Have a three questions but all related.
1.) Is it possible to have cervical myelopathy without significant
neck pain? (Have all the symptoms including bladder dysfunction.)
Had a fusion in 2001 of C5-6-7. Two Orthopaedic Physicians think it
is Stenosis with myelopathy is occurring behind fusion but heavy
hardware block/shadow view. Neurologist (only read MRI disc no
physical exam) does not agree.
2) How important is a physical exam to get accurate diagnosis or is
3) How often are MRI's read completely different between Ortho
Surgeon and Neuro Surgeon? Or just in general?
A I am not a
surgeon and will defer those opinions to those experts. However,
myelopathy holds its own definition and does not necessarily include
The clinical exam evaluates the body's neurological
systems function, the MRI confirms the lesion and location.
Interpretation is usually best to a specialized radiologist, but
surgeons also have good reading skills.
You may show your MRI films to other radiologists for
a second radiological interpretation. Hope this helps.
Posted August 3, 2009
How important is the left arm in a golf swing
(I am right handed)
A The simple response
is "as important as your other arm", but this would be ridiculous
answer. I will direct your question to an LPGA instructor who is an
expert on biomechanics of the golf swing and may answer your real
need. Her name is Shannon and I hope you find a response to your
Posted August 2, 2009
I was wondering if you could
give me some ideas on how to do a joint mobilization on an elbow.
The elbow traditionally is viewed
as a two dimensional hinge joint. However, ever so slight
mal-alignments can create increased tension across the elbow
especially adding to forces of muscle insertion. Both the ulnar and
radial aspects of the joint can be optimized in positioning that
allows the least amount of friction and secondary tendonitis.
osteopathic physicians are taught techniques of alignment. Please
refer to these books with illustrations. We have perfected a
technique that works for us, but is best learned by demonstration by
myself or one of my clinical staff. You are welcome to visit and
learn from us.
Posted August 2, 2009
What are the major bones used in a golf swing also what are the
major joints, and joint actions involved?
A The question is very
broad and constitutes a book. I have been asked to write a couple books
on this very subject. Do you have any one specific question as it
relates to biomechanics? Will await your reply.
Posted August 1, 2009
I am about two hours away from
your office I was wondering if I can give you enough info ,so that
you might see if you can help me .I would be willing to travel up
there if you feel you could assess and aid in my problem.
I am 55 in great health, 6' 2''
and 247 . I have worked out with weights for about 30 years and
recently found a new passion in golfing. About 6 weeks ago I
injured my right rib/serratus area under my right pectoral muscle
and had pain a bit around towards the lat muscle .Lying down was
very difficult until I got the area stretched -then the discomfort
would mostly pass. I used ice /heat and rest and about 2-3
weeks -later was pain free.......I went back to my work outs and
Now 3 weeks in and I have the
same "hurt" but this time much less severe .I decided (?) it may be
a muscle and did some stretching and some serratus muscle specific
With my wife's urging I visited
a orthopedic MD who took an X-ray and then said that an x-ray would
not show a broken rib? He proceeded to push the area near the solar
plexus to which I told him that is not where it hurt ....he
prescribed anti-inflammatory drug and said come back in 2 weeks.
Hence ,I would ask in advance
what you may think and what you would do if we do set an appointment
.Please try to appreciate the frustration of that diagnosis and my
concern as to just what I may have injured and how long before I
might return to golf ,without fear.
At any rate I think it is great
that you have email contact and that alone encourages me to reach
out to you for help .Thank you in advance!
Your injury is more common than
most golfers realize. If fact, there have been reported fractures of the
ribs that attach to the serratus anterior muscle. As this muscle is one
of a deeper layer muscles, we find stretching of limited permanent
release. We use a dry needling technique, with acupuncture-like needles
into the trigger points of this muscle and have a very good response.
With the serratus muscle, the subscapularis and infraspinatus muscles
could also be mildly affected.