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One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
Computer-navigated total knee arthroplasties (replacements), or TKAs, are improving the accuracy of the implantations and studies are finding that navigation-assisted surgery is providing better outcomes in terms of alignment of the femoral (thigh) and tibial (shin) components. However, because the navigation is performed before the actual manipulations, optimal positioning is not always obtained. Errors causing misalignments can result from any of the many steps in the surgical process, from the accuracy of the navigation system to the application and manipulation of the cemented or cementless components. Up to now, previous studies have investigated the accuracy of the navigational systems and have found great differences between the results. What seems to be a particularly important issue but one that is not given a lot of notice, is the final positioning of the femoral and tibial components. While the navigational systems check the alignments throughout the process, checking after ...
Welcome back to the Hall of Shame. By now you have learned that several types of shoes deserve to be in the Hall of Shame because they cause pain. Today's inductees into the Hall of Shame are purses and handbags that cause pain. Some are big and some are small. Some cause pain for no reason of their own. Take a look at your purse because maybe it is causing you to experience pain.
Somewhere in this world there must be a sign that says: "Woman with the biggest bag wins!" Honestly, some of these handbags really qualify as carry-on luggage or tote bags. Why do women need to tote around so much stuff? Sometimes I weigh purses in my clinic because I know the heavy ones cause so much back and neck pain . And I have actually told some women to put their purse on a diet. In these heavy lifters you will find brushes, makeup, notepads, mirrors, energy bars, water bottles, pacifiers, phones, and money (well, maybe just plastic). Have you weighed your purse lately?
And how many of yo...
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