All Posts Tagged: arkansas neurosurgery

Intraoperative Navigation

What is intraoperative navigation?

Sophisticated imaging equipment that is used during surgery to provide accurate anatomical localization of important structures.

How does it help in spine surgery?

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Becker’s Presentation by Dr. Schlesinger

Becker’s ASC Review

This past month, our very own Dr. Scott Schlesinger was a featured speaker at this years’ Becker’s Ambulatory Surgery Center Review Conference. Over 1500 physicians and administrators from around the country attended the conference.

Dr. Schlesinger took the stage to discuss the MIGLIF procedure. 

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F.I.T.T Principle

In the world of physical therapy a very common goal is to increase strength. Some patients love the hands on approach with a skilled therapist while others choose to hit the gym. So if you are one of those individuals that would like to try it on your own there is a very important training tool to keep in mind. The FITT Principle:

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Is your bulging disk causing your back pain?

As our bodies age so do our spines. Arthritic changes will be present in the spine which include bulging disks, degenerative disk disease and joint changes. The degree that these changes occur are often related to genetics. A simple bulging disk is actually an extremely common finding on MRIs of the spine and is not an indication for surgery. There are many other structures in the low back and neck that are very sensitive to pain especially the muscles and numerous joints that support the spine. These are more often the cause of low back and neck pain and are treated with conservative therapies. Occasionally a disk will actually herniate out of the normal position between the vertebral bones and cause pressure on spinal nerve resulting in extremity pain. The disk herniation itself is not painful but can result in pain by causing inflammation and/or pressure on these spinal nerves. If extremity pain from a compressive herniated disk cannot be fixed with conservative treatments sometimes surgery is indicated. Our neurosurgeons are trained to read spine MRIs, understand the complicated anatomy of the spine and perform neurological exams to determine appropriate treatment options. 

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Lumbar Disc Disease

Symptoms

Symptoms vary depending on the severity of the condition, and may range from no symptoms to severe pain in the back and or legs with variable degrees of numbness, tingling and weakness in the legs.

Causes

The lumbar discs are the cushions between each of the lumbar vertebrae in the lower back. These cushions are composed of an inner layer of material called the nucleus pulposus, which is surrounded by fibrous bands called the annulus. The nucleus material is a gelatinous core that has the consistency of “boiled shrimp”. These cushions serve as the shock absorbers in our lower back, just like the shock in your car. These “shock absorbers” experience daily wear and tear.

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Ulnar Neuropathy

Ulnar Neuropathy is a disorder that involves the ulnar nerve (one of the major nerves in the arm).  Ulnar neuropathy is usually due to entrapment in the elbow area, the region of the “funny bone”.  This entrapment may be spontaneous and related to thickening of adjacent ligaments and muscles. This can be related to a prior injury in the area with associated scar formation that leads to a delayed onset of the nerve compression often years after the injury “tardy ulnar palsy”.

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How to Avoid Neck Pain at Work

Have you ever arrived to work and before the hectic day has even begun you are already experiencing the nagging and far too familiar feeling of neck pain?

By: Jessica Beggs, DPT (Legacy Neurosurgery Physical Therapist)

There are many sources of neck pain but one that is commonly overlooked is body positioning throughout the work day. According to a recent study by Caio et al. neck pain is a common condition that can cause substantial disability and is of high prevalence with individuals who perform occupational activities while sitting and leaning.1 So, what type of employment fits that job description? This data is not limited to computer programmers and call centers but instead could be applied to nearly all job styles! When sitting, leaning forward is a position that the body sometimes naturally assumes especially when driving a car, using a phone, or working on a computer. It requires countless muscle fibers to recruit and a conscious effort to maintain upright posturing.

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Congratulations to Dustin Johnson for his Playoff Opener Win

The Play by Play

Dustin Johnson is cool under pressure! Despite falling five shots behind Jordan Spieth after five holes Sunday in the Northern Trust, Johnson never panicked.

The seemingly insurmountable deficit was wiped clean in five holes, with Johnson making two birdies and Spieth finding water on the sixth hole for a double-bogey. Spieth, then making another bogey on the ninth. From the 11th on, Johnson out-dueled Spieth and won the opener of the FedExCup Playoffs with two great performances on the final hole.

On the 72nd hole, Johnson, facing a make-or-break situation, buried an 18-footer  for par to force a playoff, and then claimed the hardware on the first extra hole, when he unleashed the longest drive on the 18th all week — a 341-yarder that easily cleared the lake — and then struck a 60-degree wedge to 3 feet and made the putt to win.

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The Simple Facts: Lumbar Stenosis

Stenosis is a common spinal condition caused by arthritic build up in the joints (facet joints) and ligaments in the lower back. In addition, one may have a disc bulging that causes pressure on the nerves passing through the narrow canal.

Symptoms:

Back and leg pain down one or both legs, numbness or tingling, weakness often associated with electric shocks running from the back to the feet. These symptoms are increasingly aggravated, at a varying degree while walking, and improve when sitting or stooping forward.

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“The Golfer’s Swing: A Multi-modal Approach to Improving Your Game”

A competitive edge is a highly sought attribute for any serious athlete. As young, healthy athletes slowly begin to add years of experience to his/her playing card, there are added stressors and strains that inevitably accumulate. Very often I see an aging adult that has the follow through and motivation of a champion but an uncooperative physique. So the question then becomes, how can the imminent become less inhibiting?

Let’s discuss some of the limiting factors and how we might be able to address these items through a strengthening and flexibility regime that could potentially be the difference between double bogey and par. Primary areas of focus will include hip range of motion, low back musculature, and biomechanics of your golf swing.

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