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Back Surgery

Dr. Stephen Graham • Aug 22, 2013

Dr. Stephen Graham discusses the lumbar spine; why people get surgery, and how to treat people that have recurring back pain even after surgery.


Dr. Graham reveals that most people that end up getting back surgery is based a few factors: severe pain in the low back and or leg; loss of muscle strength; loss of reflexes and in some cases loss of bowel and bladder control. Dr. Graham states that the most prevalent reason he sees, is pain.


Some of the orthopedic tests that show up as positive are the traditional straight leg raise; when the patient sits and cannot raise their leg in front of them without their back hurting is a sign that they may have a herniated disc. Other signs that point to a herniated disc are muscle weakness and loss of reflexes, Dr. Graham states.



Dr. Graham reports that MRI is usually the best test to determine if their is a herniated disc. He goes on to say that even though their is a herniated disc does not necessarily mean someone needs surgery. He says you have to treat the patient and not the MRI.


Dr. Graham illustrates his computerized adjusting instrument and how this is very effective for people that have had surgery in the past. Manual type adjusting may irritate the surrounding scar tissue, whereas his computerized adjusting instrument does not as there is no twisting at the area where the surgery was.


Finally, Dr. Graham discusses a few cases that he treated and how they responded to his treatment.

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By Stephen L. Graham, D.C. 31 May, 2023
No, not all herniated discs in the lumbar spine require surgery. In fact, the majority of herniated disc s can be managed without surgical intervention. Many cases of lumbar disc herniation resolve on their own with conservative treatments such as rest, chiropractic care, physical therapy, pain medications, and lifestyle modifications.  Surgery is typically considered as a treatment option for herniated discs in the lumbar spine when conservative measures fail to alleviate symptoms and the individual experiences severe pain, significant functional impairment, or neurological deficits. Additionally, if conservative treatments have been tried for a significant period of time (usually several weeks to months) without significant improvement, surgery may be recommended. It's important to note that the decision to undergo surgery for a herniated disc is typically based on a thorough evaluation by a medical professional, taking into consideration the individual's specific symptoms, medical history, physical examination findings, and imaging studies such as MRI scans. The final decision regarding surgery should be made in consultation with a qualified healthcare provider, such as a spine specialist or neurosurgeon, who can provide personalized advice based on the individual's unique circumstances.
By Stephen L. Graham, D.C. 25 Apr, 2023
Massage can be an effective way to alleviate back pain in several ways: Reducing muscle tension: Massage can help release tension in the muscles of the back, which can be a major contributor to back pain. By loosening up tight muscles, massage can help increase range of motion and reduce discomfort. Improving circulation: Massage can also improve circulation to the affected area, which can promote healing and reduce inflammation. Improved circulation can also help deliver more oxygen and nutrients to the muscles and other tissues in the back, helping them to function better and heal more quickly. Promoting relaxation: Massage can be very relaxing, which can help reduce stress and tension in the body. This can be particularly beneficial for people with back pain, as stress and tension can exacerbate pain and make it more difficult to manage. Releasing endorphins: Massage can also trigger the release of endorphins, which are natural painkillers produced by the body. This can help reduce pain and promote feelings of well-being. Overall, massage can be a helpful complementary therapy for people with back pain, but it's important to work with a qualified massage therapist and to seek medical advice if you have chronic or severe back pain. We always recommend ElementsMassage.com
By Stephen L. Graham, D.C. 24 Apr, 2023
A weak core can contribute to low back pain in several ways: Lack of support: The muscles in the core, including the abdomina ls, obliques, and back muscles, work together to provide support and stability to the spine. When these muscles are weak, the spine may not be adequately supported, which can lead to excessive stress on the lower back muscles and joints, leading to pain. Poor posture: A weak core can cause poor posture, which can also contribute to low back pain. When the core muscles are weak, the body may compensate by slouching or leaning forward, which can place extra pressure on the lower back. Limited range of motion: A weak core can limit the range of motion in the hips and pelvis, which can place additional stress on the lower back when performing everyday activities such as bending or lifting. Inefficient movement patterns: When the core muscles are weak, other muscles may have to work harder to compensate for the lack of support, leading to inefficient movement patterns. This can also contribute to low back pain over time. Therefore, it's important to strengthen the core muscles through exercises such as planks, bridges, and abdominal crunches to help prevent and manage low back pain. However, it's important to consult with a healthcare provider or a physical therapist before starting a new exercise program, especially if you have a history of low back pain or other medical conditions. For more information watch the video below: h ttps://youtu.be/REMdalt423Q
By Stephen L. Graham, D.C. 24 Apr, 2023
A herniated disc is a common spinal condition that occurs when the soft, jelly-like material in the center of a spinal disc pushes through a tear in the outer layer of the disc. This can cause pain, numbness, and weakness in the affected area. Here are some common symptoms of a herniated disc: Pain: The pain can be severe and may be felt in the back or neck, as well as in the arms or legs. Numbness or tingling: Numbness or tingling may occur in the affected area, such as the arms or legs. Weakness: You may experience weakness in the affected area, which can make it difficult to lift or hold objects. Changes in reflexes: A herniated disc can affect your reflexes, causing them to be slower or weaker than usual. If you suspect you have a herniated disc, it is important to see a healthcare provider for a proper diagnosis. Your healthcare provider may perform a physical exam and order imaging tests, such as an MRI, to determine if a herniated disc is the cause of your symptoms. Treatment may include rest, physical therapy, medication, or surgery in severe cases. For more information watch this video: https://youtu.be/6zNeYUrzIdk
By Stephen L. Graham, D.C. 10 Apr, 2023
A muscle problem refers to any condition that affects the muscles of the body, such as muscle strain, muscle spasms, or muscle weakness. Muscle problems can occur due to injury, overuse, or underlying medical conditions. A pinched nerve, on the other hand, is a condition in which a nerve is compressed or irritated by surrounding tissues, such as muscles, bones, or cartilage. This compression can cause a range of symptoms, including pain, numbness, tingling, and weakness. The main difference between a muscle problem and a pinched nerve is that a muscle problem involves issues with the muscle tissue itself, whereas a pinched nerve involves issues with the nerves that transmit signals between the brain and the muscles. In some cases, it may be difficult to distinguish between a muscle problem and a pinched nerve, as the symptoms can be similar. However, a thorough physical examination, along with imaging tests such as an X-ray or MRI, can help diagnose the underlying cause of the symptoms. Typically, a muscle problem will healer faster because it has a better blood supply. For more information, click below: h ttps://youtu.be/6zNeYUrzIdk
By Stephen L. Graham, D.C. 10 Apr, 2023
Chiropractic care can help with this!
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