Non-operative therapies are a preferred form of treatment for back complaints, and many options exist to match the needs and desires of patients. Some such therapies include aquatic exercise, cardio-respiratory conditioning, core training, neuromuscular reeducation, movement training, and others. These treatments seek to strengthen local structures of injured regions to compensate for damage, and to regain functions that may have been lost or deteriorated due to that damage. Safe and non-invasive, these options should be explored as a first-line treatment to back ailments before more invasive procedures are performed.
Non-operative therapies are a preferred form of treatment for back complaints, and many options exist to match the needs and desires of patients. Some such therapies include aquatic exercise, cardio-respiratory conditioning, core training, neuromuscular reeducation, movement training, and others. These treatments seek to strengthen local structures of injured regions to compensate for damage, and to regain functions that may have been lost or deteriorated due to that damage. Safe and non-invasive, these options should be explored as a first-line treatment to back ailments before more invasive procedures are performed.
In some cases of spinal distress, activity modifications may be performed to reduce pain, improve functioning, and facilitate the healing of injured structures. These modifications are usually temporary, and allow patients to continue with normal activities in a way that limits stress on the injured region.
In some cases of spinal distress, activity modifications may be performed to reduce pain, improve functioning, and facilitate the healing of injured structures. These modifications are usually temporary, and allow patients to continue with normal activities in a way that limits stress on the injured region.
The spinal cord is sheathed in several protective layers, the outermost of which is a tough fibrous substance known as the dura. Surrounding this protective sheath is another protective layer of mostly fat in a region referred to as the epidural space. This space is the target of epidural injections, in which potent anti-inflammatory steroids are injected into this fatty layer to reduce compression on the spinal cord and nerves, reducing pain and permitting the body time to compensate for damaged structures. In this way these injections can provide long term relief for patients in a minimally invasive manner, and allow for the potential of improvement even after the effects of the steroids have worn off.
The spinal cord is sheathed in several protective layers, the outermost of which is a tough fibrous substance known as the dura. Surrounding this protective sheath is another protective layer of mostly fat in a region referred to as the epidural space. This space is the target of epidural injections, in which potent anti-inflammatory steroids are injected into this fatty layer to reduce compression on the spinal cord and nerves, reducing pain and permitting the body time to compensate for damaged structures. In this way these injections can provide long term relief for patients in a minimally invasive manner, and allow for the potential of improvement even after the effects of the steroids have worn off.
Lumbar Zygapophysial joints are found on the posterior aspect of the spine in the lateral aspects where the two vertebrae meet. Injections can be performed for therapeutic or diagnostic reasons, as well as a combination of the two. Anesthetic may be injected, commonly referred to as a “nerve block,” to isolate the problematic joint connection by numbing the offending nerve and temporarily relieving associated pain.
Lumbar Zygapophysial joints are found on the posterior aspect of the spine in the lateral aspects where the two vertebrae meet. Injections can be performed for therapeutic or diagnostic reasons, as well as a combination of the two. Anesthetic may be injected, commonly referred to as a “nerve block,” to isolate the problematic joint connection by numbing the offending nerve and temporarily relieving associated pain.
For our more athletic patients we have a number of videos and protocols to regain your full function. You MUST be cleared by Dr. Paul, Kevin or Adam before pursuing any of these workout routines. Not everyone is suited for these.
For our more athletic patients we have a number of videos and protocols to regain your full function. You MUST be cleared by Dr. Paul, Kevin or Adam before pursuing any of these workout routines. Not everyone is suited for these.
Ergonomic changes are a rapidly growing therapeutic option in which meticulous design can compensate for pain or loss of function by more naturally following the contours of the human body and its range of motion. Ergonomic chairs, standing desks, pillows, and supportive cushions, among others, can all help to reduce the strain that may occur from regular daily activities.
Ergonomic changes are a rapidly growing therapeutic option in which meticulous design can compensate for pain or loss of function by more naturally following the contours of the human body and its range of motion. Ergonomic chairs, standing desks, pillows, and supportive cushions, among others, can all help to reduce the strain that may occur from regular daily activities.
DAY OF SURGERY INFORMATION
Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.
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In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed. If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.