Orthopedic Surgeon Los Alamos NM
Los Alamos, NM
Las Cruces, NM
Kirtland Afb, NM
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1970
New Mexico Orthopaedic Associates
Sandia Park, NM
Graduation Year: 2007
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107
Graduation Year: 1978
Exercise Helps Reduce Pain, Disability After Lower Back Surgery
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An updated review from the Netherlands suggests that exercise programs starting four to six weeks after herniated disk surgery could lead to more rapid pain relief and a quicker recovery from disability - without increasing the risk of additional surgery.
Lumbar spine (lower back) surgery is a common treatment for a herniated or "slipped" disk, and patients need to know whether it is better to sit still or get moving during their recovery period.
An updated review from the Netherlands suggests that exercise programs starting four to six weeks after the operation could lead to more rapid pain relief and a quicker recovery from disability - without increasing the risk of additional surgery.
"Many people are operated on because of a herniated lumbar disc but there is still controversy with regard to rehabilitation," said lead author Raymond Ostelo, Ph.D., at the VU University Medical Center in Amsterdam. "[Although] many different rehabilitation programs are available and prescribed for patients, some surgeons say that patients don't need rehabilitation programs at all once they are discharged from the hospital."
However, the review findings support a more active approach.
"In general, it appears that patients who participated in exercise programs recovered somewhat faster than those who received no treatment and that patients who participated in high-intensity programs reported slightly less short-term pain and disability than those in low-intensity programs," Ostelo said.
The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.
The updated review included 14 randomized controlled trials involving 1,927 participants.
There was a great deal of variation in the programs available following surgery, ranging from only stretching and strength training at home to 90 minutes of intensive aerobic, strength and stretching exercises three times a week.
The amount of support that patients received also varied widely: from a single two-hour training session to multiple visits with a team that included physiatrists, physical and massage therapists, and social workers. Because of the large differences in treatments, the authors were unable give guidance on which kind of exercise program works better.
None of the studies reported an increase in the number of patients who required additional surgery. There were also no indications that patients should restrict their activity after surgery.
"Given the ongoing controversy regarding the type - if any - and timing of rehabilitation programs, thi...
Orthopedic tips from a Orthopedic Surgeon to Keep you well
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Check out these orthopedic tips from a top orthopedic surgeon:FOOT DROP CAN CAUSE PAIN AND EMBARRASSMENT
Foot drop is condition that prohibits people from properly lifting their foot off the ground. This causes them to trip and fall and leads to a great deal of embarrassment.
Dr. Kevin Varner, an orthopedic surgeon with The Methodist Hospital in Houston, says the condition occurs when there is a weakness in the muscles that raise the foot up at the ankle. This is caused by trauma such as a knee dislocation or penetrating injury, such as knife wound, that damages the peroneal nerve that runs along the outside of the lower leg and branches off into each ankle, foot and first two toes.
Surgery involves rerouting the tendons from undamaged local muscles to restore foot elevation. If a local muscle is not available, one is taken from the leg or back. The nerve in the transplanted muscle will regenerate in about six months, with a gradual improvement in strength over a two year period.
TOTAL WRIST REPLACEMENT CAN EASE PAIN OF ARTHRITIS
A total wrist replacement can bring relief to thousands of people with arthritis who cannot even brush their teeth without severe pain.
Dr. Evan D. Collins, an orthopedic surgeon with The Methodist Hospital in Houston, says this is perfect for people who have tried cortisone shots, splints and casts, but still have severe pain. The surgery involves replacing the worn out wrist joint by cutting away the arthritic portion of the bone and replacing it with a metal implant and polyurethane or gliding surface.
The artificial wrist is limited in the amount of weight it can bear, so it's not effective for people who have jobs where there is a significant amount of lifting. However, it does relieve pain and helps maintain motion in the wrist.
Pitchers are not the only ones who miss signi...