Artificial Cervical Disc ReplacementArtificial cervical disc replacement is an option for patients with symptomatic cervical disc disease.
Summer is a time to get outside and enjoy some fun in the sun. But outdoor exercise, yard work and even those much-needed family vacations can be hard on your back. Remembering a few simple tips can help you to avoid injuring your back or neck during this time of increased activity.
Wintertime can be stressful enough; don't add the strain of back pain. Follow these simple tips to avoid back injuries and keep the cold months pain free and healthy.
It is common to experience back and neck pain after a fall or an accident. Although it can take a few days to manifest, in most cases the pain resolves itself in several weeks. If it does resolve in a short period, it generally indicates a low level of injury.
Many patients ask me what kind of mattress is best to purchase if you are suffering from back or neck pain or recovering from surgery. While no two people are alike, and everyone's back problems may be different, here is some general information to help you make an informed decision:
Rudy Fernandez, a guard with the NBA’s Denver Nuggets, had successful back surgery on March 29. Dr. Sanjay Jatana performed the surgery at Rose Medical Center in Denver. Fernandez is expected to miss the rest of the regular season but could make it back in time for the playoffs if the team gets in.
I am pleased to announce that I will be returning to Denver Spine Surgeons in October.
Three of the region’s top spine surgeons are joining forces to provide patient-centered care with a focus on conservative surgical treatment and minimally invasive techniques. The newly formed practice, known as Denver Spine Surgeons, includes Dr. David Wong, Dr. Sanjay Jatana, and Dr. Gary Ghiselli.
If you have a lumbar herniated disc in your spine (sometimes called a "slipped" or "ruptured" disc), you've probably gotten several opinions from spine doctors regarding surgical options for your condition. Surgery may help to alleviate your pain and increase your mobility, but it's important to know all the information about the pros and cons of surgical treatment before deciding to go this route.
Sometimes a narrowing of the spinal canal can lead to less room for the nerves, which causes them to be pinched. We call this spinal stenosis. Not all pinched nerves are caused by spinal stenosis, but when it occurs in the low back it can cause serious symptoms that could require surgery.
Dr. Jatana’s surgical patients now have a new option. In addition to traditional hospitals, Dr. Jatana is now working with Mile High Surgery Center, a new outpatient surgical center conveniently located in Greenwood Village, near Dr. Jatana’s office.
"One of the major things to consider is the demographics of the insurance mix you currently have in your practice and whether it will be the same when you are employed by the hospital," says Sanjay Jatana
"The idea is that it's not gainsharing, it's more of a co-management agreement that has nothing to do with the volume of surgery being conducted at the facility," says Dr. Jatana.
Occasionally, spine surgery doesn’t provide the relief patients expect. In fact, 20 to 50 percent of the patients that visit Dr. Jatana’s practice have had previous back surgery with another surgeon and are seeking a second opinion on how to resolve continuing pain. The good news is that in many cases, the cause of the pain can be identified and addressed.
Back pain can be debilitating, making it difficult to work, exercise or even sleep. If you experience pain after a fall or injury, tingling or numbness or severe pain that doesn’t improve with rest, it’s time to seek help. But before you rush off to a spine surgeon to treat your pain, there may be some other options to consider. In my experience, I’ve found that only about 10 percent of the patients I see truly need to be treated by a spine surgeon.
When a surgeon recommends an operation, it is generally a good idea to get a second opinion. Not all surgeons are alike. Different surgeons look at spine problems differently and there are multiple ways to get a good result. It helps a patient to get another perspective on the problem, including recommended options and possible outcomes.
The golf swing requires adequate and coordinated hip and trunk rotation, as well as adequate power to drive the ball from the core. Lack of sufficient movement and power has been associated with low back pain in golfers. The following exercises may help in maintaining a comfortable and functional golf swing.
While golf is a popular sport for many in Colorado, it also leaves many participants complaining of back pain. Unfortunately, golf is often associated with low back pain because it requires a motion of rotation which the low back is not made to perform. The low back is anatomically built to be primarily a forward moving joint with minimal rotation. Building a strong core will help maintain stability in the low back, while allowing the needed rotational action from accessory joints such as the mid back and hip regions.
During hiking, the variety of terrain and elevation can cause increased stress to the body. The following exercises target proper movement and strength for preventing pain and improving hiking performance.
Proper training is important to prevent or minimize injuries from winter sports. Skiing and snowboarding require strengthening your leg muscles, improving your flexibility and getting your CORE stronger.
By now, you’ve probably heard about how harmful it is to sit behind a desk for too long. Research has shown that periods of prolonged sitting can lead to an increased risk of diabetes, heart disease, and even some types of cancer.
It’s not unusual for the subject of laser surgery to come up when I am discussing treatment options with patients. The curiosity about laser spine surgery makes sense given the benefits touted by laser spine surgery providers. Laser spine procedures are often promoted as a less-invasive alternative to traditional back surgeries promising high success rates, shorter hospital stays and quicker recovery periods.
It is amazing how many of us live with constant pain. More than 80% of Americans complain about back and neck pain at some point in their lives. It is one of the leading causes of missed time from work is one of the main reasons that people get up "on the wrong side of the bed." Left untreated, back pain can lead to migraines and other serious health conditions.
Quite a few research studies have examined neck pain, prevention of neck pain, and how to decrease the chances and the severity of neck pain using proper exercise. Most people at one point or another in their life will experience neck pain - and this issue is not just seen in the elderly.
Partnership between Apple and Rose is advancing technology to elevate patient experience.
The Ortho/Spine unit at Rose Medical Center has been ranked the strongest performing inpatient unit at the hospital, according to the Hospital Corporation of America (HCA)'s HCAHPS Rank Order Report for Q1 2010. This is most impressive as the overall patient satisfaction scores at Rose rank the highest in Denver.
If you’re evaluating hospitals based solely on patient satisfaction surveys, you may want to reconsider. A new Johns Hopkins University study (recently highlighted in Kaiser Health News) found little correlation between patient satisfaction scores and quality care.
Physician scorecards are an increasingly common way for consumers to evaluate the performance of their doctors. While I completely understand the need for unbiased data to help patients make better informed choices
It’s no secret that with all the changes in health care, it’s becoming more challenging to schedule patients into the clinic for an evaluation in an appropriate time frame.
Common perception is that golf is a gentle game, enjoyed by all ages and all skill levels, and less likely to lead to injury like other sports. While golf can be enjoyed by all ages and skill levels, there is actually a lot of research showing that golfers experience A LOT of injuries. Surprising as it may seem, take a look at the following numbers: 50% of touring pros have stopped playing because of injuries, 62% of amateur golfers sustained a significant injury resulting in missed playing time, 80%
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Sanjay Jatana, M.D., will present an update on new treatments for spine disorders at “What’s New in Spine Care,” part of Rose Medical Center’s Spine Education Series. The seminar will be held from 5 p.m. to 6 p.m. on September 23, 2013, at the Rose Learning Center, 4600 E. Hale Parkway, Denver.
Scott Ruppenthal was in the midst of a workout when he felt something snap. Initially, Scott thought he’d torn a muscle in his shoulder. The next day, however, he felt a burning sensation in his right arm and turned to his primary care physician for help. Oral steroids provided a week’s worth of relief, but when the pain returned, Scott knew he needed to investigate further. Eventually, an MRI revealed bulging discs in Scott’s neck.
I always encourage patients to obtain as much information as possible about their course of treatment, including educating themselves about the facilities where they will receive care. Quality and service can vary widely from hospital to hospital, so it makes sense to do your homework before scheduling your procedure.
Spinal fusion is an operation designed to stop motion at a segment of the spine. A motion segment in the spine can be defined as a combination of a vertebra- disc- vertebra- and 2 facet joints. The purpose of spinal fusion is to stop the motion at one or multiple motion segments.
I’ve been hearing more frequently from patients who want to spend less time in the hospital after surgery. The sentiment makes sense, given the trend towards outpatient surgery in a variety of specialties.
It’s generally well understood that maintaining good overall health can help patients minimize disease and maximize activity while protecting against injury. Good physical health can help prevent spine problems, such as chronic back and neck pain. A regular aerobic and core-strengthening program can help prevent back and neck injuries. However, patients tell me all the time that they don’t understand why they have spine problems since they exercise regularly.
Spine surgery is a continually evolving specialty. Some recent changes have been positive, while others can be viewed negatively. For example, an important positive change is the trend toward less invasive surgery, which results in faster recovery times, allowing patients to return to daily activities more quickly. As we gather data and experience, we can more precisely define indications for surgery as well as standardization of treatments. New technologies like artificial disc replacements for neck disorders, also allow patients to regain quality of life with less down time.
Many patients I see have suffered with back pain for months or even years and are desperate for relief. Spine surgery may seem like a magic pill when other treatment options have failed, but patients still need to be sure that their condition is one that surgery can address effectively.
Ever return from a bike ride with an aching neck or numb hands? A poor bike fit might be the culprit. Riding a bike that’s too big or isn’t positioned correctly for your body can not only affect your performance, but can also lead to serious discomfort and potential back pain or injury.
Magnetic Resonance Imaging, or MRI, is a technology that allows physicians to see musculoskeletal and internal anatomy and diseases much more clearly. MRIs are especially helpful for spine surgeons who need to be very precise about where to operate to achieve the optimal outcome without causing harm to a patient.
Most people at one point or another in their life will experience neck pain. A recent study in the journal Spine even showed that almost half of boys and girls aged 15-16 years have neck pain! Here are some tips to help prevent discomfort:
Informed surgical patients have the best chance of a successful surgery. Patients who are well informed about their options and their surgical procedure have the least stress before and after surgery.
Traveling is stressful and time-consuming, so finding excuses for not exercising while on the road often comes easy. The days are long, which makes it difficult to find the energy to work out. It’s also common to skip the hotel gym if it’s crowded or costs money. And even when those factors aren’t at play, just knowing which exercises to perform is a challenge.
The back is designed to be strong and flexible, but like everything else, it has its limits. Lifting something too heavy, overdoing it on the ski slopes, court or ball field, or spending too much time at the computer without the proper ergonomics can lead to short-term or chronic pain. As we age, something as simple as bending down, sleeping on the wrong pillow or turning your head too quickly can cause problems.
Minimally invasive surgery is a popular trend. When we talk about minimally invasive cervical spine surgery, it describes an operation on the cervical spine (neck) that leaves minimal residuals from surgery. The advantage is that if a patient has arm pain and numbness from a degenerative process like arthritis, or a herniated disc, we can address it with less invasive techniques.
In the past, neurosurgeons typically performed decompression surgery on the spine that involved maneuvering the nerves and spinal cord, while orthopaedic surgeons performed fusion surgery and scoliosis reconstructions.
I've often said that maintaining your health and weight is the most important factor in keeping your body in the best possible condition. Even with back, neck and spine problems, your overall fitness is the best way to ensure a lifetime of pain-free, healthy living. Fad diets that ask you to eliminate something from your diet might make you drop some pounds in the short-term, but your body needs those nutrients to function at its best:
Sanjay Jatana is quoted in the Becker's Orthopedic, Spine & Pain Management article
(DENVER) – Sanjay Jatana, MD, Jatana Spine, Denver: In the Denver market, the only spine surgeons who are employed by hospitals are done so through a recruiting agreement.
Winter sports often demand more total body strength and conditioning because of the intensity of sport and nature of the season (like increased resistance through snow). For example, skiing can place stress on the knees if motion is not controlled properly, and snowshoeing can be taxing on cardiovascular and muscular endurance.
Spinal stenosis is a narrowing of the space for the nerves and/or the spinal cord. It can occur developmentally and as part of the aging process of the spine. When it occurs in the lower (lumbar) part of the spine, the symptoms of spinal stenosis can include pain radiating to the legs (sciatica), a heavy feeling in the legs when walking, numbness, and tingling sensations. Patients often say that it becomes more difficult to walk longer distances. Sitting can help the symptoms temporarily, and leaning over slightly helps them to walk further.