Be the perfect patient? When an appointment is not available and you cannot wait for a later one, ask about your options. There are often urgent care centers or emergency rooms open that can serve you. The staff at the doctor’s office may be able to tell you which type of office to visit, as well as nearby options that accept your insurance. If you’ve followed step one then you have already been tracking symptoms. Writing this information down is a good way to ensure you do not forget. It also allows you to show your doctor your symptoms versus telling them. When presenting symptoms, think about the words you’ll use and try to be accurate. Announcing that you had a fever for two days can be misleading if you don’t provide additional details. For example, most physicians don’t consider a rise in temperature a fever until it reaches 100.4 degrees F. That’s because slight variations in temperature are normal and most thermometers have a small range allotted for error. Using information such as “low grade” or “high grade” when discussing fever is a good example of presenting your symptoms accurately. The same rule applies to all symptoms, and the more information you provide, the less follow-up questions your physician will need to ask.
The most common cause of back pain ? There are three common types of nerve root issues that lead to back pain: spinal stenosis, spondylolisthesis and osteoarthritis. In all three conditions, the nerve root is affected causing often-severe back pain. In spinal stenosis the pain results from narrowing of the spinal canal near the nerve roots. It can appear in one area, or several areas, of the back. In spondylolisthesis, a vertebrae slips over another vertebrae and creates a painful, unstable back. Spondylolisthesis most commonly occurs with joint issues, typically after a fracture or a degenerative joint disease, or as the result of a defect to the joints. Lastly, osteoarthritis occurs when both discs and joints begin to wear down. This ailment becomes more common as people age and leads to pain, swelling, instability and stenosis in one or several areas of the spine.
During the surgery, the surgeon will make incisions on the front and right and left sides of the neck in order to enter the space between the two vertebrae. Then, the damaged disk as well as any bone spurs that have occurred in the area as a result of the body reacting to the disrupted disk will be removed. Dr. Yuan uses a drill to widen the opening of the spinal cord to eliminate pressure it was putting on the cord and nerve roots. The vertebrae are then fused using a bone graft, often taken from the patient’s pelvis but sometimes a cadaver bone is used instead. If more than one disc has been damaged or if more stabilization is needed, a titanium plate or screws may be used to reinforce the vertebrae. This can help reduce neck pain after surgery as well as speed up recovery. In most cases the surgery is completed in one to two hours, however, it can take longer in some cases, especially when more than one disc must be removed. The surgeon should be able to provide a more accurate time measurement for the procedure based on the individual’s needs. See a few more info at Lumbar Discectomy Surgery.
Many complain of low back and buttock pain. While there are several reasons this could occur, sacroiliac joint pain and dysfunction is one cause, and it often requires some level of medical intervention. SI joint pain and dysfunction is an ailment that commonly affects runners and other athletes as well as some people who do not identify as either. The two SI joints are in a person’s pelvis, part of the stable ring structure that also includes the symphysis pubis. Several muscles including the hamstrings, abdominals, hip flexors and gluteal muscles attach to the SI joints. This joint is different from other joints because it only allows for about two degrees of rotation and less than one millimeter of movement backward and forward, but it is a joint nonetheless. The SI joint connects a part of the spine called the sacrum to the pelvis, and as a result it absorbs a lot of stress between these two bones, which can lead to pain, especially if there is an underlying problem.
The SI joint absorbs stress experienced in the legs during running and transfers it to the spine. If the muscles are weak or not working optimally, the SI joint takes the brunt of the load. Tightened ligaments often due to arthritis or hormone changes commonly caused by pregnancy can put the SI joint at greater risk of dysfunction. To properly diagnose SI joint dysfunction, your doctor will have to do an examination. Symptoms are usually described as increased pain after running, standing from a seated position, walking up stairs or using other exercise equipment that stretches the muscles connected to the SI joint. Diagnoses often includes several types of imaging including x-ray, CT, a special type of CT called a SPECT and MRI, as well as fluoroscopically guided injections and sometimes lab work.
Long Beach Spine Surgeon, Dr. Yuan, is a neck and back pain specialist. The board certified and fellowship trained spinal surgeon assesses whether your spine, neck and back ache is treatable with nonsurgical options. If necessary, Dr. Yuan’s expertise is minimally invasive spine surgery and robotic-assisted procedures to relieve chronic pain in the neck and back, and the Long Beach Spine Surgeon also treats a range of spinal disorders in patients of all ages; including, herniated discs and stenosis in the cervical, thoracic and lumbar spine. Dr. Philip Yuan is a board certified Orthopedic Surgeon and fellowship trained spinal surgeon who emphasizes non-surgical treatment first and only recommends surgical procedures when absolutely necessary to better a patient’s quality of life. Discover even more details at Long Beach spine surgery.