One of the reason spine surgeons try to use less hardware as this usually allows more motion after surgery. We also know that levels of the spine above or below rods and screws begin to breakdown over a period of time. Until there are completely new ways to stabilize the spine less is more for now. I believe using newer implants such as spacers is one of the less invasive options for fusion. Most patients are suffering from spinal stenosis. My younger patients with disc disease seldom need anything but microdiscectomy.

Dr Geisse has been a great addition to our team working to use less narcotics and combination drug therapy that allows patients to be more functional. The therapy department also adds a great addition to the team effort. Only 5 percent of present patients need surgery. I spent my career trying to lower this percent or at least do less invasive surgery when all else fails. The addition of smaller implants allows for better outcomes and lower complications.I see the results of other spine surgeon also do great work in South Florida.I again ask patients to look at peer-reviewed published claims.

I invite people to attend a lecture on Tuesday at Poppies restaurant in Delray Beach to learn more and meet recent patients that have undergone less invasive surgery. We are proud of this group of new patients that are willing to communicate their experience and share with others.

I saw an 88 year old patient willing to speak at symposium Tuesday at 3pm. He convinces me again that MLIFF less invasive is amazing. He has no pain two weeks after surgery.

I find that Dr Geisse has been a great addition to our team .She offers a comprehensive review of a patient’s medical care pertaining to medication anf their interaction potential with steroids. We have tried adding medication that will lower the use of just narotics which cause many uncomfortable side effects. I am amazed that the percentage of patients needing any surgery is now less then 5 percent.

Injection are very helpful with stretching exercises. I usually do not need to consider surgery unless there is arm pain and increasing symtoms.Many patients need to have a combined team as we do at the Institute working both with neurologist and surgeons.I do try to limit the amount of narcotics as an easy fix that have many unpleasant qualities.

All pstients in my practice undergo combined team of physicians that has lowered the need for surgery to less then 5 percent of new patients with disc herneation or spinal stenosis.Dr Geisse is a fellowship trained neurologist that has recently joined our team. She has added a non-surgical pain management focus not just performing injection on every patient

We will be bringing updates on wellness from wellnesswise blog each week to help patients be more holistic not just your spine.

I wish all my patients a wonderful Thanksgiving and may their year be prosperous and their medical issues be much improved in coming days.Start early by eating smaller quanities and exercising 45 minutes each day.Moderation goes a long way in keeping your health on center stage and illness less of a distraction on living the life you have worked so hard to achieve!

When chosing a doctor look at his credentials on-line. Where did they attend medical school, board certification and re-recertification,published work,years in practice,technology updated such as digital x-Ray.services, insurance plans,and locations. The Internet allows easy access to this information.A google or yahoo search can also show a lot of current information.