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Be a good patient? When an appointment is not available and you cannot wait for a later one, ask about your options. There are often urgent care centers or emergency rooms open that can serve you. The staff at the doctor’s office may be able to tell you which type of office to visit, as well as nearby options that accept your insurance. If you’ve followed step one then you have already been tracking symptoms. Writing this information down is a good way to ensure you do not forget. It also allows you to show your doctor your symptoms versus telling them. When presenting symptoms, think about the words you’ll use and try to be accurate. Announcing that you had a fever for two days can be misleading if you don’t provide additional details. For example, most physicians don’t consider a rise in temperature a fever until it reaches 100.4 degrees F. That’s because slight variations in temperature are normal and most thermometers have a small range allotted for error. Using information such as “low grade” or “high grade” when discussing fever is a good example of presenting your symptoms accurately. The same rule applies to all symptoms, and the more information you provide, the less follow-up questions your physician will need to ask.

The most common cause of back pain ? When back pain is chronic (i.e. lasts three months or more and occurs frequently), there is likely a more serious underlying issue that needs to be addressed. A disc problem is one of the most common causes of chronic lower back pain in adults and usually appears as a herniated disc in the lumbar or is caused by a degenerative disc disease. When a lumbar disc herniates, the inner portion of the disc breaks through the tough outer portion causing severe pain in the lumbar spine. The pain is caused by irritation of the nerves in the back, usually as the herniated disc creates swelling in the nerve roots. A degenerative disc disease occurs when the invertebral discs in the back begin to dehydrate over time. This causes the discs to wear down and become more susceptible to injury. Too much force on dehydrated discs can tear, weaken and become painful, often leading to a herniation.

During the surgery, the surgeon will make incisions on the front and right and left sides of the neck in order to enter the space between the two vertebrae. Then, the damaged disk as well as any bone spurs that have occurred in the area as a result of the body reacting to the disrupted disk will be removed. Dr. Yuan uses a drill to widen the opening of the spinal cord to eliminate pressure it was putting on the cord and nerve roots. The vertebrae are then fused using a bone graft, often taken from the patient’s pelvis but sometimes a cadaver bone is used instead. If more than one disc has been damaged or if more stabilization is needed, a titanium plate or screws may be used to reinforce the vertebrae. This can help reduce neck pain after surgery as well as speed up recovery. In most cases the surgery is completed in one to two hours, however, it can take longer in some cases, especially when more than one disc must be removed. The surgeon should be able to provide a more accurate time measurement for the procedure based on the individual’s needs. See more info at Lumbar Discectomy Surgery.

Southern California neck pain sufferers — Eliminate neck pain with Anterior Cervical Discectomy Fusion surgery! The cervical spine is made up of seven bones or vertebrae stacked one on top of another forming the neck. In between the vertebrae are cushions called disks. These act as shock absorbers so when they deteriorate with age, the neck can become painful and hard to move. Loss of mobility with cervical disk degeneration is common. Because the upper part of the spinal cord passes through the cervical spine, the vertebrae or cervical disk can press on it when the opening becomes too narrow. Sometimes, the body reacts to a disrupted disk by forming bone spurs, which can also put pressure on the spinal nerves, causing pain. Pushing against the spinal nerves leads to pain, numbness and sometimes weakness in the neck and extremities. When nonsurgical treatments do not provide relief, surgery is often recommended. Anterior Cervical Disectomy Fusion, or ACDF, treats nerve root or spinal cord compression through spinal cord and nerve root decompression for those who suffer from back pain in Southern California. The goal is to stabilize the surrounding vertebrae where the disk has deteriorated. In most cases, a nerve root becomes inflamed because the disk has herniated allowing the jelly-like center of the disc to bulge through and put pressure on the nerve root or because the disc has degenerated and the cushion is no longer there to protect it.

Those who enter into a SI joint rehabilitation program can usually return to running with minor modifications. The more severe the case is, the more modifications will have to be made and longer rest period a physician may recommend. Many runners can return to running immediately by making modifications, but others with more severe pain may need to rest and rehabilitate for a while. In the latter case, it’s important that athletes take time to recover so they aren’t doing permanent damage to their body. Usually, a rehabilitation protocol and possible intervention to treat underlying cause (biomechanics, physical attributes, muscle problems) will result in complete recovery and zero residual pain. Surgical intervention offers similar results for more severe cases. With minimally-invasive Sacroiliac Joint Fusion procedures, doctors have reported less post-surgical bleeding and bruising as well as a shorter operating time.

Long Beach Spine Surgeon, Dr. Yuan, uses surgical and non-surgical treatments to relieve chronic pain in the neck and back. Learn more about the top 5 causes of back pain. Dr. Philip Yuan is a board certified Orthopedic Surgeon and fellowship trained spinal surgeon who emphasizes non-surgical treatment first and only recommends surgical procedures when absolutely necessary to better a patient’s quality of life. Explore more info at Sciatica surgery.