A Second Opinion...

Symptoms of spine problems may either be attributed to inherent primary spine disease (i.e. the painful degenerative disc) or secondary damage to other related tissues (i.e. the crushed nerve). The problem may be easily identifiable, but often it is not. Symptoms may surface either locally or far away, depending on the problem. Problems such as spasm or weakness, though secondary to the primary problem, may be the chief complaint of the patient.

All of this requires a great deal of experience and study to sort out. No patient should give up until they have had a comprehensive evaluation. The evaluation should include a step wise approach considering each one of these lesions, studying not only the individual lesion, but the overall impact that the lesion has on the patient. A problem that may appear mild in one patient can be a severe problem in another. For these reasons, one patient may not need treatment and another may require intense evaluation and treatment.

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