Spinal Stenosis

A recent study and its findings were released regarding treatment for lumbar spinal stenosis lead by one of my former professors Anthony Delitto, an expert in conservative rehabilitation of the lumbar spine. The study was the first of its kind in which patients who were diagnosed with lumbar spinal stenosis were randomly placed into treatment groups, nonsurgical versus surgical. Studies in the past that have looked at nonsurgical versus surgical approaches to managing this condition allowed the participants to self select their treatment group. more “Spinal Stenosis”

The Importance of Electrolytes

As we sweat we lose 1-2 liters of water per hour. When we lose water we lose electrolytes. Most commonly people think of sodium. Sodium is important for the body’s water regulation, it helps with heart function and is a key component in muscle contraction. Fortunately the typical American diet contains enough sodium that deficiency would be rare in most cases. However, if you are an endurance athlete depletion may become an issue after about 3 hours of sustained physical activity. more “The Importance of Electrolytes”

Cervicogenic Headaches

Are you suffering from headaches that do not improve with over the counter or prescription medication? Then you might be one of many who suffer from a secondary headache caused by cervical origin (as opposed to vascular origin) termed cervicogenic headache (CGH). It is estimated that approximately 15–20% of all headaches experienced are of cervical origin. more “Cervicogenic Headaches”

The Roads to Recovery

Whether you are recovering from overuse injuries, surgery or just aches and pains from your daily activities there are multiple different roads to be considered regarding your plan of care. It can take one (not likely) or many more treatment options to help you achieve a pain-free status with improved function and improved quality of life. Before deciding which one would be the most effective for you, an examination/evaluation must be performed by your practitioner to help determine the root cause of your symptoms. Below are the objective measures that will be assessed and treatments to improve each limitation. Depending on how many dysfunctions are present on your evaluation, this can determine an appropriate plan of care. more “The Roads to Recovery”

Basic Terminology of an MRI Report

There is a lot of unfamiliar terminology when it comes to a radiologist’s report of findings regarding the images of your spine. So I will try to make it easier for you to understand what it all really means! Also, please remember that the MRI of your spine will commonly have incidental findings that do not correlate with your subjective report or with our clinical examination. These findings will not be ignored, but treatment for your condition will focus on those findings that diagnose your source of pain. more “Basic Terminology of an MRI Report”

Sever’s Disease

Sever’s disease is a common heel injury occurring in children. This can be a very painful diagnosis as a result of calcaneal apophysitis, or inflammation of the growth plate located in the heel bone. This disease usually occurs during the child’s growth spurt into adolescence over the course of 2 years when the child is growing the most rapidly. The growth spurt usually occurs between the ages of 8 to 13 for girls, and 10 to 15 for boys. It is not usually diagnosed in children older than 15 years of age because the growth plate has usually fused (as it should) by this time. more “Sever’s Disease”