NOT EVERY SPINE FROM PAGE 75
pounds, some attempt can be made to either reposition or to
remove some of the weight load, even just for periods of time. Sitting in a poorly cushioned seat may be aided by some of the more
advanced back supports and cushions that are commercially
available.
Other causes of back pain, such as disc herniations, or what is
commonly known as sciatica, lead to pain in the back and the
legs. Secondary to the spinal disc or shock absorber being injured
or bulging, this may respond well to an epidural injection and
anti-inflammatory medications, as well as physical therapy.
Similarly, bony arthritis may respond well to physical therapy,
particularly strengthening the abdomen, which can be
supervised by a physical therapist or trainer, as well as strengthening of the lumbar spinal musculatures to offload the strained
body part. Again, for the accurate diagnosis and management,
we need to individualize the care via a close examination and a
close look at the history, as well as a look at the diagnostic studies.
In more advanced cases, when something interventional or
aggressive needs to be done, the pathology may be treated with
a minimally invasive procedure, or sometimes needing a more
classic approach.
With that in mind, the Center for Spinal Disorders will attempt
to individualize your care, paying close attention to your particular history of complaint, and devise a care regimen just for your
spine, since no-one else's is exactly like it. d
Jonathan D. Lewin of the Center for Spinal Disorders, is an alumnus of the Yeshiva College where he earned his Bachelor of Arts
degree in 1989. In 1993, he graduated from Albert Einstein College
of Medicine with his Doctorate in Medicine. Between 1994 and
1998, Dr. Lewin completed his Orthopedic Surgery Residency at the
Montefiore Medical Center. Following his residency, he also completed his Pediatric and Adult Medicine Surgery Fellowship at the
Shriner’s Hospital of Philadelphia, Temple University Hospital,
Cooper University and Jefferson University Hospital.
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