All care must be taken to make sure that the athlete is indeed ready for the return to contact sports.These management protocols are helpful to labor-intensive professions, such as a brick layer, a plumber, an electrician, a construction worker or a welder.
Patients with hip and knee issues experience severe and debilitating pain. On the other hand, patients can also expect a high rate of success with treatment. And new procedures – like minimally-invasive surgery and computer-aided navigation – show even greater promise and improved recovery times. Success is also contingent on a physician whose experience ensures these new techniques are applied effectively. You can be confident Lubbock Sports Medicine’s hip and knee specialists are not only current on the latest advancements, but come with the highest volume of surgical experience in the region. Patient Education Femoroacetabular Impingement (FAI) Hamstring Muscle Strain Hip Bursitis Hip Strains Muscle Strains in the Thigh Snapping Hip (IT Band Friction) Sports Hernia (Athletic Pubalgia) Treatments & Surgeries Activities After Hip Replacement Anesthesia for Hip and Knee Surgery Dislocation After Total Hip Replacement Hip Arthroscopy Hip Conditioning Program Hip Implants Hip Resurfacing Minimally Invasive Total Hip Replacement Total Hip Replacement Direct Anterior Hip Replacement Hip Physicians
Many patients seek care for Spondylolisthesis pain by Dr. Pablo Pazmino because as an Orthopaedic surgeon he is specifically trained to diagnose, treat, and help prevent problems involving the muscles, bones, joints, ligaments, and tendons. Although Dr. Pablo Pazmino confines his practices to Spinal pathology he also treats a wide variety of diseases, injuries, and other conditions, including .
For patients with certain conditions, abnormal and excessive motion at a vertebral segment may result in pain. When this abnormal motion from an unstable or degenerated vertebral segment causes unnecessary pain, Dr. Pablo Pazmino may recommend an all Anterior approach to decrease pain at this area. The latest stand-alone anterior lumbar fusion cage implant used in spinal surgery from Surgicraft is manufactured from biocompatible polyetheretherketone (PEEK-OPTIMA, Invibio Ltd, Thornton, UK). The benefits this implant offers include reduced operating times, better bone fusion, restoration of height, and improved spinal alignment. In mechanics, Young's modulus (E) is a measure of the stiffness of a given material. The Young's Modulus of PEEK is similar to that of cortical bone, therefore, it offers more elasticity than metal. It can absorb energy, handle the normal weight of the body and minimize stress on adjacent levels. The material is also radiolucent (unseen on X-rays) and thereby allows an improved view of the fusion mass that is taking place. However, to be able to offer X-ray (computer tomography or magnetic resonance) imaging for optimal positioning and postoperative assessments, titanium trace wires are press fitted into the implant. Recovery for the patient is faster in many cases. Some patients need to be operated on from the back. However, the implant can be inserted through the patient's stomach where reconstructing the spine is much less invasive. Some patients only need a small incision from the front or side, and in these cases recovery can be rapid, requiring only a two- or four-day hospital stay followed by a period of recuperation to allow for fusion to occur. Immobilizing painful movement in a specific area of the lumbar spine should decrease pain generated from the degenerated discs and arthritic joints. All lumbar spinal fusion surgery involves adding bone graft, or bone graft substitutes which stimulate a biological response that causes the nearby bone to weld or fuse. Upon successful fusion, the two vertebral segments stop all painful motion, and patients can return to their activities of daily living.
Clinical trials are research studies in which new treatments—drugs, diagnostics, procedures, and other therapies—are tested in people to see if they are safe and effective. Research is always being conducted to improve the standard of medical care. Information about current clinical trials, including eligibility, protocol, and locations, are found on the Web. Studies can be sponsored by the National Institutes of Health (see ) as well as private industry and pharmaceutical companies (see ).
Spondylolisthesis is the actual slipping forward of the vertebral body (the term "listhesis" means "to slip forward") (Fig. 3). It occurs when the pars interarticularis separates and allows the vertebral body to move forward out of position causing pinched nerves and pain. Spondylolisthesis usually occurs between the fourth and fifth lumber vertebra or at the last lumbar vertebra and the sacrum. This is where your spine curves into its most pronounced "S" shape and where the stress is heaviest.
Spondylolisthesis is most often caused by spondylolysis. The cause of spondylolysis is not as clearly defined. Most believe it is due to a genetic weakness of the pars interarticularis. Both spondylolysis and spondylolisthesis can be present at birth or occur through injury. Repeated stress fractures caused by hyperextension of the back (as in gymnastics and football) and traumatic fractures are also causes. The most common cause in adults is degenerative arthritis.
Spondylolysis (spon-dee-low-lye-sis) and spondylolisthesis (spon-dee-low-lis-thee-sis) are separate, yet related conditions. Spondylolysis usually comes first, though not always. The term comes from "spondylo," which means "spine," and "lysis," which means to divide. Spondylolysis is a breakdown or fracture of the narrow bridge between the upper and lower facets, called the pars interarticularis. It can occur on one side (unilateral) or both sides (bilateral) and at any level of the spine, but most often at the fourth or fifth lumbar vertebra (Fig. 2). If spondylolysis is present, then you have the potential to develop spondylolisthesis.
Those who play sports, especially gymnasts and football players, are more likely to have spondylolisthesis. The condition most often affects people over 40 years of age. About 5% of Americans have this structural deficiency and don't know it. Just because it appears on an X-ray doesn't mean you'll have pain.
When this abnormal motion from an unstable spondylolisthesis causes unnecessary pain, Dr. Pablo Pazmino may recommend a Microsurgical Lumbar Decompression to decrease pain at this area. Immobilizing painful arthritic areas, thickened ligaments and bony spurs causing painful encroachment in a specific area of the lumbar spine should decrease pain and provide an environment where the nerves can begin to heal. Upon successful decompression and after a course of physician guided physical therapy patients can return to their activities of daily living . Dr. Pablo Pazmino is currently collecting data researching the outcomes of patients who have undergone decompressions alone and his early results are promising. Patients have noted early return to work , driving, sports and sexual activities following surgery.
Spondylolysis and spondylolisthesis are conditions affecting the joints that align the vertebrae one on top of the other. Spondylolysis is a weakness or stress fracture in the facet joint area. This weakness can cause the bones to slip forward out of normal position, called spondylolisthesis, and kink the spinal nerves. Treatment options include physical therapy to strengthen the muscles. A back brace may be used to support the spine. In some cases, surgery can realign and fuse the bones.
When Lumbar Stenosis causes unnecessary pain, Dr. Pablo Pazmino may recommend an Interspinous Spacer to decrease pain at this area. These spacers are a fusion alternative and they partially immobilizing painful arthritic areas, thickened ligaments and bony spurs causing painful encroachment in a specific area of the lumbar spine should decrease pain and provide an environment where the nerves can begin to heal. Upon successful implantation an indirect decompression is obtained. After a course of physician guided physical therapy patients can return to their activities of daily living. Dr. Pablo Pazmino is currently collecting data researching the outcomes of patients who have undergone decompressions alone through interspinous spacer placement alone, and his early results are promising. Patients have noted early return to work , driving, sports and sexual activities following surgery.