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Listen "The Complete Guide to Disc Problems: Causes, Symptoms, and Proven Treatment Options"
Episode Synopsis
In this episode of The Functional Code, Dr. Jace and Dr. Addy delve deep into the complex issues surrounding herniated discs. They explore the short-term and long-term management strategies, debunk common misconceptions, and provide evidence-based insights into conservative care versus surgical interventions. Learn about the key factors contributing to disc herniation, the effectiveness of different treatments, and the vital role of stability and rehabilitation. Whether you're dealing with low back pain, sciatica, or considering surgery, this comprehensive guide is designed to help you make informed decisions for better outcomes.
Episode 44
Dr. Jace Nybo D.C.
Dr. Addy Knutson D.C.
Guide:
00:00 Introduction to Chronic Pain and Herniated Discs
01:38 Welcome to the Functional Code
02:09 Understanding Herniated Discs
04:06 Risk Factors for Herniated Discs
10:04 Sciatica and Medication Effectiveness
13:03 Surgical Interventions and Outcomes
17:02 Conservative Treatments and Chiropractic Care
24:18 Long-term Outcomes of Surgical Interventions
39:21 Post-Surgery Challenges and PT Importance
39:48 The Role of Orthopedic Surgeons and Second Opinions
43:22 Understanding Herniated Discs and Their Healing Potential
50:35 Non-Surgical Treatments for Sciatica
01:07:26 Cortisone Shots: Short-Term Relief vs. Long-Term Impact
01:14:53 Final Thoughts and Recommendations
Resources:
-Hincapié, C. A., Kroismayr, D., Hofstetter, L., Kurmann, A., Cancelliere, C., Rampersaud, Y. R., Boyle, E., Tomlinson, G. A., Jadad, A. R., Hartvigsen, J., Côté, P., & Cassidy, J. D. (2024). Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: A systematic review. European Spine Journal.-Markman, J.D., Baron, R., & Gewandter, J.S. Why are there no drugs indicated for sciatica, the most common chronic neuropathic syndrome of all?-Markman, J. D., Baron, R., & Gewandter, J. S. (2017). Why are there no drugs indicated for sciatica, the most common chronic neuropathic syndrome of all? Pain, 158(6), 935-937.
-McMorland, G., Suter, E., Casha, S., du Plessis, S. J., & Hurlbert, R. J. (2010). Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Spine, 35(21), 1924-1932.-Machado, G. C., Witzleb, A. J., Fritsch, C., Maher, C. G., Ferreira, P. H., & Ferreira, M. L. (2020). Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. European Spine Journal, 29(1), 24-35-https://doi.org/10.1371/journal.pone.0096745 - https://doi.org/10.1053/j.semss.2009.08.005-doi.org/10.3171/2023.6.SPINE23367-Ma, Z., Yu, P., Jiang, H., Li, X., Qian, X., Yu, Z., Zhu, Y., & Liu, J. (2021). Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases. Pain Physician, 24(4), E639-E648.-Liu, C., Ferreira, G. E., Shaheed, C. A., Chen, Q., Harris, I. A., Bailey, C. S., Peul, W. C., Koes, B., & Lin, C. W. C. (2023). Surgical versus non-surgical treatment for sciatica: Systematic review and meta-analysis of randomised controlled trials. BMJ, 381, e070730.-doi.org/10.1002/mus.28106-doi.org/10.1007/s00586-022-07181-3-DOI:10.36076/ppj.2003/6/319-painphysicianjournal.com/-journals.lww.com/jbjsjournal/Pages/default.aspx-doi.org/10.1007/s11999-014-3490-4-doi.org/10.1007/s00586-011-2007-z
Instagram:
instagram.com/thefunctionalcode/
TicTock:
@thefunctionalcode
Apple Podcast:
podcasts.apple.com/us/podcast/the-functional-code-podcast/id1754585557
Episode 44
Dr. Jace Nybo D.C.
Dr. Addy Knutson D.C.
Guide:
00:00 Introduction to Chronic Pain and Herniated Discs
01:38 Welcome to the Functional Code
02:09 Understanding Herniated Discs
04:06 Risk Factors for Herniated Discs
10:04 Sciatica and Medication Effectiveness
13:03 Surgical Interventions and Outcomes
17:02 Conservative Treatments and Chiropractic Care
24:18 Long-term Outcomes of Surgical Interventions
39:21 Post-Surgery Challenges and PT Importance
39:48 The Role of Orthopedic Surgeons and Second Opinions
43:22 Understanding Herniated Discs and Their Healing Potential
50:35 Non-Surgical Treatments for Sciatica
01:07:26 Cortisone Shots: Short-Term Relief vs. Long-Term Impact
01:14:53 Final Thoughts and Recommendations
Resources:
-Hincapié, C. A., Kroismayr, D., Hofstetter, L., Kurmann, A., Cancelliere, C., Rampersaud, Y. R., Boyle, E., Tomlinson, G. A., Jadad, A. R., Hartvigsen, J., Côté, P., & Cassidy, J. D. (2024). Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: A systematic review. European Spine Journal.-Markman, J.D., Baron, R., & Gewandter, J.S. Why are there no drugs indicated for sciatica, the most common chronic neuropathic syndrome of all?-Markman, J. D., Baron, R., & Gewandter, J. S. (2017). Why are there no drugs indicated for sciatica, the most common chronic neuropathic syndrome of all? Pain, 158(6), 935-937.
-McMorland, G., Suter, E., Casha, S., du Plessis, S. J., & Hurlbert, R. J. (2010). Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Spine, 35(21), 1924-1932.-Machado, G. C., Witzleb, A. J., Fritsch, C., Maher, C. G., Ferreira, P. H., & Ferreira, M. L. (2020). Patients with sciatica still experience pain and disability 5 years after surgery: A systematic review with meta-analysis of cohort studies. European Spine Journal, 29(1), 24-35-https://doi.org/10.1371/journal.pone.0096745 - https://doi.org/10.1053/j.semss.2009.08.005-doi.org/10.3171/2023.6.SPINE23367-Ma, Z., Yu, P., Jiang, H., Li, X., Qian, X., Yu, Z., Zhu, Y., & Liu, J. (2021). Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases. Pain Physician, 24(4), E639-E648.-Liu, C., Ferreira, G. E., Shaheed, C. A., Chen, Q., Harris, I. A., Bailey, C. S., Peul, W. C., Koes, B., & Lin, C. W. C. (2023). Surgical versus non-surgical treatment for sciatica: Systematic review and meta-analysis of randomised controlled trials. BMJ, 381, e070730.-doi.org/10.1002/mus.28106-doi.org/10.1007/s00586-022-07181-3-DOI:10.36076/ppj.2003/6/319-painphysicianjournal.com/-journals.lww.com/jbjsjournal/Pages/default.aspx-doi.org/10.1007/s11999-014-3490-4-doi.org/10.1007/s00586-011-2007-z
Instagram:
instagram.com/thefunctionalcode/
TicTock:
@thefunctionalcode
Apple Podcast:
podcasts.apple.com/us/podcast/the-functional-code-podcast/id1754585557
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