Heat, Cold, and Compression Therapy

Pain from musculoskeletal conditions may be debilitating and affect the day to day life of patients. The pain such as knee pain or hip pain may begin suddenly after an injury or maybe a result of a long-standing underlying condition. The physicians usually prescribe...

Tennis Elbow – Causes & Management

Tennis elbow is known as lateral epicondylitis. Tennis elbow occurs most commonly between the ages of 30 and 50 years. Despite the name, the painful condition is more common among non-athletes rather than athletes. The pain is due to inflammation and tears of the...

Wrist Pain – Causes and Management

Wrist pain is a common condition that affects all age groups. A number of different causes may lead to wrist pain. The pain may arise suddenly after an injury or may develop over time due to repetitive stress or arthritis. Daily activities such as driving, writing,...

Plantar Fasciitis – Causes & Management

Plantar fasciitis is a common condition causing heel pain. The pain is caused by inflammation of the plantar fascia at its insertion in the heel bone. The condition commonly affects athletes and nonathletes alike. The condition is associated with known risk factors...

Flat Feet – Causes & Management

Flat feet or pes planus is a common orthopedic condition that may lead to significant pain and deformity in the foot. Flat feet is an absence or low lying arch on the inner side of the foot. The main functions of the foot are to support the body weight and lever the...

Joint Replacement Infection – Diagnosis & Management

Prosthetic joint infection (PJI) is a dreaded complication of joint replacement surgery. Any symptoms of fever and discharge from the surgery site warrant a thorough investigation. The diagnosis of joint replacement infection usually involves a history, physical...

Joint Replacement Infection – Causes & Symptoms

Hip and knee joint replacement surgeries are one of the most successful surgeries in the history of modern medicine. The surgeries relieve the pain and disability caused by arthritis not amicable by conservative management options. But like all surgeries, there is are...

Laminectomy and Minimal Invasive Decompression

These are the non-fusion decompression surgeries. So these are the patients who have stable spine, who have single or multiple level stenosis. These can even be done at all five levels of decompression. These are done from the back essentially. This is central...

Differential Diagnosis of Lumbar Spine Diseases

Differential diagnosis can be anything from SI joint, visceral pathologies, hip, knee, neuropathies, and in fact, most patients who are in the older age group usually need a neurological consult also. They get a pain physician who will help them get epidural...

Lumbar Spine Anatomy

Next we have the lumbar spine. The next most mobile segment of our spine. Lumbar spine has five lumbar vertebrae, and it articulates with sacrum below. So actually sacrum also comes into the same gambit. Read more about Back Pain here

Lumbar Spine Diseases

This is a degenerative spondylolisthesis. This is also a degenerative condition, essentially though it can happen in young, but it’s a desiccation, disc desiccation which causes this, leading with annular tear, posterior PLL (Posterior Longitudinal Ligament)...

Vertebroplasty and Kyphoplasty

So what are the non-fusion surgeries on lumbar spine? These are essentially done for fractures, kyphoplasty and vertebroplasty. These are patients who have what you call a compression fracture. They have no breach posteriorly, sometimes we did do them on the patients...

Who Needs Spine Surgery

So, last slide. This is who needs spine surgery, finally. So cervical radiculopathy. So cervical radiculopathy – not relieved for four weeks despite measures, epidural injections, medications. Lumbar radiculopathy not relieved for four to six weeks. This should...

Presentation of Lumbar Spine Diseases

Presentation: Dermatomal Presentations. So most of the patients with spine pathologies will have some back pain, but more of radiculopathy. And radiculopathies patients who have radiculopathy do better with surgical treatment. The dermatomal level status where the...

Non Fusion Surgeries of Lumbar Spine

So what are the non-fusion surgeries on lumbar spine? These are essentially done for fractures: kyphoplasty and vertebroplasty. These are patients who have a vertebral compression fracture. They have no breach posteriorly. Sometimes we did do them on the patients who...

Fusion Surgeries of Lumbar Spine

These are the usual fusion surgeries. There’s a whole gambit of fusion surgeries. Now, we can go from front, back, side, lateral, this, that everything, what we can find an angle, we can go do a fusion surgery. This is the most common one, TLIF. We go from the...