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Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
Degenerative Disc Disease by Pablo Pazmino MD
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Degenerative Disc Disease by Pablo Pazmino MD

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This is a video description I created on Lumbar Degenerative Disc Disease, from a historical perspective, the causes, how to read the requisite imaging, and treatments both conservative and surgical. …

This is a video description I created on Lumbar Degenerative Disc Disease, from a historical perspective, the causes, how to read the requisite imaging, and treatments both conservative and surgical. Feel free to look us up online www.beverlyspine.com, call 1-8SPINECAL-1 or email to schedule an appointment if you or someone you know suffers from Lumbar Degenerative Disc Disease.

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  • 1. Pablo Pazmi ño, MD
  • 2. Orthopaedic Surgery American Academy of Orthopaedic Surgeons Clinical Faculty Olympia Medical Center Cedars Sinai Medical Center Century City Doctors Hospital
    • Education
      • The University of California, Los Angeles
      • The University of Michigan, Ann Arbor
  • 3.
    • Clincal History
    • Medical History
    • Epidemiology, Natural History
    • Pathophysiology
      • Pathoanatomic Theories
      • New Theories
    • Diagnosis
      • Symptoms
      • Exam Findings
    • Studies
    • Treatment
      • Non Operative
      • Decision Making Process
      • Operative
    • 8. Cases
    Dr. V.A.H. Horsley (1857-1916)
  • 4.
    • Patient usually younger: 20-50 years of age
    • History of recurring or persistent back pain
    • Occasional buttock pain and referred pain radiating down the posterior thigh with no radiculopathy (Radiating leg pain)
    • Pain: Deep, dull ache in the lower lumbar region
    • Increased pain with : Rotation, Flexion, and side bending, prolonged sitting/standing/walking
    • Is your pain similar to this? You are not alone….
  • 5.
    • A review of early Egyptian (1550 BC), Greek, Roman, and Arabic texts on medicine reveals an ongoing interest in treating spinal disorders.
    • Sciatica and low-back pain were perhaps first
    • mentioned by Hippocrates in 460–377 BC, and later by Galen.
    • Hippocrates
  • 6.
    • Galen performed the earliest methodical and research-oriented study of spinal disorders
    • Galen recognized lordosis, kyphosis, and scoliosis, and may have been the first physician to describe back pain.
    • He observed that injuries to the cervical spinal cord caused a certain level of loss of sensation and motor function, whereas injuries in lower areas caused a different level of paralysis. He gave a detailed account of the dissection of the spinal cord.
  • 7.
    • In the seventh century Paulus of Aegina first suggested surgery for spinal column injury in Medical Compendium in Seven Books.
  • 8.
    • Surgery for disc herniation was first performed by Oppenheim and Kruse (1909);
  • 9.
    • It is not until 1933 that WJ Mixter and JS Barr provide the correct pathogenetic interpretation and suggest surgery as the treatment of choice.
    WJ Mixter
  • 10.
    • Henry Crock coined the term IDD: Internal Disc Disruption in 1970
    • Painful increase in biologic activity of the disc after injury in patients with normal Xrays, CT scans with abnormal discograms.
  • 11.
    • 80% of population will have back pain, by the age of 60.
    • By the age of 20, 50% of the population have already experienced Low Back Pain.
    • 50% will become disabled at some time
    • Low Back pain is second only to the common cold when it comes to symptoms requiring a physician visit.
    • 4% will become chronic
    • 4% represent 80% of cost to society
    • 1%-3% will undergo surgery
  • 12.
    • Patient usually younger: 20-50 years of age
    • History of recurring or persistent back pain
    • Occasional buttock pain and referred pain radiating down the posterior thigh with no radiculopathy (Radiating leg pain)
    • Pain: Deep, dull ache in the lower lumbar region
    • Increased pain with : Rotation, Flexion, and side bending, prolonged sitting/standing/walking
    • Relief of pain with : Rest, Lateral recumbent position
    • Leg pains develop as a late finding
    • SLR causes back pain only
    • Pain originates proximally and progresses distally occasionally past the knee
  • 13.
    • Conservative Options
      • Nonsteroidal Anti Inflammatories
      • Narcotic Medications / Muscle Relaxants
      • Heat , Ice
      • Physical Therapy
      • Chiropractor
      • Acupuncture
      • Injections
        • Epidural Steroid Injections
        • Selective Nerve Root Blocks
        • Facet Injections
    • Surgical
  • 14.
    • All our procedures are performed in a minimally invasive manner.
    • All discectomies are performed as a microdiscectomy as opposed to the traditional open discectomy.
    • All patients receive a plastics closure and are followed closely afterwards
  • 15. Teamwork: All Procedures performed with both an Orthopaedic Spine Surgeon and a Neurological Surgeon
  • 16.
    • Thank you for your time.
    • If you know someone who could benefit from a consultation for Lumbar Degenerative Disc Disease please refer them to our online website or call toll free to schedule an appointment
    • 1-8SPINECAL-1
    • www.beverlyspine.com

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