Be a good patient? This is an important step to making the most of your doctor’s visit as being face to face with your doctor is often the best time to ask medical questions. Your questions may be related to your diagnosis, treatment or personal preferences. Be proactive and don’t limit your questions to the reason that sent you to the doctor initially (however don’t bombard your doctor with questions either). Seeing a doctor is about continued health, not just curing the ailment at hand. A good practice is to ask your doctor what health-related items you could work on before your next visit. It could be a simple diet change, a challenge to exercise more or a more general piece of advice, such as stress less. Either way, when you’re face-to-face with a medical professional that has access to your personal health history, what better question could you ask about continued health?
The most common cause of back pain ? When back pain is chronic (i.e. lasts three months or more and occurs frequently), there is likely a more serious underlying issue that needs to be addressed. A disc problem is one of the most common causes of chronic lower back pain in adults and usually appears as a herniated disc in the lumbar or is caused by a degenerative disc disease. When a lumbar disc herniates, the inner portion of the disc breaks through the tough outer portion causing severe pain in the lumbar spine. The pain is caused by irritation of the nerves in the back, usually as the herniated disc creates swelling in the nerve roots. A degenerative disc disease occurs when the invertebral discs in the back begin to dehydrate over time. This causes the discs to wear down and become more susceptible to injury. Too much force on dehydrated discs can tear, weaken and become painful, often leading to a herniation.
During the surgery, the surgeon will make incisions on the front and right and left sides of the neck in order to enter the space between the two vertebrae. Then, the damaged disk as well as any bone spurs that have occurred in the area as a result of the body reacting to the disrupted disk will be removed. Dr. Yuan uses a drill to widen the opening of the spinal cord to eliminate pressure it was putting on the cord and nerve roots. The vertebrae are then fused using a bone graft, often taken from the patient’s pelvis but sometimes a cadaver bone is used instead. If more than one disc has been damaged or if more stabilization is needed, a titanium plate or screws may be used to reinforce the vertebrae. This can help reduce neck pain after surgery as well as speed up recovery. In most cases the surgery is completed in one to two hours, however, it can take longer in some cases, especially when more than one disc must be removed. The surgeon should be able to provide a more accurate time measurement for the procedure based on the individual’s needs. Discover extra details at Cervical Discectomy Surgery.
Many complain of low back and buttock pain. While there are several reasons this could occur, sacroiliac joint pain and dysfunction is one cause, and it often requires some level of medical intervention. SI joint pain and dysfunction is an ailment that commonly affects runners and other athletes as well as some people who do not identify as either. The two SI joints are in a person’s pelvis, part of the stable ring structure that also includes the symphysis pubis. Several muscles including the hamstrings, abdominals, hip flexors and gluteal muscles attach to the SI joints. This joint is different from other joints because it only allows for about two degrees of rotation and less than one millimeter of movement backward and forward, but it is a joint nonetheless. The SI joint connects a part of the spine called the sacrum to the pelvis, and as a result it absorbs a lot of stress between these two bones, which can lead to pain, especially if there is an underlying problem.
SI joint dysfunction isn’t always the cause of SI joint pain. Other potential causes of SI joint pain include sacral stress fracture, lumbar disk herniation, piriformis syndrome (a rare diagnosis that involves irritation or compression of the sciatic nerve) and ankylosing spondylitis (chronic, dull pain felt in the back, hip, and butt that often results in morning stiffness but subsides with exercise). If SI joint dysfunction is the cause of pain, an individualized treatment plan will be developed that includes both rest as well as modified activity. The goal is to rehabilitate the affected muscles by targeting the underlying cause of dysfunction and pain. In some cases, runners can change their approach to running to reduce or eliminate pain. A biomechanical evaluation of the runner can be done to assess whether or not this is the problem. Sometimes improper training, weak muscles or imbalanced muscles can be to blame. Overtraining can also be to blame. Manual therapy performed by a sports osteopath, chiropractor, physical therapist or athletic trainer is sometimes recommended as part of a doctor-prescribed therapy protocol.
Long Beach Spine Surgery is often sought to treat spinal conditions including deformity in children and adult scoliosis, kyphosis and flatback. Dr. Yuan never recommends surgery first and guides you to many options for pain relief and quality of life. Dr. Philip Yuan is a board certified Orthopedic Surgeon and fellowship trained spinal surgeon who emphasizes non-surgical treatment first and only recommends surgical procedures when absolutely necessary to better a patient’s quality of life. Find a few more info at Long Beach spine surgery.