Interventional Spine &Pain
For the first time a once-yearly treatment is shown effective in significantly reducing the incidence of bone fracture across the most common osteoporotic fracture sites1
Additional data demonstrate patients can be directly switched from weekly Fosamax (alendronate) to Reclast and maintain bone benefits for a full year2
PHILADELPHIA, PA, September 16, 2006 -- New Phase III data presented for the first time demonstrated that the investigational treatment Reclast (zoledronic acid) 5 mg was highly effective in reducing the incidence of bone fracture in women with postmenopausalosteoporosis across the most common fracture sites - hip, spine and non-spine↓ - with sustained effect over three years.1 Further data demonstrated that postmenopausal osteoporosis patients currently taking oral alendronate can be directly switched to Reclast and maintain beneficial bone effects for a full 12 months after a single dose.2These studies were presented today at the annual meeting of the American Society of Bone and Mineral Research (ASBMR) in Philadelphia.
What is Osteoporosis? Osteoporosis is a disease of the bones. It happens when you lose too much bone, make too little bone or both. As a result, your bones become weak and may break from a minor fall or, in serious cases, even from simple actions, like sneezing or bumping into furniture.Osteoporosis means “porous bone.” If you look at healthy bone under a microscope, you will see that parts of it look like a honeycomb. If you have osteoporosis, the holes and spaces in the honeycomb are much bigger than they are in healthy bone. This means your bones have lost density or mass and that the structure of your bone tissue has become abnormal. As your bones become less dense, they also become weaker and more likely to break. If you’re age 50 or older and have broken a bone, talk to your doctor or other healthcare provider and ask if you should have a bone density test.Osteoporosis is CommonAbout 52 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis. Osteoporosis is SeriousBreaking a bone is a serious complication of osteoporosis, especially when you’re older. Broken bones due to osteoporosis are most likely to occur in the hip, spine and wrist, but other bones can break too. Broken bones can cause severe pain that may not go away. Osteoporosis also causes some people to lose height. When osteoporosis causes the bones of the spine, called vertebrae, to break or collapse, it affects your posture and causes you to become stooped or hunched.Osteoporosis may even keep you from getting around easily and doing the things you enjoy, which may bring feelings of isolation or depression. It can also lead to other health problems. Twenty percent of seniors who break a hip die within one year from problems related to the broken bone itself or surgery to repair it. Many of those who survive need long-term nursing home care.Osteoporosis is CostlyOsteoporosis is responsible for two million broken bones and $19 billion in related costs every year. By 2025, experts predict that osteoporosis will be responsible for approximately three million fractures and $25.3 billion in costs each year.Osteoporosis can Sneak up on YouOsteoporosis is often called a silent disease because you can’t feel your bones getting weaker. Breaking a bone is often the first sign that you have osteoporosis or you may notice that you are getting shorter or your upper back is curving forward. If you are experiencing height loss or your spine is curving, be sure to talk to your doctor or another healthcare professional right away as the disease may be already be advanced.
We provide Vertebroplasty and Khyphoplasty services for acute compression fractures at Wyandot Memorial Hospital, Shelby Hospital and MedCentral Mansfield Hospital.
The bones, or vertebrae, that make up your spine are very strong, but sometimes a vertebra can fracture just like any other bone in your body. Vertebra fractures are usually due to conditions such as: osteoporosis (a condition which weakens the bones), a very hard fall, excessive pressure, or some kind of physical injury. When a bone in the spine collapses, it is called a “vertebral compression fracture”, which is different from a Burst Fracture or Chance Fracture.
These fractures happen most commonly in the thoracic spine (the middle portion of the spine), particularly in the lower vertebrae of the thoracic spine. A drop in estrogen in women at the time of menopause and a drop in testosterone in men is a leading cause of bone loss. Other causes of bone loss include: Being confined to a bed, Certain medical conditions, taking certain medicines, other risk factors include: Absence of menstrual periods (amenorrhea) for long periods of time, A family history of osteoporosis Drinking a large amount of alcohol, Low body weight and Smoking
The link above will take you to a YouTube Introductory video on the TruFuse "brand" Facet Fusion Technique. The equipment is now even small than in this older video.
The Link Will Take You to a YouTube Video
Portion of Lumbar Disk Removed By Dr Mike at Wyandot Hospital, 2010
There are people that refer to this as Laser Spine Surgery. The truth is that if it is done right you really don't need the laser, it just adds to the cost. While the whole idea sounds really cool of using a laser bean on your spine, it really has not been shown to be any better than using the scope and tiny 3 mm grabbers and clippers to clean out and clean off the disk and nerve space. The "Ellman Unit", is a type of electrocautery device that vaporizes the disk and some people do refer to as "the laser", but it not quite the same thing.
TruFUSE® Facet Fusion represents a new surgical option for back pain sufferers who don't qualify, or would like to avoid, major surgery. Facet Fusion is a new turn on an old idea and used to treat a variety of back problems. It can be included in the augmentation of other procedures for any location from C2-C3 to L5-S1, TruFUSE is the less invasive and less destructive option for back pain, but is far from a perfect technique. The procedure is done through an opening smaller than a dime! A small Bone Dowel is placed across the facet joint. This is a more natural way to fuse the spine and avoids messing with the disk. It leaves a large amount of bend and play that your spine was designed for. Disk removal ("laser spine surgery") can also be done at the same time if needed. There are patients who undergo TruFuse and later need to have additional more involved surgery.
Pain can be anywhere in the lower back, across the hips and may even come into the front
These joints Move and the Ligaments can get pulled. The muscles then get tight and it becomes a vicious cycle making the pain worse.
Dr Mike often uses manual medicine in conjunction with other treatments for thoracic facet pain
Facets are small joints in the back part of your spine that lock and interconnect vertebrate with the ones above and below. They can become irritated and inflamed like any other joint. They are very amenable to treatment
Every nerve leaving your spine goes to a strip of skin called a dermatome. Much the way you can hit your “funny bone” at the elbow and pain shoots down your hand, a nerve can get irritated or compressed at the level of the spine and shoot down your leg or arm. This can happen in shingles as well. People often use the word “Sciatica”
Fell free to print and shade in or circle exactly where you are hurting.
Small nerves that transmit pain from your spine can be "buzzed" with a 10- minute radiofrquency procedure
The practice of Interventional Pain Management and Minimally Invasive Spine & Pain are evolving fields. Many treatments, medications, and equipment uses presented are potentially considered to be off-label and non-FDA approved as are many things in primary care. However, they are standard-of-care. This is simply the nature of the specialty. It is also a fact that anything bad can happen anytime any healthcare provider does anything for any patient. Dr Mike has never had an infection, bleeding, spinal cord injury or other life threatening complication.
Most people who have had spine surgery still have considerable symptoms in the leg and back.
* This is one of the reasons we try and avoid major surgical interventions for patients who have no weakness or other neurologic loss
Type Here you can see the improvement in the angle wedge deformity after Dr Mike has fixed the fracture
you can see the "RamRod" and how it is pushing the cement into the small cracks, filling the vertebral fracture cracks. Notice how it stops when it reaches the edge of the bone