Spine Instability

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CCI and DMX: Can You Still Have Instability with a Normal DMX? What Is a False Negative?

You can’t beat movement-based imaging for finding Cervical Instability. However, all imaging has a false-negative rate. Let’s discuss that and learn about instability in the process. Let’s dig in. What Is Instability? If you had to choose a single concept of what goes wrong in the spine as the most important thing you should know,…read more

SI Joint Fusion Complications? Why Are We Doing this to Patients?

One of the biggest issues I see is how easily interventional pain physicians have been lured in by quasi-spine surgeries that they know are bad for their patients. A case in point is SI fusion. Let’s dig into SI joint fusion complications through a case posted on LinkedIn. What Is the SI Joint? The acronym…read more

LASER Spine Surgery Side Effects: Meet the Thoracodorsal Fascia

Have you seen those new compression garments athletes wear to try to improve performance? The idea is that by adding compression to the muscles, the ultratight shirts and pants will make the muscles contract better. This concept has been around for a while; it’s called fascia. Every muscle in your body is already surrounded by fascia that…read more

Are Bone Spurs Bad? Bone Is Alllllliiiiivvvveeee…

Are bone spurs bad? Bone spurs inspire fear in the hearts and minds of most patients, kind of like The Blob from a bad ’60s horror movie. When they hear that they have them, they’re immediately freaked out. However, much like the title of Stanley Kubrick’s ’60s movie, Dr. Strangelove or: How I Learned to…read more

The Multifidus Muscle and Spine Pain – Cause and Effect

The multifidus muscle is the most important stabilizer of your spine, but one that most patients and physicians have never studied. There are now hundreds of research studies confirming that when this little muscle goes south, all heck breaks loose in the neck and back. The multifidis is easy to spot on the average MRI…read more

Read Your Own Back MRI for Multifidus Atrophy-A Major Cause of Low Back Pain

So now you know what a “multifidus” is and why it’s so critical that you find out if your major low back stabilizing system if off line. However, 99.999% of the time (in my experience), radiologists fail to read whether this muscle is normal or atrophied, despite copious research that a atrophied (read weaker) multifidus is associated…read more
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