Montesano Spine and Sport

11/12/2025

file:///var/mobile/Library/SMS/Attachments/bd/13/5C623017-E6E3-4EE6-832C-C3088976674F/MOV_2762.mov

10/16/2025

10/16/2025

Dreaming today about Capriand my friend Carmine sent me a beautiful photograph from capri

10/15/2025

10/13/2025

This person has a four level herniated disc
C 3/4 C4/5 C5/6 C6/7
 some people would recommend a four level procedure. Which I think is completely wrong and overkill.

 we must always keep in mind that Hillebrand wrote a paper several decades ago that said that even in the absence of surgery, if you have a herniated disc, do you have an increased incidence of adjacent segment breakdown?

 also we must keep in mind that by age 30 one out of three asymptomatic individuals has a herniated disc by age 60 it goes up to almost 100 so that your presence of a herniated disc doesn’t mean herniated disc as a pain generator

 so how would I approach this problem?
 motion, preservation motion, preservation motion, preservation
 And not operating means motion preservation. So the first step is to make sure that they got their neck muscle stronger, which I think is absent and a lot of treatment programs. I recommended the patient purchase a neck X.
 Which is basically a hat attached to Thera band where they can do a wide variety of exercise exercises and strengthen their neck muscles. If that fails then they can try conventional injections.
 But the injection that I find that’s most beneficial is alpha to macro globulin

 if that  failed then I would think about Sergery usually the patient’s complaints are going to be consistent with C5 six and C67 so after an informed consent I would approach only C56 and C67 with anterior cervical discectomy and disc replacement

 Using the approach for over 10 years I’ve not had to go back and do the other levels. Of course, if you went in and did all four levels at once the patient would probably do well, but they’re gonna have the postoperative restrictions consistent with a four level operation instead of a two level operation, which I think is more appropriate

10/01/2025

Happy Birthday Grandmaster Helio Gracie

09/08/2025

Cervical spine disc replacement allows you to maintain an active athletic lifestyle.
 For a second opinion call
888-661-1408
Office is in Palm Beach, Tampa, Sarasota, and Napa

09/04/2025

Lumbar spine disc replacement is a great operation and properly selected patients

09/01/2025