{"componentChunkName":"component---src-templates-blog-js","path":"/blog/24/","result":{"data":{"posts":{"totalCount":159,"edges":[{"node":{"id":"4aabebfe-8c7a-5c1d-bd0b-f2663b7b12f6","excerpt":"Adverse weather conditions (eg, snow and rain) can significantly increase motor vehicle crashes by reducing tire adherence and impairing visibility. According to the US National Research Council, in…","html":"<p>Adverse weather conditions (eg, snow and rain) can significantly increase motor vehicle crashes by reducing tire adherence and impairing visibility. According to the US National Research Council, in the United States alone, poor weather-related driving conditions are associated with more than 7000 fatalities, 800,000 injuries, and more than 1.5 million vehicle crashes each year. And the estimated annual economic costs caused by weather-related crashes are about $42 billion.</p>\n<p>Motor vehicle crashes can cause various injuries. And a whiplash injury is one of the most common vehicle collision-induced injuries. As the name indicates, whiplash is caused by an abrupt motion distorting the neck. A whiplash injury can affect the neck, as well as the back and head.</p>\n<p>Besides damaging the soft tissues (muscles, tendons, and ligaments) that hold the neck, it can also damage the cervical spine (the neck region of the spine), causing a herniated disc in the neck . The herniation can compress the nearby nerves, causing pain in the neck, shoulders, and arms. Other symptoms of a herniated disc in the neck may include numbness, tingling, and muscle weakness.</p>\n<p>Although mild pain caused by whiplash injury can heal on its own, severe or persistent pain caused by a herniated disc will require medical treatment. A treatment program for a herniated disc in the neck may include rest, anti-inflammatory pain medication, and physical therapy. With these conservative treatments, the symptoms generally improve over time. But if symptoms persist despite the treatment, or if imaging tests find out that the damaged disc is compressing nearby nerves and/or the spinal cord, neck surgery may be considered.</p>\n<p>Research has shown that snowfall and bad weather can significantly increase car crash-induced fatality rates and non-fatal injuries. And as we can imagine, the first snow is especially dangerous because people are not prepared for driving in the adverse condition yet.</p>\n<p>While we cannot always prevent accidents on the road, we can take some precautions to lower the chance. If you need to drive on rainy or snowy days, drive slower than on dry days, and keep adequate distance between you and the vehicle in front of you. By preventing whiplash injury caused by car crashes, you can lower your chance of having a pain in the neck.</p>\n<p>Learn more about <a href=\"/conditions/herniated-disc/\">What is a Herniated Disc</a>.</p>","frontmatter":{"title":"Herniated Disc in the Neck Caused by Whiplash Injury","date":"November 5th, 2018","description":null,"tags":["Neck Pain","Herniated Discs"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/8aebbf6dcda24fcc67f4d37d91af3907/7d509/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg","srcSet":"/static/8aebbf6dcda24fcc67f4d37d91af3907/8d052/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg 180w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/e2788/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg 360w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/7d509/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg 720w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/10d63/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg 1080w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/7f945/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.jpg 1440w","srcWebp":"/static/8aebbf6dcda24fcc67f4d37d91af3907/2aa8d/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp","srcSetWebp":"/static/8aebbf6dcda24fcc67f4d37d91af3907/1a890/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp 180w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/b6bb8/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp 360w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/2aa8d/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp 720w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/54d25/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp 1080w,\n/static/8aebbf6dcda24fcc67f4d37d91af3907/ba24a/no105-Herniated-Disc-in-the-Neck-Caused-by-Whiplash-Injuryjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"herniated-disc-in-the-neck-caused-by-whiplash-injury","post":"/blog/v/herniated-disc-in-the-neck-caused-by-whiplash-injury/","readingTime":{"text":"2 min read"}}}},{"node":{"id":"f176e53d-e249-5c89-ae55-47b504fab0d1","excerpt":"Dr. Praveen Kadimcherla explains these two common spinal problems a bulging disc or a herniated disc, that are the leading causes of back pain, which forces people to skip work, and offers tips on…","html":"<p>Dr. Praveen Kadimcherla explains these two common spinal problems a bulging disc or a herniated disc, that are the leading causes of back pain, which forces people to skip work, and offers tips on treatment options:</p>\n<p>With back pain causing more lost work productivity than any other medical condition in the United States, who hasn't heard the complaint, 'Oh, my aching back? But many people don't know the difference between bulging discs and herniated discs, two of the most prevalent spinal conditions triggering acute and chronic back pain, according to Praveen Kadimcherla, MD, an orthopedic spine surgeon at Atlantic Spine Center.</p>\n<p>While bulging discs and herniated discs in the neck or back are similar and can cause similar symptoms, or even no symptoms at all, treatment for each problem can vary widely depending on its severity, Dr. Kadimcherla says.</p>\n<h2>Understanding the Anatomy</h2>\n<p>To distinguish between the two, it's important to first understand the basic anatomy of the spine. The spinal bones are separated by spongy, oval-shaped discs that cushion the spinal column and create space between the vertebrae. When those discs move out of place (bulge) or break open (herniate) whether from injury, strain, or aging, the vital shock-absorbing protection they provide is jeopardized.</p>\n<h2>Bulging Disc Causes</h2>\n<p>The often-used analogy of spinal discs resembling miniature jelly doughnuts is pretty apt, explains Dr. Kadimcherla, who is fellowship-trained in orthopedic and neurosurgical spine surgery. When a disc is bulging, its gel-like center protrudes into the spinal canal, although the outer layer of the disc is intact. This often happens due to specific body mechanics or a bad posture. Repetitive twisting and bending, as well as a sedentary lifestyle, put excess pressure on your spinal disc, resulting in a bulging disc.  </p>\n<h2>Herniated Disc Causes</h2>\n<p>A herniated disc, on the other hand, has a broken outer layer that allows some of the gel-like center to leak into the spinal canal.</p>\n<p>Herniated disc causes include natural reasons such as gradual wear and tear. So, it can be called a result of aging processes.</p>\n<h2>Troublesome symptoms for both bulging and herniated discs</h2>\n<p>In everyday conversation, bulging and herniated discs are often referred to as 'slipped' or 'ruptured' discs, respectively. But no matter what they're called, both can irritate or press on the nerve roots extending from the spine to various parts of the body, with the resulting pain often compounded by other potentially disabling symptoms such as numbness, tingling and muscle weakness. Such sensations can really irritate a person.</p>\n<p>Either type of disc problem is a clear sign of problems in the surrounding areas of the spine, though herniated discs because of their more compressive nature are more likely to cause pain than bulging discs, Dr. Kadimcherla notes.</p>\n<p>The only difference between a herniated disc in the neck and a herniated disc in the back is that the first will give you pain and symptoms in the neck, shoulder and arms, he says, while the other will present with symptoms in the lower back, buttocks, legs and feet.</p>\n<h2>Extensive treatment options</h2>\n<p>About 30% of bulging or herniated discs don't cause any symptoms and may be detected by accident during imaging scans for another health condition. But with the vast majority of disc disorders affecting patients' quality of life, Dr. Kadimcherla points to an arsenal of treatments that, depending on the severity of the condition, can quickly or gradually get patients back to their favorite activities.</p>\n<h2>Treatments include:</h2>\n<ul>\n<li>Rest</li>\n<li>Prescription and over-the-counter drugs such as non-steroidal anti-inflammatory medications (NSAIDs), muscle relaxants or narcotics;</li>\n<li>Physical therapy that includes instruction on how to properly lift, dress, walk and perform other activities, how to strengthen muscles and how to increase flexibility in the spine and legs;</li>\n<li>Chiropractic manipulation of the spine;</li>\n<li>Steroids that are given by pill, injection or intravenously to control pain and reduce swelling around the disc;</li>\n<li>Surgery, including minimally invasive and 'open' approaches.</li>\n</ul>\n<p>Treatments are often combined to increase the odds of success, Dr. Kadimcherla says. And as with other types of back pain, surgery is considered a last resort, used for herniated discs in the lower back if certain conditions are present:</p>\n<ul>\n<li>Leg pain hasn't improved with at least six weeks of nonsurgical treatment and symptoms require strong pain medicine or interfere with normal activities;  </li>\n<li>Weakness, loss of motion or abnormal sensitivity is present.</li>\n</ul>\n<p>\"Disc surgery isn't considered effective treatment for lower back pain that's not brought on by a herniated disc,\" Dr. Kadimcherla says. \"But it's crucial that patients allow their orthopedic physicians to carefully assess their case and determine the best ways to tackle pain and other ill effects of bulging or herniated discs. In most cases, we're able to provide substantial relief.\"</p>","frontmatter":{"title":"Bulging Discs vs. Herniated Discs - What's the Difference?","date":"October 4th, 2018","description":"This article shares two common spinal problems, a bulging disc or a herniated disc, that are the leading causes of back pain, which forces people to skip work.","tags":["Back Pain","Neck Pain"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/86ca9d9fd1108f42b744cda49f136a02/7d509/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg","srcSet":"/static/86ca9d9fd1108f42b744cda49f136a02/8d052/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg 180w,\n/static/86ca9d9fd1108f42b744cda49f136a02/e2788/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg 360w,\n/static/86ca9d9fd1108f42b744cda49f136a02/7d509/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg 720w,\n/static/86ca9d9fd1108f42b744cda49f136a02/10d63/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg 1080w,\n/static/86ca9d9fd1108f42b744cda49f136a02/7f945/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.jpg 1440w","srcWebp":"/static/86ca9d9fd1108f42b744cda49f136a02/2aa8d/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp","srcSetWebp":"/static/86ca9d9fd1108f42b744cda49f136a02/1a890/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp 180w,\n/static/86ca9d9fd1108f42b744cda49f136a02/b6bb8/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp 360w,\n/static/86ca9d9fd1108f42b744cda49f136a02/2aa8d/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp 720w,\n/static/86ca9d9fd1108f42b744cda49f136a02/54d25/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp 1080w,\n/static/86ca9d9fd1108f42b744cda49f136a02/ba24a/no106-Bulging-Discs-vs-Herniated-Discs-What-s-the-Differencejpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"bulging-discs-vs-herniated-discs-whats-the-difference","post":"/blog/v/bulging-discs-vs-herniated-discs-whats-the-difference/","readingTime":{"text":"4 min read"}}}},{"node":{"id":"11ea139a-9071-598e-8898-73eb97b19790","excerpt":"It makes sense that joints constantly in motion might deteriorate from wear and tear, causing chronic pain. That's precisely what can happen to facet joints in the spine, which a procedure known as…","html":"<p>It makes sense that joints constantly in motion might deteriorate from wear and tear, causing chronic pain. That's precisely what can happen to facet joints in the spine, which a procedure known as endoscopic rhizotomy can relieve, according to <a href=\"/about/kaliq-chang/\">Kaliq Chang, MD</a>, of Atlantic Spine Center. Not fully understanding or not having accurate information about an endoscopic rhizotomy, or facet rhizotomy, can discourage those with lingering neck or lower back pain from seeking the procedure even though they might greatly benefit. Dr. Chang, a highly specialized interventional pain management specialist helps resolve some of these questions.</p>\n<h2>What is Endoscopic Rhizotomy</h2>\n<p>\"The word 'rhizotomy' means 'nerve destruction,' which is what the minimally invasive spine surgery aims to achieve,\" Dr. Chang explains. “Endoscopic discectomy uses energy to selectively destroy tiny nerve fibers carrying pain signals from the facet joints to the brain. Research backs up its benefits, showing it can significantly improve pain levels in the neck or back compared to other treatments such as steroid injections.\"</p>\n<h2>What Conditions Does Endoscopic Rhizotomy Treat</h2>\n<p>What are the top reasons a doctor might recommend endoscopic rhizotomy? According to Dr. Chang, they include:</p>\n<ul>\n<li>Facet joint syndrome: This condition develops when discs between spinal vertebrae become thinner, which places additional stress on facet joints. More common in seniors, the syndrome leads to the inflammation and bone spur formation characterizing arthritis. \"Of course, arthritis is known for how painful it is, especially when the affected joints are moving,\" Dr. Chang says. \"When is our back not moving? Very infrequently.\"</li>\n<li>Chronic neck or back pain: So-called conservative treatments, such as medication and physical therapy, are typically used to treat lingering neck or back pain before surgery is ever considered. But when nothing else provides relief, doctors can apply advanced diagnostic and pain mapping techniques to determine whether an endoscopic rhizotomy might do the trick.</li>\n<li>Failed back surgery syndrome: If surgery on the neck or lower spine doesn't work – which can happen with invasive or drastic procedures – it's called failed back surgery syndrome. \"But endoscopic rhizotomy can help ease stubborn pain by helping affected muscles finally stop having spasms and relax,\" Dr. Chang notes.</li>\n</ul>\n<h2>When Is An Endoscopic Rhizotomy Procedure Recommended</h2>\n<p>Endoscopic rhizotomy is typically recommended when conservative treatments, such as medications, physical therapy, or nerve blocks, have failed to provide adequate relief from chronic pain. It is considered when the pain is localized and originating from a specific nerve or nerve cluster.</p>\n<p>The procedure is commonly performed for conditions like trigeminal neuralgia, characterized by severe facial pain, and occipital neuralgia, which involves pain in the back of the head or neck. It may also be used for facet joint pain originating from the small joints in the spine that can cause localized back or neck pain.</p>\n<h2>How Is The Procedure Performed</h2>\n<p>During an endoscopic rhizotomy procedure, the surgeon uses a small, flexible tube with a camera called an endoscope to visualize the affected nerve or nerve cluster. This tube is inserted through a small incision or natural body opening, reducing the need for extensive incisions or tissue disruption.</p>\n<p>The surgeon guides the endoscope to the target area, where thermal energy (such as laser or radiofrequency) is delivered to selectively disable or destroy the pain-transmitting nerve fibers. The goal is to interrupt the pain signals without affecting other nerve functions.</p>\n<p>The procedure is performed under local anesthesia or general anesthesia, depending on the patient's specific needs and the complexity of the case. The surgeon carefully navigates the endoscope to the targeted nerves, ensuring precision and accuracy throughout the process.</p>\n<h2>How Long Is The Recovery And How Soon Can You Return To Work</h2>\n<p>Recovery time and the ability to return to work after endoscopic rhizotomy can vary depending on the individual and the extent of the procedure. However, this minimally invasive technique generally offers faster recovery and shorter downtime compared to traditional open surgeries.</p>\n<p>Here's the truth about Endoscopic Rhizotomy:</p>\n<p><strong>Myth:</strong> An Endoscopic rhizotomy is a short-term fix</p>\n<p><strong>Fact:</strong> Relief can last for months or years</p>\n<p>By \"ablating\" or destroying nerve fibers surrounding diseased facet joints – which, depending on location can produce pain in the neck, shoulders, back, ribs, chest, buttocks, groin or legs – endoscopic rhizotomy surgery effectively targets the source of the pain, Dr. Chang says. \"The procedure can be repeated if necessary, but patients typically experience long-term relief that improves their quality of life tremendously.\"</p>\n<p>Dr. Chang adds that the more common form of rhizotomy is radiofrequency spinal or nerve ablation, which is done with just needles, however, the effect is only expected to last 6 months. The endoscopic procedure is only a little more invasive but can provide at least a year, more commonly a couple of years of relief.</p>\n<p><strong>Myth:</strong> Endoscopic rhizotomy is dangerous\n<strong>Fact:</strong> It's both safe and highly effective</p>\n<p>At first glance, the idea of destroying nerve fibers can sound hazardous. But endoscopic rhizotomy surgery works with such precision that only pain-producing nerves around the facet joints are affected, Dr. Chang says. \"This meticulous approach is not only safer for nerves, but the surgery's minimally invasive approach means only tiny incisions are used,\" he adds.</p>\n<p><strong>Myth:</strong> Endoscopic rhizotomy can only help a select few\n<strong>Fact:</strong> It's increasingly popular and useful</p>\n<p>Because spinal arthritis and other chronic back problems can often originate in the fact joints, endoscopic rhizotomy surgery is an option for a large proportion of back pain sufferers, Dr. Chang says. \"The procedure has become even more popular and useful in recent years, since facet joint pain is more prevalent than other diagnosable reasons for back pain,\" he adds. \"With a rapid recovery, most patients feel much better within days.\"</p>\n<p>LEARNING IN MOTION - Watch our <a href=\"/treatments/endoscopic-facet-rhizotomy/\">3-D Animated Video on our Endoscopic Rhizotomy</a> webpage for a more detailed look at the procedure.</p>","frontmatter":{"title":"Endoscopic Rhizotomy: What is it, What Conditions Does it Treat and Benefits","date":"October 1st, 2018","description":null,"tags":["Endoscopic Spine Surgery","Treatments"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/901f428a9577e2078be50278bc25eb57/7d509/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg","srcSet":"/static/901f428a9577e2078be50278bc25eb57/8d052/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg 180w,\n/static/901f428a9577e2078be50278bc25eb57/e2788/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg 360w,\n/static/901f428a9577e2078be50278bc25eb57/7d509/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg 720w,\n/static/901f428a9577e2078be50278bc25eb57/10d63/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg 1080w,\n/static/901f428a9577e2078be50278bc25eb57/7f945/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.jpg 1440w","srcWebp":"/static/901f428a9577e2078be50278bc25eb57/2aa8d/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp","srcSetWebp":"/static/901f428a9577e2078be50278bc25eb57/1a890/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp 180w,\n/static/901f428a9577e2078be50278bc25eb57/b6bb8/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp 360w,\n/static/901f428a9577e2078be50278bc25eb57/2aa8d/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp 720w,\n/static/901f428a9577e2078be50278bc25eb57/54d25/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp 1080w,\n/static/901f428a9577e2078be50278bc25eb57/ba24a/no107-Endoscopic-Rhizotomy-What-is-it-What-Conditions-Does-it-Treat-and-Benefitsjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"endoscopic-rhizotomy-dr-kaliq-chang-with-atlantic-spine-center-explains-this-procedure-and-its-benef","post":"/blog/v/endoscopic-rhizotomy-dr-kaliq-chang-with-atlantic-spine-center-explains-this-procedure-and-its-benef/","readingTime":{"text":"5 min read"}}}},{"node":{"id":"e5f9b7e5-838b-5d38-8b15-4c39716b5e41","excerpt":"Dr. Kaliq Chang explains radicular pain and some tips for coping with this common spine problem. Radiculitis can affect any part of the spine but is most common in the lower back or neck. The…","html":"<p>Dr. Kaliq Chang explains radicular pain and some tips for coping with this common spine problem.</p>\n<p>Radiculitis can affect any part of the spine but is most common in the lower back or neck. The resulting back pain can be chronic or can come and go, and sometimes it's severe.</p>\n<h2>What is radicular pain?</h2>\n<p>Radicu-what? Perhaps the only thing more ridiculous than the name radiculitis is how much pain this spine problem can cause. But the good news about radiculitis \"which is extremely common\" is that most patients recover quickly, says Dr. Chang.</p>\n<p>Exactly what is radiculitis? It's the term describing pain that radiates along a nerve path connected to the spinal column, Dr. Chang says. Radiculitis can affect any part of the spine, but is most common in the lower back or neck. The resulting lower back pain can be chronic or can come and go, and sometimes it's severe.</p>\n<p>\"Radiculitis isn't technically a condition in itself,\" explains Dr. Chang, who is fellowship-trained in interventional pain management. \"It's the symptoms felt when a nerve or nerve root coming from the spine is pinched, irritated, inflamed, or simply put, just not working properly.\"</p>\n<h2>Radicular Pain Types</h2>\n<p>Radicular pain, also known as radiculopathy, is a condition that occurs when a nerve root in the spine becomes compressed or irritated. This compression can result from various causes, such as a herniated disc, spinal stenosis, degenerative disc disease, or spondylolisthesis. Radicular pain typically radiates along the path of the affected nerve root, leading to discomfort, numbness, tingling, or weakness in specific areas of the body. There are several types of radicular pain based on the location and affected nerve roots.</p>\n<p>Cervical Radicular Pain originates from the nerve roots in the cervical (neck) region of the spine. It commonly leads to pain, tingling, and weakness that radiates down the arms and into the hands. Cervical radicular pain may be caused by conditions like cervical disc herniation or cervical spinal stenosis.</p>\n<p>Thoracic radicular pain occurs when the nerve roots in the thoracic (mid-back) region of the spine are compressed or irritated. This type of radicular pain is less common compared to cervical or lumbar radicular pain. It can cause pain, numbness, or tingling that extends around the chest and abdomen.</p>\n<p>Lumbar radicular pain is the most prevalent type and affects the nerve roots in the lumbar (lower back) region of the spine. It is often caused by conditions such as lumbar disc herniation, degenerative disc disease, or spinal stenosis. The pain usually travels from the lower back into the buttocks, thighs, and sometimes down to the feet. It may be accompanied by muscle weakness or loss of sensation in the affected areas.</p>\n<p>Sacral radicular pain originates from the nerve roots in the sacral region, which is located at the base of the spine. It can cause pain that radiates down the back of the leg, similar to sciatica. Sacral radicular pain may be associated with conditions like sacroiliac joint dysfunction or sacral spinal stenosis.</p>\n<p>The treatment for radicular pain depends on its underlying cause and severity. Non-surgical interventions, such as physical therapy, pain medications, epidural steroid injections, and rest, are often tried initially. If conservative measures fail to provide relief, surgical options like discectomy, laminectomy, or spinal fusion may be considered.</p>\n<p>It's crucial to consult with a medical professional for an accurate diagnosis and appropriate management of radicular pain. They can evaluate your symptoms, conduct necessary tests, and recommend an individualized treatment plan to alleviate your discomfort and improve your quality of life.</p>\n<h2>Radicular Pain Causes</h2>\n<p>Radicular pain, also known as radiculopathy, occurs when a nerve root in the spine becomes compressed or irritated. Several underlying conditions can lead to the development of radicular pain. Here are some common causes:</p>\n<ul>\n<li>Herniated Disc;</li>\n<li>Spinal Stenosis;</li>\n<li>Degenerative Disc Disease;</li>\n<li>Spondylolisthesis;</li>\n<li>Tumors or Growths;</li>\n<li>Traumatic Injury;</li>\n<li>Infections or Inflammation.</li>\n</ul>\n<h2>Radicular Pain Symptoms</h2>\n<p>Radicular pain is characterized by symptoms that result from the compression or irritation of a nerve root in the spine. These symptoms typically follow a specific pattern based on the location of the affected nerve root.</p>\n<p>Radicular pain is often described as a sharp, shooting, or electric-like pain that radiates along the path of the affected nerve root. The pain may start in the spine and then travel down the arm or leg, following a specific dermatomal pattern. For example, in cervical radiculopathy, the pain may radiate down the arm, while in lumbar radiculopathy, it may extend into the buttocks, thigh, or leg.</p>\n<p>Many individuals with radicular pain experience numbness or tingling sensations in the areas supplied by the affected nerve root. This can manifest as a \"pins and needles\" sensation or a feeling of reduced sensitivity in specific regions. The numbness and tingling often follow the same dermatomal distribution as the pain.</p>\n<p>Radicular pain can lead to muscle weakness in the areas innervated by the affected nerve root. This weakness may manifest as difficulty in gripping objects, reduced strength while walking or lifting, or a general feeling of weakness in the affected limb.</p>\n<p>Radiculopathy can cause sensory changes, such as altered perception of temperature, touch, or pressure. Some individuals may experience heightened sensitivity to certain stimuli, while others may have decreased sensation in specific areas.</p>\n<p>Compression of a nerve root can affect the reflexes associated with that particular nerve. For example, in lumbar radiculopathy, the knee or ankle reflex may be diminished or absent on the affected side.\nRadicular pain can also lead to abnormal reflexes. For instance, when the nerve root is compressed, tapping certain areas may elicit unexpected or exaggerated reflex responses.</p>\n<p>The pain and other symptoms associated with radicular pain often radiate beyond the spine and into the extremities. The specific regions affected depend on the location of the compressed or irritated nerve root.</p>\n<h2>Radicular Pain Risk Factors</h2>\n<p>Nerve roots at the spine can be injured in many ways falls, auto accidents, sports injuries and even aging itself are all culprits. These back injuries can damage discs between spinal vertebrae, which then emit a chemical through a crack in their outer shell that touches a nerve. It can also happen when pressure is placed on a nerve from other conditions, such as arthritis; a bone spur; a herniated disc; or spinal stenosis (which narrows the canal surrounding nerves), among other causes.</p>\n<p>But while radiculitis can't always be prevented, certain risk factors predispose some people to it. These include:</p>\n<ul>\n<li>Participating in heavy labor or contact sports</li>\n<li>A family history of radiculitis or other spine disorders</li>\n<li>Diabetes, which can decrease normal blood flow to spinal nerves</li>\n</ul>\n<p>Maintaining a reasonable weight, diligent muscle conditioning, and avoiding excessive strain on the back and neck can also help lower the odds of developing radiculitis.</p>\n<p>\"The most common symptoms of radiculitis are pain, numbness or tingling in the arms or legs,\" Dr. Chang says. \"Some patients may have localized neck or back pain as well. When radiculitis occurs with pain radiating down the leg, it's also often called sciatica\" a term with which many more people are familiar.\"</p>\n<h2>Radicular Pain Treatment</h2>\n<p>Unless there are concerns about nerve death or other permanent injury, patients with radiculitis should always opt for conservative, nonsurgical treatment first, including epidural steroid injections Dr. Chang says. But treatment choices should follow a diagnostic process that may include a physical exam along with imaging scans that confirm herniated discs or other spinal conditions leading to radiculitis.</p>\n<p>According to Dr. Chang, conservative treatments for radiculitis include:</p>\n<ul>\n<li>Rest. \"Patients who can manage to completely stay off their feet for the first 24 to 48 hours after an injury may dramatically help the situation,\" he says.</li>\n<li>Pain relievers, including NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen, which relieves swelling and pressure.</li>\n<li>Physical therapy.</li>\n<li>Epidural steroid injections into the spinal area.</li>\n</ul>\n<p>Surgery to treat radiculitis is only considered if all these options fail to reduce debilitating pain that prevents patients from going about their daily activities, he says. Surgical procedures can often be done endoscopically, using tiny incisions leading to less blood loss and pain and a quicker recovery.</p>\n<h2>Home Remedies</h2>\n<p>While it's important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment of radicular pain, there are some home remedies that may help alleviate symptoms and promote overall well-being. However, it's crucial to note that these remedies should complement medical guidance and not replace it.</p>\n<p>Resting and avoiding activities that exacerbate pain can help reduce symptoms. Maintaining good posture, especially while sitting and standing, can also alleviate pressure on the spine and nerve roots.\nApplying heat or cold to the affected area can help reduce pain and inflammation. You can use a heating pad, warm towel, or hot water bottle for heat therapy, or an ice pack wrapped in a cloth for cold therapy. Alternate between the two for optimal results.</p>\n<p>Engaging in gentle stretching exercises can help improve flexibility and relieve muscle tension. Low-impact exercises like walking, swimming, or cycling may also be beneficial. However, it's essential to avoid activities that worsen pain and consult with a healthcare professional before starting any exercise program.</p>\n<p>Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, may help reduce pain and inflammation associated with radicular pain. Follow the recommended dosage and guidelines provided by the pharmacist or consult a healthcare professional.</p>\n<p>Some herbal remedies may have anti-inflammatory or pain-relieving properties. Examples include turmeric, ginger, boswellia, and devil's claw. However, it's essential to exercise caution when using herbal remedies and consult with a healthcare professional or herbalist for appropriate dosages and potential interactions with medications.</p>\n<p>Stress can exacerbate pain and discomfort. Engaging in stress reduction techniques, such as deep breathing exercises, meditation, yoga, or mindfulness, may help promote relaxation and alleviate symptoms.\nMaking ergonomic adjustments to your workstation, such as using an ergonomic chair, maintaining proper posture, and positioning computer screens at eye level, can help reduce strain on the spine and alleviate symptoms.</p>\n<p>It's important to remember that these home remedies may provide temporary relief, but they may not address the underlying cause of radicular pain. \"There's no reason not to be optimistic if you're suffering from radiculitis, since the outlook is good,\" Dr. Chang says. \"Most patients respond well to conservative treatment choices, and those who need surgery typically also have no lingering issues. The vast majority of radiculitis cases resolve within 6 weeks to 3 months.\"</p>","frontmatter":{"title":"Sounds Ridiculous, But It's Really Radiculitis","date":"September 15th, 2018","description":null,"tags":["Symptoms","Treatments"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/532b8a0afc65eb7e732621ac1199e38b/7d509/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg","srcSet":"/static/532b8a0afc65eb7e732621ac1199e38b/8d052/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg 180w,\n/static/532b8a0afc65eb7e732621ac1199e38b/e2788/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg 360w,\n/static/532b8a0afc65eb7e732621ac1199e38b/7d509/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg 720w,\n/static/532b8a0afc65eb7e732621ac1199e38b/10d63/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg 1080w,\n/static/532b8a0afc65eb7e732621ac1199e38b/7f945/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.jpg 1440w","srcWebp":"/static/532b8a0afc65eb7e732621ac1199e38b/2aa8d/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp","srcSetWebp":"/static/532b8a0afc65eb7e732621ac1199e38b/1a890/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp 180w,\n/static/532b8a0afc65eb7e732621ac1199e38b/b6bb8/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp 360w,\n/static/532b8a0afc65eb7e732621ac1199e38b/2aa8d/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp 720w,\n/static/532b8a0afc65eb7e732621ac1199e38b/54d25/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp 1080w,\n/static/532b8a0afc65eb7e732621ac1199e38b/ba24a/no108-Sounds-Ridiculous-But-It-s-Really-Radiculitisjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"sounds-ridiculous-but-it-s-really-radiculitis","post":"/blog/v/sounds-ridiculous-but-it-s-really-radiculitis/","readingTime":{"text":"9 min read"}}}},{"node":{"id":"c10ded7e-016b-509c-9f4e-ca5a0c1f2271","excerpt":"What conditions can mimic sciatica? Back pain accompanied by pain radiating down one or both legs is sciatica, right? While that's often the case, several other back problems can be confused for…","html":"<h2>What conditions can mimic sciatica?</h2>\n<p>Back pain accompanied by pain radiating down one or both legs is sciatica, right? While that's often the case, several other back problems can be confused for highly common sciatic-type pain, according to Kaliq Chang, MD, of Atlantic Spine Center.</p>\n<p>First, what is sciatica? It's not a condition, but actually, a term used to describe symptoms caused by compression of the sciatic nerve, explains Dr. Chang, an interventional pain management specialist. All sciatica cases have one thing in common: The pain begins in nerve roots located on either side of the lower spine but radiates down the spine in a way that can be much worse than back pain alone.</p>\n<p>So, sciatica is usually leg pain caused by an affected longest and widest sciatic nerve. This nerve provides movement, sensations, and strength to the lower part of the body. If this nerve is compressed, you can feel pain or weakness in the legs. </p>\n<p>\"This radiating pain can worsen while sitting, or it can show up as a sharp, constant pain on the back of the leg that hinders standing or walking,\" Dr. Chang says. \"Some cases of sciatica result in numbness or tingling down one leg, and severe cases, which are rare, can include weakness or loss of motor function in the leg or foot.\"</p>\n<h2>Sciatica causes</h2>\n<p>When the sciatic nerve is compressed, the resulting pain is due to one of several underlying common conditions, Dr. Chang says. These include:</p>\n<ul>\n<li>Bulging spinal disc</li>\n<li>Herniated spinal disc</li>\n<li>Spinal stenosis (a narrowing of the canal surrounding the spinal cord)</li>\n<li>Scar tissue</li>\n<li>Spinal bone spurs</li>\n</ul>\n<p>\"Essentially, any condition coming from the lower back close enough to the sciatic nerve can prompt sciatica, he says. \"Symptom severity, however, is highly variable. For one patient, the pain is mild, while for another, it may stop them in their tracks.\"</p>\n<h2>Sciatica and sciatica-like conditions diagnosis</h2>\n<p>Several causes of leg pain certainly feel like sciatica but aren't because they're due to other conditions. These include:</p>\n<ul>\n<li>Piriformis syndrome, which happens when the piriformis muscle in the buttocks irritates the sciatic nerve, causing radiating pain down the leg. \"Although piriformis syndrome feels extremely similar to sciatica, it differs because the nerve irritation doesn't stem from the lower back,\" Dr. Chang explains.</li>\n<li>Spinal joint problems such as arthritis. These joint problems can result in 'referred' pain from the affected joint into the leg that feels like sciatica but isn't, Dr. Chang says.</li>\n<li>Sacroiliac joint dysfunction occurs when the sacroiliac joint that connects the bottom of the spine to the pelvis moves too little or too much. \"The resulting pain can radiate down the legs like sciatica,\" Dr. Chang says.</li>\n</ul>\n<p>While these variations may seem small, they can mean significant differences in how a back condition is treated. How can doctors correctly diagnose sciatica and differentiate it from similar situations? Fortunately, there's a test that accomplishes this known as the straight leg raise, Dr. Chang says.</p>\n<p>For the test, patients are asked to lay flat on their backs with their legs extended straight in front of them. The physician slowly raises each leg, noting the elevation of the patient's pain begins. The test helps doctors determine where the sciatic nerve is being compressed and can also help determine the cause.</p>\n<p>\"X-rays or imaging scans such as CTs or MRIs may also be used to pinpoint sciatica's cause after the straight leg raise,\" Dr. Chang explains. \"The key thing is to see a physician for a correct diagnosis. Depending on the true cause of your pain, prompt treatment may be crucial.\"</p>\n<p>To prevent these conditions, you should maintain a healthy lifestyle and add some physical activity to your daily life. For example, you can perform special sciatica exercises that are beneficial for your back. Not only do they prevent back issues, but they also provide sciatic nerve pain relief. With these exercises, the pain can ease for quite a while. Other pain-relieving options are those you can do yourself, like putting ice or heat on the sore spot, and the ones your doctor can recommend. Prescribed and over-the-counter pain medications, epidural steroid injections, and physical therapy can be included in your pain management program.</p>","frontmatter":{"title":"Do I Have Sciatica, or Something Else?","date":"September 3rd, 2018","description":"In the article, Dr. Kaliq Chang explains back conditions that may mimic sciatica, how to tell the difference, sciatica causes, and ways to ease sciatica pain.","tags":["Sciatica","Symptoms"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/30c98237f9734b11766d720436861409/7d509/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg","srcSet":"/static/30c98237f9734b11766d720436861409/8d052/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg 180w,\n/static/30c98237f9734b11766d720436861409/e2788/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg 360w,\n/static/30c98237f9734b11766d720436861409/7d509/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg 720w,\n/static/30c98237f9734b11766d720436861409/10d63/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg 1080w,\n/static/30c98237f9734b11766d720436861409/7f945/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.jpg 1440w","srcWebp":"/static/30c98237f9734b11766d720436861409/2aa8d/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp","srcSetWebp":"/static/30c98237f9734b11766d720436861409/1a890/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp 180w,\n/static/30c98237f9734b11766d720436861409/b6bb8/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp 360w,\n/static/30c98237f9734b11766d720436861409/2aa8d/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp 720w,\n/static/30c98237f9734b11766d720436861409/54d25/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp 1080w,\n/static/30c98237f9734b11766d720436861409/ba24a/no109-Do-I-Have-Sciatica-or-Something-Elsejpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"do-i-have-sciatica-or-something-else","post":"/blog/v/do-i-have-sciatica-or-something-else/","readingTime":{"text":"4 min read"}}}},{"node":{"id":"6560c61a-fcfc-503b-a1bd-3d61b28a93c2","excerpt":"Spine Surgeon Dr. Praveen Kadimcherla Shares his Knowledge on Scoliosis and its Treatment Options. What is Scoliosis Scoliosis is a condition in which the spine, or backbone, develops a curved shape…","html":"<p>Spine Surgeon Dr. Praveen Kadimcherla Shares his Knowledge on Scoliosis and its Treatment Options.</p>\n<h2>What is Scoliosis</h2>\n<p>Scoliosis is a condition in which the spine, or backbone, develops a curved shape. The curve can be \"S\" or \"C\" shaped and can occur in any part of the spine, but most commonly affects the thoracic (mid-back) and lumbar (lower back) regions. Scoliosis can occur in both children and adults, but it is most commonly diagnosed during adolescence. It is not always clear what causes scoliosis, but some possible causes include genetics, neuromuscular disorders, and congenital (present at birth) conditions. Symptoms of scoliosis can include uneven shoulders, a raised hip, and a tilted waistline, but in many cases, the condition does not cause any symptoms. However, if the curvature is severe, it can lead to problems with breathing, balance, and mobility. Scoliosis can be treated with a combination of observation, physical therapy, and bracing. In severe cases, surgery may be necessary to correct the curvature.</p>\n<p>Scoliosis, characterized by an abnormal curve of the spine, is seen most often in girls between the ages of nine and fifteen. The very gradual change in the curvature of the spine usually causes no discomfort in early stages and may not be easily noticeable. It may be detected by a physician or a routine school screening, or there may be subtle changes like one hip or shoulder appearing slightly higher than the other. \"Most cases of scoliosis are idiopathic, that is, they have no known cause,\" says Dr. Praveen Kadimcherla at Atlantic Spine Center. \"And many cases never progress beyond a mild curvature. Depending on the severity of the curve and the risk of it getting worse, scoliosis is treated by observation, bracing, or in cases with the most severe curve or risk of progression, surgery.\"</p>\n<h2>Signs of Scoliosis</h2>\n<p>While idiopathic scoliosis accounts for 80% of cases, there are other types of the disease with known causes. In functional scoliosis, a curve in the spine develops because of a problem elsewhere in the body, such as one leg being longer than the other. Neuromuscular scoliosis is congenital, caused by abnormal development of the bones of the spine; it is usually associated with other disorders such as birth defects, cerebral palsy, or muscular dystrophy. Degenerative scoliosis occurs in older adults, usually as a result of changes in the spine due to arthritis or osteoporosis.</p>\n<p>About the same number of boys and girls have mild idiopathic scoliosis but girls are 7-10 times more likely to have the curve progress to the point where treatment is necessary. It may be diagnosed in younger children but is most often associated with growth spurts in adolescence. Although many who develop scoliosis do not have family members who have the condition, a family history does increase risk.</p>\n<h2>When is Scoliosis Surgery Necessary</h2>\n<p>Treatment for scoliosis is determined by the degree of the curve and by the likelihood that it will get worse. In general, the risk of the curve worsening depends on its size and the amount of skeletal growth remaining. The larger the curve and the more skeletal growth remaining, the greater the risk of the curve progressing. If the curve is small when first diagnosed, it will be observed and measured every 4-6 months until the patient has reached full skeletal maturity. As long as it stays below 20-25 degrees, no further treatment is necessary. If the curve is between 25-40 degrees and the patient is still growing, a brace may be recommended; if the patient is no longer growing, bracing is unnecessary. \"Bracing cannot correct the curve but can slow or stop its progression,\" says Dr. Kadimcherla. \"If the curve progresses to more than 40-50 degrees, it is likely to continue to get worse throughout the patient's life and may eventually cause heart or lung problems. At that level of curve, surgery may be advisable.\"</p>\n<p>The goals of surgery for scoliosis are to correct the curve to as close as possible to normal and to stabilize the spine to prevent the curve from progressing further. This is done by permanently fusing two or more adjacent vertebrae so that they grow together and form a single, solid bone. This stops growth in the curved portion of the spine and prevents it from getting worse. Spinal fusion surgery uses bone grafts – small pieces of bone that are placed between the vertebrae to be fused – to help the bones grow together. Metal rods hold the spine in place until fusion occurs. The rods are attached to the spine by screws, hooks, and/or wires which generally do not have to be removed. The number of vertebrae that are fused depends on the degree and location of the curve. The fused portion of the spine will be stiff following surgery but most people will have enough flexibility to perform daily activities and most sports.</p>\n<h2>Recovery</h2>\n<p>Recovery after scoliosis surgery can vary depending on the type of surgery, the patient's overall health, and the severity of the scoliosis. Generally, recovery can take several months to a year or more.</p>\n<p>After surgery, patients will typically spend several days in the hospital recovering. Pain management is an important aspect of post-operative care, and patients will be given medication to manage pain. Physical therapy will also begin during this time to help the patient regain strength and mobility in the affected area.</p>\n<p>The first few weeks after surgery will be the most challenging for patients. They will need to limit their movements and avoid certain activities to allow the incision to heal. Patients will also need to wear a brace or corset to support the spine and help it heal in the correct position.</p>\n<p>After about 6-8 weeks, the patient will be able to begin more aggressive physical therapy to regain strength, flexibility, and endurance. Physical therapy will be continued for several months to a year to help the patient regain their full range of motion and strength.</p>\n<h2>Risks</h2>\n<p>It's important to note that while surgery can correct the curvature of the spine, it's not always possible to completely eliminate the curve. It's also possible that the curve may return over time. Patients should work with their surgeon to develop a plan to minimize the risk of curve progression.</p>\n<p>Recovery will be different for each individual and the recovery time can vary. With proper care, the majority of patients who have undergone scoliosis surgery will be able to return to their normal activities and enjoy a good quality of life.</p>\n<p>\"We don't know how to prevent scoliosis,\" says Dr. Kadimcherla, \"and we cannot cure it. But we have excellent treatment options that reduce its effects and prevent its advance. Early detection is important in achieving the best possible result.\"</p>","frontmatter":{"title":"Scoliosis. When Is Surgery Necessary?","date":"July 19th, 2018","description":null,"tags":["Scoliosis","Surgery"],"cover":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5,"src":"/static/6f301037eacaf3dffbbd4aadd481de8e/7d509/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg","srcSet":"/static/6f301037eacaf3dffbbd4aadd481de8e/8d052/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg 180w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/e2788/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg 360w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/7d509/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg 720w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/10d63/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg 1080w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/7f945/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.jpg 1440w","srcWebp":"/static/6f301037eacaf3dffbbd4aadd481de8e/2aa8d/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp","srcSetWebp":"/static/6f301037eacaf3dffbbd4aadd481de8e/1a890/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp 180w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/b6bb8/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp 360w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/2aa8d/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp 720w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/54d25/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp 1080w,\n/static/6f301037eacaf3dffbbd4aadd481de8e/ba24a/no110-Scoliosis-When-Is-Surgery-Necessaryjpg.webp 1440w","sizes":"(max-width: 720px) 100vw, 720px"}}}},"fields":{"slug":"scoliosis-when-is-surgery-necessary","post":"/blog/v/scoliosis-when-is-surgery-necessary/","readingTime":{"text":"6 min read"}}}}]},"site":{"siteMetadata":{"siteUrl":"https://www.atlanticspinecenter.com"}}},"pageContext":{"limit":6,"skip":138,"numPages":27,"currentPage":24}},"staticQueryHashes":["2285185342","3793359599","63159454"]}