Spine General (involves multiple spine areas)

I heard about someone who had back surgery through her stomach. How (and why!) is that possible?

Although it may seem obvious to operate on the back by the back, looks can be deceiving. In the lower back, for example, right near the bottom, it can be hard to access certain discs. While the surgery is possible, the degree of difficult is such that there could be problems with nearby muscles or discs.




I retired last year after a long and happy career with the U.S. Forest Service. I've been surprised that my neck and back pain haven't gone away. I always assumed it was related to my job lifting and hauling wood products and heavy loads. Why do I still have back pain if I'm not working?

Many experts have made the assumption that most back pain is work-related. But studies do show that back pain is just as common among children; nonworking groups; and older, retired folks.

This knowledge has led doctors, researchers, and scientists to rethink their approach to back pain. Maybe back pain is inevitable. Preventing it may not be the best goal. Perhaps more time and money should be spent figuring out how to help people once they have neck or back pain.




How old is the specialty of spinal care and how has it changed?

Care of the spine is developing rapidly over the years, but it was only as recent as the early 1900s that it was learned there were actual disorders of the spine that differed from one another.

Using this biological module, physicians were able to put a name to the issue and offer treatments. This is also when physicians knew that they could identify certain issues and ascribe them to certain groups of patients.




Back Pain Is Unrelated to Age

There's some thought that middle-aged working people are at greatest risk for back pain. But, in fact, according to this study of centenarians (age 100 or more), neck and back pain are just as common at age 20, 40, 60, up to 100-plus.

A survey of Danish 100-year-olds conducted by face-to-face interviews assessed the prevalence of back and neck pain. Such a study was possible since all Danish citizens are required to register with the Danish Civil Registration System.




The History of Spinal Disease in Medicine

Although back pain and spinal disease have been around for generations, it has only been in the past 70 years that spinal care has seen major developments in spinal care. This article reviews the history of spinal disease and care, as well as the diagnosis and the implications of treatment.




My brother was involved in a car accident last year. There's a lawsuit pending, so I don't think he's being entirely honest about his situation. Can people really get away with withholding information about their previous accidents and drinking habits?

There may be some people who do try to manipulate the compensation process. They may withhold information or deny a past history of previous accidents. In fact, a recent study from Stanford University showed that more than two-thirds of the patients with neck and/or back pain from a car accident hid such information.




I just started working in an orthopedic clinic with patients who have had car accidents. Most of them have some kind of neck or back pain. They are supposed to fill out a survey with information about their health. There are questions about alcohol and other drug use. We also ask about previous number of car accidents and past history of neck or back pain. Is there any way to tell if the information is really accurate? It seems like this would be important information to have when planning our treatment protocol.

You ask a very important question, especially in light of the fact that studies show a past history of neck or back pain is a strong risk factor for poor outcomes. Depression, drug abuse, and alcoholism are known to be linked with prolonged illness and pain severity.

Likewise, a history of mental health problems is also a risk factor for poor prognosis. Patients with a history of depression, anxiety, or bipolar disorder fall into this category.




My shoulder has been hurting me for a long time but I'm not sure what to do about it or what it could be. I haven't hurt myself by falling or anything. Can a doctor do anything anyway?

More and more, people in the Western world are developing upper extremity disorders (UEDs) and/or complaints of shoulder, arms, neck and/or shoulder (CANS).

According to a large survey done in the Netherlands, people who are employed and women tend to have these problems most often. Researchers theorize that this is because many types of work involved repetitive motions, and many of these jobs are done by women.





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