Back Pain

Back Pain Primer
Muscular Causes leading to structural changes.
Stretching and strengthening exercises

Posture, balance and symmetry are all important in preventing the development of back pain. Good or bad are not useful terms in this context: what works and what doesn’t is what it’s all about.

Observed from the front or back, a golf ball dropped from the topmost point of the skull should evenly bisect the body, falling equidistant between the feet. The hips and shoulders should be level. From the side, that ball should pass through the center of the ear, the shoulder, the hip joint, the knee and the front of the ankle. This should result in a gentle curve (lordosis) to the front in the lower back, the same in the neck, and a curve posteriorly in the upper back (kyphosis).

This posture wo...

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Dr. Goltra on Percutaneous Discectomy

vertebral disc degeneration

Percutaneous means “through the skin” or using a very small incision. Discectomy is the surgical removal of herniateddisc material that presses on a nerve root or the spinal cord.

Percutaneous discectomy is different from conventional open discectomy or microdiscectomy. There are several percutaneous procedures. All of them involve inserting small instruments between the vertebrae and into the middle of the disc. X-ray monitoring is used during surgery to guide the movement of the surgical instruments. The surgeon can remove disc tissue by cutting it out, sucking out the center of the disc, or by using lasers to burn or evaporate the disc. The disc material that has herniated is not directly removed in these operations.

The use of percutaneous procedures to decompress intervertebral d...

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Platelet Rich Plasma Therapy: A cutting edge alternative to surgery for musculoskeletal problems

The body has an amazing capacity to heal itself. When the body becomes injured, a natural healing process occurs to repair the damaged tissue. The body signals platelets and other components in our blood supply to migrate to the site of injury. Under normal conditions, these platelets release a variety of factors that initiate and subsequently promote healing. New advances in medicine have been developed to harness and concentrate these platelets to be precisely introduced to the injury site in an injectable form. The implantation of these platelets from a small amount of the patient’s own blood has the potential to “supercharge” the body’s capacity for healing.

Many active patients are ...

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