Podcasts about herniation

Where do you start if you or a client have back pain? In the next episodes in the series, Brian and Nora discuss strategies for taking a client from the first session to as far as they want to go. Today the focus is on key exercises and strategies for building a strong, balanced core to provide a foundation for every exercise we teach. With a strong foundation, anything can be accomplished!Brian's Book on Low Back Pain and Conditions:Back Exercise; Stabilize, Mobilize and Reduce Painhttps://a.co/d/8IUb7L6Moving Conversation Socials Youtube: www.youtube.com/@brianricheyEmail: movingconvos@gmail.comIG: @movingconvosFB: Moving ConversationsBrianIG: @fit4lifedcFB: https://www.facebook.com/brianrichey/ NoraIG: nora.s.john.7FB: https://www.facebook.com/nora.s.john.7

If you've been down the road of pills, doctor visits, or even surgery with little to no success, I feel you—it's frustrating. But here's the good news: you don't have to stay stuck in pain. This video is all about helping you take back control with some super simple, at-home decompression exercises designed to ease your back pain, safely and naturally. We're diving into spinal decompression and traction techniques that anyone can do—no fancy equipment or gym memberships required. These moves are perfect for creating space in your spine, relieving pressure, and setting you up for a pain-free, active life. Imagine hiking, kayaking, playing with your kids or grandkids, or just doing chores without worrying about your back flaring up. Sounds like a dream, right? Here's What You'll Learn: ✅ How decompression exercises work their magic to relieve pressure and reduce pain. ✅ Easy-to-follow moves you can do right now (yes, even in your PJs). ✅ Why these techniques are a game-changer for lasting relief and spinal health. Who This Video is For: If you're...

  Macomb Township Chiropractic Helps Patient With Disc Bulges and Herniation's Anyone who has ever experienced disc problems knows how painful it can be! Spinal Discs are the rubbery pads between the bones in your spine that act as a cushion and support to the spinal cord and all the trillions of nerves that come out of it. These discs can become injured due to sprain, degenerative disease, or herniation. All of this can cause pain, numbness, weakness, impaired mobility, and overall diminished quality of life. But there is a possible solution for Disc Bulges and Herniation's at Macomb Township Chiropractic, and one of their recent patient testimonials confirms it! Macomb Township Chiropractic offers state of the art treatments for those suffering with disc issues. Their disc decompression machine gently pulls and separates the discs, giving almost instant relief to nerve pressure. With regular disc decompression therapy, postural adjustments and postural traction Dr. Chris McNeil's goal is to reduce pain and promote healing. Postural rehabilitation therapy is used to retrain the brain to realign the spine to a closer, natural position, allowing discs to heal quicker and reducing nerve pressure. Linda, a patient with Disc Bulges and Herniation's at at Macomb Township Chiropractic, has an inspiring testimonial about her journey with herniated disc pain. She came into the office with severe back pain and sciatic pain she rated at a 10+ on a scale from 1-10. She talked about how it was affecting all areas of her life from sleeping, walking, working and even eating! Linda saw another chiropractor for a few months with no success, and her doctor was giving her cortisone shots, which also did nothing for the pain. Linda had an MRI done which showed she had disc herniation, which often leads to back surgery.   After taking chiropractic x-rays and seeing the condition of Linda's back, Dr. Chris started her on a personalized care plan of regular adjustments, treatment on the disc decompression machine, and postural rehabilitation therapy. After just six short weeks of therapy, Linda rated her pain as moderately better, and her x-rays showed improvement. Three months into treatment, Linda was able to return to work for the first time in months, and stated she was able to “sleep without sciatica pain, and walk without much pain!” After one year of treatment, Linda had another MRI done which showed her discs were almost fully healed. Today, Linda says she is feeling great and lists her pain level at a 1. She states she has gotten her life back thanks to Dr. Chris! She can “walk for miles again pain free,” can “eat sitting up again”, is sleeping soundly, and is “feeling great!”   Macomb Township Chiropractic in Macomb County specializes in helping people with disc issues along with so many other health issues. They are welcoming new patients with their ongoing $20 new patient special which includes a consultation, x-rays, massage bed, and trial adjustment from Dr. Chris. You can visit their website or find them on Facebook, or call the office directly at 586-566-2273 for more information.  

Does the idea of "bracing your core" get a bit confusing? Maybe when you "brace," it causes more lower back pain, or maybe you're not sure if you're even bracing the right way to protect your lower back. If that's you, this video is for you! ►► FREE DOWNLOAD: Discover how to exercise confidently and build pain-free strength with a bulging/herniated disc diagnosis = www.fitness4backpain.com/painfreetraining Bracing your core correctly to protect your lower back without causing more pain in the process is an important skill to practice. The problem I see a lot of chronic lower back pain sufferers making is not knowing what amount of bracing is too much for certain tasks. When in pain, you may tend to over-brace, thinking that more bracing must give MORE protection. Wrong! This will only cause more compression on the lower back and, for some, an increase in symptoms. Today i wan't to show you the best strategy for bracing the core correctly to not only keep your lower back from hurting but to protect your lower back during hobbies, activities and time in the gym. -WIlliam LOVING THIS CONTENT? HERE'S WHERE YOU CAN GET MORE! ►► FREE DOWNLOAD: Discover how to exercise confidently and build pain-free strength with a bulging/herniated disc diagnosis = www.fitness4backpain.com/painfreetraining ►► FREE FACEBOOK GROUP Exercise For Back Pain Relief Community https://www.facebook.com/groups/exerciseforbackpain ►► MIND BODY HEALING: I have been a user and supporter of the Curable app for years now, and it is one of the most recommended tools I will ever suggest to someone with chronic back pain. Try it FREE FOR 6 WEEKS to test it out for yourself. HTTP://www.curable.com/fitness4backpain IN PAIN, FEELING STUCK & SERIOUS ABOUT GETTING HELP? APPLY TO WORK WITH ME ☎️ https://fitness4backpain.com/apply Say Hi!: EMAIL

Disclaimer: If you have suffered an injury, please consult with your physician, or physical therapist, in advance of adopting any corrective exercise protocol. SHOW SPONSORS: 

Use code LESSPAINFREEPOD for 10% off our Limitless Program: spreadwhealth.com/limitless-program Join thousands of Whealth members today risk free and overcome your pain! All of our programs come with a 30-day money back guarantee. --- Send in a voice message: https://podcasters.spotify.com/pod/show/whealthpodcast/message

Join us in this episode as we dissect the intriguing case of a late 20s patient who encountered lower back pain following a deadlift exercise. In our deep dive, we address his pressing questions: What exactly is a disc injury? How can we discern between a disc bulge and herniation? And crucially, does treatment necessitate surgery? Delve into the complexities of disc injuries, exploring diagnostic nuances and treatment options.    Learn about the role of chiropractic care in managing such cases, including the best protocols for assessment, rehabilitation, and prevention. This episode serves as a comprehensive guide for both patients, shedding light on a common yet often misunderstood ailment. Tune in as we unravel the mysteries of disc injuries and empower listeners with knowledge to navigate their recovery journey effectively.

Avoid these exercises if you're trying to exercise pain-free with an L4-L5 or L5-S1 disc injury! ►► FREE GUIDE: How I used exercise to cancel my back surgery after a ruptured L5-S1 disc and live chronic pain-free today == www.fitness4backpain.com/painfreetraining IN PAIN, FEELING STUCK & SERIOUS ABOUT GETTING HELP? APPLY TO WORK WITH ME ☎️ https://fitness4backpain.com/apply Have you been trying to exercise your way out of chronic low back pain after an L4-L5 or L5-S1 disc injury diagnosis? Maybe the exercises you're doing feel okay at the moment but leave you in pain and frustrated soon after. If that's you, there are specific exercises you MUST AVOID early in your pain relief and recovery journey, and today, not only will I show you the ones to avoid but which ones you should do instead! Enjoy LOVING THIS CONTENT? HERE'S WHERE YOU CAN GET MORE! ►► FREE GUIDE: How I used exercise to cancel my back surgery after a ruptured L5-S1 disc and live chronic pain-free today == www.fitness4backpain.com/painfreetraining FREE FACEBOOK GROUP ►► Exercise For Back Pain Relief Community https://www.facebook.com/groups/exerciseforbackpain ►► MIND BODY HEALING: I have been a user and supporter of the Curable app for years now, and it is one of the most recommended tools I will ever suggest to someone with chronic back pain. Try it FREE FOR 6 WEEKS to test it out for yourself. www.curable.com/fitness4backpain IN PAIN, FEELING STUCK & SERIOUS ABOUT GETTING HELP? APPLY TO WORK WITH ME ☎️ https://fitness4backpain.com/apply Say Hi!: EMAIL

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work The post EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM appeared first on Emergency Medicine Cases.

Show notes available at ⁠podcast.RnRRounds.ca⁠ Host: Jonathan Wallace MD Editing: Connor Hass Show Notes: Heather Lean

In this episode, we review the high-yield topic of Brain Herniation Syndromes⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Neurology section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message

In this episode, we review the high-yield topic of Brain Herniation Syndromes from the Neurology section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

Drew and Jon talk about the purpose of having a website, exercise addiction, and artificial intelligence.

In this episode, we review the high-yield topic of Intervertebral Disk Herniation from the MSK section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbulletsIn this episode --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

In this episode, we will discuss the clinical features of various causes of coma, like metabolic and structural. We will also learn the clinical features of various herniation syndromes.For notes and images of the episode, visit neurologyteachingclub.com. Say hello to us on Instagram, Facebook, Twitter, YouTube, and Tumblr. For live classes, follow us on Clubhouse.Clinical neurology with KD is now one of the Top 10 International neurology podcasts, according to Feedspot. Thank you all for your considerable support. Please subscribe to our newsletter and leave your comments and valuable suggestions here.Support the show

Welcome to this episode of The Underdog Vet Podcast! In this episode's 'Animal Advocate Interview' I spoke with Dr Rowena Packer BSc (Hons) PhD PGCert(VetEd) FHEA from The Royal Veterinary College here in the UK. Rowena is a Lecturer and researcher in Companion Animal Behaviour & Welfare Science. Rowena has published extensively on the effect body shape of some dogs has on their health and welfare and lectures student vets and nurses at The Royal Veterinary College in Hertfordshire. Rowena and I discussed her latest research about Pugs that suggests they can no longer be considered a typical dog, why they are still so popular despite being one of the unhealthiest breeds of dog and we consider if our love of certain dog breeds might actually be killing them. We mentioned a few terms some people may not be familiar with so I've explained them here: Toad Lines: Bulldogs deliberately bred with extremely deformed body shapes BOAS: Brachycephalic Obstructive Airway Syndrome Phenotypic variation/diversity: The variation in physical appearance within a population of animals fMRI: Functional magnetic resonance imaging is used to see which areas of the brain are active during certain activities Dystocia: Difficulty during the birthing process Disc extrusion: Herniation of the intervertebral disc in the spine Hansen type-I disc extrusion: A specific type of disc extrusion, most common type seen in dachshunds Paresis: Limb weakness caused by nerve damage Homozygous: Describes genetic conditions inherited from both the mother's and father's genes Hemilaminectomy: A surgical procedure used to correct herniated discs in the thoracolumbar spine Links: Rowena's latest research on Pugs: https://www.rvc.ac.uk/vetcompass/news/new-research-shows-pugs-have-high-health-risks-and-can-no-longer-be-considered-a-typical-dog-from-a-health-perspective BOAS Information: https://vetspecialists.co.uk/fact-sheets-post/brachycephalic-upper-airway-obstruction-syndrome-fact-sheet/ Brachycephalic Working Group: http://www.ukbwg.org.uk/ Cambridge Veterinary School BOAS Research: https://www.vet.cam.ac.uk/boas/about-boas/recognition-diagnosis RVC's Brachycephalic Clinic: https://www.rvc.ac.uk/small-animal-vet/specialist-referrals/advanced-techniques/brachycephaly-expertise RVC Vet Compass: https://www.rvc.ac.uk/vetcompass Lafora Disease in Miniature Wirehaired Dachshunds: https://www.dachshundhealth.org.uk/lafora-disease --- Send in a voice message: https://anchor.fm/the-underdog-podcast/message

Listen in to hear us talk about our experiences in our first 6 months of being on the job and some of the tips and recommendations we have. Also did you guess the PATHO from the hints from the introduction or from instagram and twitter? Listen in to find out what the patho of the week is! Please make sure to leave feed back of what you would like to hear. We want the PTA community to be involved with the topics that we bring forward.    Make your 4 legged family member's day and help support the channel with our affiliate link to barkbox! Check out their fun themes and current promos!    Bark Box   Want to get your puppy family member a nice treat and also support the channel? Check out bark box with their latest theme and promos with our affiliate link below! https://barkbox.snlv.net/0J6WbP

In today's episode we go over Physical Therapy Treatment For Radicular Lower Back Pain | Disc Bulge, Herniation, Sciatica: FPF Mini Course with "7 Reasons Why People Get Hurt in the Gym and What to do About It." - https://fitnesspainfree.com/programs/fpf-certification-presale-page/ Show Notes: - Relevant Articles and References - https://fitnesspainfree.com/2022/02/physical-therapy-treatment-for-radicular-lower-back-pain-during-squats-deadlifts-and-olympic-lifts-fpf-show-episode-21/ ***** Welcome to the Fitness Pain Free Show! This is where we help coaches and physical therapists like YOU get your patients out of pain back to training Want to support me? Head over to Fitnesspainfree.com, click on Programs and sign up for the FPF "Insiders" Online Library where you can ask questions I'll answer for future episodes! *****

CF 216: Return To Play After Herniation & Water vs. PT Exercises Today we're going to talk about return To Play After Herniation & Water vs. PT Exercises But first, here's that sweet sweet bumper music Purchase Dr. Williams's book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon... The post Return To Play After Herniation & Water vs. PT Exercises appeared first on Chiropractic Forward.

The Center for Medical Education's new course title EMCert Module Mastery has been designed to guarantee participants a passing grade on the new MyEMCert exams from ABEM.  This episode comes from the Trauma Module and discusses head and neck trauma.Cranial Nerve function and testing, neurologic examinations, head trauma, Coup-Contrecoup head injuries, skull fractures, Basilar skull fractures, Epidural Hematoma, Subdural Hematoma, Brain Herniation, ICP treatments, Traumatic Seizures, Axonal Injuries, Pediatric Head Trauma, Neck Injuries, Foreign Bodies, Carotid Artery Dissections, etc...To learn more, visit https://ccme.org/emcertmodule

The case for 23.4% hypertonic saline in the field. This will begin several discussions of TBI leading to the new CoTCCC sTBI protocol. We will continue to footstep the must know issues for PJs, SOCMs, Medics and Corpsman. This discussion is from our Summer 2021 JSOM article. THAT OTHERS MAY LIVE

Dennis and Dave deep dive into TBI and the various types of herniation. Hint...the most common is not the one we have been trained on.

Episode 48: Acute Low Back Pain. Stephanie and Veronica explain common causes of acute low back pain, including lumbar strain, disc herniation, and spondylosis; spontaneous human combustion; question of the month about pneumonia. Introduction: Spontaneous Human CombustionBy Hector Arreaza, MDToday is April 19, 2021.  I’ve been trying to keep this podcast very academic and clinically relevant, with a touch of humor but very professional. I hope after this intro, you do not stop listening to us. Recently I was playing a trivia game at a friend’s house. The question was: How many spontaneous human combustion cases have been published in medical journals between 1600 and 1900? What would be your answer? I did not know the answer, but it woke up my curiosity.I did what’s expected of a normal PCP, exactly, I looked it up in Up-to-Date. The only reference to “spontaneous combustion”, I found was on the article about long-term supplemental oxygen therapy (LTOT). “Facial and upper airway burns are an infrequent complication of LTOT, but can be severe and potentially life-threatening. The main cause of burns is exposure to open flames while wearing supplemental oxygen. However, spontaneous combustion may occur with exposure to a spark source rather than an open flame. Certain factors may contribute to the risk of combustion in the absence of open flames, such as facial hair and use of hair products containing oils or alcohol.” This “spontaneous combustion” does not match the definition given the non-medical community.Spontaneous human combustion, also known as preternatural combustion, refers to a rare episode where the complete body, or significant parts of it, are reduced to ashes with no apparent source of ignition. Other items around the body of the victim are intact, making people believe that the fire originated from inside the body. This phenomenon has been described in fictional movies, documentaries, books, novels, and even medical journals. In 1984, Nickell and Fischer[3] investigated cases from the last 3 centuries. They concluded that in those cases of presumed “spontaneous human combustion” possible sources of ignition were ignored on the reports. A common characteristic among victims of spontaneous combustion was intoxication with alcohol or other substances.More recently, the American Burn Association looked into this topic and published in 2012[2] an article titled “Spontaneous Human Combustion in the Light of the 21st Century”. They state that a literature search retrieved 12 case reports between 2000 and 2012. They concluded that the so-call “spontaneous human combustion” is a reality, however, it is not exactly how people think it is. People are not just sitting around and get consumed alive in flames. The term “fat wick burns” was suggested to provide a more exact definition. The article explains that the burn victim must die for the body fat to start melting, then a break in the skin allows melted fat to impregnate clothes and produce a wick effect that allows fire to be on for a long time causing a complete carbonization of tissues. In case you are curious, the number of spontaneous human combustion cases published in medical journals between 1600 and 1900 is ninety-six (96). Citation needed.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. __________________________Question of the Month: Cough and FeverWritten by Hector Arreaza, MD, read by Jacqueline Uy, MDThis is a 69-yo male patient, who has history of controlled hypertension. He comes to an urgent care clinic for acute onset of fever (102 F), cough, and shortness of breath which has progressively worsened over the last 3 days. He does NOT smoke, but uses recreational marijuana once a month, and drinks 1-2 beers a week. He goes to the doctor once a year for check-ups. He takes benazepril 10 mg daily for his hypertension. He does not believe in vaccines and his last shot was a tetanus shot 5 years ago. No surgical history. He retired as an accountant 5 years ago. Vital signs are normal except for tachycardia of 110 (his baseline is 85) and temperature of 101.5 F (38.6 C). He has bibasilar crackles on auscultation. You perform labs in clinic and he has a white count of 13.5, and a chest x-ray shows a right lower lobe consolidation. He has a negative rapid COVID-19 test. What are your top 3 differential diagnoses and what is the acute management of this patient’s condition?Let’s repeat the question: What are your top 3 differential diagnoses and what is the acute management of a 69-year-old male, non-smoker, who has fever, cough, shortness of breath, tachycardia, bibasilar crackles, elevated WBCs, a right lower lobe consolidation, and a negative rapid COVID-19 test?Send us your answer before May 7, 2021, to rbresidency@clinicasierravista.org and the best answer will win a prize!____________________________Acute Low Back Pain. By Stephanie Rubio, MS3, and Veronica Phung, MS3. Acute low back pain definition and statistics.  Eighty percent (80%) of Americans will experience back pain at some point in their lifetime.  Low back pain is the 5th most common reason for all doctor visits in the US. Most cases of low back pain are acute and 90% resolve within 1 month. Recurrence rate for back pain is high at 35% to 75%.  Acute back pain is defined as pain in the lumbar area for less than 3 months. The sources of low back pain are extensive. We would like to discuss some of the more common causes and important considerations when a patient presents with acute low back pain.  With such an extensive differential for acute low back pain, we want to briefly discuss three common causes: lumbar strain, disc herniation, and degenerative arthritis of the spine; AND three causes that require special attention: cauda equina, malignancy, and prostatitis.     Lumbar strainLumbar strain is the most common cause of acute low back pain in adults. Presentation can be acute or sub-acute after an injury or strenuous activity such as moving heavy furniture. Paraspinal muscles are typically the source of pain and can be unilateral or bilateral with or without radiation down the leg. Pain increases after immobility and specific movements depending on strain location. Patient will have a negative straight leg test.  Treatment: Patient education is key for treatment. It includes explaining that acute back pain is often benign in nature and reassurance. Advise your patients to stay active; to avoid twisting and bending, particularly when lifting; and to return to normal activities as soon as possible.  NSAIDs or muscle relaxants will help the pain process. Muscle relaxants combined with NSAIDs may have additive benefit for reducing pain. “Moderate evidence suggests that no one NSAID is superior, and switching to a different NSAID may be considered if the first is ineffective.” In clinic: Ibuprofen and Naproxen are our “go-to” medications. Acetaminophen is also an option.  “Moderate-quality evidence supports that non-benzodiazepine muscle relaxants (such as cyclobenzaprine, tizanidine, and metaxalone) are beneficial in the treatment of acute low back pain in the first seven to 14 days with effects for up to 28 days. However, muscle relaxants do not affect disability status. Make sure you warn your patient about drowsiness, dizziness, and nausea. Diazepam and Soma (carisoprodol) have the potential for abuse, so use them cautiously and for a short period only.  We also have to mention the controversial opioids. Due to the opioid epidemic, prescribe opioids only for patients with severe acute low back pain for a short period; however, there is little evidence of benefit when compared to NSAIDs.  Epidural steroid injections are not so beneficial for isolated acute low back pain, they may be helpful for radicular pain that does not respond to two to six weeks of noninvasive treatment. Transforaminal injections appear to have more favorable short- and long-term benefit than traditional interlaminar injections. Ok, we are done with lumbar strain. Disc herniationDisc herniation may also be acute or subacute with a variety of pathologies involving the displacement of disc material into the spinal cord or nerve roots. Presentation: Sudden injury could precipitate pain such as a sharp, burning, stabbing pain radiating down the posterior or lateral aspect of the leg and it is made worse when hips are flexed such as sitting. Radicular pain in the dermatome of the compressed nerve root is common. Herniation at L5-S1 is the most common location, and it would present as a loss of sensation on the dorsolateral thigh, lower leg, and dorsal foot. Patients can also have motor deficits on the lateral side of the foot which can cause a problem in tilting the sole of the foot away from the midline or difficulty toe walking. Use neurologic deficits to determine the location of herniation.Radicular pain and radiculopathy are not the same. Radicular pain is a single symptom (pain) that follows the distribution of a nerve root. Radiculopathy is a group of symptoms including, paresthesia, hypoesthesia, motor dysfunction and pain. Symptoms may be the result of compression of more than one nerve root.Nerve RootDermatomal areaMyotomal areaReflexive changesL1Inguinal regionHip flexors L2Anterior mid-thighHip flexors L3Distal anterior thighHip flexors and knee extensorsDiminished or absent patellar reflexL4Medial lower leg/footKnee extensors and ankle dorsiflexorsDiminished or absent patellar reflexL5Lateral leg/footHallux extension and ankle plantar flexorsDiminished or absent Achilles reflex S1Lateral side of footAnkle plantar flexors and evertorsDiminished or absent Achilles reflex (Source: Physio-pedia.com, https://www.physio-pedia.com/Lumbar_Radiculopathy)  Treatment: Please tell patients to keep moving as much as possible. Bed rest is not helpful and may prolong the pain process. NSAIDs should be used to decrease inflammation. Neurosurgery consultation may be needed for large herniation, especially if there is spinal canal compression, causing severe or progressive motor deficit. Use of steroids may be beneficial, but the available evidence suggests limited or no benefit. I’ve seen prednisone prescribed by neurosurgeons frequently when surgery is being delayed. If used, prednisone (60 to 80 mg daily) for five to seven days for patients who do not respond well to analgesics and activity modification. This is followed by a rapid taper to discontinuation over the following 7 to 14 days.Degenerative arthritisSpondylosis is more common in patients with advanced age. Osteophyte impingement of a nerve root can cause radicular symptoms following the nerve’s dermatome distribution as well. Presentation: Onset tends to be more insidious and posture dependent. For example, extension of the lumbar spine, like standing or walking upright causes pain. Symptoms are related to posture, patient may mention leaning on the shopping cart alleviates the pain.Neurogenic claudication is typical of spinal stenosis: pain, numbness, tingling, cramping, weakness of the lower back and extremities; which are exacerbated by walking or exertion, worse walking downhill, not worsened by biking. Neurogenic claudication is not to be confused with vascular intermittent claudication, which is pain, cramping, and tightness on the lower extremities relieved by rest, NOT relieved by walking flexed with a shopping cart. Treatment: Conservative physical therapy is an appropriate treatment. Cycling exercises can be recommended to keep your patients moving because hip flexed activities do not induce pain.  Consider a pain management clinic referral for treatment of foraminal stenosis with steroid injections. From personal experience, I can tell you, those shots really work! However, the response is not 100% effective in all patients. You do not send patients to pain management just because they are requesting chronic opioids. You send them for real treatment of pain with procedures. Cauda equina syndrome: This condition should always be considered due to the seriousness of the consequences. Symptoms may present as saddle anesthesia, loss of anal sphincter tone, and major motor weakness. Decompression should be performed within 72 hours to avoid permanent damage. Clinical suspicion is low if patient denies problems with bowel or bladder control. The most common symptom is actually neurogenic bladder, evidenced by acute urinary retention or incontinence.  Malignancy: Cancer is a serious cause of back pain. Your patient may complain of a dull, throbbing pain that progresses slowly and increases with recumbency or cough. Non-radiating pain is worse at night. More common in patients over 50 and history of cancer in the past.Genital organs: Prostatitis can cause referred low back pain. Expect to find evidence of infection in the history. So, a prostate exam and a genital exam may be needed in older males with acute or chronic low back pain.  Females may also have referred low back pain in the setting of pelvic inflammatory disease and endometriosis. So, a pelvic exam may be needed, based on your clinical judgment.     Overview of Acute Low Back Pain:   Patients with acute LBP without any red flags such as: infections, fever, or weight loss should start conservative therapy for up to 6 weeks with NSAIDS and/or muscle relaxants. Localized cold therapy for direct injury first to constrict blood vessels, reduce swelling, decrease inflammation and potentiate a numbing effect. Then heat therapy can be used after inflammation has subsided. Reevaluate in 1-3 weeks, if significant pain or neurologic complications persist or if there is no improvement in pain. If there is spinal pathology detected, then surgical evaluation is needed. Advise patients to stay active. Physical therapy may prevent recurrence. Studies showed that early physical therapy, after primary care consultation was associated with reduced risk of subsequent health care compared with delayed physical therapy. However, it is still unclear which patients with LBP should get referred to physical therapy.Depending on severity of pain and presentation of the patient, diagnostic studies such as MRI and labs can be ordered if findings are suggestive of serious pathology, such as bilateral radicular signs, urinary retention, saddle anesthesia or suspicion of a high-risk mechanism (cancer, hematoma, abscess), presence of fever, night sweats, nocturnal pain, older patients, and more.For prevention, remember proper lifting techniques should be used when moving heavy objects. Bend at the knees with a straight back and use the leg muscles to lift instead of bending at the waist to prevent injury. Maintaining a healthy weight is important for back health.Back-strengthening and stretching exercises at least 2 days a week help prevent back pain. exercise by using the proper equipment and techniques. Remember motion is lotion. Encourage patients to keep moving even as patients progress in age. Because you know you’re getting old when your back goes out more than you do.____________________________Conclusion: Now we conclude our episode number 48 “Acute Low Back Pain”. Veronica and Stephanie did a great job explaining three common causes: Lumbar strain, disc herniation, and spondylosis. Be aware of signs of cauda equine syndrome, malignancy and prostate in men and pelvic organs in women. Initial imaging and labs are not needed in most patients, but make sure to order an MRI and labs depending on the presence of red flags. Don’t forget to send us your answer to the question of the month: What are your top 3 differential diagnoses and explain the acute management of a 69-year-old male with fever, cough, tachycardia, right lower lobe consolidation, and negative COVID-19 test.Remember, even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Stephanie Garcia, Veronica Phung, and Jacqueline Uy. Audio edition: Suraj Amrutia. See you next week!   References:Tiep, Brian L, MD; Rick Carter, PhD, MBA; Long-term supplemental oxygen therapy, Up-to-Date, Last updated: May 08, 2019. https://www.uptodate.com/contents/long-term-supplemental-oxygen-therapy. Accessed on March 25, 2021.  Virve Koljonen, MD, PhD, Nicolas Kluger, MD, Spontaneous Human Combustion in the Light of the 21st Century, Journal of Burn Care & Research, Volume 33, Issue 3, May-June 2012, Pages e102–e108, https://doi.org/10.1097/BCR.0b013e318239c5d7 Nickell, Joe; Fischer, John F. (March 1984). "Spontaneous Human Combustion". The Fire and Arson Investigator. 34 (3). Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012 Feb 15;85(4):343-50. PMID: 22335313. https://www.aafp.org/afp/2012/0215/p343.html. Lumbar Radiculopathy, Physiopedia, https://www.physio-pedia.com/Lumbar_Radiculopathy, accessed on April 9, 2021.  Fritz JM, Childs JD, Wainner RS, Flynn TW. Primary care referral of patients with low back pain to physical therapy: impact on future health care utilization and costs. Spine (Phila Pa 1976). 2012 Dec 1;37(25):2114-21. doi: 10.1097/BRS.0b013e31825d32f5. PMID: 22614792. https://pubmed.ncbi.nlm.nih.gov/22614792/  

On this episode Raul and Parker talk about the Pros and Cons of using anecdotal evidence. They touch base on its application in the rehabilitation world and performance world.

Audrée Dufresne, CAF member and Athletic Therapy student, makes her debut appearance on the HRD2KILL Podcast talking about sciatica.  Participate LIVE during her Q & A sessions in the HRD2KILL Facebook group. 

Dennis and Dave deep dive into TBI and the various types of herniation. Hint...the most common is not the one we have been trained on.

References 1. Ota Y, Connolly M, Srinivasan A, Kim J, Capizzano AA, Moritani T. Mechanisms and Origins of Spinal Pain: from Molecules to Anatomy, with Diagnostic Clues and Imaging Findings. Radiographics. 2020;40(4):1163-81.2. Lotz JC, Haughton V, Boden SD, An HS, Kang JD, Masuda K, et al. New treatments and imaging strategies in degenerative disease of the intervertebral disks. Radiology. 2012;264(1):6-19.3. Theodorou DJ, Theodorou SJ, Kakitsubata S, Nabeshima K, Kakitsubata Y. Abnormal Conditions of the Diskovertebral Segment: MRI With Anatomic-Pathologic Correlation. AJR Am J Roentgenol. 2020;214(4):853-61.4. HS K. Lumbar Degenerative Disease Part 1: Anatomy and Pathophysiology of Intervertebral Discogenic Pain and Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series and Review of Literature. Int J Mol Sci. 2020;21:1483.5. Hughes RJ, Saifuddin A. Numbering of lumbosacral transitional vertebrae on MRI: role of the iliolumbar ligaments. AJR Am J Roentgenol. 2006;187(1):W59-65.6. K C. A Concise Introduction to the Imaging of the Lumbar Spine2016.7. Fardon DF, Williams AL, Dohring EJ, Murtagh FR, Gabriel Rothman SL, Sze GK. Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J. 2014;14(11):2525-45.8. Kushchayev SV, Glushko T, Jarraya M, Schuleri KH, Preul MC, Brooks ML, et al. ABCs of the degenerative spine. Insights Imaging. 2018;9(2):253-74.9. Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine (Phila Pa 1976). 2001;26(17):1873-8.10. M B. MRI Degenerative Disease of the Lumbar Spine. J Am Osteopath Coll Radiol. 2018.11. Yu LP, Qian WW, Yin GY, Ren YX, Hu ZY. MRI assessment of lumbar intervertebral disc degeneration with lumbar degenerative disease using the Pfirrmann grading systems. PLoS One. 2012;7(12):e48074.12. KS T. Imaging of Spinal Stenosis. Applied Radiology. 2017.13. Carlson BB, Albert TJ. Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us? Int Orthop. 2019;43(4):853-9.14. Pfirrmann CW, Dora C, Schmid MR, Zanetti M, Hodler J, Boos N. MR image-based grading of lumbar nerve root compromise due to disk herniation: reliability study with surgical correlation. Radiology. 2004;230(2):583-8.15. Gallucci M, Puglielli E, Splendiani A, Pistoia F, Spacca G. Degenerative disorders of the spine. Eur Radiol. 2005;15(3):591-8.16. Mamisch N, Brumann M, Hodler J, Held U, Brunner F, Steurer J, et al. Radiologic criteria for the diagnosis of spinal stenosis: results of a Delphi survey. Radiology. 2012;264(1):174-9.17. N H. The "ABCDE" Approach to the Systematic Assessment of Lumbar Spine MR Examination. CDR. 2020.18. Zileli M, Crostelli M, Grimaldi M, Mazza O, Anania C, Fornari M, et al. Natural Course and Diagnosis of Lumbar Spinal Stenosis: WFNS Spine Committee Recommendations. World Neurosurg X. 2020;7:100073.19. Cho IY, Park SY, Park JH, Suh SW, Lee SH. MRI findings of lumbar spine instability in degenerative spondylolisthesis. J Orthop Surg (Hong Kong). 2017;25(2):2309499017718907.20. Semaan H, Curnutte B, Cooper M, Obri J, Elsamaloty M, Obri T, et al. Overreporting of the disc herniation in lumbar spine MRI scans performed for patients with spondylolisthesis. Acta Radiol. 2020:284185120925483.21. GC G. Lumbar Spine Imaging: MRI. 2017.

What happens when the uncus herniates across the tentorium cerebelli? Dive in to find out. #usmle #usmlestep1 #medschool #neurology --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/snapmd/message

It stands to reason the more an intervertebral disk herniates, the more it will compress the spinal nerves, leading to a greater likelihood for surgical intervention. But what if that isn't the case? The current standard treatment of lumbar disk herniation (LDH) involves FIRST the initial use of non-surgical care for at least six weeks. If that fails, a surgical consult can be considered. Exceptions to this rule include the presence of a red flag or a dangerous, potentially life-altering or life-ending condition like infection, fracture (unstable), cancer, and/or cauda equina syndrome (pinched cord altering bowel and bladder control)—all of which are (thankfully) NOT common. In a study that involved 368 LDH patients who underwent at least six weeks of non-surgical care, researchers observed that 91.3% did not undergo surgery within the following year. A review of MRI findings of the patients who did vs. did not have a surgical procedure showed no difference with respect to what percentage of the spinal canal was inhibited by LDH (31.2% vs. 31.5%). The research team concluded that percentage of canal occluded by LDH does not predict which patients will fail non-surgical care and require surgery. This finding is important because many spine surgeons still use the size of the lumbar disk herniation to determine if a patient is a candidate for surgery. While the findings from the previously mentioned study suggest that 9 in 10 LDH patients can avoid surgery, is there any data to indicate which LDH patients might not respond well to surgical care if they do choose that route? A 2019 study investigated this question and reported that the persistence of leg pain may be a key factor. The authors reviewed 556 patient files over a three-year time frame and found that moderate to severe leg pain at early post-surgical follow-up correlated with higher disability scores over time. This group of patients was more likely have both a history of smoking and chronic back pain. This makes some sense as smokers often face a greater risk for post-surgical complications (many surgeons won't operate on smokers if they can avoid it) and a history of chronic back pain suggests other factors may be responsible for the patient's current pain and disability, not just the LDH. The good news is that treatment guidelines support chiropractic care as a non-surgical option for the LDH patient through a combination of spinal manipulation, mobilization, specific exercises, modalities, and nutritional recommendations.

There are many ways to skin a cat. Rhonda Cadena discusses management of intracranial hypertension, specifically substantial practice variation, what the evidence shows and what she does in reality.

When it comes to low back pain and other symptoms, issues with discs are one of the most commonly-given reasons.  However, there is a strong argument to be made that the discs may not have as much to do with the symptoms as is being promoted, and an even stronger argument to suggest that your muscles may be able to influence your symptoms. This week on the Exercise Is Health podcast, Julie and Charlie discuss discs - what they are, how they are built, and why their degradation may not be the entire reason for people's issues.  Check out all of the details in this week's episode! If you would like to find a certified MAT® practitioner in your area, you can find a list of specialists here.

CF 107: Insurance Warming To Chiropractic in 2020 & Chiropractic For Lumbar Herniation and Sciatica Today we're going to talk about what to expect with Insurance coverage in 2020 and we'll talk about some thoughts on chiropractic, lumbar herniation, and sciatica according to what the research tells us.  But first, here's that sweet sweet bumper... The post Insurance Warming To Chiropractic in 2020 & Chiropractic For Lumbar Herniation and Sciatica appeared first on Chiropractic Forward.

Uncal herniation and CN3 palsy

In episode #7 of the Princeton Spine & Joint Center Podcast, Dr. Zinovy Meyler, Co-Director of the Interventional Spine Program at PSJC https://princetonsjc.com, spoke with Dr. Matthew McDonnell, Board Certified Orthopaedic Surgeon with University Orthopaedics Associates in Princeton New Jersey https://www.uoanj.com. They discussed in detail lumbar discectomy, spinal fusion and the conditions appropriate for each diagnosis and treatment, as well as lumbar spine, cervical spine, and a variety of disc diseases and trauma. Dr. Matthew McDonnell specializes in degenerative conditions and traumatic injuries of the cervical, thoracic and lumbar spine. He treats conditions such as stenosis, myelopathy, radiculopathy, disc herniation, spondylolisthesis and fractures of both the spine and the extremities. He has an extensive bibliography of original papers, book chapters and abstracts and has presented both nationally and internationally. He obtained his medical degree from New Jersey Medical School in Newark, NJ, after completing his undergraduate degree at The College of New Jersey. He completed his internship and residency training in Orthopaedic Surgery at Brown University and Rhode Island Hospital in Providence, RI. Dr. McDonnell then completed a fellowship in Orthopaedic Trauma at Brown University followed by a fellowship in Spine Surgery at Rothman Institute and Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Zinovy Meyler is a board certified, fellowship trained physician specializing in the non-operative care of spine, joint, muscle and nerve pain. After graduating from New York University and receiving his medical degree from the New York College of Osteopathic Medicine, Dr. Meyler performed his specialty training in Physical Medicine and Rehabilitation at New York-Presbyterian Hospital, The University Hospital of Columbia and Cornell, where he was honored to serve as Chief Resident. Following residency, Dr. Meyler received additional training in ultrasound guidance at the Mayo Clinic and completed his fellowship training in interventional spine and joint medicine at the prestigious Beth Israel Spine Institute in Manhattan. Dr. Meyler is the author of multiple medical chapters and peer-reviewed papers. He serves as a reviewer for medical journals and lectures widely. Dr. Meyler’s expert medical opinion has been sought in newspapers and on radio shows, as well as on this podcast.

Robert Watkins, MD, orthopedic surgeon to professional athletes and creator of the Back Doctor App, debates Dr Shounuck Patel on the research, cost, utility and risks of stem therapy for back and neck pain.

Robert Watkins, MD, orthopedic surgeon to professional athletes and creator of the Back Doctor App, debates Dr Shounuck Patel on the research, cost, utility and risks of stem therapy for back and neck pain.

CT Scans show that acupuncture reduces disc bulges.

86 Intervertebral Disk Herniation   Today we are joined by Elsa Beltran one of our fabulous lecturers in small animal neurology and neurosurgery here at the RVC. We are in the studio, and Brian is on the whistles and faders, so hopefully the audio quality is good from the start. Today we discuss the different types of intervertebral disk extrusion/protrusion in dogs and their presentation, diagnosis, treatment and recovery. It might be an idea to listen to Podcast on the Rule of Six (37) regarding clinical reasoning in canine spinal disease. We hope that you enjoy.   Some papers of interest: https://www.ncbi.nlm.nih.gov/pubmed/22250580 https://www.ncbi.nlm.nih.gov/pubmed/29192043 https://www.ncbi.nlm.nih.gov/pubmed/28964544   If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

Today we are joined by Elsa Beltran one of our fabulous lecturers in small animal neurology and neurosurgery here at the RVC. We are in the studio, and Brian is on the whistles and faders, so hopefully the audio quality is good from the start. Today we discuss the different types of intervertebral disk extrusion/protrusion in dogs and their presentation, diagnosis, treatment and recovery. It might be an idea to listen to Podcast on the Rule of Six (37) regarding clinical reasoning in canine spinal disease. We hope that you enjoy. Some papers of interest: https://www.ncbi.nlm.nih.gov/pubmed/22250580 https://www.ncbi.nlm.nih.gov/pubmed/29192043 https://www.ncbi.nlm.nih.gov/pubmed/28964544 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

A MishMash Of Research on Chiropractic, On Herniation, Trends, and Ineffectiveness Today we're going to talk about research on Chiropractic, research on health trends, and research on disc herniation as a result of a visit to your friendly neighborhood chiropractor. Is that real or is that a bunch of hooey? We'll talk about it so... The post CF 036: A MishMash Of Research on Chiropractic, On Herniation, Trends, and Ineffectiveness appeared first on Chiropractic Forward.

Robert Watkins, IV, MD, orthopedic spine surgeon to professional athletes, discusses stem cells, PRP, Regenokine, Orthokine, steroid, and biologic spinal injections.

Robert Watkins, IV, MD, orthopedic spine surgeon to professional athletes, discusses stem cells, PRP, Regenokine, Orthokine, steroid, and biologic spinal injections.

What is a Bulging Disc?                    Bulging disc, also knowns as a Disc Herniation, are the most common reason related to pain in the spinal area.          Bulging discs occur when pressure on a spinal disc damages or breaks down the once healthy disc, causing it to compress or change its normal shape.           Here at Macomb Township Chiropractic and Metro Detroit Chiropractors in Ferndale, we deliver an effective treatment that helps by opening the disc space to alleviate the pressure and tension from the area. By relieving the disc pressure, this allows the irritated nerve to be reduced, which helps to subside the related pain. It also diminishes the reflex of a muscle spasm.           One specific treatment we use is called Spinal disc decompression. It creates a negative pressure within the disc, and it essentially retracts the disc herniation. To begin, we place a special harness on the upper abdomen and lower pelvis to act as a stabilizing intermittent traction. It gently separates the spine causing a pulling and release effect. When it is appropriately applied, it creates separation within the intervertebral space creating a vacuum like suction. The vacuum effect pulls the disc herniation back into the intervertebral disc space, and in return reduces the problem.           Our doctors, Dr. Chris McNeil (Macomb Twp Chiropractic and Metro Detroit Chiropractors Clinic Director), Dr. Franklin Norton and Dr. Peter Andersen are no strangers when it comes to dealing with Disc Herniation. In fact, it’s one of our more common conditions we see and treat. The longer an issue gets left untreated, the longer it takes for the treatment to be effective. It’s best to come in as soon as possible, and not delay the healing process. It’s always a good thing to come in and get checked out to see if you have a herniated disc, to prevent future problems. Visit our website www.MetroDetoritChiropractors.com to find the nearest location and call to schedule your appointment now.          

Acupuncture relieves pain and motor impairment due to lumbar disc herniations, learn more in our podcast.

Every year Macomb Twp. Chiropractic gets involved with community outreach and helps to raise money for a worthy cause in their community.   Typically during the holiday season the doctors and staff will try to raise money and collect gifts for those children who are less fortunate than many of the children in our community by doing a toy drive fund raiser. “This July, working together with Helping Hands Gifts, Macomb Township Chiropractic is throwing a fund raising event called Christmas in July,” said Chris McNeil Macomb Township Chiropractic Chiropractor.  For the friends and family of their current patients, or other residents in Macomb County, Macomb Township Chiropractic has a special Pain Relief Package, and a portion of proceeds will go to benefit needy children in Macomb County during Christmas time this year. The pain relief package is for those who suffer with back pain, disc bulge or herniation, neck pain or headaches and includes a 1 on 1 consultation with the doctor to discuss the current pain issue, a health history review, spinal and disc examination, 2 –X-rays, the 1st treatment and 1 hour massage. The total value of all of these services is normally $210,  but with the Christmas in July promotion until the end of July all of those services are only $79.  Plus, a portion of that $79 will be donated to Helping Hands Gifts which will benefit the needy children of Macomb County at Christmas time. New and current patients are also urged to donate a new toy which will be given to Helping Hands to give away this Christmas. After the doctor reviews the test results and x-ray films he will be able to let the person who is suffering know what’s causing the pain, if they can help and how long it could take to fix the problem. If it’s something they can’t help that is causing the pain, the doctors will refer the patient to a specialist who may be able to help the problem. If you live in Macomb County and are suffering with back pain, a disc bulge or herniation,  neck pain or headaches, and you are looking to get rid of your pain, Macomb Twp. Chiropractic has the perfect opportunity to see if they can help you out. Plus you’d be helping out a needy child this Christmas. If you are interested in taking advantage of the Christmas in July Pain Relief Package, helping a needy child and scheduling an appointment at Macomb Township Chiropractic call 586-566-2273.      

Author: Jared Scott M.D. Educational Pearls: There are two anatomical triangles on the back, the inferior lumbar triangle and the superior lumbar triangle. Herniation occurs whenever something moves to a place where it is not supposed to be, often through a fascial weakness. A “back hernia” can happen when the contents of of the abdominal cavity herniate into the back, usually through the superior lumbar triangle. This is also known as a Grynfeltt-Lesshaft hernia. Back hernias can be traumatic or congenital. These hernias are typically treated surgically. References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959346/

In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation. She discusses the importance of being vigilant when presented with classic patterns of injury, the use of hypertonic saline, crisis resource management and shared decision making with consultants... The post Best Case Ever 55 Pediatric Cerebral Herniation appeared first on Emergency Medicine Cases.

Neck or back pain caused by a bulging, herniated or degenerated discs can be a life changing and debilitating condition that often leads harmful medication, injections or spine surgery. Thankfully, the chiropractors at Metro Detroit Disc Decompression Therapy Clinics offer a non-invasive, non-surgical alternative that may be able to help disc pain sufferers get out of pain, avoid surgery and get their life back. The spinal discs are located in between each on the spinal bones (spinal vertebrae) in the neck, mid-back and low back. The most common types of disc injuries are a bulge, herniation or disc degeneration (spinal arthritis). “Disc injuries usually occur because of a major trauma such as an auto to accident, fall or sports injury, or a minor trauma caused by repetitive actions over a long period of time.” says Dr. Frank Norton of Macomb Township Chiropractic. Common symptoms associated with a disc injury are back pain, leg pain, sciatica, neck pain, arm pain and numbness or weakness in the hands or feet. The pain can be dull and achy or can become severe causing stabbing and shooting pain. Many people suffering with a pinched nerve caused by a disc bulge or herniation often complain of an electrical shock type of pain into their arms or legs. “The pain can become so debilitating that people suffering with disc injuries may have trouble sleep, bathing & showering or even getting dressed. Some people also are disabled from work or can no longer do house & yard work, enjoy time with family or recreation,” said Dr. Chris McNeil, Macomb Twp. Chiropractic Clinic Director. Disc injuries are typically diagnosed through orthopedic testing, MRI or x-ray films. When a disc injury is detected by a medical doctor they often prescribe pain medication or anti-inflammatory drugs. “Medication cannot fix a disc injury but simply covers up the symptoms associated with the disc injury or decrease the inflammation caused by the disc pressure,” said Doctor Peter Andersen of Metro Detroit Chiropractors in Ferndale MI.  If the pain persists the doctor may then prescribe chiropractic, physical or massage therapy, which can help decrease the pain and increase strength, but these types of physical treatments often do not fix the disc injury. The next step before disc surgery is usually epidural injections. Once again, this is only a temporary patch to the problem and many people have to have disc surgery. Disc decompression therapy is a type of traction that uses sophisticated software to gently separates the bones of the spine pulling the disc material back into its proper place. Its non-drug and non-surgical and it has no side effects un-like drugs and surgery. In fact, many people who have neck or back surgery have to have another surgery or their pain just comes back. The doctors at Metro Detroit Decompression Therapy Clinics have great success with helping injured discs to heal which may prevent neck or back surgery. Visit www.MetroDetroitDecompression.com and call the nearest disc decompression therapy clinic in Macomb Township or Ferndale Michigan, and one the spinal disc decompression therapy doctor’s therapy can help to determine if this treatment can help you to get out of disc pain, avoid surgery and get your life back.  

Editor's Audio Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the May 19, 2015 issue

Episode #22: MRI Accuracy of Cartilage Lesions and MRI Accuracy of Lumbar Disk Herniation Follow Up. For links to the articles reviewed on this episode go to ptpodcast.com/pt-inquest

Today we are going to discuss increased intracranial pressure (ICP) and herniation

This is a quick run through of the 3 main brain herniation syndromes. Enjoy

Click here for audio of lecture.

Challenges of umbilical hernia in a cirrhotic patient with ascites

Watch and wait approach to asymptomatic recurrent groin hernias

Determining incision types for abdominal wall repair

Physical mechanical properties of various meshes for inguinal hernia repair

Developing a new model for academic medicine based on patient centered systems approach for healthcare

Enterocutaneous fistula associated with failed prior incisional hernia repair

Hernia treatment for the female patient

The Fixation for inguinal hernia repair

Bridging techniques for ventral hernia repair

The Dominican Hernia Surgery Mission

Upper abdominal wall hernias following cardiac surgery

Using evidence-based medicine in formulating treatment plans for hernia repair patients

The component separation operation in newborn and infant patients

Choices for surgery in cases of sizable primary and otherwise uncomplicated incisional hernias

Parastomal hernias – Prevention and repair

Postoperative bulging following laparoscopic hernia repair

Establishing specialty referral centers for complex abdominal wall hernias

Parastomal hernias – Prevention and repair

Implications for guidelines in Hernia Repair

The component separation technique for large midline incisional hernias

The minimally invasive approach to the component separation technique

The laparoscopic approach to repair suprapubic hernias

Surgical technique for laparoscopic ventral hernia repair

Managing complications in laparoscopic ventral hernia repair vs. open repair

Surgical training for laparoscopic ventral hernia repair

Treatment for failed paracolostomy hernia repairs in high risk patients

Surgical treatment of failed TAPP repairs for primary inguinal hernias

Various results among hernia surgeons employing different techniques

Mesh Selection and Patient's Quality of Life

Developing a hernia center of excellence

Laparoscopic TEP approach for groin hernia

Post-herniorrhaphy pain

Biologic materials for abdominal wall reconstruction.

Dr. Jan Kukleta discusses the potential value of standardizing the transabdominal preperitoneal approach (TAP) operation for groin hernias.

Athletic Pubalgia - A discussion with Dr. William Meyers

The Place of Laparoscopy in the Treatment of Hernias that Present as Emergencies - A discussion with Dr. Morris Franklin

Mesh Infections Following Hernia Repair - A discussion with Dr. Maximo Deysine

A discussion on the literature descriptions of watchful waiting for minimally symptomatic hernias - A conversation with Dr. Michael D. Holzman

Laparoscopic Surgical Candidates - A conversation with Dr. Dimitrios Stefanidis

Archaic Terms and Dogmas Impeding Care of Abdominal and Pelvic Herniation - A conversation with Dr. Raymond Read