The Aging Athlete and Back Problems

Part 2 of 2 – The Degenerative Disk

John Nordt, III, M.D.

If one has a back problem and the back

problem is specific for certain disc and

certain vertebra due to instability,

degenerative disc disease, arthritic

facet joints, spinal stenosis or any

combination of the above then these

problems can be resolved with a great

deal of predictability towards success.

This of course does not mean that

everyone needs surgery and certainly

means that all conservative measures

must be attempted including exercise,

weight loss, flexibility, strengthening

and stretching.

Magnetic resonance imaging, myelograms coupled with computerized axial tomography, disco

grams and bracing are adjuncts to make a clear decision as to whether surgery will help or not. This

area is understood poorly by many physicians because of the advances that have occurred. As with

any good medical procedure there are always controversies that can occur. Surgery is not to be

taken lightly and all the consequences should be discussed thoroughly with the patient and his or

her physician. Risks and complications need to be discussed at length. Limitations of patients after

surgery, as well as the prolonged rehabilitation and the immobilization necessary to ensure the

surgical success should all be discussed too.

Due to the advances that have occurred in the last ten years, people who have had previous surgery

on their back that was unsuccessful are also candidates, through evaluation for repeat surgery.

Repeat surgery has been shown recently to be just as good as a first operation as long as the

diagnosis is specific, and as long as the parameters are correct, regarding the health of the patient. I

think the predictability of the surgery is most important these days as none of us have a lot of time

to waste trying to get better. Second opinions are also strongly suggested from competent spine

surgeons and who understand the surgical procedures that need to be done. Many people ask “will

my back be stiffer afterwards?” I have no answer of course, yes, but I think the overall performance

and the ability of the patient will be improved as the pain will be eliminated with a surgical

procedure. There is always a trade off in regards to this.

This is a very exciting time for physicians, spine surgeons, and patients, because we have a clearer

understanding of that which needs to be done. We have better diagnostic procedures, and tools to

fix them. Statistically our success rates are greater in those selected patients that have had the

proper diagnostic procedures instituted. – Copyright 1995

For more information, please contact:

Dr. John C. Nordt Spine Center of Miami www.spinecentermiami.com TEL: (305) 662-2851