Be a good patient? When an appointment is not available and you cannot wait for a later one, ask about your options. There are often urgent care centers or emergency rooms open that can serve you. The staff at the doctor’s office may be able to tell you which type of office to visit, as well as nearby options that accept your insurance. If you’ve followed step one then you have already been tracking symptoms. Writing this information down is a good way to ensure you do not forget. It also allows you to show your doctor your symptoms versus telling them. When presenting symptoms, think about the words you’ll use and try to be accurate. Announcing that you had a fever for two days can be misleading if you don’t provide additional details. For example, most physicians don’t consider a rise in temperature a fever until it reaches 100.4 degrees F. That’s because slight variations in temperature are normal and most thermometers have a small range allotted for error. Using information such as “low grade” or “high grade” when discussing fever is a good example of presenting your symptoms accurately. The same rule applies to all symptoms, and the more information you provide, the less follow-up questions your physician will need to ask.

The most common cause of back pain ? When back pain is chronic (i.e. lasts three months or more and occurs frequently), there is likely a more serious underlying issue that needs to be addressed. A disc problem is one of the most common causes of chronic lower back pain in adults and usually appears as a herniated disc in the lumbar or is caused by a degenerative disc disease. When a lumbar disc herniates, the inner portion of the disc breaks through the tough outer portion causing severe pain in the lumbar spine. The pain is caused by irritation of the nerves in the back, usually as the herniated disc creates swelling in the nerve roots. A degenerative disc disease occurs when the invertebral discs in the back begin to dehydrate over time. This causes the discs to wear down and become more susceptible to injury. Too much force on dehydrated discs can tear, weaken and become painful, often leading to a herniation.

MIS Surgery, also known as MISS, is back surgery that relies on smaller skin incisions to reduce blood loss and reduce the risk of muscle damage since there is less cutting of the muscle required. As compared open back surgery, patients report faster post-surgery recovery and a shortened time frame for rehabilitation, as well as a reduced dependence on pain medication during post-op healing. The goal of minimally invasive spine surgery is to re-stabilize the back, especially the vertebral bones and spinal joints while skillfully relieving pressure on the spinal nerves. People suffering from back pain related to spinal instability, bone spurs, herniated discs and scoliosis benefit most from MIS procedures and can often avoid surgery by scheduling a consultation with Dr. Yuan to assess their particular condition, as MISS is not always necessary with expert supervision. As one of the top minimally invasive spine surgeons, Dr. Yuan of Long Beach, CA has more than 15 years of successfully treating neck, back and lower back conditions and returning patients to health with and without surgery. Read additional details at Minimally Invasive Spine Surgery.

Many complain of low back and buttock pain. While there are several reasons this could occur, sacroiliac joint pain and dysfunction is one cause, and it often requires some level of medical intervention. SI joint pain and dysfunction is an ailment that commonly affects runners and other athletes as well as some people who do not identify as either. The two SI joints are in a person’s pelvis, part of the stable ring structure that also includes the symphysis pubis. Several muscles including the hamstrings, abdominals, hip flexors and gluteal muscles attach to the SI joints. This joint is different from other joints because it only allows for about two degrees of rotation and less than one millimeter of movement backward and forward, but it is a joint nonetheless. The SI joint connects a part of the spine called the sacrum to the pelvis, and as a result it absorbs a lot of stress between these two bones, which can lead to pain, especially if there is an underlying problem.

In some cases, surgery can be performed to reduce or eliminate SI joint pain. The two most common surgical approaches are SI joint stabilization and joint fusion, both of which are typically done after other therapies have failed. For the latter, minimally invasive Sacroiliac Joint Fusion systems has shown positive results in treating SI joint dysfunction. Individualized rehabilitation programs aim to treat the underlying cause of SI joint pain. By treating the underlying cause, the pain should subside and the runner can return to their routine with little modification. Sometimes bracing will be needed while a person heals. In cases where pain is severe, pain medication or steroid injections may be recommended to keep pain under control while the person rehabilitates, and when the dysfunction is very severe, surgical intervention may be required to eliminate pain and treat dysfunction and its underlying causes.

Dr. Yuan treats a range of spinal disorders in patients of all ages including herniated discs and stenosis in the cervical, thoracic and lumbar spine. Dr. Yuan never recommends surgery first and is a thought leader in managing degenerative spinal stenosis. Dr. Philip Yuan is a board certified Orthopedic Surgeon and fellowship trained spinal surgeon who emphasizes non-surgical treatment first and only recommends surgical procedures when absolutely necessary to better a patient’s quality of life. Explore a few more info on Back pain treatment.