Carrollton Spine Specialist For Lumbar Pain

by Administrator 21. April 2015 12:39

The lower back consists of interconnected and overlapping elements such as tendons, muscles, soft tissues, highly sensitive nerves and nerve roots, small and complex joints along with spinal discs. Lumbar Pain can be caused due to a problem with any of these structures. Lower back pain ranges from mild to severe and can interfere with routine activities. It is a common condition, which can be very painful and must be treated after proper diagnosis.


  • Specific movements such as bending or lifting a heavy object
  • Aging causes degenerative changes in the spine, which makes it prone to back pain
  • Over-activity that leads to muscle soreness, over stretching of ligaments and muscle fibers
  • Disk injury such as disk tear and disk herniation
  • Disk degeneration
  • Spinal Stenosis
  • Spondylolisthesis
  • Scoliosis


  • Sharp pain that worsens with lifting and bending
  • Inability to walk or stand for long hours
  • Pain extends into the buttock and outer hip area
  • Numbness
  • Tingling sensation
  • Weakness


The orthopedic doctor may examine your back after thorough discussion of your symptoms and medical history. The surgeon may ask you to bend forward, backward and side-by-side to look for limitations in the spine. The orthopedic surgeon can also recommend some imaging tests such as X-ray, MRI, CT Scan to confirm the diagnosis and devise a treatment plan.


Lumber pain is usually treated orthopedically through medication, physical therapy or surgery. The surgeon often prescribes certain non-steroidal anti-inflammatory medicines to reduce pain and inflammation. Besides medication, the doctor can also recommend physiotherapy, which includes modalities such as ice, massage, heat, electrical stimulation and ultrasound. During therapy, you may need to do some stretching and strengthening exercises that will help you restore motion and strength in your lower back and relieve pain. You may be prescribed to wear braces that increase comfort and take part in exercise based programs such as yoga, pilates, etc.

However if you do not find relief with these non-surgical methods, you may have to undergo surgery. During the surgical procedure the vertebrae are fused together so that they can heal as a single bone. In severe cases, disk replacement is the only solution, in which, the disk is removed and replaced with artificial parts.

After surgery, you may have to complete a rehabilitation process that will help you return to your normal routine by strengthening your muscles and ligaments.

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Back Pain: Orthopedic Treatment In Carrollton, TX

by Administrator 20. March 2015 06:21

Back pain is one of the most common problems that compel people to visit an orthopedic center. Although many people suffer from back pain at some point in their life, the reasons and causes often vary.

Causes of Back Pain

  • Osteoarthritis
  • Rheumatoid arthritis
  • Osteoporosis
  • Injury or accident
  • Illness such as cancer, kidney infection, tumor, etc
  • Paget’s disease
  • Sprains
  • Overuse of muscles
  • Ruptured herniated disc
  • Spinal Stenosis
  • Fibromyalgia
  • Stress on the back muscles


Besides physically examining the backbone, the orthopedic surgeon also recommends imaging tests to find out the exact condition of the spine and the extent of damage. Results of X-ray, MRI, bone scan or CT Scan assist the surgeon in determining the course of treatment to be followed.


In most of the cases, the back pain improves with minimal treatment. However, if the pain persists, the doctor recommends rest, cold and heat treatments, posture training, stress management and spinal manipulation. They stress on relaxation exercises, weight loss and meditation. However in severe cases, the orthopedic surgeon recommends surgery.

During initial treatment, the doctor prescribes certain pain relieving medicines and non-steroidal anti-inflammatory medicines to the patient. Physical therapy is also effective in treating mild back pain. Physical therapy includes heat, ice, massage, electric stimulation and ultrasound. Cardiovascular exercises, weight lifting and stretching exercise are also recommended to strengthen the back muscles and get relief from pain. Some patients can be prescribed braces that are wrapped around back and stomach. In severe cases of back pain, the patient has to rely on surgical treatments. The orthopedic surgeon fuses the vertebrae to make it a single, solid bone. This process is called Spinal Fusion and is recommended if the patient has spinal instability, severe degeneration or Scoliosis. The surgeon uses a bone graft to fuse the vertebrae. He may use rods, screws or a cage to stabilize the spine during the healing process. In more severe cases disk replacement is performed.


Here are a few tips to prevent back pain:

  • To make the abdomen muscles flexible and strong, you need to perform exercises regularly. This could include walking, jogging, swimming, and any specific exercises recommended by your physiotherapist or personal trainer.
  • Avoid lifting heavy objects.
  • Maintain a healthy weight to avoid stress on the back.
  • Make changes to your posture to avoid any problems in future.
  • Avoid smoking and alcohol.

For back pain treatment in Carrollton, TX, visit Dr. James Allen Guess, a renowned back pain specialist. To schedule an sppointment wiith the doctor, call at (972) 492 - 1334.

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Sports Injuries To The Spine

by Administrator 23. February 2015 10:49

The spine is a complex structure composed of vertebrae, nerves, tissues and ligaments. It helps to provide stability and balance to the body. Sports injuries to the spine can occur either as a result of accidents on the field, improper training, not wearing protective gear or overuse of the muscles. These injuries can either be acute or chronic and can affect the cervical, thoracic or lumbar spine.

Given below are the common sports related injuries to the spine:

Sprains and Strains

Sprains and strains to the spinal muscles or ligaments are very common injuries while playing sports. They mainly occur due to improper use of sports techniques, wrong exercises, and no warm up, poor body stamina or excessive muscle stretching. Treatment may include taking proper rest, applying ice pack at the affected area, refraining from participating in sports activities for some time, medications and physical therapy.

Spondylolysis and Spondylolisthesis

Spondylolysis occurs when there is a defect in the joining of the spinal vertebrae. Spondylolisthesis is an orthopedic condition involving a displacement of one vertebra in the spine over another. These injuries are commonly seen in sportspersons requiring stretching or twisting movements of the spine, such as gymnasts. The athlete suffers from acute pain in the back which increases increases while trying to bend or turn. Treatment options for Spondylolysis and Spondylolisthesis may include anti-inflammatory medications, stretching and range of motion exercises and wearing braces to support the back.


Stinger is a sports injury to the nerves in the cervical spine and commonly occurs during sports collision and contact sports. The athlete may experience a stinging pain that radiates from the shoulder to the arm. Treatment options for stinger mainly include taking rest, applying heat or ice, avoiding activities that strain the arm, anti-inflammatory medications, wearing a sling or brace to support the arm and shoulder.

Scheuermann's Disease

The pain associated with Scheuermann's Disease is usually felt in the middle back. Also known as juvenile kyphosis, in this condition the athlete starts to develop a hunched back that appears like an arch when bending forward. The condition can be treated with extension exercises or wearing support braces. However if the condition is severe the surgeon may recommend surgery.

For complete diagnosis and treatment for sports injuries to the spine, visit Dr. Guess in Carrollton, TX. To schedule an appointment with the spine specialist, you can call at (972) 492 – 1334.

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Low Back Pain: Orthopedic Treatment In Carrollton, TX

by Administrator 19. January 2015 13:44

Low back pain is a common problem that often brings people to seek orthopedic care. Most people experiences mild to severe pain in the lower back at sometime and it can be caused due to various reasons. Back pain often makes it difficult to carry out routine tasks and causes discomfort.


There can be numerous causes of low back pain, such as

  • Lifting, bending, pulling or other specific movements
  • With age, people become more susceptible to back pain, as the spine starts degenerating
  • Repeatedly doing any activity that leads to muscle soreness
  • Overstretching of muscles and ligaments fibers
  • Disk tear and injury
  • Disk herniation
  • Spinal stenosis, which occurs when the space around the spinal cord narrows down and puts pressure on the cord and nerves
  • Osteoarthritis, Rheumatoid arthritis etc.


Depending upon the underlying cause, the symptoms of back pain vary from person to person. Some of the common symptoms of low back pain are:

  • Pain that worsens with lifting and bending
  • Burning sensation or tingling
  • Sharp pain
  • Weakness in feet and legs
  • Difficulty in sitting
  • Pain while standing or sitting
  • Pain that extends from the back to the buttock and hip area


When you visit an orthopedic doctor with back pain, the doctor thoroughly examines the back to determine the cause of the back pain. The physicians often recommend certain imaging tests to diagnose the low back pain such as X-rays, MRI, CAT scans, bone density test, etc. He also questions about the medical history of the patient to confirm the cause of the pain.


The physician often prescribes anti-inflammatory medications that help relieve the pain and any inflammation in the spine. The medication is often accompanied by physical therapy, which includes ice and hot pads, massage, and electric stimulation. During the therapy stress is applied on performing stretching, weight lifting and cardiovascular exercises, which help in restoring motion and strengthening the lower back. Patients are often advised to use braces, which are wrapped around the back and stomach. By taking proper rest and exercises, the patient can get relief. However, if the symptoms persist then the orthopedic doctor recommends surgery.

Surgical treatment is often sought after considering all non-surgical options. Your orthopedic surgeon will inform you whether you are an ideal candidate for surgery or not and answer all your queries. Spinal fusion is recommended only when there is spinal instability or severe degeneration.

For complete treatment of low back pain, visit Dr. Guess in Carrollton, TX. To request an appointment, call at (972) 492-1334.

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Orthopedic Treatment For Spinal Stenosis

by Administrator 29. November 2014 04:19

Spinal Stenosis is a medical condition causing contraction in the open spaces within the spine and thus putting pressure on the nerves and the spinal cord. Spinal Stenosis can be most commonly seen in the cervical or lumbar spine. The compression of the nerve root in Spinal Stenosis can also lead to pain at the rear part of the leg.


  • Bony Growth: Degeneration of the spinal vertebrae can lead to the formation of bony growths into the spinal canal. Another cause of overgrowth of spinal canal can be Paget’s disease.
  • Herniated Discs: The discs that provide cushioning and protect your spinal vertebrae tend to dry off with age. Cracks in the outer part of the disc can allow the inner matter to come out and put strain on the spinal cord.
  • Thickened Ligaments: The ligaments that help to hold the spinal bones together tend to become rigid over time and may cause a lump in the spinal canal.
  • Spinal Tumors: Abnormal tissue growths can directly affect the spinal canal by causing inflammation or by growth within the spinal passage.
  • Trauma: Injuries or accidents may either cause the spine to dislocate or cause fractures that result in bone fragments penetrating the spinal canal.


  • Low back pain
  • Pain at the rear of the leg
  • Pinching sensation in the legs
  • Difficulty and pain while walking
  • Clumsiness and frequent falling
  • Numbness and tingling sensation in the legs, feet, hands and arms
  • Abnormal bladder and bowel function
  • Pain radiating down to the legs


The spine specialist may recommend the following treatment options for Spinal Stenosis:

  • Postural changes: People with this condition may find relief by leaning headlong while walking in order to stretch the spine. Lying with the knees lifted up to the level of the chest may also help ease the pain. These stretching positions help to widen the space available to the spinal nerves and make it easier for the people with Spinal Stenosis to walk.
  • Anti-inflammatory medications: The patient may also be prescribed certain over the counter non-steroidal medicines to relieve the symptoms caused due to inflammatory swelling in the spinal canal.
  • Rest: Taking ample rest and resuming the previous activities gradually can also help relieve pain. The orthopedic doctor may also recommend certain aerobic activities such as bicycling depending on the patient’s condition.
  • Surgery: If the symptoms do not subside with other treatment options, surgery might be needed to release the pressure from the spinal cord and affected nerves.

For complete diagnosis and treatment of Spinal Stenosis in Carrolton, TX, visit Dr. Guess. To schedule an appointment with the spine surgeon, call at (972) 492 - 1334.

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Orthopedic Treatment For Scoliosis

by Administrator 22. September 2014 11:21

Scoliosis is an orthopedic condition that causes the spine to develop an abnormal sideways curve and most commonly occurs just before the onset of puberty. Also, scoliosis is more common in girls than boys. The condition is mostly mild; however, some children can form abnormalities that continue for life. Severe scoliosis can even be disabling and can affect the proper functioning of lungs.


Scoliosis can be classified into various types that are caused due to different factors. These are:

  • Congenital scoliosis: This is caused due to some bone deformity present at the time of birth.
  • Degenerative scoliosis: It may be a result of a major back surgery, a traumatic bone collapse (either due to injury or illness), or osteoporosis.
  • Neuromuscular scoliosis: It is a result of abnormality of nerves and muscles. This type of scoliosis is often seen in people with cerebral palsy, spina bifida or paralysis.
  • Idiopathic scoliosis: This is the most common type and has no specific cause. However, idiopathic scoliosis is believed to be inherited.


  • Uneven shoulders- one of them being higher than the other.
  • One shoulder blade becomes more noticeable than the other
  • Asymmetrical waist
  • One hip being higher than the other
  • Clothes not fitting properly
  • Body may lean to either left or ride side
  • Back pain, in rare cases
  • Weakness and numbness in the legs
  • Bowel incontinence- inability to control bowel movement
  • Loss of bladder control
  • Erectile dysfunction in males


  • Braces: This is the most preferred treatment option for people who have a spinal curvature between 25 – 40 degrees. Braces are used to stop the advancement of the deformity. It may provide transitory relief, but the spine may curve again once the bracing is removed.
  • Surgery: In case of severe scoliosis, the spine surgeon may suggest the patient to undergo a surgery to prevent the curve from worsening. Spinal fusion is the most common type of surgery for scoliosis. In this, the surgeon joins two or more bones in spine so that they always move together. Metal rods, wires, screws and hooks are used to hold the spine in an upright position while the two bones fuse with each other. However, surgery can be performed only after the adolescents’ bones have stopped growing.

For complete diagnosis and treatment of scoliosis, you can consult Dr. Guess at OrthoTexas, Carrollton TX. To schedule an appointment, call at (972) 492 - 1334.

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Orthopedic Treatment For Sciatica

by Administrator 19. August 2014 11:23

Sciatica refers to a condition characterized by pain radiating along the trail of Sciatic nerve, the longest nerve in the human body, which begins from the lower back and goes down to the legs through the hips. Normally, Sciatica pain is felt in only one side of the body.


The irritation in the Sciatic nerve is the main cause of Sciatica and is most commonly a result of a slipped disc. Some other possible factors that can lead to Sciatica are given below.

  • Lumbar Spinal Stenosis: This condition involves the contraction of spinal canal at the lower back.
  • Spinal Disc Herniation: This involves the collapse of discs that serve as a bolster between the vertebrae.
  • Spondylolisthesis: This particular condition involves the slipping of one vertebra over the other.
  • Sacroiliac Joint Dysfunction: this condition is caused due to improper posture, sleeping in fetal position excessive sitting time in chairs, insufficient exercise and stretching.
  • Pregnancy: Pregnancy can be a reason for Sciatica pain due to the pressure of uterus on the sciatic nerve, changes in posture and muscular tension owing to carrying the extra weight of fetus. 

Other common factors may include lack of physical exercise, overweight, wearing high heels for long durations or sleeping on a hard mattress.


Some common symptoms of Sciatica are given below.

  • Pain in leg and hips that worsens with long sitting hours
  • Tingling or burning sensation in the leg
  • Difficulty in the movement of foot and leg
  • Weakness and numbness
  • Constant pain on one side of the hips
  • Shooting pain while trying to stand up
  • In extreme cases, symptoms may also include loss of bladder or bowel control

For some people the pain in Sciatica can be infrequent and tolerable while for others it might be severe and frequent.

Diagnosis and Treatment

While screening for Sciatica, the doctor takes medical history and observes the patient’s legs, hips and back to test for reflexes, strength, flexibility and sensation. Certain other tests can also be done such as X ray, CT scan, MRI Scan and Electromyogram to find out more details about the condition.

All the treatment options of Sciatica are aimed at releasing inflammation and pressure. Mostly, it can be treated by anti-inflammatory medicines, steroid injections or physiotherapy. In severe cases, the patient might need a surgery which is only advised after thorough tests and examination.

You can visit the spine specialist for in-depth consultation.

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Tips To Prevent Back Pain At Work

by Administrator 14. July 2014 12:41

Back pain is a condition which can happen due to a number of different circumstances and triggers. It has been observed that work-related activities and poor conditions at work places contribute heavily to cases of back pain. Keeping a few things in mind and exercising some caution can protect you from developing back pain due to workplace habits. Here are a few tips which might come in handy to prevent back pain.

The place in your office that is the most likely to contribute to your back pain is your workstation. Start a careful examination of your workstation and try to find out components and arrangements which are likely to be the root cause of back pain later. It is imperative to have a good quality office chair which offers enough support to the back. You should pay careful attention to the height and placement of items of regular use like keyboard, mouse, paper tray and filing cabinets and ensure that you do not have to strain or reach out to far to access these items.

Try to avoid being seated in the same position for long durations. Remaining in one position for long duration of time can contribute to back pain. You should change your position as often as you practically can. Also, make sure that you intersperse your work duration with frequent small breaks, to relax your muscles and reduce tension.

Study your posture closely and find out the problem areas. Make sure that you are sitting up straight and there is adequate lumbar support provided by your furniture. Also, ensure that your computer monitor is placed at an optimal height and angle so as not to make you turn or strain your neck abnormally for you to look at it. If your work involves typing, get wrist support and keep your keyboard and mouse close so as not to have to reach out for them. If your work involves repetitive action, make sure you take frequent breaks in between to prevent the onset of repetitive stress injury which is one of the root causes of back pain at work.

For more tips on preventing back pain, consult Dr Guess at 4780 North Josey Lane, Carrollton, TX 75010. You can request an appointment with the spine specialist by calling at (972) 492-1334.

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Orthopedic Treatment For Herniated Disk

by Administrator 14. May 2014 10:38

Herniated Disk, also called as slipped disk, is a condition when the outer ring of the inter-vertebral disc of the spine is torn. This injury causes the nucleus pulposus to protrude outwards and leads to immense pain and discomfort, and can happen with slightest of pressure. A protrusion of the outer layer of the anulus fibrosus is generally the pre-requisite to a Herniated Disk and is a common back related problem often observed in athletes, bodybuilders and people who are above the middle-age mark.


  • Degeneration, the age related depletion of the spinal disks
  • Lifting heavy objects with using the back muscles
  • Twisting while lifting
  • Fall or blow to the back


  • Pain in the side of the body
  • Pain in the leg and hip of one side and numbness in the other
  • Numbness in the calf and sole
  • Pain that gets worse when you stand, sit, sleep, bend, sneeze, etc.
  • Weakness in certain body parts

If the pain and general discomfort is bearable the spine surgeon shall recommend non surgical modes of treatment. This includes taking the following steps:

  • Bed rest - The patient is advised to avoid using his back muscles. Activities like standing and walking are to be avoided.
  • Anti-inflammatory medicine - The pain associated with this condition can be excruciating and spine specialists often prescribe anti-inflammatory medicine to avoid swelling on the back.

A spine surgeon will recommend surgery only after persistent attempts over a long period of time have not resulted in sufficient relief from the pain. Surgery is the last step and is often followed by a recovery time including rest and medications.

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Pregnancy And Low Back Pain: Orthopedic Carrollton

by Administrator 21. April 2014 08:23

Pregnancy is a very significant stage in any female’s life. It comes with its own set of problems and conditions that need to be properly monitored and taken care of. One such problem that many pregnant women complain of is pain in the lower back. This can be a very trying phase and hence it is important to understand what causes it, and how a spine specialist in Carrollton can help you in correcting it.

During pregnancy, the body undergoes a lot of changes. The uterus is constantly expanding and many hormonal changes happen within the body. As a result, the center of gravity of the body shifts. This in turn puts considerable pressure on the abdominal muscles. The posture gets affected and hence leads to strains and pain in the lower back.

Hormonal changes also contribute to back pain during pregnancy. These are responsible for loosening of the joints and ligaments that connect the pelvic bones to the spine. Consequently, this causes pain in the back while sitting for long periods of time or participating in activities such as walking.

Lower back pain in women can be categorized as lumbar back pain and posterior pelvic pain. Generally, many pregnant women complain of symptoms of both kinds of pain. The sedentary lifestyle during pregnancy makes low back pain symptoms all the more prominent in many women.

Following are some possible ways of treating low back pain in pregnant women:

  • Contrary to popular notion, it is important to understand that exercise is important to strengthen the back muscles, more so during pregnancy. Rest for prolonged periods can actually harm the back rather than do any good to it.
  • Though swimming, walking, and stretching exercises are a common way to combat back pain during pregnancy some changes might be required in the way that these are performed. Guidelines need to be borne in mind before you exercise when pregnant.
  • It is recommended that you should not get up too quickly after exercising. In addition, it is also advisable not to lie flat on the back while exercising. The routine to be implemented for exercise during pregnancy also varies; it cannot be as rigorous as the conventional exercising routine.
  • Body mechanics and positioning are also important for pregnant women. You could also try certain relaxation techniques such as hot water bottles or a massage to ease the soreness and pain in the back.

 Other than exercise, you could also go in for improving your posture. This considerably helps in reducing back pain. For proper guidance on treatment, you can get in touch with a spine specialist in Carrollton.

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