FROM OUR EXPERTS
Your periods are changing. They are coming closer together, and then farther apart, with more bleeding or less, more cramps or less and now you're passing clots. You may find your sleep is disturbed. You wake at 2 or 3 or 4 a.m. and are wide-awake, unable to get back to sleep. And your moods are suddenly an issue! Irritability, impatience, short fuse...weepiness, low mood, lack of interest and motivation.
At your annual check-up you ask if these changes could be a signal of hormone change and you hear: "You're too young; it can't be perimenopause. You're still having periods; it can't be perimenopause. Your FSH isn't elevated; it's not your hormones. You're just depressed; it's not your hormones. You're just stressed; it's not you hormones."
Well the fact is it may just be your hormones ! Women's levels of reproductive hormones, estrogen-progesterone-testosterone, begin to change anytime from the age 35 on. The word menopause actually means "end of the monthli...
Spondylolisthesis (spaun-di-lo-lie-thee-sis) is a mouthful and is a common cause of low back pain (although it can exist anywhere in the spine, the lumbar spine is the most common area affected). The spinal column is a series of building blocks called vertebral bodies stacked on top of one another. Sometimes these blocks do not line up perfectly. This slight separation in the spinal column is called a spondylolisthesis .
"Doc says I have a spondy-something-or-other. Don't ask me what it is; all I know is that it hurts". Steve tries to explain his low back condition to his friend. But, he finds that he cannot explain what he does not understand. Steve has had back pain for a number of years. Every year the pain gets worse and has now become constant. His doctor sent him for x-rays recently. The x-rays showed a spondylolisthesis with disc degeneration at L5/S1. Steve could not understand his doctor's explanation of the condition. So, now he has pain and has confusion.
Driving a car to the local mechanic to get it fixed is not the same thing as taking the human body into surgery; although, this "fix-it" attitude drives patients and surgeons alike towards surgical solutions. Lately, a growing number of people are undergoing low back surgery . A recent study examined the relationship between patient expectations and the actual outcomes from lumbar spine surgery. Because pre-surgical expectations do not always equate to the actual results, how can a person judge whether or not a surgery was successful? How can one predict surgical success?
Understanding the primary reasons for seeking surgical solutions is the first step towards discussing the likelihood of success. The top three causes for patients wanting lumbar surgery are: 1#, other therapies have failed to help; 2#, the pain is unbearable; 3#, walking has become difficult. Based on these reasons to see a surgeon, patients come to the operating room harboring certain expectations. Patients wa...
You should know
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