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Sometimes, the greatest struggles can bring forth the greatest innovations.  That is certainly true for Dr. Eric Goodman, DC, the founder of http://foundationtraining.com (Foundation Training). As a young man in chiropractic school, his severe back pain from multiple disc herniations became unbearable. “I had about a year left of chiropractic school when my back got bad to the point that I was like, ‘I don't want to be a chiropractor,’” Dr. Goodman tells Dr. Lakhia. “Driving hurt, standing hurt, sitting hurt, and laying hurt. You're just out of options.”  It was in experimenting with his own pain in motion that he was able to develop Foundation Training, a combination of exercises and breathing techniques that helps with anything from basic daily movements to athletics. Josh Brigham became a devotee of Foundation Training from his own spinal issues. Now a trainer and owner of http://adaptclt.com (Adapt CLT,) he uses Foundation Training to bring others the same relief he’s experienced.  He says a video about decompression breathing that he saw at his first Foundation Training event changed how he thought about breath. “It was just real easy to make that concept live inside of you,” Josh said. “And that's how it was introduced to me. And it never went away.”  In this episode, Dr. Lakhia, Dr. Goodman, and Josh discuss all things Foundation Training — how to get started, and why changing how you bend and breathe can change your pain.    💡 Featured Experts 💡Name: Dr. Eric Goodman, DC What he does: As a trained (but not practicing) chiropractor, Dr. Goodman used his education as a springboard to understanding how to strengthen the spine. He developed his series of Foundation Training exercises as a way for people to take their spine health into their own hands.  Company: https://www.foundationtraining.com/ (Foundation Training) Words of wisdom: “The ability to understand what your body is doing, as it's doing it, is probably the most important skill of chronic pain relief through lifetimes.” Connect: https://www.linkedin.com/in/eric-goodman-dc-658b0123/ (LinkedIn) | https://ftstreaming.com/ (Foundation Training Streaming )| https://www.instagram.com/foundationtraining/ (Instagram) | https://www.youtube.com/channel/UCOkRpabTWz-G5dRqsABppDQ (YouTube) Name: Josh Brigham What he does: Josh found Foundation Training following a cervical spine injury that was treated with an artificial disc replacement. He now trains others in restoring their own spinal health at his Charlotte-based Adapt CLT.  Company: https://adaptclt.com/ (Adapt CLT) Words of wisdom: “We want people to move and to do the things that they enjoy, whatever that movement looks like. But if you're not doing it connected, you're not going to be doing it well.”  Connect: https://www.linkedin.com/in/josh-brigham-1834a6105/ (LinkedIn) | https://www.instagram.com/adaptclt/ (Instagram) Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode, https://www.backtalkdoc.com/back-pain-relief-through-posture-and-movement-with-esther-gokhale---back-talk-doc-podcast-episode-45.html (Back Pain Relief Through Posture and Movement, With Esther Gokhale. ) 🔎 For more information on Dr. Sanjiv Lakhia and the podcast, visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
Regenerative medicine has great potential. It empowers the body’s own healing mechanisms to cure injuries that would normally require surgery or other invasive measures. In this episode of Back Talk Doc, Dr. Peter Bailey discusses his work in regenerative spinal care.  Research on regenerative spinal care is steadily progressing, despite a lack of funding. Most companies fund research into drugs rather than regenerative medicine, so progress has taken time and dedication. In spinal care, regenerative treatments can improve patient pain. For this to be effective, the cause of the pain must be accurately diagnosed to ensure that the proper treatment plan and target area are selected.  Regenerative spinal care is best at targeting disc pain in ways that physical therapy and surgery cannot. “The disc is the largest structure in the body that does not have its own blood supply,” said Dr. Bailey. “When we injure a disc, it doesn't heal up very well. It creates an environment that, over time, predisposes the disc to further degenerate.”  Dr. Bailey primarily treats disc pain with platelet-rich plasma. In this method, platelets from the patient’s body are injected into the spine. Platelets are the body’s first responders to injury. By giving the injured area more platelets, the body’s healing responses are increased enough that the spinal injury can be healed well.  Regenerative medicine on its own is not enough. Dr. Bailey recommends accompanying the treatment with physical therapy and exercise to prevent re-injury of the spine. Excited to learn more? Tune in to this episode of Back Talk Doc to discover more about regenerative spinal care.  Read the Full Show Notes on our website https://www.backtalkdoc.com/podcast.html (BackTalkDoc.com).   💡 Featured Expert 💡Name: Dr. Peter Bailey What he does: As a physiatrist at Carolina Neurosurgery and Spine Associates, Dr. Bailey is pioneering the field of regenerative spine care. Company: https://www.cnsa.com/ (Carolina Neurosurgery and Spine Associates) Words of wisdom: “If you have a patient who is younger to middle age, who has kind of a bad-looking disc, a surgeon doesn't really want to operate on that. Surgical outcomes for axial back pain are not that great. So it’s a great tool to have for that segment of the population that offers hope for the management of back pain, when it seems like other options aren't available. As far as the future goes, it's definitely going to be critical.” Connect: https://www.cnsa.com/providers/peter-w-bailey-md (Website) |  https://www.linkedin.com/in/peter-bailey-a7279554/ (LinkedIn)  Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/back-pain-relief-through-posture-and-movement-with-esther-gokhale---back-talk-doc-podcast-episode-45.html (Back Pain Relief Through Posture and Movement, With Esther Gokhale). 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
For Dr. Stuart McGill, surgery should be the last resort. In fact, for many patients who don’t properly address their pain, surgery is, at best, a temporary option. Consider this: following a disc hernia procedure, many patients, including those Dr. McGill sees, usually fall back into old habits and run the risk of re-injuring their damaged spine. “So you are going to have to change the way that you move [and] become more efficient in purposefully stimulating the adaption that you need in your body to become robust again,” he says. The problem, Dr. McGill says, is that most orthopaedists don’t do a full exam of the whole patient to find the source of the pain. That can take two to three hours.  “The assessment, if it's thorough enough, will always give you the answer,” says Dr. McGill. And that answer is rarely putting a patient under the knife. Other solutions, which can often include long-term therapies, will get to the source of the pain and lead to long-term healing “95% of the time,” he says. Dr. McGill knows what he’s talking about: he has literally https://www.backfitpro.com/books/back-mechanic-the-mcgill-method-to-fix-back-pain/ (written the book on the mechanics of back pain), how to assess it, and published award-winning research on spine biomechanics. Also, as a distinguished Professor Emeritus at University of Waterloo, he is considered one of the world’s leading biomechanists. On this episode of Back Talk Doc, Dr. McGill joined Dr. Lakhia with special guest https://www.cnsa.com/providers/john-m-lesher-md-mph (Dr. John Lesher), MD, MPH, of Carolina Neurosurgery & Spine Associates to talk all about spine biomechanics: from the benefits of a technique experts refer to as “virtual surgery,” to the mechanics of strengthening exercises for back pain.  Read the Full Show Notes on our website https://www.backtalkdoc.com/podcast.html (BackTalkDoc.com).  💡 Featured Expert 💡Name: Dr. Stuart McGill, PhD What he does: Dr. Stuart McGill is one of the world’s most renowned spine biomechanists. He is a distinguished Professor Emeritus of spine biomechanics at the University of Waterloo, where he published over 200 peer-reviewed papers and award-winning research in the field of low back biomechanics. He is also the author of several books, the most recent being https://www.backfitpro.com/books/back-mechanic-the-mcgill-method-to-fix-back-pain/ (Back Mechanic) (2015). Company: https://www.backfitpro.com/ (BackFitPro)  Words of wisdom: “The way to stay pain-free is, one day a week, rest. Don't do anything. That's the day that your body adapts. So all the stimulation that you've done all week long, let it adapt.” Connect: https://www.backfitpro.com/about-us/ (Website) | https://twitter.com/drstuartmcgill?lang=en (Twitter) Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/back-pain-relief-through-posture-and-movement-with-esther-gokhale---back-talk-doc-podcast-episode-45.html (Back Pain Relief Through Posture and Movement, with Esther Gokhale). 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app.  Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
What if back-pain relief was just a few steps away? Esther Gokhale’s work with posture and movement finds that just changing the way you sit, stand, lie down, and walk can eliminate your back pain.  Esther grew up in India helping her mom treat orphaned babies and she studied biochemistry at college. Later, she became a licensed acupuncturist. So when her own pain and herniated disc issues emerged, it motivated Esther to study how people move.  “There were some seeds already sown in my brain that ‘there's something going on with people who live close to the ground that makes sense and that works.’ And so when this horrible thing happened to me, it resonated for me to study techniques that changed the way you use your body,” Esther says. Esther developed and trademarked the Gokhale Method, an eight-step plan to adjust your back’s curvature and movement from an S or C-shaped curve to a J-shaped curve. Esther found this technique by studying the common thread between ancient cultures and today’s primal cultures: “If you go to your museums and you look at the Greek statues, they're doing exactly what these Ubong guys are doing, they look the same. And so why would that be? Well, the simplest explanation is that it is natural. That's why they converge on the same form. And we in modern times have just lost our way.” In this episode, Dr. Lakhia and Esther talk through modern and ancestral movements, and what you can do right now to start moving more primally and, ultimately, relieve your back pain. Read the Full Show Notes on our website https://www.backtalkdoc.com/back-pain-relief-through-posture-and-movement-with-esther-gokhale---back-talk-doc-podcast-episode-45.html (BackTalkDoc.com).  💡 Featured Expert 💡Name: Esther Gokhale What she does: Esther used her crippling back pain during her first pregnancy to propel her interest in vanquishing back pain for all. Her Gokhale Method focuses on using posture and movement to bring the body back to a state of pain-free living.  Company: https://gokhalemethod.com/ (Gokhale Method Institute, Inc.) Words of wisdom: “You often develop your passions in response to some humongous challenge that you're faced with. And if you manage to be successful in getting past that, you have acquired a lot of knowledge, skill, and insights.” Connect: https://www.linkedin.com/in/esther-gokhale-8908a67 (LinkedIn) | https://shop.gokhalemethod.com/products/8-steps (Book)  Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode, https://www.backtalkdoc.com/power-of-compounding---back-talk-doc-podcast-episode-43.html (Power of Compounding). 🔎 For more information on Dr. Sanjiv Lakhia and the podcast, visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
Dr. David Schechter didn’t always buy into the idea of the mind-body pain connection. As a medical student, he relied on conventional and traditional approaches to pain management. But that was before he developed knee pain that felt almost impossible to resolve. He tried mechanical therapy and strengthening exercises as is typically recommended, but nothing seemed to work. So he approached an NYU physiatrist for help: Dr. John Sarno, who became one of America’s most famous back pain doctors. Dr. Sarno told Dr. Schechter that his pain was psychosomatic. “That really threw me for a loop,” Dr. Schechter said. “It was not what I was expecting to hear.”  But it worked. And Dr. Sarno’s theory of Tension Myositis Syndrome, or TMS — that the mind creates pain in order to suppress traumatic events or subconscious thoughts and feelings — has been supported by independent research showing how the brain reacts differently to chronic and acute pain. It’s an idea that has unfortunately come with social stigma: patients who suffer from TMS worry that the pain is “all in their head.” But psychosomatic pain is real, Dr. Schechter says, and understanding how our brain impacts our physical bodies is the first step to accurate treatment and recovery. Dr. Schechter joins us on episode 44 of Back Talk Doc to discuss the research behind mind-body medicine and the mind-body methods that best help address pain.  “It's a more effective way to treat a particular type of symptom, typically chronic pain,” he says. “And it's a better way to define it. If you make the correct diagnosis, you're more likely to move forward with the correct treatment program.” Read the Full Show Notes on our website https://www.backtalkdoc.com/podcast.html (BackTalkDoc.com). 💡 Featured Expert 💡Name: David Schechter, MD What he does: Dr. David Schechter is a physician in Culver City, California with a medical degree from New York University. He specializes in sports medicine with a particular focus on non-surgical approaches and https://www.mindbodymedicine.com/ (mind-body medicine). Dr. Schechter is the author of several books including https://www.amazon.com/MindBody-Workbook-Program-Awareness-Disorders/dp/1929997051 (The MindBody Workbook). Company: https://www.schechtermd.com/ (David Schechter, MD) (private practice) Words of wisdom: “If you're afraid of failure, if you're afraid to not get there those opportunities may not ever become available. So don't be afraid to fail. Try it, and if it doesn't work out, learn from it and move on. And do even better next time.” Connect: https://www.linkedin.com/in/dschechter/ (LinkedIn) Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/all-about-radiofrequency-ablation-for-spinal-arthritis-with-dr-stephanie-plummer---back-talk-doc-podcast-episode-42.html (All About Radiofrequency Ablation for Spinal Arthritis with Dr. Stephanie Plummer.) 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app.  Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
Power of Compounding

Power of Compounding

2022-03-0739:43

Bryana Gregory works at a compounding pharmacy, an option that many physicians in traditional medical circles have never considered. But compounding could be the key to recovery and better long-term health for some patients. Rather than seeking only to relieve pain, compounding pharmacists take a holistic approach to a patient’s health to create personalized treatments. “It’s like back in the day, when we used to have apothecaries, and see doctors and pharmacists behind the counter mixing up medications that were customized for the patient,” Bryana says. “Compounding pharmacy is more of an individualized approach.” Often, treatments for pain involve as little medication as possible, with compounding pharmacists opting instead for supplements that can replenish or rebalance the entire body. On this episode of Back Talk Doc, Dr. Lakhia talks with Bryana about what makes a good compounding pharmacist and how functional medicine can address pain. We also talk about some popular treatments, including topicals like low-dose naltrexone, CBD, and even oxytocin, better known as “the love hormone.” Read the Full Show Notes on our website https://www.backtalkdoc.com/podcast.html (BackTalkDoc.com). 💡 Featured Expert 💡Name: Bryana Gregory, PharmD, RPh What she does: Bryana is a pharmacist and physician liaison who is passionate about compounding pharmacy and personalizing options for her clients to help them maximize their health. She majored in kinesiology at the University of California, Davis and later earned a PharmD at Harding University. In between, she competed as a professional golfer. Company: https://physicianspreferencerx.com/ (Physicians Preference Pharmacy) Words of wisdom: “I think that the best thing that a patient or just anybody can do for themselves is to self-educate, to be your own advocate.” Connect: https://physicianspreferencerx.com/team/bryana-gregory-pharmd-r-ph/ (Website) | https://www.linkedin.com/in/bryana-gregory-443b99107/ (LinkedIn) | https://www.facebook.com/bryana.gregory.792 (Facebook) Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/cbd-beyond-the-hype---back-talk-doc-podcast-episode-38.html (CBD: Beyond the Hype with Matt Parks). 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com). 
Have you ever been told you have “Uncle Arthur,” more commonly known as arthritis? This ailment affects so many that either you or someone you know likely has pain from arthritis. With so many ways for a back to hurt, how do you tell if your back hurts from arthritis? Back pain from arthritis is a somewhat different affair than disc pain or structural pain. Instead of the pain radiating, it stays fairly localized to the facet joints, which Dr. Lakhia refers to as “the knuckles of the spine.” Back Talk Doc guest Dr. Stephanie Plummer walks through a specialized treatment that she performs called a radiofrequency ablation that is used to treat arthritic back pain. In short, the procedure “burns” the nerve that is causing pain, disrupting the signal from the nerve to the brain with few side effects. To determine whether an ablation will be beneficial, patients go through not one, but two injection procedures called medial branch blocks. These are short-term anesthetic treatments to see if the targeted area gets relief from numbing various nerves. If both treatments are effective, the patient and doctor can decide whether radiofrequency ablation is right for them. “Despite all the positives, patients should know that the results are not permanent. Over time, the nerves do repair and come back together,” says Dr. Plummer. If successful, patients can expect six months to two years of relief from radiofrequency ablation. Ready the Full Show Notes on our website https://www.backtalkdoc.com/podcast.html (BackTalkDoc.com) 💡 Featured Expert 💡Name: Stephanie Plummer, DO What she does: While she’s a new partner at Carolina Neurosurgery and Spine, Dr. Plummer has been a practicing interventional spine physiatrist since 2013. Dr. Plummer completed her osteopathic medical school training at the Osteopathic School in New Jersey, served as a resident at East Carolina University and worked as a fellow in interventional spine through the Orthopaedic Specialists of the Carolinas in Winston-Salem, North Carolina. Company: https://www.cnsa.com/ (Carolina Neurosurgery and Spine) Words of wisdom: “My patients know that I talk a lot about core strength and core stability. I really think that that can't be underestimated and I don't know that any of us can ever be too strong in our core. I really try to make sure that I'm doing my job of keeping my core healthy by doing exercise for core strength and core stability a couple of times a week.” Connect: https://www.cnsa.com/providers/stephanie-j-plummer-do (Website) Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/a-breakthrough-treatment-for-low-back-pain---back-talk-doc-podcast-episode-41.html (A Breakthrough Treatment for Low Back Pain) 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visithttps://www.backtalkdoc.com/ ( BackTalkDoc.com). 🎧 https://pod.link/1486857278 (Subscribe) in your favorite podcast app. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website athttps://www.cnsa.com/ ( carolinaneurosurgery.com).
Carolina Neurosurgery & Spine Associates’ Dr. Andrew Sumich is one of a handful of physiatrists across the country participating in trials of Relievant Medsystems' revolutionary technology that can reduce long-term pain for patients with chronic low back pain: the Intracept Spine Procedure. The secret to the procedure lies in new research, which deepens the medical understanding of spinal anatomy. While most patients experiencing low back pain are treated for discogenic pain, recent findings have revealed that pain can actually originate from vertebral endplates, the bones found on either side of the disc. Intracept targets the basivertebral nerve in a minimally invasive outpatient procedure, which improves function and decreases pain, even in the long term — a differentiating factor from many other low back pain treatment options. Dr. Sumich has worked with approximately 40 patients in FDA-approved trials and has seen remarkable results firsthand, claiming that many procedures have resulted in “a home run” for pain relief. He shares when the procedure is a viable option for those experiencing chronic lower back pain, when other treatment options may be a better fit, and discusses the profile of an ideal candidate for the revolutionary procedure. Tune in to episode #41 of Back Talk Doc with Dr. Sumich to learn about the nitty-gritty of this medical procedure and how it’s transforming patients’ lives by reducing low back pain.   💡 Featured Expert 💡Name: https://www.cnsa.com/providers/andrew-sumich-md (Andrew Sumich, MD) What he does: Dr. Andrew Sumich is a member of the Carolina Neurosurgery & Spine team. He is a board certified physiatrist, specializing in interventional spine care. Company: https://www.cnsa.com/ (Carolina Neurosurgery & Spine Associates) Words of wisdom: “Where we put medicine matters in terms of what's hurting or not.” Connect: https://www.linkedin.com/in/andrew-sumich-1849969/ (LinkedIn)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode ★    There’s no one-size-fits-all for treating pain. There are many different causes for pain. Pain generation is an essential part of a medical diagnosis because it signals which treatment plans are most likely to benefit the patient. Not all pain indicates the same root cause, so while The Intracept Procedure may be a good fit for some candidates, it’s not a cure-all. ★    The Intracept Procedure targets vertebrogenic pain. Medical understanding of the spine continues to evolve. The role of endplates in the spine have just recently gained increased attention. While most cases of chronic low back pain are treated as discogenic disorders, advanced and new understanding of the role of vertebral endplates has changed how to decrease pain for some patients. Vertebrogenic pain, unlike disc-oriented pain, is transmitted through the basivertebral nerve. The Intracept Procedure targets the nerve with a one-time ablation. ★ The results are “staggering.” Intracept’s parent company, Relievant Medsystems, has tracked results of the surgical procedure over a five-year period — a shockingly long time period for medical technology studies. The long-term efficacy of the procedure is unlike anything else that Dr. Sumich has seen in spine care. He’s also seen anecdotal evidence in the improved quality of life from the trial participants he’s treated.   ⚕️ Episode Insights ⚕️[00:00] Check out our sponsor: https://qxmd.com/ (QxMD) builds mobile solutions that drive evidence-based medicine and clinical practice. [01:42] Introducing Dr. Sumich: Dr. Andrew Sumich returns to the podcast to talk about a novel technique to treat low back pain: the Intracept Spinal Procedures. Dr. Sumich previously discussed https://www.backtalkdoc.com/worth-a-shot-spinal-injections-with-dr-andrew-sumich---back-talk-doc-podcast-episode-9.html (spinal injections) on one of our most downloaded episodes of Back Talk Doc. [03:59] A
As a CrossFit level 1 trainer with a 13-year physical therapy career and an interest in golf, running, skiing, and hiking, it’s fair to say that Dr. Jackson Bellis practices what he preaches when it comes to maintaining a healthy back. Dr. Bellis is always challenging his own body and encouraging his patients to safely challenge their bodies to see what they can do. “I really think we can make a big change in back health. And I think looking at the way we move, and the things that work and don't work, is a big piece of it,” he says. Back health has everything to do with the way we move. Some of the most frequent patients who come into our offices are runners, golfers, and truck drivers. And while their pain might have different causes, it all really comes down to movement, and a few go-to exercises can help almost any type of pain, Dr. Bellis tells us. It’s all about the hips, the abs, and the glutes. Dr. Bellis shares actionable advice for how stretching and strength-training can serve as strategies to maintain and improve mobility. Tune in to episode #40 of Back Talk Doc with Dr. Bellis to learn more about the tactics we should all be doing to help treat — and prevent — pain. 💡 Featured Expert 💡Name: Jackson Bellis, DPT COMT What he does: Dr. Bellis has been a physical therapist for 13 years, spending 10 of those years of service at Carolina Neurosurgery. He is also a certified orthopedic manual therapist (COMT) with experience in dry needling, selective functional movement assessment (SFMA), and titleist assessment. He enjoys CrossFit, running, golf, skiing, and hiking. Company: https://www.cnsa.com/ (Carolina Neurosurgery & Spine Associates) Words of wisdom: “One thing my patients always say is, I did not realize how tight I was. I did not realize how weak I was. If we never really get to the point where we're trying to see what our body can and can't do, we may not be enjoying it to the fullest.” Connect: https://www.linkedin.com/in/jackson-bellis-dpt-comt-65784890/ (LinkedIn) ⼁https://spinephysicaltherapist.com/ (Website) ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode  ★    Think backwards. When trying to figure out the source of pain and how to treat it, it can help to think backwards and treat with opposite movements. For example, if someone has pain from bending forward, laying down in an extended position can help take pressure off the nerve. Treatment can be active, “like on the ground in a cobra position” or passive. “It’s a way to test out and find out Hey, this was a disc." ★    It’s all in the hips. “Everything in life is through the hips,” Dr. Bellis tells us. Understanding how the hips work can also help us understand what causes pain, and figure out the right treatments. Learning how to properly bend at the hips and use the hips during exercise can keep your back healthy and prevent injury. https://www.youtube.com/watch?v=yLSFN0ZhOyg&t=4s&ab_channel=JacksonBellis (How to use your hips to bend (VIDEO)) ★    The bridge and plank are key to a healthy back. Whether it’s lower back pain, seated pain, walking pain, or pain from bending over, Dr. Bellis swears by these two exercises that activate the glutes and the abdominals. Doing it correctly can help control the neutral position of the spine. “I have never had a person come in here with back pain who could activate their abdominals and activate their glutes,” he says. ⚕️ Episode Insights ⚕️[00:00] Check out our sponsor: https://qxmd.com/ (QxMD) builds mobile solutions that drive evidence-based medicine and clinical practice. [01:38] Introducing Jackson: Today’s guest is our very own https://www.linkedin.com/in/jackson-bellis-dpt-comt-65784890/ (Jackson Bellis), a physical therapist and manager at Carolina Neurosurgery’s Matthews office who has been with us for 10 years. [03:12] Flexion-sensitive disc pain: We open our Q&A with Dr. Bellis...
Lumbar spinal injections can help reduce back and leg pain and are a highly requested treatment at our offices. But there are also plenty of misconceptions about them. Can epidurals be a first-line treatment for low back pain? How well can they help us determine a source of pain? Can injections heal discs? We brought on Dr. Joseph Zuhosky, who recently joined our team at Carolina Neurosurgery & Spine Associates, to get answers to these questions and more. Along the way, we hope to alleviate some myths and points of confusion about spinal injections. Joe gives us his recommendations for when – and how – to treat pain with epidurals, explaining how they can not only help treat pain, but also help narrow down a pain’s source and identify further treatment. “​​I think there definitely is a role for epidural steroid injections in identifying pain generators. And if it doesn't give our patient long-term, effective relief that they can live with, it helps our surgical partners to determine that it is, indeed, a level that we can reliably operate on.” Toward the end of this episode, we also hear more about Joe’s personal experiences with disc herniations and how he’s been able to recommend exercises based on his own experience with the workout group he co-founded.   💡 Featured Expert 💡Name: Joseph P. Zuhosky, MD What he does: Before joining us recently as a physician at Carolina Neurosurgery & Spine Associates, Dr. Zuhosky went to medical school at The Ohio State University. He did his residency at the Rehabilitation Institute of Chicago at Northwestern University McGaw Medical Center and completed a fellowship, training in sports and spine rehab, at the Illinois SPINE & Sportscare Centers, Ltd. in Bloomingdale, Illinois. Company: https://www.cnsa.com/ (Carolina Neurosurgery & Spine Associates) Words of wisdom: “I don't think we should take all the credit for healing the disc … it's a thought of managing it going forward because even when the pain isn't there, you still have a weak area of your body that you're going to have to compensate for going forward.” Connect: https://www.cnsa.com/providers/joseph-p-zuhosky-md (Website)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode ★    Injections are more than just a band-aid. Some patients worry that getting a spinal injection will only be a temporary fix for their pain. But it actually does a lot more than that, as long as the injections are used appropriately. While pain relief may only be temporary, an injection can tell us more about where the pain comes from and gives us clues on further ways to treat the patient. ★    A ‘series of three’ injections can limit treatment options. The ‘series of three’ injections myth stems from https://www.ccjm.org/content/27/4/191 (a research study on sciatica) originally published in 1960, but further research found this treatment is only effective two times out of three. Since doctors can only give a limited number of injections within a period of time, this method can also rule out other treatment options that offer quicker relief. ★ An epidural is only one part of treatment. While a shot can relieve pain, it can’t actually heal a damaged disc. Instead, the epidural steroid reduces the swelling and inflammation that causes pain, getting the patient through the acute stage while Mother Nature does the rest of the work.   ⚕️ Episode Insights ⚕️[00:00] Check out our sponsor: https://qxmd.com/ (QxMD) builds mobile solutions that drive evidence-based medicine and clinical practice. [01:59] Meet Dr. Joe: https://www.cnsa.com/providers/joseph-p-zuhosky-md (Joseph Zuhosky) is the newest member of Carolina Neurosurgery & Spine Associates. Before joining us, he did his residency at the Rehab Institute of Chicago at Northwestern University and a fellowship in sports and spine rehab in Bloomingdale, Illinois. [04:05] From pediatrics to orthopedics: Dr. Zuhosky...
CBD: Beyond the Hype

CBD: Beyond the Hype

2021-12-2041:29

Health care has been a constant presence in Matt Parks’s life for much longer than most people. His mother is an ER nurse. His older brother was born with a rare condition and was often hospitalized as a child. And as a college baseball player, Matt started taking nonsteroidal anti-inflammatory drugs (NSAIDs) to cope with a shoulder injury. He became dependent on the medications and started to experience migraines. He also developed depression when his parents divorced, which he still struggles with. By 2019, having been Vice President and Sales Manager at Williams Medical Supply Inc. for over a decade, Matt was a veteran of the medical supply industry. Conversations with people in his field who had looked into cannabidiol — better known as CBD — and customers who had used it, convinced him that the majority of CBD products were ineffective. This inspired him to see if he could come up with something better. He had three main areas of improvement. He wanted to create a hemp-derived topical CBD cream that he could verify did not contain tetrahydrocannabinol (THC), the main psychoactive compound in cannabis. He also wanted to build a company that was directly accessible to customers who had questions, and a brand that didn’t traffic in the usual hype. That year, he founded One Less CBD — as in “one less pill to take.” Listen to this episode of Back Talk Doc to find out what CBD is and isn’t, how to choose a CBD product, and to hear about Matt’s journey from patient to employee to entrepreneur. 💡 Featured Experts 💡Name: Matt Parks What he does: Before founding One Less CBD in 2019 and leading the business as CEO, Matt was Vice President and Sales Manager at Williams Medical Supply Inc for over a decade. Company: http://www.onelesscbd.com/ (One Less CBD) Words of wisdom: “[CBD is] not going to regrow cartilage. What we see is a daily topical application to help people become more mobile, become more active and create a better overall lifestyle, and stop reaching for two or three Aleve every single day, and apply something that is more plant-derived and natural.” Connect: https://www.linkedin.com/in/matt-parks-a1520310/ (LinkedIn) ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode ★    CBD is thought to help reduce inflammation by assisting your body’s endocannabinoid system (ECS). Endocannabinoids are anti-inflammatory molecules produced by your body. However, certain enzymes interrupt the ECS process, and absorb endocannabinoids, reducing the system’s effectiveness. “The whole idea behind CBD is, let's introduce more cannabinoids, block out some of those enzymes, and actually let the body do some natural healing,” Matt says. ★    Hemp-derived and marijuana-derived CBD are different. Both hemp and marijuana are types of cannabis plants. The key legal difference is that marijuana contains more than 0.3% THC, the psychoactive component that causes users to experience a high, and less CBD than hemp. Hemp contains 0.3% THC or less. It’s important that CBD consumers know that the topical they’re using does not contain more than 0.3% THC, because if it does, they could fail a drug test. ★    Consider who’s selling you CBD. If you have a question about the CBD you just bought, it’s not a given that you’ll be able to connect with a real person or even find legitimate information on the product’s website. And while CBD is legal, there’s no regulatory body for the industry yet. Get it from a naturopath or chiropractor rather than, say, a gas station or convenience store. ⚕️ Episode Insights ⚕️Top takeaways from this Back Talk Doc episode [00:00] Mobile-based solutions for clinical practice: Check out our sponsor, https://qxmd.com/apps (QxMD), which builds mobile solutions that drive evidence-based medicine in clinical practice. [01:44] Meet Matt: Matt Parks is the founder and CEO of https://onelesscbd.com/ (One Less CBD). As a college baseball player, Matt injured his...
Being told your pain is only in your head is maddening when it’s your back that hurts. But is there more truth to this statement than we have long believed? https://neu.fit/ (NeuFit) founder Garrett Salpeter says that pain is sometimes not an accurate depiction of the extent of an injury, but rather an overreaction by your nervous system. At NeuFit, Garrett draws on his background in engineering and neuroscience to help athletes and other patients recover from injury, develop sustainable fitness regimens, and improve their overall health. Garrett joins this episode of Back Talk Doc to explain why his unusual approach to treatment acknowledges the structural focus of traditional pain management, but operates within a neurological framework. “There is this very important common thread… from early-stage rehabilitation all the way through general fitness and elite athletic performance, and that is the nervous system,” Garrett says. “It controls so many things about us: How we heal and recover from injuries, how our muscles work and move, whether we experience pain or not.” Garrett also created a new muscle stimulation device, the Neubie, that combines the alternating current traditionally used in these devices with direct current, to maximize relief. In addition to using it with patients, he relies on it to optimize his own workouts. Listen to this episode of Back Talk Doc to explore the intersection of neuroscience, engineering and physiology, and how it can offer a holistic approach to treating pain.   💡 Featured Experts 💡Name: Garrett Salpeter What he does: Garrett has studied engineering and neuroscience. From this unique vantage point, he leads neuromuscular therapy provider NeuFit, which is dedicated to treating athletes and patients, helping them reach their fitness goals and heal from injuries. He also hosts https://podcasts.apple.com/us/podcast/the-neufit-undercurrent-podcast/id1521720570 (The NeuFit Undercurrent Podcast) and is the author of https://www.amazon.com/NeuFit-Method-Unleash-Nervous-Performance-ebook/dp/B09BBRBTKM (“The NeuFit Method: Unleash the Power of the Nervous System for Faster Healing and Optimal Performance.”) Company: https://neu.fit/ (NeuFit) Words of wisdom: “If someone comes in because they ‘threw out their back’ …  in that really acute spasm-like state, a lot of times there’s some minor insult or something like that, but the reason that they’re in such pain and they’re so debilitated is because of the neurological overreaction.” Connect: https://www.linkedin.com/in/garrett-salpeter-a860ab4/ (LinkedIn)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode ★    Examining your pain within a neurological framework offers advantages over a traditional approach. The traditional approach to treating pain tends to lean heavily on structural explanations: If your back hurts, there must be something physically wrong with it. Instead, focusing on your body’s response to an insult as a neurological overreaction that creates pain (without discounting the possibility of a structural issue) may be more effective. ★    The body’s protective responses to stimuli are necessary, but often an overcorrection. When Garrett and his team identify a defensive neurological reaction to an insult, they are careful not to eliminate it completely, because it serves a purpose.  Yet the response is often too far-reaching. Many times, this has to do with bad habits that a patient has developed in the way they move their bodies, so treatment is usually more a matter of recalibrating the response than getting rid of it. ★    When it comes to muscle stimulation, direct current is worth a second look. Direct current fell out of favor among pain specialists decades ago. Despite its therapeutic effectiveness, it burned and stung the skin. To address this and harness direct current’s power, Garrett developed...
Sometimes imaging doesn’t explain a patient’s pain, and when that is the case, many will feel discouraged if not flat-out alarmed. Trigger points can offer answers, and it’s the topic of this episode of Back Talk Doc. Marty Kestin joins the podcast to explain more about trigger points and how they are involved in causing pain. At https://ensomabodyworks.com/ (Ensoma Bodyworks), Marty teaches both patients and students how to restore and improve body functioning by the way of advanced orthopedics like neuromuscular massage therapy and neuroplasticity. Trigger points typically come into play when MRI imaging and other avenues of identifying pain come up short. Just because the cause of pain can’t be detected through imaging, doesn’t mean the patient is faking it. Quite the opposite. As Dr. Lakhia remarks in this episode: “Your pain is real. We're going to go on the hunt to find where it's coming from.” Listen to this episode of Back Talk Doc to understand the science behind how trigger points work, their role in causing pain, and how understanding them can lead to better pain management.  💡 Featured Experts 💡Name: Marty Kestin What he does: As a Pain Detective, Marty draws on 25-years of pain management experience to not only find what is causing a patient’s pain, but to rid them of it. Company: https://ensomabodyworks.com/ (Ensoma Bodyworks) Words of wisdom: “My practice has been attracting recalcitrant or just stubborn enigmatic cases for about 10, 15 years now. Fortunately, they've already been to the doctor, or the chiropractor, or the PT, or the acupuncturist. Or the massage therapist. They come to me and go, ‘Nobody could figure it out.’ So they've gone through a lot of diagnostics and assessments, and I ask them, ‘How many people have examined your skeletal muscle in a microscopic way where they're combing over what they think the problematic area could be?’ Almost always, nobody's ever done that for them.” Connect: https://www.linkedin.com/in/marty-kestin-1823672/ (LinkedIn) ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode ★    Don’t overlook trigger point evaluation if you haven’t come up with answers for your pain.  Many doctors don’t consider trigger points when it comes to determining the cause of pain; you’ll need to see a specialist. It’s important to know that it is an option, especially if a physician cannot determine what is causing your body pain in a traditional manner. ★    There are multiple ways to treat trigger points. There is never a one size fits all approach to pain, even when the pain results from trigger points. With a host of different treatment options, it’s important to understand each treatment method and what may be best for you. Dry needling is particularly popular, but “spray and stretch” may be more comfortable for some people. ★    Other symptoms could be related to trigger points. With trigger points, it’s not uncommon for there to be other symptoms aside from pain. Abdominal trigger points can cause diarrhea or IBS, for example. ⚕️ Episode Insights ⚕️[00:00] Mobile-based solutions for clinical practice: Check out our sponsor, https://qxmd.com/apps (QxMD), which builds mobile solutions that drive evidence-based medicine in clinical practice with over 500 easy-to-use decision support tools. [01:50] The bodywork savant: Dr. Lakhia introduces Marty, a friend and colleague, and his work with trigger points and massage therapy. [03:43] What is a trigger point?: Marty defines exactly what a trigger point is by explaining its history and physical representation in a person’s body. [08:21] When to suspect a trigger point: Dr. Lakhia asks Marty what can indicate a trigger point is the cause of pain and what to look out for, and which doctors to seek out. [11:09] A short history on imaging studies: Marty talks about imaging studies — especially in relation to trigger points and pain patterns....
Just like the spine — the clinicians, doctors, and practitioners who practice spinal care comprise a complex system. In this episode of Back Doc Talk, we are talking about the team it takes to manage your spinal health, and especially the role of Physician Assistants (PAs).  PAs like Mike Nido of https://www.cnsa.com/ (Carolina Neurosurgery and Spine Associates) are responsible for a range of treatments and assistance when it comes to fixing back and spine problems. But is patient care compromised when you see a PA instead of a physician? PAs are a backbone of the spine issue treatment. Pun fully intended! Whether it is always seeking that second opinion, having multiple safety nets in place when it comes to films and imaging, or just having a friendly face, “We make it very clear to [patients] that even though I'm here providing your care, the doctor that's standing behind me is very aware of what's going on and very involved in all of the decisions that are made,” Mike explains. Listen to this episode of Back Talk Doc to understand the role of a PA and the type of care you can expect from one, how they work with physicians to address spine issues, and much more.   💡 Featured Expert 💡Name: Michael Nido What he does: Mike pulls double duty not only as a Physician Assistant, but also as the Director of Clinical Services at Carolina Neurosurgery and Spine Associates. He’s been with the clinic for 24 years.  Company: https://www.cnsa.com/ (Carolina Neurosurgery and Spine Associates) Words of wisdom: “The important thing for our patient to understand is that you're not getting second class care. You're not going to the B team. This is your way of getting your foot in the door, getting your care initiated in such a way that by the time you see the physician, all the important stuff has been completed and ready for his review.”  Connect: https://www.linkedin.com/in/michael-nido-pa-c-93940019/ (LinkedIn)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode  ★    The team needed to keep a clinic running is larger than you think.  Between doctors and receptionists, nurses, and PAs, there are more types of medical professionals at your local spinal clinic than you may realize. It truly takes a team to provide care and aid your back and spinal recovery. ★    PAs and physicians are in constant communication. One of the main concerns from patients when they go into a clinic and are assigned a Physician's Assistant rather than a doctor is that they may not believe the PA is up to the task. But the fact is that PAs work very closely with physicians and are making sure you are getting the highest quality care. PAs and physicians communicate a ton behind the scenes. ★    Seeing a PA is practical. When patients see a Physician’s Assistant rather than a physician, they’re not getting sub-quality care. In fact, it makes practical sense because a PA can help a doctor get all the tools needed to make a diagnosis. PAs help get tests done and identify the problem so that by the time the patient does see the doctor, everything will be in place for diagnosis and treatment.    ⚕️ Episode Insights ⚕️[00:00] Mobile-based solutions for clinical practice: Check out our sponsor, https://qxmd.com/apps (QxMD), which builds mobile solutions that drive evidence-based medicine in clinical practice. [02:47] Introducing Physician Assistants: The lead Physician Assistant at Carolina Neurosurgery & Spine Associates, Mike Nido, describes his role. [05:13] The role of Physician Assistants in clinics: Mike gets into the details of his day-to-day experience as a PA, including the education needed and what types of patients he cares for. [07:33] PA vs. Certified Nurse Practitioner: Knowing all the different types of practitioners can be overwhelming. Dr. Lakhia asks Mike to explain the difference between these roles,...
We’re talking about healthy relationships on this episode of Back Doc Talk. What does that have to do with back and spine health? A lot.  With power couple and relationship coaches Jocelyn and Aaron Freeman at the helm, this episode examines how back and spine issues can affect your relationship and vice versa.  Physical pain influences how we feel and how we interact with others, and developing a conscious awareness about how that affects our loved ones is critical. Aaron dissects the difference between pain and suffering, while Jocelyn explains the importance of setting expectations.  A sudden injury can change your life considerably, and dealing with the pain can feel like a burden to a partner. One way to address this is by more clearly defining roles and responsibilities when a family member is dealing with pain. This helps ensure there’s a discussion around expectations and to avoid leaving family members disappointed.  Helping a partner who is managing pain is a balancing act — one that can be strengthened by better understanding how your partner communicates. No one is a mind reader!  Tune in to this episode to discover how you can improve communication about back pain and prevent spine issues and injuries from wreaking havoc on your relationship.   💡 Featured Experts 💡Name: Aaron and Jocelyn Freeman  What they do: Aaron and Jocelyn are a power couple in the relationship world, helping couples navigate the highs and lows of married life. Through their sold-out events all over Arizona, their book, and coaching classes, Aaron and Jocelyn are in the business of healthy relationships. They are the founders of the https://www.meetthefreemans.com/empowered-couples-university (Empowered Couples University), which helps couples harness important communication skills and invest in their relationship.  Company: https://www.meetthefreemans.com (Meet the Freemans)  Words of wisdom: “[T]he place to really start to make a differentiation here, between the impact on the person that has the ailment, and is actually in physical pain versus the spouse. It is the difference...between pain being of the body and suffering being of the mind.”  Connect: https://www.linkedin.com/in/aaron-and-jocelyn-freeman-bab8ab21/ (LinkedIn) | https://www.facebook.com/MeetTheFreemansAuthors/ (Facebook) | https://www.meetthefreemans.com/empowered-couples-podcast (Podcast)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode  ★    Open communication is your greatest tool. To prevent pain from creating havoc on your relationship, open and honest communication is essential for couples. This applies directly to how spouses and partners deal with their loved ones being in pain. How to navigate that is critically important, not only for suffering but for support. ★    Understanding you and your partner’s personality type is crucial. Whether you are a reserved or assertive communicator will affect how you handle a challenge — like pain in your relationship. Knowing whether you need to ask more questions (or fewer!) can be critical in navigating pain management and care of a loved one. Jocelyn and Aaron developed a quiz to determine your personality type. Take it at http://mycouplesquiz.com (mycouplesquiz.com).  ★    ‘Depositing’ thanks and ‘withdrawing’ energy. Using a bank account as a metaphor to describe the transfer of energy and emotions between couples is a useful way to think about pain and stress. When you’re the one in pain, “depositing” gratitude into your partner’s bank account can greatly help your recovery process. On the other hand. “withdrawing” too much of their energy can cause resentment. Balancing this and understanding you’re not a burden is a hard lesson to learn, but an important one.   ⚕️ Episode Insights ⚕️[00:00] Mobile-based solutions for clinical practice: Check out our...
The general public’s understanding of spinal fusion often starts with a misconception. When Dr. Hunter Dyer talks to people about lumbar fusion, many think that it’s the screws doctors place that are the fusion. But that’s not true — the hardware just holds the spine in alignment until the vertebrae or spinal elements grow back together. As an expert in spinal fusions, Dr. Dyer is familiar with what people get wrong or just don’t understand about caring for their spine and fixing spinal issues. It’s a complicated field of medicine and, as such, patients considering surgery like a fusion should consult with an expert first. For example, Dr. Dyer says that most patients with back pain don’t actually need surgery. Rather, alternative care like physical therapy is often a better starting point before committing to the sometimes-extensive recovery from a fusion procedure. In addition, there are myriad risk factors to consider: Does the patient smoke? What’s their surgical history? How old are they? What’s their body type? All these things and more, Dr. Dyer says, can influence whether a patient is a good candidate for a spinal fusion. On this episode of Back Talk Doc, Dr. Dyer explains all things spinal fusion with host Dr. Sanjiv Lakhia.   💡 Featured Doc 💡Name: Dr. Hunter Dyer What he does: Dr. Dyer is an expert in degenerative spine disease, endoscopic spine surgery, minimally invasive spine surgery, skull base surgery, spinal fusion, transsphenoidal surgery and vascular neurosurgery. He is the President at Carolina Neurosurgery & Spine Associates.  Company: https://www.cnsa.com/ (Carolina Neurosurgery & Spine Associates)  Words of wisdom: “The key to any great job, or being good at what you do, is I absolutely love what I do. I wake up every single day excited to see what I've got for the day and see if I can help people surgically, to see if I can help people in the clinic. And that's why we love being physicians and we love being in health care, because it's just so rewarding.”  Connect: https://www.linkedin.com/in/e-hunter-dyer-3b472952/ (LinkedIn)   ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode  ★    Most spinal issues probably don’t need surgery. Even as a surgeon, most patients Dr. Dyer sees can address their issues with conservative care — physical therapy, spinal traction, or injections. “The only people that we need to consider for spinal fusion are typically those that have problems where they require so much bone removal that they require stabilization of the spine,” he says. ★    Smoking is a major risk factor for spinal issues. It can affect people with problems in either the neck or back. “We typically do not like to even consider spinal fusion if somebody is using tobacco,” Dr. Dyer says. “If they've used it in the past, it's likely that they get degeneration of the disk and that can lead to accelerated adjacent-level problems.”  ★    The direction of spinal surgery can influence the healing process. Dr. Dyer explains that when a surgeon uses a lateral approach, patients don’t often experience a lot of pain. When the best course of action involves the posterior or anterior approach, patients can experience more pain after surgery. “In general, there's more pain with the posterior approach, but it's still the most common way because it does provide that direct view of the nerves,” he notes.  ★    Spinal fusion techniques are advancing rapidly — which is good for patients. In the past five years, technology has advanced so that surgeons can be more precise with placing screws, thanks to MRI and CT images. In addition, robotic tools have made surgery much safer and much easier to heal from. “For many people, it’s just a better thing all around,” Dr. Dyer says.   ⚕️ Episode Insights⚕️[00:00] Mobile-based solutions for clinical practice: Check out...
With fifteen years of experience as a spine physician, Dr. Sanjiv Lakhia is always on the lookout for ways to help his patients improve their back health, particularly with natural, less invasive methods that can be easily integrated into their day-to-day lives. Today, we’re going to be discussing a common cause of back and neck pain, prolonged periods of sitting. Joining us on this episode of Back Talk Doc is Dr. Turner Osler, a retired trauma surgeon, epidemiologist, entrepreneur, and founder of https://qor360.com/ (QOR360), a company designing chairs to improve posture and prevent back pain caused by conventional sitting. Dr. Osler explains “Sitting Disease” and explores the negative affects sitting prolonged periods of sitting have on the body. “We think all the chairs that we have are normal, and they are not. Humans are not designed to sit all day… We're simply not set up to sit slumped in front of a PC all day.” (6:37) Many issues like headaches, neck and back pain, weight gain, and even mood disorders can be traced back to incorrect posture while sitting. Dr. Osler discusses the natural human posture (10:05) and how we have been letting our chairs shape our bodies, instead of shaping our chairs to fit our bodies. (11:34)  Dr. Osler then discusses the benefits of “active sitting” (a sitting experience that allows and/or encourages movement while seated), including reducing back pain and improving posture. (21:23) Other topics discussed include negative effects of sitting in a slumped posture (14:03), contraindications for using an active sitting chair, (35:11) and a word of caution for those with lumbar disk herniations or acute back pain. (38:51)   Links and ResourcesTo learn more about Dr. Osler’s mission of educating the community about the benefits of active sitting, visit https://qor360.com/ (QOR360.com) and https://buttonchairs.org/ (ButtOnChairs.org), which promotes active sitting for children. View Dr. Osler’s https://www.ted.com/talks/turner_osler_active_sitting_could_we_give_our_kids_a_future_without_back_pain (TED Talk). https://gokhalemethod.com/ (The Gokhale Method): a system of healthy posture and movement to help restore your structural integrity, so you can live an active and pain-free life.   For more information on Dr. Sanjiv Lakhia and Back Talk Doc visit https://backtalkdoc.com/ (BackTalkDoc.com).   Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at http://carolinaneurosurgery.com/ (carolinaneurosurgery.com).
On Episode 13 of Back Talk Doc we spoke with Dr. Matt McGirt about Adult Spinal Deformity (Ep. 13 - Adult Spinal Deformity with Dr. Matt McGirt.) It proved to be a popular and valuable episode for our community, so today we’re following up that episode with a discussion of scoliosis and spinal deformity in pediatric patients. Joining us is Carolina Neurosurgery and Spine Associates’ new partner, https://www.cnsa.com/providers/michael-bohl-md (Dr. Michael Bohl). Dr. Bohl attended medical school at the University of Michigan and completed his residency at Barrow Neurological Institute. A U.S. Marine Corps Veteran, Dr. Bohl was involved in humanitarian aid missions in East Africa. While he was not considering medical school at the time, the impact of that experience led him to return to East Africa after leaving the Marine Corp to work as a nurses aid. Dr. Bohl and Dr. Lakhia first differentiate between the terms ‘scoliosis’ and ‘spinal deformity’, which are frequently used interchangeably. (10:17) The latter is the umbrella term which describes a condition wherein the shape of the spine is leading to a problem. Scoliosis, on the other hand, is a type of deformity where the spine shows an S or C-shaped curve. They examine the causes of pediatric spinal deformities and urge parents to be mindful of their child’s posture as they grow. (13:20) Indicators of pediatric scoliosis include a visible curve in the spine, a curve that worsens over time, and whether or not the spinal deformity is causing symptoms like pain or neurological symptoms. The goal of treatment is to keep the curve from getting worse, usually through minimally invasive methods like bracing and physical therapy. (16:32) And, as with many medical conditions, early intervention is the key to more successful outcomes. (21:21) Scoliotic curves get worse during periods of active growth, so a brace can help stabilize and control the growth of the curve. (21:55) Early intervention is important here because once the curve reaches a certain severity the problem is likely to continue getting worse into adulthood. If bracing is ineffective and the curvature is becoming more sever, spinal surgery may be an option. However, in a pediatric patient, smaller, less invasive surgeries are performed to manage the curve and not impede the child’s growth. (25:10)  Candidates for surgery include curves greater than fifty degrees and curves that are rapidly progressing and not adequately responding to a brace. Dr. Bohl stresses that while surgical outcomes are overwhelmingly positive, non-surgical treatment options remain a priority for treating pediatric spinal deformities. For more information on Dr. Sanjiv Lakhia and Back Talk Doc visit https://backtalkdoc.com/ (BackTalkDoc.com).   Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.
We have addressed numerous aspects of low back pain from surgical angles to medications, nutrition, and injections on the podcast, but an increasing number of patients are also suffering from mid-back pain or “thoracic pain.” On this episode of Back Talk Doc, Dr. Sanjiv Lakhia is joined by https://www.cnsa.com/providers/scott-m-otis-md (Dr. Scott Otis), a physiatrist at the Carolina Neurosurgery and Spine Associates, to discuss thoracic back pain. Dr. Otis attended medical school at The Ohio State University College of Medicine and completed his internship at Riverside Hospital in Columbus. Dr. Otis is currently affiliated with the American Academy of Physical Medicine and Rehab. An expert in electro-diagnostic medicine and interventional spine care, Dr. Otis works out of the main office in Charlotte. Dr. Otis reveals why thoracic back pain is so challenging to diagnose, any pain experienced in that area of the body are often compensatory issues from neck or low back issues or referral pain from neck and low back issues that present as thoracic spine pain. (4:45) He also discusses non-spinal issues that cause pain and abnormalities, including GI issues, pulmonary and heart ailments, and liver disease. (07:34) The Doctors also cover other ailments including “White Collar Disease” (09:35), poor body posture, and how poor ergonomics in furniture lead to upper back pain. (09:18) Dr. Otis also examines the methods physiatrists employ to evaluate back pain and stress the importance of ruling out non-spinal causes before arriving at a proper diagnosis. (10:30) Thoracic back pain treatment includes self-care, physical therapy, and in a few extreme cases, surgical intervention. (13:05)  More topics discussed on this episode include: The effects of Scoliosis and osteoporosis (15:03) How to prevent osteoporotic fractures (16:33) The role of physical therapy in treating upper back pain (18:33) If you enjoyed this episode of Back Talk Doc, check out our recent episode https://www.backtalkdoc.com/a-pain-in-the-neck-and-back-how-technology-stress-and-genetics-are-leading-to-aches-and-pains-with-dr-sameer-vemuri---back-talk-doc-podcast-episode-29.html (A Pain in the Neck (and Back!): How Technology, Stress, and Genetics are Leading to Aches and Pains With Dr. Sameer Vemuri) For more information on Dr. Sanjiv Lakhia and the podcast visit https://www.backtalkdoc.com/ (BackTalkDoc.com).  https://pod.link/1486857278 (Subscribe) in your favorite podcast app.  Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at https://www.cnsa.com/ (carolinaneurosurgery.com).
By the numbers, a solid percentage of you are listening to this 29th episode of Back Talk Doc on your mobile device or in front of your computer. You may be hunched over peeping at the show notes on the screen, a noticeable strain rippling down your back. Whether you’re experiencing back or neck pain as you’re reading these words, this episode is here to help. On today's episode of Back Talk Doc, our host Dr. Sanjiv Lakhia is accompanied by Dr. Sameer Vemuri, a partner at Carolina Neurosurgery and Spine Associates. Dr. Vemuri works at the Ballantyne and Mathews offices. Board-certified in physical medicine and rehabilitation, Dr. Vermuri received his medical training at the American University of the Caribbean School of Medicine, then went on to intern at Providence Hospital and Medical Center in Michigan. (2:27) Dr. Lakhia and Dr. Vemuri discuss the burden of spine care in the United States. Both men care for a tremendous number of patients suffering from neck and back pain, with many patients suffering from both. Dr. Vemuri reveals four common factors leading to back pain: (1) genetics, (2) day-to-day stresses, (3) acute injuries, and (4) a big factor both doctors see: the use and overuse of technology devices. (8:59) "Technology and our phones and our devices has really taken over our life and forced all of us to be looking down constantly and promoting somewhat of a rounded posture." (9:31) Dr. Vemuri explains that these postures place strain on the structural cervical spine in the neck region. "Eventually, you're going to have some changes in the structural anatomy of that spine, and afterwards, you're going to have more chances of irritation of some of these nerves that come through that spinal area." (10:27)   More topics discussed on this episode include: Providing patients with realistic expectations during the healing process (23:43) The importance of mind-body connections when discussing back and neck pains. (26:36) When a headache is more than just a headache: how to know when back and neck problems are leading to headaches. (31:36)   For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at carolinaneurosurgery.com.
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