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Watch Dr. Dan Lieberman’s new variety show “Best Practice” & Daily Call-In

Phoenix Spine & Joint

1y

From BestPracticeHealth.tv:

Ankylosing Spondylitis is an autoimmune disorder in which inflammation affects the joints and ligaments of the spine, leading to significant pain and eventually disability. The condition is relentless, painful, and progressive. Despite years of research, and an unusually good understanding of the genetics of the disease, treatments options are marginal at best. Until now. A new breakthrough therapy may bring hope to many patients suffering from this debilitating disease.

Breakthrough Treatment Option

An article on ankylosing spondylitis was published in the journal Nature Medicine today by a Russian research group. While I am not familiar with the scientists, this journal is renowned for its credibility and expertise. The authors conducted animal tests to show if they could inhibit the immune system components responsible for ankylosing spondylitis in humans. They did.

The animal work alone would have been extremely good news. Ankylosing Spondylitis is a condition that progresses over time and is disabling. This approach, if it were as successful in humans as it was in the animal trials, would be an effective cure for ankylosing spondylitis. The most exciting part of this paper published today is what came next.

Human Study Result

In 2019 the Russian investigators tried this treatment in a single subject. He was a 57 year old man. The test subject had a long history of morning stiffness, as well as severe back and hip pain due to ankylosing spondylitis. After undergoing infusion of the new treatment everything changed.

"The patient's well-being progressively improved over 3 months after administration of the drug. Morning stiffness in the spine and pain in the right hip joint disappeared, and the patient's physical activity increased."

When the man's pain came back the investigators likely expect it. Based on their translational research, the new approach was only expected to last a few months. I'm sure they were delighted with what happened next.

The Russians repeated the treatment, and the pain again went completely away. According to the report, this man has been in treatment for four years and remains pain free, effectively cured of his ankylosing spondylitis symptoms, with improved spinal mobility.

How the Treatment Works

The new therapy works by targeting specific immune system components responsible for triggering ankylosing spondylitis. It utilizes a form of antibody-based immunotherapy, which is designed to specifically inhibit the action of immune cells. This inhibition stops the inflammatory response that leads to pain and disability caused by ankylosing spondylitis.

Availability of the Treatment

At this time, the treatment is not available to patients outside of clinical trials; however, researchers are actively working to bring this therapy to market in the near future.

In the meantime, patients with ankylosing spondylitis should continue to take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen to help manage their symptoms. These medications can reduce inflammation and pain in some cases. However, long-term use of NSAIDs can increase the risk of side effects such as gastrointestinal bleeding, heart attack, stroke, and kidney failure.

Doctors may also prescribe disease-modifying antirheumatic drugs (DMARDs). DMARDs are powerful medications that can slow the clinical features of ankylosing spondylitis and have been shown to slow radiographic progression of the disease. But they can have serious side effects and should be used with caution.

Surgery for Structural Damage

In some cases, patients with ankylosing spondylitis can cause permanent damage to the joints and spine. The patient in this clinical study had earlier undergone total hip replacement. Others may require spinal decompression as well to improve their quality of life.

As exciting as this early case may be, further studies are needed. It is also exciting to note this approach may lead to new treatments for inflammatory disease that feature an immune response such as inflammatory bowel disease, psoriatic arthritis, and other rheumatic and autoimmune diseases.

Read the full report here: Targeted depletion of TRBV9+ T cells as immunotherapy in a patient with ankylosing spondylitis | Nature Medicine

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New hope: a study shows a promising treatment and possible cure for ankylosing spondylitis

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Phoenix Spine & Joint

1y

Radiofrequency ablation for the treatment of neck pain.

When is neck pain bad enough for radiofrequency ablation? | Dr. AC Foxx

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Phoenix Spine & Joint

1y

In today's digital age, it's no surprise that technology has become an integral part of our daily lives. From smartphones to laptops, we are constantly glued to our screens, and this has led to a new phenomenon known as "tech neck." Tech neck refers to the strain and discomfort experienced in the neck and upper back as a result of prolonged use of digital devices.

Too often, poor posture and smartphone use go hand-in-hand, which can be surprisingly hard on your neck, according to a 2014 study published in Surgical Technology International. Tipping the head forward and downward a slight 15 degrees is equivalent to adding 27 pounds of weight to your cervical (neck) vertebrae, the study found. A 60-degree downward gaze is comparable to hanging a 60-pound weight from your spine.

http://www.ncbi.nlm.nih.gov/pubmed/2539382

Neck pain is often associated with older individuals, but recent studies have shown a concerning trend – younger people are increasingly seeking treatment for neck pain caused by tech neck. This is a significant issue that needs to be addressed as it can have long-term consequences on the health and well-being of the younger generation.

As a practicing pain management physician Dr. Ann Cherie Foxx is used to seeing arthritis in older people. But lately, she's been seeing something new: neck pain is young adults and adolescents after extensive use of electronic devices.

To combat tech neck and prevent neck pain, it is crucial to adopt good posture habits while using digital devices. Here are some tips to help you maintain a healthy neck posture:

1. Keep your device at eye level: Whether you're using a smartphone or a laptop, make sure the screen is at eye level. Avoid looking down for extended periods as this puts unnecessary strain on your neck.

2. Limit screen time: It's essential to take regular breaks from your digital devices. Set reminders to stretch and move around every 30 minutes to relieve tension in your neck and upper back.

3. Strengthen your neck and back muscles: Engaging in exercises that strengthen your neck and back muscles can help alleviate pain and prevent future issues. Incorporate exercises like neck stretches, shoulder rolls, and upper back strengthening exercises into your routine.

4. Ice packs alternating with moist heat and non-steroidal anti-inflammatory drugs may provide relief.

If symptoms persist for more than 3 weeks despite these home treatment measures, then you will need to see a healthcare provider. A medical or chiropractic physician is a good place to start. Those doctors will take your history, perform a physical examination, order an x-ray, and start therapy.

In extreme cases when conservative measures have failed x-further treatment is needed. Your doctor should refer you to a Best Practice Certified pain management doctor who can perform Radiofrequency ablation. This procedure relieves 80% of neck pain in six out of ten people who have it for an average period of 10 months.

In conclusion, tech neck is becoming a prevalent issue among younger individuals due to prolonged use of digital devices and poor posture habits. By adopting good posture practices, taking regular breaks, and seeking treatment, when necessary, we can prevent and alleviate neck pain, ensuring a healthier future for the younger generation. Remember, taking care of your neck now will benefit you in the long run.
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Tech Neck: pain in young people from excessive use of technology #techneck #neckpain

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Phoenix Spine & Joint

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Most people are not on Medicare, but a lot are. And most private insurance guidelines are very similar to Medicare. So, I've provided the Medicare guidelines here. MRI (Magnetic Resonance Imaging) of the back for back pain typically require that specific criteria are met to justify the medical necessity of the procedure. These criteria help ensure that the MRI is ordered when there is a reasonable expectation that it will provide valuable diagnostic information. While the specific guidelines may vary slightly based on the region and the individual insurance plan, common indications for an MRI of the back for back pain under Medicare guidelines include:

Failure of Conservative Treatment: The patient has undergone conservative treatments such as physical therapy, medications, and rest, and there has been no significant improvement in the back pain symptoms.

Neurological Symptoms: Presence of neurological symptoms such as radiating pain, numbness, tingling, or muscle weakness in the legs, suggesting potential nerve compression or other serious conditions.

Trauma or Injury: The back pain is a result of a recent trauma, injury, or accident, raising concerns about spinal cord or vertebral injury.

Suspicion of Structural Abnormalities: Suspected structural abnormalities such as herniated disc, spinal stenosis, tumors, infections, or inflammatory disorders that require further evaluation.

Monitoring Known Conditions: For patients with known spinal conditions or a history of spinal surgery, MRI might be necessary to monitor the progression of the disease or assess the post-surgical status.

Unexplained Severe Pain: Severe and persistent back pain that is not explained by other diagnostic tests or clinical evaluations, warranting further investigation through imaging studies.

It's important to note that Medicare guidelines are specific and may require documentation from the healthcare provider to support the medical necessity of the MRI. The physician ordering the test must provide detailed clinical information, explaining why the MRI is necessary based on the patient's symptoms and medical history.

Patients and healthcare providers should always check with Medicare or the specific insurance plan to understand the exact requirements and ensure that the procedure will be covered. Meeting the necessary criteria and providing comprehensive documentation are key factors in getting approval for an MRI of the back for back pain under Medicare guidelines.

Seven months of low back pain, why won't my doctor order an MRI? | Non-specific low back pain

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Phoenix Spine & Joint

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Meet Julie, a retired teacher and coach from The Woodlands, Texas, whose active retirement was interrupted by debilitating low back pain. In this inspiring video, we delve into Julie's journey as she navigates the challenges of scoliosis, spinal stenosis, and mechanical low back pain. Despite being told fusion was her only option, Julie's story proves otherwise.

Join us as we explore the possibilities for treatment beyond traditional methods. We discuss the importance of accurate diagnosis and potential solutions such as minimally invasive radiofrequency ablation and foraminotomy. These treatments offer hope, even for those in their 70s, allowing them to regain their mobility and quality of life.

In this video, we review Julie's imaging results, providing valuable insights for anyone facing similar issues. Plus, we guide you in finding the right surgeon, ensuring you receive the care and support needed to overcome low back pain and scoliosis.

If you or a loved one are dealing with scoliosis, low back pain, or seeking hope in the face of spinal challenges, this video is a must-watch. Discover the options, find the hope, and take the first step towards a pain-free future.

🌟 Don't forget to like, share, and subscribe for more empowering stories and valuable insights on overcoming spinal issues and embracing a life full of hope and vitality. 🌟

#Scoliosis #LowBackPain #HopefulRecovery #MinimallyInvasiveTreatments #SpinalHealth #PainFreeLife

Julie's Journey from Low Back Pain to Hope

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Phoenix Spine & Joint

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Meet Chris, a ski instructor and designer builder living in a scenic New Mexico ski town. He's battled sciatica for six months, stemming from an L3/4 herniated disc that coincided with his shoulder surgery recovery. Despite his rural setting limiting doctor options, Chris persisted in seeking help.

In our interview, we delve into L3/4 disc herniation, sciatica, and it's appropriate treatments. We clarify the indications for epidural injections and microdiscectomy surgery. Importantly, we address the misconception that fusion is not a recognized treatment for herniated discs causing sciatica. Join us as we explore effective solutions for sciatic nerve pain and empower those like Chris to find relief without unnecessary procedures.

Navigating Sciatica: Effective Treatments and Misconceptions (AKA no fusion for a herniated disc)

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Phoenix Spine & Joint

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How discs bulge, tear, herniate and then irritates a nerve root to cause sciatica | Best Practice

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Join us for a crucial and eye-opening interview with Thomas P., who has been grappling with severe stenosis at L4/5 since early in the pandemic in 2020. Tom's journey is a testament to the challenges many face when seeking the right treatment for this very common condition.

Tom's ordeal began during the COVID lockdown in 2020 when he started experiencing excruciating pain down his right leg while using the elliptical bike. Despite trying various treatments such as physical therapy, dry needling, injections, Neurontin, tramadol, and Flexeril, his pain only intensified. What's more, these treatments are well-documented as ineffective for spinal stenosis.

In a surprising turn of events, Tom's neurosurgeon recommended fusion surgery, a procedure that might not be the most appropriate solution for his condition. Now, Tom is on a quest to find the correct surgical recommendation that will appropriately address his severe stenosis and provide him with lasting relief.

This interview sheds light on the importance of seeking multiple opinions and exploring alternative surgical options when facing spinal stenosis. It serves as a valuable resource for anyone navigating similar health challenges, emphasizing the significance of finding the right treatment path.

Don't forget to hit the "Subscribe" button and activate notifications to stay informed about crucial healthcare topics. Share this video with friends and family to spread awareness about the complexities of spinal stenosis treatment and the importance of advocating for the right surgical solution.

🔗 Additional Resources:
➡️ https://bestpracticehealth.tv/spine/treatments/lumbar-laminectomy/- Learn more about stenosis and how it is really treated by lumbar laminectomy.

➡️ https://bestpracticehealth.tv/spine/conditions/stenosis/- Read more about spinal stenosis, its history, imaging, and treatment.

Let's support Tom on his journey to find the best surgical solution for his severe stenosis. Watch this interview and join the conversation about navigating complex healthcare decisions. #SpinalStenosis #SurgicalOptions #HealthcareAdvocacy
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Setting the record for bogus treatments for Severe Stenosis: How Tom found the right path.

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Prepare to be inspired! I know I was. Join me for a heartwarming interview with Pam W., whose life took a dramatic turn thanks to a proper diagnosis and determined spirit.

A few months ago, Pam appeared on BestPracticeHealth.tv, sharing her struggle with a femoral nerve injury that resulted from a knee replacement surgery, where a tourniquet was applied for too long. The effects left her barely able to walk and facing significant mobility challenges.

After our interview Pam understood that she had a nerve injury and sought treatment. She found a physical therapist who employed electrical stimulation to revive her damaged femoral nerve. The results were nothing short of incredible! Pam not only regained her mobility but also accomplished something many thought was impossible. This summer, she visited the iconic Niagara Falls and walked up a flight of stairs over 300 feet in length.

Pam's journey is a testament to the power of hope, determination, and the critical importance of receiving the right diagnosis. Her story reminds us all that no matter how challenging life may become, there is always hope for recovery when you have the proper guidance and support.

Don't miss this inspiring interview! Hit the "Subscribe" button and turn on notifications to stay updated on stories of resilience and triumph. Share this video with friends and family to spread the message that where there is life, there is always hope, and it all begins with a correct diagnosis.

🔗 Additional Resources:
➡️ https://bestpracticehealth.tv/knee/total-knee-replacement-surgery/ - Don't let this happen to you. Use a Best Practice Certified total knee replacement surgeon. Learn more about total knee replacement here.

➡️ https://www.facebook.com/groups/totalkneereplacements/- Join a community of individuals facing similar health challenges and share your experiences.

Join us in celebrating Pam's incredible journey and the enduring power of the human spirit. Watch this interview and be inspired to face your own challenges with renewed hope. #Inspiration #RecoveryJourney #ProperDiagnosis

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From Femoral Nerve Injury during knee replacement to Niagara Falls Triumph: Pam's Remarkable Journey

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