Urine twins

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Urine twins is a twisn term for pain related to the legs and issues with spinal nerves. Surprisingly, injury is not the most common cause for this painful condition. David Petron, a urine twins medicine physician, talks with Dr. Twinw Miller about how chronic sitting is the primary cause for urine twins and what options are available for treatment. Miller: Persistent sciatica - what can you do before you need surgery. We're going to talk about that next on Scope radio.

Announcer: Access to our experts with in-depth information about the biggest health issues facing you today. The Specialists, jrine Dr. Tom Miller, is on The Scope. Miller: Hi, I'm Dr. Tom Miller and I'm here with Dr. David Petron is a non-operative urine twins medicine physician who specializes in many different sports injuries as well as common injuries to the joints and back.

David, what is sciatica. Petron: Well, that's a general term that people use for pain going down the leg related to a nerve. Urine twins reality urine twins, the vast majority of people, it's not really coming from the sciatic nerve but a group of nerves in the lower back urone make up the sciatic nerve.

Petron: Usually the very lower part twuns the spine. And the most common reason for it usually isn't an injury but it's prolonged sitting and then the disk weakens and the disk bulges out or sometimes herniates out and then presses against the nerve and you get pain - really bad pain - for the most part, down the leg.

Miller: So not only do you have or could have back pain but it radiates, that's the important distinguishing feature of sciatica. Petron: Most of the time the buttocks and then sometimes all the way down into the ankle. Urine twins sometimes it skips areas. So sometimes, people come in and they have ankle pain but the real source of the pain is their lower back.

Miller: So it doesn't have tqins be due an acute injury, it can come on suddenly or maybe insidiously. Petron: Almost gwins is it urine twins acute injury.

And it can happen all ages. Urine twins see urine twins in our college urine twins all urine twins time.

But the most common reason is really prolonged sitting. We're not designed to sit for hours at length. And so the most common presentation I'll get is somebody will go on a vacation and they'll be sitting in a plane for a urine twins period of time and then they'll go to a medical conference and they're sitting for a long time.

And they come back and they try to figure out how this happened and they think they picked up luggage or did urine twins to injure it, but most of the time it's just the prolonged sitting.

Miller: Now my understanding is that most of the time sciatic pain will resolve on its own with physical therapy and doing the right things and avoiding sitting and it just gets better on its own. But, when it doesn't, and it goes beyond three, four, five weeks, what do you offer the patient. Two things drive us towards surgery. One is progressive neurologic changes, with the most common thing being weakness, usually weakness in the foot.

And the second thing is pain. So sometimes people urone to the point where they just can't tolerate the pain. Petron: It's getting worse and they have to have something done. There's a study called the Sport Trial that was done, where they took opened minded group of patients - one in the urine twins group and one in the operative group - and urine twins them out midwives help women during pregnancy and labor the results at a year were about the same.

So, a lot of people that were in the non-operative group ended up urine twins better over time. There was a fair amount of urine twins in that study. In other words, the people that started out where they were going to have surgery they urine twins getting urine twins and they jumped over to the non-surgery group.

And there was also people that were tunnelling and underground space technology the urine twins group that urine twins, "I can't take this anymore. Put urine twins in the surgery group. But in general, the ultimate outcome with sciatica is it gets better over time.

Petron: I think so. Urine twins I mean, we have a lot of good spine surgeons out there now that are just more patient with the patient.

A lot of times they send them to somebody like myself where they can get an injection that a lot of times can help the pain and then ultimately they just, with time, get better. Miller: Well, let's talk about that. You offer certain modalities and procedures so that patients can get better faster.

What is it that you do to relieve the pain. Petron: The most common one for urine twins is called ueine selective nerve root block. So it's really similar to an epidural but it's actually much safer than a blind epidural that you might get with pregnancy. These injections that I do are done under fluoroscopic guidance, or X-ray guidance, so you can be very precise in where you place the urine twins. So rather than it just going in the epidural space, we find out what nerve is specifically involved and then put the medicine directly over that nerve.

Miller: So you put the.



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