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Tiffany Rogers, M.D., M.P.T. Spine Specialist Chief or Orthopedics, TMMC Co-Director Spine Surgery, Torrance Memorial Physician Network
23550 Hawthorne Blvd. Suite 120
Torrance, CA 90505
(310) 517-1216
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Causes of Spine Pain & Non-Operative Treatment Tiffany Rogers, M.D., M.P.T., Co-Director TMPN Spine, Chief of Orthopedics, TMMC
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It might not be a spine issue.
•Heart
•UTI
•Circulation
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Right
Diagnosi
s
Right
Manageme
nt
Best
Outcome
s .
Your Back Pain Yo u w o u l d n ’ t b e h e r e i f y o u , o r
s o m e o n e y o u l o v e , d i d n ’ t h a v e i t .
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Most common problem by age
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Childhood
Stress Fracture
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Middle Age
• Cause: Heavy lift with forward flexion
• Pathology: Jelly bulges out of the doughnut.
Disc Herniation
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Sprain/Strain
Causes: Improper lift,
fall, twist, tearing or
irritation of muscles
or ligaments
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Causes: Pain of any kind
produces muscle guarding,
prolonged spasm
Pathology: Painful muscles,
decreased circulation,
inflammation
Muscle Guarding
or Spasm
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Mature population
Arthrit is leading to stenosis
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luctus.
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Arthritis
Chronic joint inflammation
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Arthritis leading to
stenosis
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Stenosis
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• Physical Therapy
• Medications
• Injections
Non-operative
Treatment Options
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The right treatment depends on the right
diagnosis:
Disc herniation: do extension
Stenosis/spondy – do NOT do extension
RIGHT
DIAGNOSIS
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PT is more
than massage
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Pool Therapy
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Medications
Anti-imflammatories
Aleve
Ibuprofen
Celebrex
Mobic
Topicals
Gabapentin
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Injections Epidurals
Facet blocks
RFTC
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Epidural Steroid Injection
• People 50 years or older
respond best
• Those treated within 100 days of
diagnosis respond more
favorably
• May provide relief up to one year
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Facet joint
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Radio Frequency
Thermocoagulation
(RFTC)
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LASER
Light Amplification by Stimulated Emission of Radiation
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Part of your own blood with high concentration
of platelets
Platelets have growth factors that reduce pain
and inflammation and can enhance the body’s
ability to heal itself
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PRP injections have been shown to be more effective for the
treatment of tennis elbow than steroid injections.
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Stem cells
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There are no new
scientifically proven,
FDA approved Stem
Cell Therapies.
Scientific research is
ongoing.
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Right
Diagnosi
s
Right
Manageme
nt
Best
Outcome
s .
Most people do not need surgery
Physical Therapy
Weight Loss
Medication
Injections
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Surgery
• Micro-surgery
• Decompression
• Fusion
• Artificial Disc
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THE SILENCE Etiam vitae dui congue, semper quam vitae luctus ligula sed posuere nunc in leo commod
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