aspirin. Lumbar Spine Surgery Canaan VT 05903 He also addresses other methods including topical analgesics, injections, acupuncture, and massage.

The next chapter is one protecting your joints and the chapter makes the case for taking glucosamine and chondroitin. Dr. Arnot addressed why they work, side effects, and the Arthritis Foundation recommendations among other things in this chapter.

Chapter eight is called Fix the Flaws and discusses correct shoes and other solutions for Canaan VT 05903 different problems causing wear and tear. This includes some expert picks for shoes, but since they come out with new models faster than new cars, actual shoes may have changed, but the advice as what to look for is still good.

Chapter nine, Restore Your Joints, is a very good chapter about how yoga can help reduce the pain of wear and tear. Dr. Canaan VT 05903 Arnot tells why yoga works, how to do a yoga program, warnings regarding some postures, breathing, and targets. The chapter contains some drawings of simple postures to begin with. I think the chapter is enough to get a person motivated to seek out further yoga instruction or resources to incorporate into a health and fitness program.

The next chapter, Build Protective Strength, is a Canaan VT 05903 short chapter on the importance of strength training and includes a few exercises. I agree this is very important, and think one should seek out resources that focus on strength training to further their education in this area. The next chapter continues with this theme and has a little on plyometrics and lunges. Again, there are better resources out there, but this book Canaan VT 05903 should get you motivated to seek them out and start doing strength exercises.

Chapter 12 is a primer on diet. It’ called Lighten the Load and has the basics of sound nutrition. It’s very short, and there are more resources you’ll want to get on this too, but it let’s you know that diet and how much you weigh effects your joints.

The last chapter Canaan VT 05903 suggests some joint-friendly sports and then the book ends with an appendix on joint nutrition and a glossary.

As we age, we seem to have little aches and pains creep up on us. Dr. Arnot’s “Wear And Tear” is a practical guide on slowing this wear and tear down, as well as preventing it in the first place.

Lumbar Spine Surgery in Jericho VT 05465

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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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 Jericho VT 05465 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: Jericho VT 05465 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 Jericho VT 05465 on information provided by experts in their respective fields. He is also Executive Editor of The Western Medical Journal.

By Kevin Nimmo