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>> OH, MY ACHIN' BACK.
THAT'S OUR SEGWAY, RIGHT?
>>> YOU SWING A GOLF CLUB AND
HEAR A POP AND YOUR HEART FALLS
KNOWING YOU WILL BE DOWN FOR A
FEW DAYS GRVMENT BACK PAIN CAN
BE MISERABLE AND THE SECOND
MOST COMMON REASON SOMEONE
VISITS A DOCTOR IN OUR COUNTRY.
I DIDN'T KNOW THAT.
DR. MAXWELL BOACHI IS CHIEF OF
SPINAL SURGERY WITH U OF L -- A
U OF L PHYSICIAN.
>> YOU GUYS ARE GOD TO -- GODS
TO ME AND I'VE HAD TWO BACK
SURGERIES AND THEY'VE BOTH BEEN
SUCCESSFUL.
THE ONLY REASON I HAD A SECOND
IS BECAUSE I DIDN'T LISTEN TO
DR. TOPEL.
>> WHAT THE -- LISTEN TO THE
DOCTOR.
>> WHAT ARE THE MOST COMMON
FORMS OF BACK PAIN?
>> ARTHRITIS, DEGENERATIVE,
BULGING AND THEY GENERALLY
CAUSE A LITTLE BIT OF BACK PAIN
THAT MAY LAST A DAY OR TWO.
>> WHAT HAPPENS FOR ME AND A
LOT OF PEOPLE I TALK WITH IS
YOU LOSE FEELING DOWN YOUR LEG
OR YOU GET SEVERE PAIN FROM
SCIATICA AND IT'S AN INDICATION
THINGS ARE GOING AWRY IN YOUR
BACK.
>>> WHEN YOU HAVE BACK PAIN,
THERE ARE A NUMBER OF THINGS
YOU WANT TO WATCH OUT FOR.
ONE OF THEM IS WHEN THE PAIN IS
RUNNING DOWN THE LEG.
THAT MAY INDICATE THAT THERE IS
A NERVE IT BEING COMPRESSED OR
NERVE BEING PINCHED.
>> SO A LOT OF TIMES I'LL GET
OUT THE HEATING PAD AND IT GOES
AWAY IN A DAY.
AT WHAT POINT DO I KNOW, OKAY,
NOW I PROBABLY NEED TO GO SEE
MY DOCTOR, I MAY NEED SURGERY?
WHEN DOES IT GET FROM A LITTLE
BIT OF PUTTING SOME HEAT ON IT
TO SOMETHING MORE SERIOUS?
>> GENERALLY WHEN YOU HAVE BACK
PAIN, YOU CAN TRY A LITTLE BIT
OF REST, MAYBE ONE OR TWO DAYS
OF REST, YOU CAN TRY THE THINGS
THAT YOU MENTIONED, THE HEATING
PADS.
IF THE SYMPTOMS PERSIST PERHAPS
MAYBE MORE THAN A WEEK OR TWO,
THEN IT'S PROBABLY TIME TO CALL
YOUR DOC.
ANOTHER REASON TO CALL A DOC
IS, AS WE MENTIONED, IF THE
PAIN IS IS BEGINNING TO RUN
DOWN THE LEGS.
>> NOT NORMAL.
>> NOT NORMAL.
>> OR YOU GET LIKE A DEADENING
OF THE FOOT.
I COULDN'T FEEL MY FOOT FOR
ABOUT A YEAR.
>> THAT'S CORRECT.
>> NOW, YOU BROUGHT SOME PROPS
HERE.
TELL US WHAT THESE ARE HERE
THAT YOU HAVE IN YOUR HAND.
>> WHAT IS THIS?
>> THIS IS AN ARTIFICIAL
DIRVEG, SO ONE OF THE
PROCEDURES THAT'S DONE FOR BACK
PAIN IS WHEN YOU TAKE THE DISK
OUT YOU PUT IN A BONE GRAFT AND
YOU DO WHAT IS CALLED A FUSION.
THAT CAN RESTRICT THE MOTION OF
THE BACK, SO NOW THERE'S NEW
TECHNOLOGY, LIKE THE ARTIFICIAL
DISK THAT ALLOWS YOU TO HAVE
BACK SURGERY AND MAINTAIN A
NORMAL MOTION OF THE BACK.
THIS ONE HERE IS WHAT WE CALL A
MINIMALLY-INVASIVE SPINE
SURGERY TUBE.
IT USED TO BE MOST SPINE
SURGERY WAS DONE WHAT WE CALL
AN OPEN APPROACH.
THIS ALLOWS YOU TO MAKE A SMALL
INCISION ABOUT THE SIZE OF THIS
TUBE, PUT THIS IN WITHOUT
DISRUPTING THE MUSCLE.
>> OH, WOW!
>> AND THEN DO THE SURGERY
RIGHT THROUGH THE TUBE.
>> BOY, THAT'S INCREDIBLE.
>> A LOT HAS CHANGED.
>> INDEED.
AND OBVIOUSLY FOR PEOPLE --
WHEN IT'S A RUNUP TIME TO
CONSIDER WHETHER OR NOT TO GO
TO SURGERY, DO YOU EVER SUGGEST
MAYBE THEY TRY YOGA OR ANY
OTHER OR SOMETHING FOR RELIEF
BEFORE THEY GET SURGERY?
>> YES.
IN FACT, THE MAJORITY OF PEOPLE
THAT HAVE BACK PAIN NEVER END
UP NEEDING SURGERY.
I WOULD SAY 98% OF PEOPLE THAT
HAVE BACK PAIN WILL NEVER NEED
SURGERY.
GENERALLY WHAT WE DO IS THOSE
WHO PRESENT THE EPISODE OF BACK
PAIN THAT DOESN'T GO AWAY WITH
THE BED REST AND ALL THAT,
PRIMARY CARE MAY ORDER A LOT OF
THOSE THINGS, YOGA, PHYSICAL
THERAPY, MAYBE A LITTLE BIT OF
MASSAGE HERE AND THERE FOR
ABOUT SIX TO 12 WEEKS.
IF THAT DOESN'T IMPROVE, THEN
YOU MAY GET A REFERRAL TO A
NEUROSURGEON.
CAN YOU WRITE ME SOMETHING FOR
A MASSAGE PLACE?
THANK YOU VERY MUCH.
WE REALLY APPRECIATE IT.
>> THANK YOU VERY MUCH.
>> THANK YOU VERY MUCH.
>> THE UNIVERSITY OF LOUISVILLE
PHYSICIAN'S NEUROSURGERY HAS
PRACTICES IN THE DOWNTOWN
MEDICAL COMPLEX AND IN EASTERN
LOUISVILLE.
>> YOU CAN CALL 899-3623 OR GO
TO UOFLPHYSICIANS.COM.