Blog

February 16th, 2011

Blog

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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John Peloza, M.D. Named One of the BEST DOCTORS IN AMERICA®

February 10th, 2011

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John Peloza, M.D. Named One of the BEST DOCTORS IN AMERICA®

John Peloza, M.D. is one of the Best Doctors in America® for 2011-2012. This is the sixth time that Dr. Peloza has earned this prestigious honor as he has been selected in the last six consecutive reviews (2001-2012), making this his 12th year as a Best Doctor in America. Compiled by Boston-based Best Doctors, Inc., the Best Doctors in America® database is the result of an exhaustive survey of more than 45,000 physicians in the United States. Only those doctors recognized to be in the top 3-5% of their specialty earn the honor of being named one of the Best Doctors in America®. Over the last 15 years, Best Doctors has earned worldwide acclaim for its remarkable database of physicians. The Best Doctors database is the world’s premier effort to create a validated, peer-reviewed database of excellence in medicine. The Best Doctors methodology […]

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What is Sacroiliac (SI) Joint Pain & how is it treated?

February 2nd, 2011

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What is Sacroiliac (SI) Joint Pain & how is it treated?

In my pain management practice at Center for Spine Care, I see patients with Sacroiliac Joint issues almost on a daily basis. While the symptoms of low back and hip pain can mimic several other diagnoses, we’ve developed a protocol at CSC to delineate the diagnosis and readily treat it. Here’s a quick summary of SI pain. What is it? The Sacroiliac joints are located on both sides of the lowest portion of the spine. They make up the rear part of the pelvic girdle and sit between the sacrum and the ilia (hip bones), hence the abbreviation SI. The function of the SI joints is to allow twisting movements when we move our legs. Without the pubic symphysis (in the front) and the sacroiliac joints which allow very small movements, the pelvis would be at a higher risk of […]

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February 1st, 2011

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Dr. Nathan Walters receives Patient’s Choice Award for second year!

Congratulations to CSC’s Director of Pain Management, Nathan Walters, M.D.  for receiving the Patient’s Choice Award again in 2010! Patients’ Choice recognition reflects the difference a particular physician has made in the lives of their patients. The honor is bestowed to physicians who have received near perfect scores as voted by patients. Every month, more than 60,000 patients across the U.S. provide online feedback about their experiences with their doctors. They rate various components such as bedside manner, doctor-patient face time, degree of follow-up, courtesy of office staff, and overall opinions. Over the course of 2009, these reviews have totaled hundreds of thousands patient opinions. While physicians generally receive positive reviews from their patients, only a select few receive uniformly rave reviews across the board. Of those who have received rave reviews with near perfect scores by their patients are […]

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Are you ready for some football? Sports-related spine injuries: Important Info for Athletes at all levels

January 26th, 2011

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Are you ready for some football? Sports-related spine injuries: Important Info for Athletes at all levels

Written by Michael J. Musacchio, Jr., M.D. . Contact sports such as football carry a significant risk of injury to the spine. Neck and back sprains and strains are common place, but more serious injuries are possible as well. There are a number of injuries that are peculiar to contact sports and there are guidelines to follow to try and avoid these injuries. The cervical spine is particularly prone to serious injury in contact sports and deserves special attention. Sports related spine injuries can fall into a few different categories: those that result in symptoms without structural damage, those that result in structural damage without symptoms, and those that result in both. A thorough evaluation of an injury is crucial to preserving the safety of the athletes. Athletes should not return to competition if there is a neurological deficit, a […]

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Evidence Based Medicine

January 19th, 2011

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Evidence Based Medicine

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. One of the reasons CSC is a market leader in the spine health industry is it’s Evidence Based Medicine Approach. What is Evidence Based Medicine & is it important to patients? It is very important–read on: Evidence-based medicine is a systematic approach using the scientific method to determine which treatments work best for specific conditions. There is a specific methodology to not only prove the treatment works or does not work but also to grade the quality of the studies. Evidence based medicine is essential to clinical decision-making, but it does have significant limitations. One needs to understand the scientific method, statistical analysis, and significant clinical experience in order to make evidence-based medicine accurate and useful. In our practice, we have […]

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What should patients look for in a spine specialist?

January 12th, 2011

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What should patients look for in a spine specialist?

There are many different specialists that treat the spine. It takes years beyond medical school, internship, and residency to master the treatment of spine-related disorders. Patients should look for specialists that have completed postgraduate fellowships and are familiar with all aspects of spine care. Doctors that perform procedures must be specially trained and demonstrate competence in these procedures. The more extensive the training, the better. Physicians that train other physicians, contribute to research, and design or develop surgical technologies are usually the best. John Peloza, M.D., is medical director of the Center for Spine Care. Dr. Peloza has pioneered some of the most modern techniques currently on the market. Michael Musacchio, Jr., M.D., is a neurosurgeon specializing in minimally invasive spine surgery. Nathan Walters, M.D., is director of pain management and specializes in conservative treatments. Article from The Collin County […]

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Minimally Invasive Surgery

January 5th, 2011

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Minimally Invasive Surgery

We hear the term “minimally-invasive” used quite frequently. What does this really mean? The major difference in minimally invasive technologies and others is that the normal tissues are not injured. In true minimally invasive surgery, the blood supply and the nerve supply to the normal tissue is left intact. The only tissue addressed is the pathologic tissue causing pain. Because of these techniques, there is very little blood loss and no other soft tissue injury resulting in significantly faster recovery. In addition to the more rapid recovery, the ultimate outcomes are far more predictable; therefore, we get the best of both worlds, a predictable, successful outcome with a rapid recovery. This is truly “smart” technology. Because the surgical techniques are so focused on the specific pain pathologies (pain generator), we require much more thorough diagnostic testing. We call this pain […]

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Tips to prevent back injuries on ski trips

December 15th, 2010

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Tips to prevent back injuries on ski trips

It’s officially ski season and I thought this would be a good time to talk about tips to prevent back pain on ski trips. Ski trips can be very physically demanding and many of us are not prepared for the multiple days of strenuous physical activity that are typically part of a ski trip. Just as one wouldn’t go out and run a marathon without properly training, one shouldn’t go on a ski trip without proper conditioning beforehand. Preventing back pain on ski trips starts weeks before your trip with proper exercise and conditioning. The major areas to focus on are the core muscles and the legs. If the legs are not properly conditioned there will be undue stress on the back and this may lead to a back injury. Some exercises that will improve leg and core strength include […]

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Minimally Invasive Posterior Cervical Discectomy

December 8th, 2010

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Minimally Invasive Posterior Cervical Discectomy

A common cause of neck and arm pain is a cervical disc herniation or foraminal stenosis. As the nerves to the arms leave the spinal cord and travel out, they must pass through tunnels made up of bones, ligaments, and discs. With disc herniations or bone spurs, these tunnels can narrow and a nerve may become pinched leading to pain, sensory loss, and even weakness. Fortunately, these types of problems usually respond to conservative care, but sometimes surgery is needed and the good news is that there may be a minimally invasive option. Traditionally, pinched nerves in the neck were treated with open posterior approaches, which lead to major muscle disruption and pain post-operatively. Anterior discectomies and fusions have become extremely popular because they avoid the excessive muscle disruption of the open posterior approach, but one is left with a […]

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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.