Be the perfect patient? When possible, schedule your appointments in advance. For seasonal checkups or routine appointments, giving your doctor time to fit you properly into their schedule may lead to better care. This way your doctor won’t be tasked with trying to fit you into an already busy schedule. There are of course times when scheduling appointments in advance is not possible. In many cases, an unexpected illness arises and you have no choice but to call your doctor hoping for a same-day appointment. One way to handle this situation is to chat with your doctor. Some physicians would prefer a phone call when symptoms start to get you into the office within two to three days with the understanding that you may cancel the appointment if your condition changes. In another cases, this may be more of a nuisance to your doctor. Have an open, honest conversation about their preferences, office policy and standard wait times for appointments. When you are calling last minute, flexibility is key. Many doctors will fit you in even if their schedule is full. Be willing to take any appointment time and wait a little longer in the office if necessary. Walking into the situation with these expectations will make it easier to endure, and your flexibility is more likely to lead to a positive outcome. There is also potential that a colleague will be able to fit you in, so if you are okay with not seeing your primary physician, you could benefit.
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. Find a few extra info on Lumbar Discectomy.
Scoliosis is a medical condition in which the person’s spine curves sideways. This condition usually includes pain, uneven shoulders, and differing leg length. Adult scoliosis occurs when a person has reached spinal maturity. What is it scoliosis? Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a curvature of more than 10 degrees. When this curvature occurs, it can be accompanied by twisting or rotating of the spine as well, and the spine takes on the shape of an elongated “S”. Adult scoliosis can be classified into four major groups: Type 1- Primary degenerative scoliosis is caused by disc deterioration and/or facet joint arthritis. This condition causes back pain, and an asymmetrically change in the spinal column. Type 2- Idiopathic adolescent scoliosis that has progressed in adulthood. This may be the result of secondary degeneration and/or spinal imbalance, with or without a history of corrective spinal surgery. Type 3- Secondary adult curves a) resulting from a neuromuscular or joint abnormality causing a leg length discrepancy or hip pathology, or b) caused by metabolic bone disease (osteoporosis) combined with asymmetric arthritic disease and/or vertebral fractures. Patients that experience these symptoms predominantly complain of back pain, then leg pain and claudication symptoms (pain in the feet, calves, thighs, hips or buttocks with exercise) and numbness or tingling.
Those who enter into a SI joint rehabilitation program can usually return to running with minor modifications. The more severe the case is, the more modifications will have to be made and longer rest period a physician may recommend. Many runners can return to running immediately by making modifications, but others with more severe pain may need to rest and rehabilitate for a while. In the latter case, it’s important that athletes take time to recover so they aren’t doing permanent damage to their body. Usually, a rehabilitation protocol and possible intervention to treat underlying cause (biomechanics, physical attributes, muscle problems) will result in complete recovery and zero residual pain. Surgical intervention offers similar results for more severe cases. With minimally-invasive Sacroiliac Joint Fusion procedures, doctors have reported less post-surgical bleeding and bruising as well as a shorter operating time.
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. Explore extra info on Back pain treatment.