Mark Topazian, M.D., describes Mayo Clinic’s individualized multidisciplinary approach to addressing pain after gallbladder surgery, consisting of exploring a variety of causes and then treating appropriately. Video Rating: / 5
Mercy Medical Center Dr. David Maine says many women experience what’s called post-mastectomy pain syndrome, chronic pain after breast cancer surgery. Subscribe to WBAL on YouTube now for more: http://bit.ly/1oJSRCN
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Mercy Medical Center Dr. David Maine says many women experience what’s called post-mastectomy pain syndrome, chronic pain after breast cancer surgery. Subscribe to WBAL on YouTube now for more: http://bit.ly/1oJSRCN
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Between his job as a pilot and his love of sports, George Hine put his shoulders through the ringer.
“I developed arthritis years ago and it just kept getting worse,” says Hine.
It was clear he needed surgery, but like many people Hine put it off.
“I can’t even count the number of times that I have patients come into my office who have had profound arthritis of their shoulder and have chosen to live with it, be even in excruciating pain because they heard that the procedure was so painful,” explains Dr. John Mehalik, an orthopedic surgeon on medical staff of Lee Memorial Health System.
Eventually Hine’s shoulder pain got so bad he couldn’t shrug it off.
“It was pretty excruciating pain. I’d roll over on it and then I couldn’t get off of it. I’d have to wake my wife up and have her push me back over.
A game-changer for many people is a new option for post-op pain. By taking their pain relief with them, many patients are able to skip a hospital stay, undergoing a shoulder replacement and returning home the same day.
“To even consider it as an outpatient was predicated on the idea of using some advanced anesthesia technique to be able to help manage pain,” Dr. Mehalik says.
The solution: an in-dwelling pain catheter.
“The anesthesiologist places a small catheter in between several of the muscles in the neck where the nerves that exit the spinal cord and then enter the shoulder pass through. That little catheter drips in a specific amount of numbing medicine over those nerves over the first 72 hours after the surgery, making the surgery essentially pain free.”
“They attached that to me and we did the surgery at approximately 7 o’clock in the morning and I walked out of that hospital at 4 o’clock that afternoon; went home. And it was great,” says Hine.
The catheter feeds into an exterior ball containing the anesthetic, pre-loaded to last 3 days; at the end of which the patient can slide the device out themselves.
“I would highly recommend it to anybody doing this,” says Hine.
Using less medication, Hine learned he could undergo his surgery, without shouldering pain.
View More Health Matters video segments at leememorial.org/healthmatters/
Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.
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Dr. Eric Berg DC Bio:
Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional and natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government and the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning, published by KB Publishing in January 2011. Dr. Berg trains chiropractors, physicians and allied healthcare practitioners in his methods, and to date he has trained over 2,500 healthcare professionals. He has been an active member of the Endocrinology Society, and has worked as a past part-time adjunct professor at Howard University.
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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Health & Wellness, Dr. Berg Nutritionals and Dr. Eric Berg, D.C. are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.
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Bulging discs are one of the most common conditions that will derail your workouts quickly. In this video, I’m going to show you how to fix a bulging disc in your lower back without requiring surgery. In just 3 simple steps you are going to be able to get rid of the pain that is wreaking havoc on your training and making your life miserable.
The first thing that needs to be discussed however are the terms used to describe the condition. Some people refer to a bulging disc as a herniated disc. In both cases, we are talking about a scenario where the inner disc material has protruded from the disc but has not reached a point of no return. The point at which the disc can no longer be repaired without surgery is more accurately called a ruptured disc.
Bulging discs are a very common problem and one that we all might have to some degree if we were to MRI our backs. The thing is however, just because we may have a disc that is bulging does not mean that we will have symptoms. The only time it starts to matter is when the presence of the disc starts to become symptomatic and interferes with your life or workouts.
The good news about disc issues however is that 98 percent of them are non-operative and solved with a dedication to just a few simple steps. One of those steps however is not stretching the lower back. This may come as a surprise to you, especially if you feel that your low back has become tight or sore as a result of your disc issues.
Far too many people are told to lay on their back and start pulling their knee or knees up to their chest to stretch out the tight muscles in the low back. They may even be told to get on their knees and sit back on their heels to stretch out all of the muscles of the back. Both of these would be horrible advice because they not only aren’t treating the cause of the problem but they are aggravating the actual cause and making the disc protrude even more.
What you need to do is focus on fixing the disc and recentralizing it through extension. If you can do this, the spasm that you are experiencing in the low back muscles as a result of the herniation will resolve once the disc itself is fixed. There are 3 parts to fixing this issue however and it starts with a decompression of the spine to allow for more room for the nerves that are being compressed by the disc protrusion.
This can easily be done by hanging from a pullup bar with your toes slightly in contact with the ground. Let the pelvis drop and feel the spine open up. Do this for about 30 seconds to a minute and then proceed to step two if you need it or just skip to step three if not. Step two is a list correction. This is needed if you find that you are leaning to one side because of the pain of the protrusion.
This can easily be done against a wall and will help to put the spine back in the proper alignment prior to moving on to the final step. Lay on your stomach with your hands under your shoulders. Press down on the floor and lift your upper torso off of it. Be sure to keep your hips in contact with the ground to avoid overextension of the lumber spine. Do this a few times a day and always within a zone of comfort.
Before you know it, your disc will be centralized and your pain and symptoms down the leg and in the lower back should subside. You will be ready to start attacking your workouts again in no time. If you are looking for a workout program that puts the science back in strength and helps to injury proof your body from letting this happen again, head to http://athleanx.com and get the ATHLEAN-X Training System.
For more videos on how to fix lower back pain and the best stretches for your back be sure to subscribe to our channel here on youtube at http://youtube.com/user/jdcav24 Video Rating: / 5
In this video, spine surgeon Michael Hasz, MD from StoneSprings Hospital Center explains why over-the-counter pain medications are an important part of managing post-operative pain. Video Rating: / 5
Pain after surgery is traditionally management using standardized “one-size-fits-all” treatment protocols. Physicians generally select analgesic drugs and doses to treat surgical pain based on their own or institutional preference without extensive patient consultation or involvement. I will present a series of studies that we have conducted that challenges this paternalistic, standardized treatment approach. The feasibility and potential benefit of seeking input from patients regarding their personal preference for analgesic drugs and doses will be explored. Physician’s role should be to only present evidence-based pain treatment options and their potential side effects. Patient input prior to surgery can facilitate individualized perioperative pain treatment protocols based on patient’s preferences, expectations and needs. I believe this patient-centered surgical pain treatment model needs to be replace the existing “one-size-fits-all” model, and should be offered to all patients undergoing surgery. Video Rating: / 5
Speaker: Dr. Joel Katz, Professor, Canada Research Chair, Department of Psychology, Faculty of Health, York University
A little appreciated fact is that every chronic pain was, at one time, acute. And yet, not all acute pains become chronic. Regardless of the cause, the vast majority of people recover and do not go on to develop long-term pain. In the case of post-surgical pain, certain procedures are followed by an alarmingly high rate of long-term discomfort and pain. In this presentation, Dr. Katz will review the epidemiology of chronic post-surgical pain including its incidence/prevalence in children and adults, identify the risk and protective factors for the development and maintenance of chronic post-surgical pain (CPSP) and outline the rationale for preventive analgesia, an anesthetic approach to surgery that may reduce the likelihood of developing long-term pain after surgery. Research points to the severity of peri-operative pain as a risk factor for the development of CPSP. What must be determined is the aspect(s) of pain that is predictive and whether it is a causal risk factor. Is it something about the pain per se, or the individuals who report the pain? Will aggressive management of acute pain alter the course and decrease the incidence of chronic pain? This presentation will address these questions as they relate to the development of chronic post-surgical pain using a biopsychosocial framework. Video Rating: / 5
A new pain relief plan during surgery is helping patients get back on their feet quickly after a procedure.
Joseph Deily, a physician’s assistant with Lee Health, says patients often fear having pain after surgery. “One of the biggest fears patients have going into surgery is, oh my goodness I’m going to have so much pain afterwards. We don’t want patients delaying their surgery because of that fear.”
A new pain management plan is now helping patients recover from surgery quickly while controlling their pain. “What the goal of multi modal pain management strategies is, is basically, lessen the side effects of opiate medications, which are narcotics,” said Deily.
The multi modal pain management plan uses different medications that have different mechanisms of action. Medication, like Tylenol, are even being utilized in the operating room. “When you use a bunch of different medications in lower doses, what we’re doing is we’re having more effective pain prevention,” said Deily.
The goal is to use fewer narcotics during and after surgery. “We know from different studies and experience the complications after surgery are increased when you’re using only opioids after surgery,” said Deily.
The new pain management lasts longer and keeps patients form feeling groggy. “The goal is to take deep breaths and walk, and if patients aren’t walking and taking deep breaths then they’re going to be susceptible to pneumonia and that’s our number one complication,” said Deily.
Controlling the pain the first few days after surgery means fewer patients will require narcotics when they go home.
View More Health Matters video segments at LeeHealth.org/Healthmatters/
Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health – Caring People. Inspiring Care.
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Following orthopedic surgery, a dedicated group of physicians, nurses, and physician assistants from the Department of Anesthesiology will monitor your pain and ensure that it does not interfere with the early stages of rehabilitation, says Phil Wagner, MD, an anesthesiologist at HSS. Patient controlled analgesia (PCA), peripheral nerve blocks with long-lasting pain relief, and oral medications are just three ways your anesthesiologist will help you manage your pain following surgery. Video Rating: / 5
