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D Magazine Medical Directory

June 9th, 2011

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D Magazine Medical Directory “Ask the Experts”: The doctors at CSC have answers

In the recent D Magazine Medical Directory, the Center for Spine Care physicians were prominently interviewed for the “Ask The Experts” section on Spine Health. Q: What does minimally-invasive spine surgery really entail? A: Minimally invasive spine surgery is used loosely and means different things to different people. The major difference in minimally invasive spine surgery is that it does not interrupt the nerve or blood supply to normal tissue. Rather, it confines treatment to the pain source or pathology and is performed with small incisions with minimal blood loss so patients quickly recover. In addition, minimally invasive spine surgery needs to be safe, utilizing small, effective tools to enter the spine with anatomic visualization. True minimally-invasive spine surgery requires extensive surgical expertise, experience, training, and is accompanied by a steep learning curve. It requires constant diligence, training and updating […]

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Back pain: Key points to know, and what causes it

June 1st, 2011

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Back pain: Key points to know, and what causes it

Written by Michael J. Musacchio, Jr., M.D. Nearly everyone will have back or neck pain at some time in their lives.  For most, this will be an occasional occurrence, while in others it can be more disruptive to their quality of life.   It’s important to know some key facts about back pain as well as when to see a specialist. Typically, back pain is self-limited and will improve in a short amount of time. Here are some key points about back pain: Nearly everyone will be afflicted with back pain at some point in their lives It is the most common cause of disability in the working population 15% of all sick leave is due to back or neck pain Majority of back pain is non-surgical Back pain is preventable!! Some of the main pain generators for back and neck […]

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May 19th, 2011

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Nathan Walters, M.D. Recognized as one of “America’s Most Compassionate Doctors”

Congratulations to Nathan Walters, M.D., CSC’s Director of Pain Management for being recognized as one of “America’s Most Compassionate Doctors“. The award, based on reviews written by hundreds of patients is part of the Patients’ Choice designated honor. Only a select few doctors receive praise about the compassion that accompanied the care received by patients. The Compassionate Doctor notation will be prominently displayed in Dr. Walters Physician Profile on a broad collection of web sites, including Vitals and a variety of managed care sites. These web sites are viewed by more than 9 million people on a monthly basis. Congratulations Dr. Walters! Nathan Walters, M.D., is director of pain management at Center for Spine Care, and specializes in conservative treatments. . To learn more about Center for Spine Care, visit our website!

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Nathan Walters, M.D. guest lectures at

May 11th, 2011

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Nathan Walters, M.D. guest lectures at “Cooper Clinic Grand Rounds”

CSC’s Nathan Walters, M.D. was recently invited to be the guest speaker at the prestigious “Cooper Clinic Grand Rounds.” The Cooper Clinic jointly sponsored the event with The University of Texas Southwestern Medical Center, the accredited sponsor. The Cooper Clinic hosted and handled the logistical details for this CME (Continuing Medical Education) activity which serves as an educational event for the Cooper Clinic medical staff. With an audience of esteemed medical professionals, including Kenneth Cooper, M.D., M.P.H., Founder & Chairman of the Cooper Aerobics Center and his son, Tyler Cooper, M.D., M.P.H. & CEO of Cooper Aerobics Enterprises, Dr. Walters, who is double board certified in physical medicine & rehabilitation and pain management, led an informative presentation on conservative, modern techniques to treat back and neck pain. Dr. Walters discussed with colleagues the frequency of back pain and the ages of patients in which he […]

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Dr. John Peloza Voted a Best Doctor in Collin County

May 4th, 2011

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Dr. John Peloza Voted a Best Doctor in Collin County

Congratulations to John Peloza, M.D. for being chosen by his peers for the first D Magazine “Best Doctors in Collin County” which was just announced and is in the current issue of D Magazine. Best Doctors in Dallas and Best Doctors in Collin County is a peer-review voting process. D Magazine decided to publish this list to highlight the excellent medical community in the Collin County area. A very elite list of 230 Physicians were chosen by their peers to represent their specific categories. The 2011 Best Doctors in Collin County is the first time D Magazine has named this geographical designation and did so after requests from various readers to have a resource for choosing a doctor in their neighborhoods. These neighborhoods represent a large number of D Magazine readers/subscribers and one of the largest growing areas in North […]

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Discogenic Pain: What is it & How is it Treated?

April 6th, 2011

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Discogenic Pain: What is it & How is it Treated?

Up to an astonishing 90% of people will experience low back pain at some time in their lives. According to the National Center for Health Statistics, over 14% of new visits to primary care physicians are for low back pain. Spine pain secondary to degenerative disc disease most often affects young to middle-aged people with peak incidence at around 40 years old. However, I have seen teenagers with significant degenerative disc disease. Factors such as genetics, trauma, and environment can contribute to an earlier presentation. And of course, radiologic evidence of disc disease increases with age to nearly 100% by age 60. However, not all degenerative discs are painful. As we age, we endure both macrotraumas and repetitive microtraumas and undergo changes in body habitus that alter and redistribute biomechanical forces unevenly on the lumbar spine. Much like your knee, […]

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Sciatica: What is it and how is it treated?

March 30th, 2011

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Sciatica: What is it and how is it treated?

Written by Michael J. Musacchio, Jr., M.D. Sciatica is simply defined as pain in the distribution of the sciatic nerve, and it is one of the most common conditions seen by a spine specialist. I frequently see patients at the Center for Spine Care who have sciatica. The sciatic nerve is actually a bundle of nerves that originate from the lower nerve roots of the spine (L4 to S3). Its main functions include supplying motor function to the muscles of the leg and transmitting sensory information from the leg to the spinal cord. The most common cause of sciatica is radiculopathy caused by impingement of a nerve root by a herniated disc or bone spur in the spine. Other common causes include arthritis in the spine, stenosis or narrowing of the spinal canal, muscular strain or spasm, and generalized inflammation […]

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Women and Back Pain: How to Treat it!

March 16th, 2011

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Women and Back Pain: How to Treat it!

The Center for Spine Care sees a lot of female patients with back pain. Back pain in females is very common, often due to the way a woman’s anatomy is designed. Females of all ages can get lower back pain in the pelvic area or tailbone due to a part of the spine called the a sacroiliac joint. The sacroiliac joint or SI joint, is the joint in the bony pelvis between the sacrum and the ilium of the pelvis, which are joined together by strong ligaments. This area can be affected by changes due to pregnancy, repetitive sports-related activities such as running, or a car accident. Symptoms are usually pain in the tailbone region or pain from sitting. Fortunately it can be treated with conservative therapy or if necessary, minimally invasive spine surgery.  Michael J. Musacchio, Jr., M.D. offers […]

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CSC's Michael Musacchio, Jr., M.D. Presents to Colleagues on Minimally Invasive Technologies for the Spine

March 3rd, 2011

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CSC’s Michael Musacchio, Jr., M.D. Presents to Colleagues on Minimally Invasive Technologies for the Spine

The Center for Spine Care’s Michael J. Musacchio, Jr., M.D., was the Program Chairman of an exciting Continuing Medical Education Symposium in which he presented to a packed  room of colleagues at the Hotel Palomar, this past Tuesday night. John Peloza, M.D., Medical Director of the Center for Spine Care, and Nathan Walters, M.D., CSC’s Director of Pain Management, were also there. Hosted by the Texas Institute for Surgery (TIS) and the Center for Spine Care (CSC), Dr. Musacchio’s presentation focused on Minimally Invasive Approaches & Functional Preservation in Cervical Spine Surgery. As a true specialist in minimally-invasive surgery for the spine, Dr. Musacchio discussed with colleagues his experience in treating patients with spine pain and  how minimally-invasive technologies benefit the patient’s outcome immensely. Using small incisions and small instrumentation, Dr. Musacchio and his colleague John Peloza, M.D. are able to achieve predictably successful outcomes for their patients. Several upcoming […]

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February 16th, 2011

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Common Questions Patients Ask

Written by Michael Musacchio, Jr., M.D. . Back pain is a complex problem that may be attributable to multiple factors. Understandably, patients have many questions when it comes to pain and treatment options. I wanted to take a moment to address some of the most common questions we get asked about back pain every day. Q: Why does my back hurt? A: The spine is a massive weight-bearing structure made of bone, discs, muscles, ligaments, and joints that provide structural support for the body and protection for the nerves. As one may imagine, with all of these structures working together any one of them can lead to back pain, and more commonly there is a combination of these factors at play. Back pain may result from a known injury or from normal wear and tear. As a result of aging […]

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Stem Cell
Therapy

Center for Spine Care offers stem cell therapy as a conservative treatment to promote natural healing for back or neck pain. Utilizing mesenchymal stem cells, this new method is used to treat patients with neck and back pain caused from degenerative disc disease.