Sciatic Nerve Injury Following Intramuscular Injection

Winning Strategies for Back Pain Disability Cases

Hi there, this is Jonathan Ginsberg and today I'd like to talk to you about how I approach a case where the primaryimpairment is back pain As you might expect SocialSecurity judges see a lot of back pain cases its probably the mostcommon physical ailment that Social Security judges are going to see and as such you really need to keep in mind that you've got to stand out a little bit because

a lot of people come in withosteoarthritis and pain in their lower back and again because judges see it sooften how they tend to sometimes discount the severity of it and whether in fact it is truly disabling. Further you have to realize and this issomething you probably wouldn't think about, but it's actually the case

some of the judges that I've beenin front of have actually had back surgery because again back problems are prettycommon in the population and of course a lot of these judges have very goodinsurance they have physical therapy afterwards, they have good s and soforth and so their recovery might be more uneventful than yours. Again, a judge is not doing physical labor

and again he has got typically real goodhealth care. If you've done physical labor or if your health care is not as good youdon't have access to physical therapy or or medication or as much follow up then you may not have gotten the same resultsas the judge but again the judge who's deciding your case is looking at yousaying quot;I went through the same surgery and I'm fine. You know I can't play basketball anymore but but I can play golf and I can do a lot of different thingsquot; and

he or she you may feel likewell you know I've recovered how why can't youé And, again, that's just human nature but just beaware of it. I'm not saying that makes the judge not sympathetic to you butjust be aware that you need to do something to stand out a little bit andshow the judge that your situation is one that did not resolve as easily as his or hers may have. I think that when you deal withback pain cases like in any Social Security case

number one you want to emphasize ifyou've got a long work history. I think this is a factor that you may not think about but this is i think a factor that many judges find it very verycompelling. If you have a long consistent workhistory where you've been in a job, you've performed admirably at the job you've madegood money at the job. people don't give up good jobs and opportunity for retirement, a pleasant retirement, to collect $1,500 or

Back Pain and Neck Pain Non Surgical Treatment

Back and neck pain, cause and cure. I'm Richard E. Busch III and we're going to talk about the cause and cure of back and neckpain today. The first thing a lot of people want to talk about is pathology. We don'twant to talk about that today however because in most cases if you have a pathology, firstof all you're not going to have been in my office, and second of all we would have movedyou out and had you evaluated for other conditions at that point. However if you have mechanicalback or neck pain that means that things aren't moving quite correctly and that's somethingthat I treat as a chiropractor and many physical therapists and even massage therapists actuallywork with that as well. So that's kind of

secondary to what we're talking about today.We're talking about the more important stuff. We're talking about herniated disc, degenerativedisc, and even spinal stenosis. When we talk about a disc, a disc is a shock absorber inthe spine and the way that it's put together the inner portion of the disc is a jelloywatery type of a substance. It's called the nucleus pulposis and the outer portion ofthat disc is actually called the anulous fibrosis. It's more of a cartilage type of a structureand it works a lot like a water balloon. If we had one sitting on the edge of the tableyou would see the sides pushing out, if we pushed down on the top it would expand inall directions, when we let it go it goes

back to normal. When we talk about a herniateddisc, a herniated disc takes place when that jelloy substance on the inside of the discis put under a great deal of pressure, the cartilage around it can't hold it back verywell and it tears. That causes a little portion of that disc to bulge out. This wear and tearallows that disc, or that cartilage structure, to push against the nerve which doesn't allowthe proper information to get from the brain to the rest of the body. It was shown in aUniversity of Colorado study back in the mid 90's that 10 mm of mercury pressure on thenerve, which is about the weight of a dime, will reduce the effective functionality ofa nerve by about 60%. That's not very much

pressure when we talk about it. A lot of thepatients that we treat, we're going to talk about a special type of a treatment here injust a second, it's called spinal decompression utilizing the DRS protocol. The patients thatwe see in many cases had steroids and other antiinflammatory or addictive medications.They may have had some addictive narcotics or even antidepressants as treatment. Theymay have had physical therapy or epidural injections, even failed back surgery, one,two, five, up to ten. They may have had a spinal core simulator or even a disc replacementsurgery. When we talk about the DRS Protocol, DRS Protocol stands for Decompression Reductionand Stabilization. What we're doing here is

we're pulling the disc level apart which allowsus to bring in oxygen, water, and nutrients back into the disc, and allows the disc reallyto heal from the inside out. We have a before and after MRI here. This is before the treatmenton the left and you can see that little white area is the intervertebrael canal where thespinal cord goes, and then on the after, you can see there isn't that little part of thedisc pushing out. It is circled in both of those so you can see that a little bit better.If you're interested in this type of treatment and the type of things that we do with theDRS protocol and spinal decompression, please check out our book at either BuschChiropractic or SurgeryNotIncluded The book is called

quot;Surgery Not Included Freedom from ChronicNeck and Back Painquot; again quot;Surgery Not Included Freedom from Chronic Neck and Back Painquot;.Please check it out and if you have any questions you can.

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