It is an almost universally held belief among surgeons and patients that a specific structural lesion is usually the cause of pain. If that lesion can be identified and repaired, the pain will abate. This seems plausible. A diagnostic test ought to be able to identify the source of intense … Read More
A letter from a case manager Dear Dr. Hanscom: You may not receive these kinds of letters from nurse case managers very often. I thought I would advise you of the above captioned patient that you performed a redo L5-S1 microdiscectomy about a year ago. Ron got quite discouraged when … Read More
I have a patient who is a muscular 43 y/o welder. He injured his back on the job about four years ago. After undergoing a laminectomy for low back pain, his pain actually increased. When I first saw him a couple of years ago, his complaint was unrelenting low back … Read More