At Tristate we evaluate and treat all types of brain and spine problems, no matter how complex. We want what is the best for the patient. Many back and neck conditions can be effectively treated with relatively simple, non-surgical remedies.
Our process begins with diagnostic imaging. This first step reveals where and what the problems are. Based on the imaging results conservative therapy options are performed. Once conservative therapy measures have been exhausted we consider injections, procedures and surgery to address the problems.
We offer in house imaging services with the ability to perform X-ray, CT and MRIs. Our MRI scanner is only one of three high tech upright open MRI scanners in the United States.
The Esaote G-scan Brio's open and tilting design is the new and innovative way of doing MRI in which the position of the patient becomes an integral part of the examination.
Many symptoms occur when you are in a weight-bearing or standing position. A conventional MRI may not be able to show an accurate view of the problem area. With the introduction of the weight-bearing (standing) position we are able gain a more complete understanding of the joint under examination.
An MRI checklist will need to be completed and returned before the procedure. If you answer yes to question 1 through 9, please contact our radiology department before completion. Click here to download the checklist.
To learn more about our imaging services click here.
Based upon traditional Chinese medical practices over 2,000 years old, acupuncture involves the insertion of very thin, dry needles into the skin at specific points all over the body to theoretically stimulate a better flow and/or balance of energy and release naturally occurring painkilling molecules. Recent studies have shown that acupuncture can help relieve chronic lower back pain in some patients. Acupuncture can be used alone or in conjunction with other treatments.
A day or two of inactivity, rest, or even bed rest can often help promote the healing of inflamed nerve roots and damaged tissue. However, studies have shown that more than a couple of days of inactivity can do more harm than good in terms of reducing overall flexibility, strength, and stamina. In short, a prompt return to normal activity, as soon as possible, is often the best medicine.
Epidural steroid injections (ESIs) don't actually do anything to treat a back or neck condition. Instead, a doctor may recommend them simply to provide effective pain relief. The goal of an epidural is to deliver medication directly into a painful area to help reduce inflammation in the spinal nerve roots as well as the symptomatic pain the swelling produces. This type of short-term symptom relief can often promote greater movement, more regular exercise, and quicker healing.
Regular exercise is a key component of almost every treatment plan for chronic back pain problems—especially those involving the lower back. In particular, a progressive program of back-healthy aerobic, stretching, and strengthening exercises can be quite beneficial. In fact, many doctors and physical therapists offer lists of recommended exercises and routines. From walking and strength training to swimming and yoga, regular exercise can often benefit chronic back and neck problems in significant ways.
Ice Packs & Hot Compresses
Both ice and heat can help to reduce pain and inflammation, while also promoting greater flexibility. Initially, applying an ice pack to the painful area for up to 20 minutes, several times a day, can help minimize both pain and inflammation. After two or three days, using hot compresses or a heating pad for brief periods can help to relax muscles and increase blood flow.
Chronic back pain can often be treated via a range of effective over-the-counter and prescription medications. Some are designed to help reduce the inflammation that causes the pain. Some are designed to block or prevent pain signals being sent to the brain. Others are muscle relaxants. As with all types of medicines, there are potential risks and possible side effects that should always be discussed with your doctor prior to the start of any treatment.
Depending upon the condition, physical therapy may be recommended. Sometimes, several different types of therapies are used in combination. These can include specialized exercise and conditioning programs, massage, ultrasound, hydrotherapy, and even electrical stimulation.
Rehabilitation that includes physical therapy and exercise is an important part of recovery. Individualized physical therapy may help with areas where your mobility and flexibility has been limited by an injury or spine surgery. Your therapist will work with you to develop a training program that will be tailored to you and your needs, to make your recovery as positive as possible.
What is Traction Therapy/Devices?
Traction is a form of therapy used to help relieve pain and decompress. This form of therapy can be of danger to the fusion site if applied post-operatively. Thus, the patient should avoid any traction for 4 months at least after surgery. Traction may be given if in a different part of the body than the surgical site, but must not affect the surgical area. If you feel that you or your patient needs traction, please have them visit our clinic to be assessed prior to proceeding with the traction. We will evaluate them and make sure it is safe the patient to undergo the therapy.
Transcutaneous electrical nerve stimulation (TENS) is a therapy that utilizes a battery-powered device to generate mild electric pulses that block the transmission of pain signals from the back to the brain. To accomplish this, small electrodes are placed on the skin near the site of the pain to block the incoming pain signals from peripheral nerves. TENS is also thought to stimulate the brain's production of pain-relieving chemicals called endorphins.
This noninvasive, outpatient therapy uses sound waves that pass through the skin, target the body's internal tissues, and provide warm, soothing relief for injured back muscles and other soft tissues.
Spine braces are used for a variety of reasons, including: controlling pain, lessening the change of further injury, allowing healing to take place, compensating for muscle weakness or preventing or correcting a deformity.
When your back is injured, even small movements can cause pain. All spine braces reduce back pain by supporting the spine and by minimizing spinal column movement. Additionally, a spine braces that provides circumferential compression can also help minimize pain. This increased pressure supports the spinal column and comfortably prevents motion that results in pain.
Braces are used for low back pain, typically caused by degenerative disc disorders, trauma or postural deformities. These braces, also called corsets or belts, are typically made of a variety of materials including cotton, nylon and plastic. They work by reducing the load on the spine by increasing abdominal compression. Rigid stays and inserts can be added to the brace to restrict motion and remind patients to watch their posture.
The type of brace used is dependent upon physician protocols and indications.