Posts Tagged ‘london’

A further note on Disc Replacement Surgery…

Saturday, November 21st, 2009

This morning I received an email from Maria- “I have had disc replacement surgery, and it was the biggest mistake I ever made. How can you recommend this? I have had no relief, and had to go through major surgery and a long and painful recovery.”

She elaborated on all of the ways which the surgery had adversely affected her life.

Maria, please understand this- and it is important for all of my viewers to be aware of this; I try to make my posts educational, informative, and sometimes entertaining. My wish is to provide useful information about all of the back pain options out there. Everyone’s back pain situation is unique, and some approaches to relief will not be appropriate for other individuals.

In my post, I did not recommend disc replacement surgery- if anything, I feel I came across as too skeptical of the procedure. I am sorry that you did not get a positive outcome. There are people who are perfect candidates for the procedure, and even when everything is done perfectly, those people do not get relief. I have spoken with patients who had a 100 percent improvement in their pain- complete relief- following their procedure. I don’t know- and clearly at this point in this relatively new technology- I don’t think anyone knows a completely guaranteed way of identifying which patients will derive benefit.

In my area of back pain management/treatment, I will always lean towards the more conservative, less invasive approach to relief- but for some it simply is not enough. For those patients, surgery is the best option.

Again Maria- I am sorry you did not get the relief you were hoping for. I hope you can find an approach that works for you. Thank you for your question.

In the mean time, I am preparing some other video posts while I am still here in London.

Be Well,

-Andy

L1010219

Update from London, Sex, Muscle Spasm & Umbrellas…

Friday, November 20th, 2009

LiveinLondon

Again, I am not doing a travel blog (heaven knows I don’t travel enough to support that sort of endeavor)- but there is an addition at the end of this video posting about a remarkable shop I visited here in London- James Smith & Sons- an umbrella shop which stocks literally thousand of umbrellas, and will cut one to a custom length to accommodate your height. A really fantastic service based experience- the men working there have obviously been doing this for years and take great pride in the work they do. Check the store out if you ever have an opportunity. You can see their website: http://www.james-smith.co.uk/

Sales floor at James Smith & Sons.

Sales floor at James Smith & Sons.

Dr. Kirschner and Back Together- LIVE at the Royal Albert Hall!!!

Thursday, November 19th, 2009

OK, so I was at the Royal Albert Hall, and I was live, and I did have a copy of Back Together with me.  So I was stretching it a little- but with your continued support of Back Together, maybe someday…

Travel was uneventful- I utilized my own back pain prevention tips as outlined in my previous post- and alas got off the plane with no back pain. Interestingly there were two other physician going to the same conference who did NOT. They carried wrong, sat wrong, and slept in every  twisted way they could.While one of them arrived fine, the other, whom I shared a cab ride with confessed that he had chronic back pain, and was worse off following the trip. Now, keep in mind this is a physician who treats back pain-he proceeded to tell me that there really was nothing he could do about it.

If you are familiar with my work and writing, you already know that I firmly believe that there is very little in the back pain world which is immune to treatment of some sort. I really did not like hearing (from a physician no less)  that there was nothing he could do about it. I parted with one of the two copies of my book which I brought with me, and asked him to email me in a couple of months to report on his progress. I will keep you posted.

Tomorrow, I will be doing a video interview with an critical care nurse who works here in London. She has had extensive exposure to the British approach to nationalized health care, as well as the Australian system- which has a need-threshold system of distribution. Perhaps will share some insights into some of the things we in America seem to have anxiety about.

I look forward to hearing your questions and comments. As always, be well.

-Andy

The Royal Albert Hall

The Royal Albert Hall

Back Pain and Airline Travel: A few tips.

Tuesday, November 17th, 2009

I am getting ready for my trip to the UK for lecturing and a little promotion of Back Together. Over the past several days, a few patients have made comments: “Ugh, that plane ride is horrible.”,”Your back is gonna need help after that plane ride.”, “Those seats are so uncomfortable.”

Yes- traveling on an airplane can be a miserable experience, particularly if you have back issues. There are a few things you can do that will likely help you avoid real exacerbation of your back pain:

1) If you have carryon luggage, resist the habit of carrying them in the same hand all the time. Switch sides- even if you are carrying two bags. It is pretty likely that they don’t weigh the same, and by favoring one side or another you will be creating an imbalance.

2) Better yet, use a rolling bag, and stack additional carryons on top of that. Switch the side you are pulling with.

3) Carry an extra t-shirt in one of your carryons- When you get to your seat, make a small roll from it, place it against the seat in the small of your back as a portable lumbar support.

4) When you are not asleep (and the fasten seatbelt sign is NOT lit), get out of your seat and stretch out your legs every 30 minutes or so. When possible stretch your arms out over your head. This will prevent the onset of stiffness & soreness.

5) When seated, with your feet flat on the floor in front of you, do ten repetitions of heel lifts (leaving your toes on the floor, going up & down) every hour. This helps to move your hips,prevent soreness, and may even help prevent blood clots from excessive sitting.

6) If you do sleep, use a travel pillow which provides support for both sides of your neck. They make inflatable ones which get very small when deflated, and only cost a few bucks if you don’t try to buy one at the airport.

7) Drink plenty of fluids. The air in planes is very, very dry. Staying hydrated will help prevent a whole host of problems, and will ultimately ensure that you get out of your seat pretty regularly.

Hopefully, these tips will help you to avoid too much discomfort the next time you travel.

Gotta go pack. Catch up with you from London!!

-Andy