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spinemonitor: Neck & Back Pain eNewsletter from May 14, 2008
AANS 2008 Video Highlights
This edition of spinemonitor features a fascinating case of spontaneous low back pain and radiculopathy that could be treated with or without surgery.  This case is presented by Faisel M. Zaman, MD, FAAPMR, ABPM with discussions by Michael J. DePalma, MD and Jason M. Highsmith, MD.  Dr. Zaman provides his concluding comments.
Featured Case Study
Spontaneous Low Back Pain, Radiculopathy and Weakness in a 28-Year-old
Photo: Faisel M. Zaman, MD, FAAPMR, ABPM Case Author:
Faisel M. Zaman, MD, FAAPMR, ABPM
Director, Interventional Physiatry
Utah Spine and Joint Specialists, PLCC
Murray, UT
The patient is a 28-year-old male fluoroscopy technician, with a past medical history significant for athletic involvement in football, javelin and weight lifting, who spontaneously developed familiar, aching low back discomfort one week ago. He indicated that, on average, he experiences...

Physical Examination:
The patient is a well-developed, well-nourished, white male, alert and oriented x3. He ambulates with a non-antalgic gait pattern and is in no obvious distress. Discogenic provocative maneuvers...

Prior Treatment:
Self-taught abdominal exercises and ibuprofen (800 mg) 3 times per day as needed.  Abdominal exercises have helped to relieve pain in the past, but he noticed abdominal exercise and "crunches" now hurt instead of help. He reports his symptoms are not improving. He has never had...

Find out here...Read Complete Case, Vote for Treatment, and View Outcome

Spontaneous Low Back Pain, Radiculopathy and Weakness

Fig. 3 - Sagittal MRI image reveals extruded disc at L4-L5.
Click here for Larger Images

How Would You Treat this Patient?
CME Event Reminder - Last Chance
3rd Annual Meeting of Controversies in Contemporary Spine Surgery
May 16-17, 2008
JW Marriott Hotel, Washington, DC
Increase Patient Leads


Alexander Vaccaro, MD
Professor of Orthopaedics and Neurosurgery
Thomas Jefferson University | Rothman Institute

The Controversies in Contemporary Spine Surgery symposium, and continuing medical education opportunity, provides neurosurgeons and orthopaedic surgeons with current information about spinal disorders, including evaluation of complex spinal disc replacement choices and debates on current technological advances. View course objectives:
Download Course Brochure (PDF) | Register Here

Sponsored by: KYPHON
Spine Surgery Videos
OR-Live Spine Surgery Videos

We have partnered with OR-Live to bring you videos covering breakthrough procedures. Chronic pain therapy, nucleoplasty, vertebroplasty, PLIF, TLIF, minimally invasive techniques, and others.
View all videos
Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Cervical Radiculopathy: Classic Case?
By Richard G. Fessler, MD, PhD

Competitive Equestrienne: Incapacitating Low Back Pain
By Richard G. Fessler, MD, PhD

Discitis and Osteomyelitis in a 63-Year-old Male
By: Choll W. Kim, MD, PhD

Burst Fracture in a 79-Year-old: How would you treat?
By: Jason M. Highsmith, MD

Cervical Degenerative Disc Disease: 34-Year-old Male
By: Michael G. Kaiser, MD

View All Case Studies

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