The Aging Athlete and Back Problems – The Degenerative Disk

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The Aging Athlete and Back Problems Part 2 of 2
The Degenerative Disk John Nordt, III, M.D. 
If one has a back problem and the back problem is
specific for certain disc and certain vertebra
due to instability, degenerative disc disease,
arthritic facet joints, spinal stenosis or any
combination of the above then these problems can
be resolved with a great deal of predictability
towards success. This of course does not mean
that everyone needs surgery and certainly means
that all conservative measures must be attempted
including exercise, weight loss, flexibility,
strengthening and stretching. 
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The Aging Athlete and Back Problems Part 2 of 2
The Degenerative Disk John Nordt, III, M.D. 
Magnetic resonance imaging, myelograms coupled
with computerized axial tomography, disco grams
and bracing are adjuncts to make a clear decision
as to whether surgery will help or not. This area
is understood poorly by many physicians because
of the advances that have occurred. As with any
good medical procedure there are always
controversies that can occur. Surgery is not to
be taken lightly and all the consequences should
be discussed thoroughly with the patient and his
or her physician. Risks and complications need to
be discussed at length. Limitations of patients
after surgery, as well as the prolonged
rehabilitation and the immobilization necessary
to ensure the surgical success should all be
discussed too. Due to the advances that have
occurred in the last ten years, people who have
had previous surgery on their back that was
unsuccessful are also candidates, through
evaluation for repeat surgery. Repeat surgery has
been shown recently to be just as good as a first
operation as long as the diagnosis is specific,
and as long as the parameters are correct,
regarding the health of the patient. I think the
predictability of the surgery is most important
these days as none of us have a lot of time to
waste trying to get better. Second opinions are
also strongly suggested from competent spine
surgeons and who understand the surgical
procedures that need to be done. Many people ask
will my back be stiffer afterwards? I have no
answer of course, yes, but I think the overall
performance and the ability of the patient will
be improved as the pain will be eliminated with a
surgical procedure. There is always a trade off
in regards to this.
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The Aging Athlete and Back Problems Part 2 of 2
The Degenerative Disk John Nordt, III, M.D. 
This is a very exciting time for physicians,
spine surgeons, and patients, because we have a
clearer understanding of that which needs to be
done. We have better diagnostic procedures, and
tools to fix them. Statistically our success
rates are greater in those selected patients that
have had the proper diagnostic procedures
instituted. Copyright 1995
For more information, please contact Dr. John C.
Nordt Spine Center of Miami www.spinecentermiami.c
om TEL [phone]