Surgery

This Spine Surgeon says “Avoid Spinal Surgery for Low Back Pain”

September 11, 2018 // by David Hanscom Stop and Think Carefully about Back Surgery If you’re considering having spinal surgery as the final fix for your back pain, I’d like to help you to think again about your options. I’m a spinal surgeon and I want you to know that surgery is not your best option […]

Effectiveness of Surgical and Postsurgical Interventions for Carpal Tunnel Syndrome—A Systematic Review

Huisstede, Bionka M. et al. Archives of Physical Medicine and Rehabilitation , Volume 99 , Issue 8 , 1660 – 1680.e21 Abstract Objective To present an evidence-based overview of the effectiveness of surgical and postsurgical interventions for carpal tunnel syndrome (CTS). Data Sources The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro were searched for relevant […]

Postoperative Changes in Moderate to Severe Nonspecific Low Back Pain After Cervical Myelopathy Surgery

World Neurosurgery Publication History Published online: May 09, 2018 Accepted: April 30, 2018 Received: February 5, 2018 Highlights Cervical myelopathy patients sometimes have nonspecific low back pain (msLBP). Awareness of postoperative changes in msLBP may be helpful in consultation. MsLBP was improved in approximately 50% of patients after cervical myelopathy surgery. MsLBP symptoms fluctuated in […]

Impact of acupuncture treatment on the lumbar surgery rate for low back pain in Korea: A nationwide matched retrospective cohort study

PLoS One. 2018 Jun 12;13(6):e0199042. doi: 10.1371/journal.pone.0199042. eCollection 2018. Koh W, Kang K, Lee YJ, Kim MR, Shin JS, Lee J, Lee JH, Shin KM, Ha IH. Abstract INTRODUCTION: Low back pain (LBP) is a globally prevalent disorder with high social significance. Invasive surgical procedures are increasingly being used to treat LBP despite a lack […]

Preoperative Vitamin D Deficiency Is Associated With Higher Postoperative Complication Rates in Total Knee Arthroplasty

Vishal Hegde, MD; Armin Arshi, MD; Christopher Wang, BS; Zorica Buser, PhD; Jeffrey C. Wang, MD; Andrew R. Jensen, MD; John S. Adams, MD; Erik N. Zeegen, MD; Nicholas M. Bernthal, MD Orthopedics. https://doi.org/10.3928/01477447-20180424-04 Posted April 30, 2018 Abstract The purpose of this study was to determine the relative incidence of postoperative complications in 25-hydroxyvitamin […]

Use of Prescription Opioids Before and After Lumbar Fusion Surgery

March 28, 2018 TAKE-HOME MESSAGE Adults undergoing lumbar fusion surgery (N = 2491) for chronic back pain were retrospectively followed to evaluate patterns of opioid use following surgery. Long-term opioids were used by 1045 individuals before surgery and by 1094 individuals postoperatively. Long-term postoperative use of opioids was observed in 77.1% of preoperative users and […]

Novel Tx Eases Osteoarthritic Knee Pain

by Nicole Lou, Reporter, MedPage Today/CRTonline.org March 18, 2018  LOS ANGELES — Geniculate artery embolization was found to dampen knee pain arising from osteoarthritis, according to interim study results presented here. One month after the catheter-based procedure, patients reported having less intense knee pain on a visual analog scale (VAS; baseline 75 mm, average decrease of 53 […]

Brain Decline Reported in Older Knee Replacement Patients

~ A study finds that 23 percent of those 60-plus show cognitive deterioration after surgery by Kent Allen, AARP, February 21, 2018 A study has found that almost 1 in 4 of knee replacement patients who are 60 or older show a decline in activity in at least one brain region 48 hours after surgery. […]

Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up

Nancy S. Mansell, DPT The American Journal of Sports Medicine Article first published online: February 14, 2018 https://doi.org/10.1177/0363546517751912 Abstract Background: Arthroscopic hip surgery has risen 18-fold in the past decade; however, there is a dearth of clinical trials comparing surgery with nonoperative management. Purpose: To determine the comparative effectiveness of surgery and physical therapy for […]

What happens to patients when we do not repair their cuff tears?

Five-year rotator cuff quality-of-life index outcomes following nonoperative treatment of patients with full-thickness rotator cuff tears Journal of Shoulder and Elbow Surgery — | February 12, 2018 Boorman RS, et al. – The experts sought to evaluate the 5-year outcomes in a prospective cohort of patients with chronic, full-thickness rotator cuff tears who were previously […]

No benefit of arthroscopy in subacromial shoulder pain – Full Text Article

Berend W SchreursEmail the author Berend W Schreurs, Stephanie L van der Pas Published: 20 November 2017 Scoping the shoulder (arthroscopy) for an impingement  syndrome is responsible for up to 70% of all shoulder problems. A study in the past showed that the scientific clinical evidence in favor of this type of shoulder surgery is […]

Risks and Complications of Total Knee Replacement Surgery

Written by Samuel Greengard Medically Reviewed by William Morrison, MD on October 23, 2017 Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the American Academy of […]

Perioperative Physiotherapy in Total Knee Arthroplasty – Full Text

Melvin G. Joice, BSE; Subhrojyoti Bhowmick, MD; Derek F. Amanatullah, MD, PhD Orthopedics September/October 2017 – Volume 40 · Issue 5: e765-e773 Posted October 10, 2017 DOI: 10.3928/01477447-20170518-03 Abstract Total knee arthroplasty has a high success rate. In the interest of enhancing patient outcomes, numerous perioperative interventions have been studied, including preoperative education, preoperative rehabilitation, […]

Knee Extensor Rate of Torque Development Before and After Arthroscopic Partial Meniscectomy With Analysis of Neuromuscular Mechanisms

Authors: Daniel G. Cobian, DPT, PhD, CSCS Study Design Descriptive, prospective single-cohort longitudinal study. Background Rapid torque development is essential in activities of daily living and sports, but isn’t specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Little evidence is available on quadriceps rate of torque […]

Back surgery may backfire on patients in pain

By Linda Carroll msnbc.com contributor updated 10/14/2010 8:55:44 AM ET Just a month after back surgery, Nancy Scatena was once again in excruciating pain. The medications her doctor prescribed barely took the edge off the unrelenting back aches and searing jolts down her left leg. “The pain just kept intensifying,” says the 52-year-old Scottsdale, Ariz., […]

Spinal Manipulation and Therapeutic Exercises in Treating Post-Surgical Resurgent Lumbar Radiculopathy

Francio, Vinicius TieppoDavani, Saeid et al. Archives of Physical Medicine and Rehabilitation , Volume 98 , Issue 10 , e18 – e19 Research Objectives: To educate clinicians about the benefits of spinal manipulation and therapeutic exercises in cases of post-surgical lumbar radiculopathy, which is consider a relative contra-indication, successfullyused in this case. Lumbar radiculopathy due […]

Does stabilization of the degenerative lumbar spine itself produce multifidus atrophy?

KimYoung Eun Medical Engineering & Physics Available online 31 July 2017 Highlights • Sensor-driven control mechanism was proposed for multifidus atrophy. • Fusion generated the reduction in the activity of multifidus muscle. • Less change in back muscle integrity was produced in non-fusion stabilization. • Muscle damage during surgery generated further changes in the muscle […]

If I Were Your Spine Surgeon…

Dr. David Hanscom, a spine surgeon gives his recommendations on back surgery in this article in the National Pain Report. July 1, 2017 As a spine surgeon, who has been practicing surgery for over 30 years, I have attacked top-level fellowship spine problems with a fury. Convinced that I could help almost anyone in pain […]

Low back surgery patients with previous THR have less pain reduction after surgery

June 7, 2017 VIENNA — Patients who had previously undergone total hip replacement experienced less reduction of pain 1 year after low back surgery compared to patients with no prior total hip replacement, according to a presentation scheduled to be presented during the Free Papers award session for orthopaedics at the 18th EFORT Annual Congress […]

No significant benefit found between arthroscopic partial meniscectomy, placebo surgery

Sihvonen R, et al. Ann Rheum Dis. 2017;doi:10.1136/annrheumdis-2017-211172. June 7, 2017 Recently published results showed patients with a degenerative meniscal tear who underwent arthroscopic partial meniscectomy had no significant benefit over placebo surgery. “As the evidence started to mount that arthroscopic partial meniscectomy (APM), the most common orthopedic procedure, offers little more than just placebo […]