Physical Therapy remains the first line treatment for lumbar disk injuries due to its’ non invasive nature and clinical effectiveness. The natural history of disk injuries is not well established but preliminary data covered in prior blog posts demonstrates regression of these injuries over time. A recent case study in the New England Journal of...
“We are what we think. All that we are arises with our thoughts. With our thoughts, we make the world.” – Buddha. Mental health has a significant impact on recovery from many musculoskeletal diagnoses including low back pain, neck pain, and shoulder pain. Our thoughts and perceptions about our bodies and their ability to recover...
Despite having no symptoms, many of us will develop age-related changes in the musculoskeletal structures of our bodies, similar to the aging effects on our skin. These findings are most prevalent on highly sensitive imaging techniques such as MRI and often lead to unnecessary and costly medical procedures. Our shoulders are also prone to development of age...
Our imaging technologies have made tremendous improvements in their ability to detect abnormalities in our body. These positive findings may or may not be related to our current symptoms including stiffness, giving way, or pain. We have seen improvements in the sensitivity of these tests where we are able to detect individuals with the condition...
We have previously written on low back pain and the dramatic rise in surgeries with this patient population, despite evidence of superior outcomes over conservative treatment and Physical Therapy. Prior research has documented the dramatic rise in the number of lumbar MRI imaging for the low back and a corresponding increase in the number of...
Our prior posts on tendon injuries have described the structural changes that take place with chronic symptomatic tendinopathies. The disorganization of tendon fibers and the body’s attempts to heal the injured tendon are best viewed on ultrasound or MRI imaging. MRI is a very sensitive tool, but lacks specificity meaning a positive finding may or...
Neck Pain Background Information Neck pain affects 10-15% of the population at any one time, with a lifetime incidence of 22-70% (1). Only 6% of patients with neck pain report resolution of symptoms at one year (2). A recent systematic review demonstrated the prognosis from idiopathic neck pain is poor (3) and 50-75% of patients with neck...
Lumbar Spinal Stenosis is a spinal diagnosis found in older adults and involves a narrowing of the canals in which the nerves exit the spine. It can be found in either the central canal of the spine or in the foramen where nerves exit on each side of the spine. Often these patients reports symptoms...
The use of lumbar corticosteroid injections is often utilized for patients with back and leg pain (radicular pain) and/or leg numbness, pins and needles, or nerve root weakness (radiculopathy). In an older adult these symptoms may be due to a narrowing of the canals in which the lumbar nerve roots exit (lumbar stenosis). These injections...
Is a picture really worth 1000 words? As our technology continues to improve MRI and CT scanners have become more proficient at finding changes in our spines. This higher imaging quality comes with a cost in that many of these positive findings like “bulging discs”, arthritis, “pinched nerves” and the frightening-sounding “degenerative disc disease” can...