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Advanced Spine Institute's Blog



Los Angeles Spine Surgeon K. Rad Payman, MD Treats Iraq War Vet After Humvee Explosion

By: K. Rad Payman on March 7, 2017

Anterior lumbar fusion performed to relieve patient's severe back lower pain caused by years of lifting heavy objects and injuries in Iraq




Herniated Disc Treated By Los Angeles Spine Surgeon K. Rad Payman, MD

By: K. Rad Payman on July 6, 2016

Artifical disc replacement offers an alternative to spinal fusion for some patients. K. Rad Payman shows how a herniated disc is treated in a 26 year-old.




Life After 50 Magazine Features K. Rad Payman, MD. In A Major Article On Minimally Invasive Spine Surgery

By: K. Rad Payman on June 7, 2016

Watch Your Back! Spine surgeon K.Rad Payman, M.D. shares what you should know about back and neck pain in the June issue of "Life After 50"




Minimally Invasive Spine Surgery In Los Angeles: Rad Payman, M.D. Shows Spinal Micro-Decompression

By: K. Rad Payman on April 25, 2016

Los Angeles Spine Surgeon K. Rad Payman, MD appears on NBC News to show how minimally invasive spine surgery and a new approach called "micro-decompression" may be the best option for those who need spine surgery for back pain due to conditions such as spinal stenosis.




Los Angeles Spine Surgeon Shows How To Avoid Neck and Back Pain From Exercise

By: K. Rad Payman on February 25, 2016

Rad Payman, M.D. says staring a new exercise routine or sport can lead to back or neck pain if your body is not ready. Dr. Payman, of Advanced Spine Institute in Los Angeles shows how to avoid injuries and what people should do if pain is experienced during or after physical activity.




Los Angeles Spine Surgeon Says Lower Back Pain Is a Leading Cause Of Lost Productivity

By: K. Rad Payman on December 1, 2015

K. Rad Payman, MD of Advanced Spine Institute says lower back pain is successfully treated with a variety of treatments ranging from non-surgcial therapies, medication and advanced spinal surgery techniques, depending on each person's condition.




What Is Spinal Stenosis? L.A. Spine Surgeon Shows Causes and Treatment

By: Blog Editor on October 26, 2015

Los Angeles - Rad Payman, MD of Advanced Spine Insitute shows a model of the lower spine to describe the causes of spinal stenosis and the latest treatments to relieve pain. For those who require surgery, "spinal micro-decompression" may offer the best treatment with a less invasive procedure to relieve the symptoms of lumbar spinal stenosis while preserving bone. This technique maintains the stability of the spine, allowing many patients to return to their normal activities after surgery. Visit http://wwwTheSpineMD.com and call 818.501-2001 for more information. Advanced Spine Institute serves patients throghout Los Angeles and surrounding areas with locations in Encino, Valencia, Palmdale, Ridgecrest and Bakersfield.




Spinal Disc Replacement: Los Angeles Spine Surgeon Shares 3 Things To Know

By: K. Rad Payman on September 10, 2015

Rad Payman, MD says that people suffering from back or neck pain and reduced range of motion from injuries have several options for treatment ranging from non-surgical therapies and pain management to advanced procedures such as spinal disc replacement. Dr. Payman shares 3 important things to know about disc replacement surgery.




Dr. Rad Payman To Appear On Fox Morning News To Discuss Treatment For Failed Fack Surgery, spinal disc replacement

By: K. Rad Payman on July 29, 2015

Dr. Payman says failed back surgery syndrome (FBSS), describes the condition of people who have had an unsuccessful result with back surgery or spine surgery."Correcting or redoing a previous surgery performed by a different spine surgeon can be demanding," says Dr. Payman, who will return as an expert guest on Fox Morning News Santa Barbara on August 26.




L.A. Spine Surgeon Rad Payman, MD Shows Treatments For Back Pain In TV Interviews

By: K. Rad Payman on June 24, 2015

How To Bounce Back From Back Pain is the topic as Dr. Payman makes guest appearances on Fox 11 Morning News Santa Barbara and on Fox 58 News Bakersfield.




L.A. Spine Surgeon K. Rad Payman MD Describes Back Pain Treatment On Fox News 11 on Wednesday June 17, 2015

By: K. Rad Payman on June 17, 2015

"Lower back pain or neck pain may be caused by injuries, improper posture or degenerative disease," says Rad Payman, MD of Advanced Spine Institute Los Angeles. Dr. Payman will appear on Fox 11 Morning News Santa Barbara on Wed. June 17 to show how people can "bounce back from back pain" with non-surgical therapies or minimally invasive spine surgery.




Treatment For Back Pain Los Angeles Doctor Says Patients Benefit With New Procedures

By: K. Rad Payman on June 3, 2015

Spine surgeon Rad Payman, MD notes that many patients do well with non-surgical or minimally invasive procedures to treat pain from back injuries or degenerative disease. "The key is to provide a treatment or surgical and physical therapy plan that is designed for each patient's condition," he says.




Los Angeles Spine Surgeon Says Spinal Stenosis Treatment With Micro Laminectomy Preserves Spine Strength

By: K. Rad Payman on May 26, 2015

Is Spinal Stenosis The Next Baby Boomer Trend? Rad Payman, MD says a minimally invasive procedure can preserve stability and allow patients to remaine active.




Los Angeles Spine Surgeon K. Rad Payman, MD Uses Non-Surgical Or Minimally Invasive Procedures To Relieve Pain, Restore Motion

By: K. Rad Payman on May 14, 2015

Area Residents can receive care from one of the best spine surgeons in Los Angeles, from non-surgical treatment for minor problems to minimally invasive spine surgery at Advanced Spine Institute in Encino.




Dr. K. Rad Payman Supports Breast Cancer Awareness

By: K. Rad Payman on May 12, 2015

Dr. Payman generously donates to support the Avon walk to end breast cancer and Tee-N-Up for a cure.




Spine Surgeon K. Rad Payman, MD Now Provides Ridgecrest Residents With Expert Neck & Back Treatment

By: K. Rad Payman on May 5, 2015

Back pain, neck pain and injuries from minor problems to conditions requiring spinal surgery are treated at Advanced Spine Institute - Ridgecrest.




Spine Surgeon K. Rad Payman, MD Brings Expert Back and Neck Treatment To Lancaster

By: K. Rad Payman on May 4, 2015

Area residents can now receive expert care for back and neck pain and injuries, from minor problems to conditions requiring surgery at Advanced Spine Institute - Lancaster.




Los Angeles Spine Surgeon Says Lower Back Pain May Be Relieved With Minimally Invasive Procedure

By: K. Rad Payman on April 8, 2015





Dr. Payman: Top Doctors Profile - Ventura Blvd Magazine

By: K. Rad Payman on September 12, 2014

Ventura Blvd Magazine names Dr. K. Rad Payman as a top doctor. "We maintain a close relationship with every patient at Advanced Spine Institute-new or returning-and make it a priority to ensure that patients have a warm and friendly experience. All questions are answered, and patients are encouraged to keep in touch directly with me."
Click here to read the full article.




Staying active may help low back pain

By: K. Rad Payman on March 18, 2014

A recent study examined whether receiving professional guided advice during disability helped injured workers with low back pain return to work more quickly. Researchers hypothesize that a medical professional's advice to remain active makes the claimant more positive and optimistic about their diagnosis. This optimism decreases mental stress, spinal loading and risk of injury. "The milder the case of low back pain the easier the healing," said Dr. Shiao. "The body is always on the mend and can compensate quickly for an injured area. If sufficient blood flow is maintained through active but careful movement and the patient is generally positive, a mild case of low back pain can resolve on its own." Source: Daily Rx




Yoga could be a cost-effective treatment for back pain

By: K. Rad Payman on February 18, 2014

According to research published in Spine, the yoga intervention program called 'Yoga for Healthy Lower Backs' is most likely going to be cost effective for not only the UK National Health Service (NHS), but for the wider society as well. Professor Alan Silman, Medical Director of Arthritis Research UK, said: "We welcome the fact that not only has yoga been found to help people manage their back pain, but that it is also cost effective, and results in fewer sick days. It is another option for people who are struggling to manage their condition, and one that encourages the move to self-management. Yoga is an intervention that has been proven to make their everyday lives easier and their pain more manageable. Source: Medical News Today




Patients with low back pain benefit from advice to stay active

By: K. Rad Payman on February 1, 2014

The August 1 edition of Spine reports that advice on how to remain active for workers who are on medical leave due to lower back pain, can increase their chances of returning to work. Recovery can be delayed and even hindered through long absences from work and being sedentary, with psychosocial factors also playing a role in the risk that the pain becomes a chronic problem. According to earlier research, offering reassurance of the pain improving and advising workers to remain as active as possible has demonstrated to decrease time off work. Source: Medical News Today




TDR, fusion and hybrid procedure deemed viable for two-level disc degeneration

By: K. Rad Payman on January 18, 2014

In a comparison study, researchers from Texas Back Institute Research Foundation found two-level total disc replacement, combined anterior/posterior 360° fusion and a hybrid combination of total disc replacement at one level and fusion at another were all successful options for treating patients with two-level symptomatic disc degeneration. “Two-level total disc replacement, hybrid and fusion patients all significantly improved over [patients’] preoperative status, and considering newer data showing lesser percentage of adjacent segment surgery with disc replacement surgery, this becomes an even stronger argument for motion preservation over fusion,” study researcher Richard D. Guyer, MD, who presented the findings at SpineWeek 2012, told Orthopedics Today. Source: Healio.com




Predicting scoliosis progression from 3D imaging, study shows promising results

By: K. Rad Payman on December 20, 2013

The prospective study, financed by the Canadian Institutes of Health Research and the FRSQ (Fonds de recherche en Santé du Québec, the Quebec Health Research Fund), involved 134 patients with Adolescent Idiopathic Scoliosis (AIS). The findings demonstrated that the 3D morphological parameters of the spine obtained with EOS® can be used to distinguish between progressive scoliosis and non-progressive scoliosis from the point of the first medical visit. Such a distinction is not possible on the basis of two-dimensional parameters. The propensity of scoliosis to develop and worsen, or not, is a major challenge when choosing therapies, which are costly and invasive. Source: Medical News Today




How to Prevent Lower Back Pain

By: K. Rad Payman on November 18, 2013

If you suffer from lower back pain, you're certainly not alone. According to the National Institutes of Health, back pain is the second most common neurological ailment in the U.S. (second to headaches), and Americans spend at least $50 billion a year on treating it. For most of you, bouts go away within a few days, but others may not be so lucky. The good news, though, is that lower back pain is completely avoidable. If you stick to the following tips, you can say goodbye to that nagging lower back for good. Source: abc News




A back brace that can measure how long it is worn benefits children with curvature of the spine

By: K. Rad Payman on November 1, 2013

Scoliosis (curvature of the spine) affects three or four per thousand children and as many as seven out of ten older adults. While there is still controversy about the efficacy of back braces for children this is often considered a problem of compliance - if the children do not wear their braces the treatment does not work. New research published in BioMed Central's open access journal Scoliosis demonstrates that a brace that contains a tiny heat sensor and is able to monitor how long it is worn, and that kids are also happy to wear, means that overall compliance with doctors recommended prescription was over 90%. Source: Medical News Today




Blaming the brain for chronic back pain

By: K. Rad Payman on October 14, 2013

The vast majority of adults have had a sore back at some point in their lives. If they're lucky, the pain subsides after a few days or weeks. But for some, whose initial injuries appear no different than the fortunate ones, back pain lasts for years. Now, researchers have discovered a difference in brain scans between the two groups of patients that appears early in the course of the pain. The finding could lead to not only ways of identifying patients who are the most at risk for long-term pain but to new treatments or preventions for chronic pain. Source: Science




Back surgery can quickly relieve pain

By: K. Rad Payman on September 30, 2013

Back surgery can effectively relieve pain for certain back problems faster than nonsurgical means, a new study shows. On the other hand, waiting to see if the pain goes away on its own won't affect the outcome of surgery if you decide to have an operation later on, a second study found. Both of the studies, published in the May 31 New England Journal of Medicine, compared surgical treatment of back and leg pain (sciatica) caused by disc herniation or a condition called lumbar degenerative spondylolisthesis, which occurs when one vertebra in the back slips forward onto another. Source: abc News




Spotting spinal arthritis early

By: K. Rad Payman on September 19, 2013

Patients with chronic back pain caused by inflammation should be screened for ankylosing spondylitis. That is because inflammatory back pain is an early sign of ankylosing spondylitis, a type of arthritis that affects the spine. Early diagnosis of ankylosing spondylitis gives patients a better chance at controlling pain and slowing joint damage. Because inflammatory back pain is an early sign of ankylosing spondylitis, it could be used to diagnose this painful form of inflammatory arthritis. Source — Daily Rx




How do we experience back pain?

By: K. Rad Payman on August 14, 2013

Lower back pain is a nebulous and common problem. Often, the cause of chronic pain can be traced back to a specific cause such as lumbar spinal stenosis, or degenerative disk disease. But typically, lower back pain comes from something more difficult to diagnose, like overuse, strain, or stress. It's also important to try to avoid back pain by staying active, and having proper ergonomics while sitting at your desk, if that's what you do all day. Keep your body relaxed and position your computer screen at eye level. A quick exercise or two can help stave off back pain. Source — Daily Rx




Good news for short term back pain

By: K. Rad Payman on July 28, 2013

Low-back pain is a common condition that can affect every day life through discomfort, health care costs, disability and loss of work. Luckily, most back pain is alleviated in the course of six weeks. Researchers have identified that patients with low-back pain improve quickly within the first six weeks of seeking care. This is particularly true for those whose symptoms have been ongoing for less than 6 weeks. Those with back pain that has lasted for 12 weeks to one year at the time of seeking treatment find more difficulty in alleviating their symptoms. Source — Daily Rx




Lumbar spinal fusion plus laminectomy yields improved results over laminectomy alone for degenerative spondylolisthesis

By: K. Rad Payman on June 12, 2013

Patients with degenerative grade I spondylolisthesis with lumbar spinal stenosis may experience improved quality of life after undergoing a laminectomy with lumbar spinal fusion vs. laminectomy alone, according to findings presented at the American Association of Neurological Surgeons Annual Meeting. According to the release, the researchers concluded that lumbar spinal fusion in addition to laminectomy for the treatment of degenerative grade I spondylolisthesis was associated with superior SF-36 PCS outcome, resulting in fewer reoperations within 4 years of the procedure. Source — Healio.com




Intra-articular facet fractures more easily detected with CT scans than MRI

By: K. Rad Payman on May 1, 2013

In a cohort of elite athletes presenting with localized spine pain and back extension, researchers found CT imaging superior to MRI in the detection of intra-articular sacral facet fractures. The authors concluded early diagnosis and treatment increases the chance of pain relief and return to sport for patients with sacral facet fractures. Source — Healio.com




Scoliosis Treatment Might Reduce Need for Surgeries

By: K. Rad Payman on April 8, 2013

Scoliosis is an abnormal curving of the spine that occurs mainly in young children and adolescents. Traditional treatment for children who are still growing is surgical insertion of growing rods. Every six months, however, a new surgery is required to lengthen the rods. In the study, researchers assessed the use of magnetically controlled growing rods that were implanted in two patients. The key advantage: Surgery is not required to lengthen these rods. Source — US News Health




Local anesthetic improves pain scores after fusion

By: K. Rad Payman on March 19, 2013

A single-dose injection could be used for spine fusion pain management, researchers noted. Source — Orthosupersite




New cases of rare genetic disorder identified

By: K. Rad Payman on February 23, 2013

Scientists at the University of Liverpool, working with international partners, have shown a rare genetic disease, that causes crippling osteoarthritis in the spine and major joints, is far more prevalent worldwide than previously thought. Researchers have identified more than 100 new cases of the disease, called alkaptonuria (AKU) in a small community in Vellore, India, bringing the total number of patients there to 130. Approximately 40 patients have been found in a village in Southern Jordan, but previously the disease had been unknown to healthcare workers in the region. There were only four known cases in the UK in 2003, but this has since risen to more than 80 patients across the country. Source — e! Science News




FDA Grants Eden Spine 510(K) Clearance for its New Vertebral Body Replacement

By: K. Rad Payman on January 18, 2013

Altamonte Springs, Florida - Eden Spine (www.EdenSpine.com) announced today that it has received FDA 510(k) clearance for its new generation corpectomy device, the GIZATM. Source — Orthospinenews




Study finds vertebroplasty provides better pain relief, function over other treatments

By: K. Rad Payman on November 30, -0001

An analysis of the medical literature has found vertebroplasty may provide more pain relief and better function than nonoperative treatments for patients with osteoporotic vertebral compression fractures, according to a study published in Clinical Orthopaedics and Related Research. Source: Healio.com