Chronic Back Pain – Orthopedic McKinney

by Administrator 27. June 2017 06:11

The back provides support to the upper part of the body and helps to carry out all the bending and twisting movements. It is made up of several vertebral columns stacked over each other and supported by muscles and ligaments.  Injury to these soft tissues may result in immense pain and discomfort. If the symptoms continue for over three months, the conditions is termed as Chronic Back Pain and may require extensive treatment.


  • Muscle strains or sprains
  • Improper lifting of a heavy object
  • A sudden fall that puts pressure on the back
  • Poor posture
  • Sports injuries
  • Awkward gait
  • Bending down for long periods
  • Straining the neck forward, such as when driving or using a computer
  • Long driving sessions without a break

Risk Factors:

  • Stressful job
  • Pregnancy 
  • A sedentary lifestyle
  • Growing age
  • Anxiety
  • Depression
  • Obesity
  • Smoking
  • Strenuous physical exercise


  • Elevated body temperature
  • Inflammation on the back
  • Persistent back pain
  • Pain down the legs and knees
  • Urinary incontinence
  • Lost control over bowel movements
  • Numbness around the genitals and buttocks


After conducting a thorough physical test, the doctor may ask the patient to undergo several other tests such as –

  • X-rays
  • Blood test
  • Urine tests
  • Spinal magnetic resonance imaging (MRI)
  • Computed tomography (CT) scan
  • Nerve conduction studies and electromyography to determine nerve or muscle injury
  • Bone scan


Non-Surgical Treatment

  • Muscle relaxants and painkillers may be recommended
  • Patients may be asked to wear back braces to provide support to the spine
  • The doctor may ask the patient to apply hot and cold packs alternatively after some time period
  • Patients may be advised to avoid activities that aggravate the pain
  • Exercises may also be recommend to regain the muscle strength

Surgical Treatment

If the back pain is due to some other underlying condition a surgery may be recommend

  • Fusion – A bone graft may be used to join two vertebrae together. They may be supported with metal plates or screws.
  • Artificial disk – A metal plate may be inserted between two vertebrae to replace the damaged disk.
  • Discectomy – If portion of a disc presses against the nerve and causes irritation, the surgeon may remove it.

Consult Dr. Burg for complete treatment of Chronic Back Pain. To schedule an appointment with the spine specialist, visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, Texas 75070.

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Spinal Stenosis: Treatment In Plano, TX

by Administrator 26. May 2017 11:56

The spine is made up of several vertebral columns stacked over each other. The spinal cord travels through the middle part (central canal) of each vertebra. Nerves spread out from the spaces in the vertebrae and carry messages from brain to other parts of the body. When space around the spinal cord decreases, it may put pressure on the nerve and hamper its normal functioning. The condition is referred to as Spinal Stenosis.


  • Wear and tear changes in the spine
  • Osteoarthritis


  • Back pain may be present
  • Pain radiating from buttocks to the legs
  • Numbness or tingling in the legs
  • Feeling that the foot may slap while walking
  • Relief in pain while bending


The spine surgeon may discuss patient’s history and inquire about any injuries that may have ever occurred. He may look at patients’ back and push it at different areas to check that pain causing movements.
Imaging Tests –

  • X- Ray – This test may aid the doctor to visualize the conditions of your bones. He may be able to see the bone spurs or loss of disc heights. This test may also show the age related changes in the spine.
  • MRI – The test may give a clear picture of the soft tissues, and the spinal cord.


Non-Surgical Treatment

  • Rehabilitation exercises may be suggested to improve spine’s condition.
  • Doctors may suggest lumbar traction to alleviate the symptoms
  • To reduce inflammation around the nerve anti-inflammatory medicines may be prescribed by the doctor.

Surgical Treatment

  • Laminectomy
  • The orthopedic surgeons may remove the bone spurs that put pressure on the spinal cord. The procedure may be conducted by making small incisions and using minimally invasive techniques or making a single large opening to reach out to the spine.
  • Spinal Fusion – In this procedure the orthopedic surgeon may join the vertebrae to eliminate the symptoms. Metal implants may be used to keep the vertebrae in right position until the bone between them regrows.

For complete treatment and diagnosis of Spinal Stenosis, contact Dr. Burg. To request an appointment with the spine specialist, call at (972) 985 - 1072 or visit 4031 West Plano Parkway, Plano, TX 75093.

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Spondylosis: Causes, Symptoms And Treatment

by Administrator 24. April 2017 10:05

Spondylosis or osteoarthritis of spine denotes a medical condition which leads to the degeneration of the spine. It affects the vertebrae and the discs that lie between them. Spondylosis can be cervical (affects the neck), lumbar (affects the back) and thoracic (affects the middle back). Although spondylosis affects aged people more, it can be observed in others as well irrespective of age and gender. The process of ageing leads to wear and tear of the vertebrae and the fluid present in the intervertebral disc tends to dry up. The joint spaces shrink and the cartilage gets damaged. This may or may not be degenerative but affects the quality of life massively.


  • Ageing- natural wear and tear of cartilage leads to rubbing of vertebrae against each other and mobility is hampered
  • Degenerative disc disease
  • Compression of spinal root or spinal stenosis
  • Growth of bone spurs  (osteophytes) that impinge on the spinal canal and soft tissue structures
  • A direct fall or injury to the spine
  • Spinal osteoarthritis
  • Herniated disc
  • Narrowing of the spinal canal as the ligaments thicken and start encroaching on it
  • Slip disc
  • Overuse injuries and damage
  • Genetics 
  • Being overweight
  • Poor postural habits, smoking and lack of physical activity


  • Limited range of motion remains in the neck and the back
  • Pain which may be constant or activity related
  • Pain may radiate upwards into the shoulder or arms and downwards into the legs and hips
  • Stiffness
  • Crepitus- a grinding feeling in the spine
  • Nausea
  • Feeling of imbalanced body
  • Numbness or tingling sensation
  • Muscle spasms
    Spine Surgeon Allen
  • Bladder continence
  • Headaches
  • Abnormal reflexes
  • Change in gait
  • Inability to grasp objects


  • Detailed physical examination to assess the range of motion by a spine surgeon
  • Details of the medical and family history are taken down
  • Cervical Compression test- pressure is applied manually on the head and the neck is flexed
  • Reflexes and body coordination is assessed
  • Electromyogram to test nerve conduction
  • MRI and CT scan
  • X-ray imaging to study changes in bone structure


  • Mechanical traction may help to improve joint spaces and alleviates pain
  • Pain killers and anti inflammatory medicines are prescribed byt the doctor
  • Use of a neck collar for some time may be prescribed
  • Physical therapy helps ease back pain and improves spinal strength and stability
  • Maintaining good posture is necessary
  • Apply heat pads or ice packs at regular intervals
  • Corticosteroids may be injected into the affected part
  • Decompressive therapies may be suggested and may be carried out through manual adjustment of the spine
  • Prescription of muscle relaxants
  • Spine surgery may be carried out to remove bone spurs and damaged ligaments
  • Herniated discs and damaged vertebrae may be removed using surgery in some cases

Visit Dr. Burg for complete treatment of Spondylosis. To  To request an appointment with the spine surgeon, call at (972) 985 - 1072.

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Discogenic Back Pain: Orthopedic Treatment In Plano, TX

by Administrator 23. February 2015 12:58

Discogenic back pain can be defined as the pain originating from one or more intervertebral discs in the spine. It can be caused due to herniated, bulging or weakening discs that is usually as a result of age related wear and tear. Discogenic back pain can either be localized (it remains at the point of nerve soreness) or radiated (it can be felt in different parts of the body, other than the place of initiation). The condition can most commonly be seen in the lumbar and cervical region.


  • Age Related Disc Degeneration
  • Internal Disc Disruption
  • Spinal Injuries
  • Lifting Heavy Weights
  • Sports Activities
  • Degenerative Disc Disease (DDD)
  • Compression of Spinal Nerves
  • Herniated Disc


  • Intense or shooting pain in the lower back and buttock region
  • Pain increases while bending forward and altering posture
  • Difficulty getting up after long periods of sitting
  • Numbness and tingling sensation in the legs
  • Weakness in leg muscles
  • Muscle spasms in the affected area


In order to diagnose Discogenic Back Pain, the orthopedic surgeon will examine the patient to look for any visible signs of injury or spinal deformity. Certain imaging tests, such as X-rays and CT scans, may be needed to identify the disc that is the source of pain. The doctor may also inquire about the patient’s physical activities and lifestyle to analyze the possible cause of the condition.


Treatment options for Discogenic Back Pain may depend on the severity of the condition and the patient’s fitness levels.

Non-surgical method:

  • Anti-inflammatory medications: The orthopedic doctor may prescribe certain non-steroidal anti-inflammatory medications to reduce the back pain and inflammation.
  • Injections: Steroid injections may also be prescribed to provide immediate relief to the patient from the pain.
  • Physical Therapy: The patient may also be recommended to undergo physical therapy to treat Discogenic Back Pain. The exercises included in the program helps to increase the flexibility and strength of the back muscles.

Surgery is usually recommended in cases where the pain has been present for more than six months and has not responded to other conventional modes of treatment. The procedure may involve removing all or part of the damaged vertebral disc causing back pain.

For comprehensive treatment and diagnosis of Discogenic Back Pain, you can consult Dr. Burg. The doctor specializes in providing surgical as well as non-surgical treatment for various orthopedic conditions of the back, neck and spine. To schedule an appointment with the back pain specialist, you can call at (972) 985 – 1072.


Laser Spine Surgery In Plano, TX

by Administrator 18. February 2015 06:02

Laser spine surgery is a minimally invasive technique that uses a precisely targeted beam of light to remove the damaged tissues in the spine. The procedure is aimed at treating an array of orthopedic conditions of the cervical, thoracic and lumbar spine.

Laser Spine Surgery Procedures

Depending upon the severity and underlying cause of the condition, a laser spine surgery may involve any of the following procedures:

  • Laser Discectomy: This procedure is also referred to as laser disc decompression and percutaneous laser discectomy. A laser discectomy is intended to remove the herniated or bulging discs that are putting pressure on the spine or the nerve roots in the spinal column.
  • Endoscopic Laser Foraminoplasty: This surgical technique is mainly used to treat upper, middle or lower back pain caused as a result of displaced intervertebral disc. The spine surgeon uses the endoscope aided laser technique to widen the foramina in the lumbar spine. A laser beam is then inserted to remove the part of the disc that has been damaged.
  • Endoscopic Laser Foraminotomy: A foraminotomy is performed to relieve pain and inflammation caused due to compression of nerves in the spine. This can either be due to a scar tissue, prolapsed disc or bone spur resulting in a pinch nerve.
  • Endoscopic Laser Laminotomy: This surgery aims at making a wider opening in the vertebral arch of the spine, known as lamina, in order to eliminate pressure from the spinal nerve roots.
  • Laser Laminectomy: This procedure involves either partial or total removal of the lamina to widen the spinal canal and alleviate pressure from the nerves. Laser Laminectomy is most commonly used to treat patients with Spinal Stenosis.

Who Is A Candidate For Laser Spine Surgery?

People suffering from a chronic spine condition, which has not subsided with the non-surgical treatment options prescribed by the orthopedic doctor, can be recommended to undergo surgery. Some of the conditions that can be treated with laser spine surgery are:

  • Degenerative Disc Disease (DDD)
  • Herniated Disc
  • Spondylolisthesis
  • Osteoporosis
  • Abnormal Curvature of the Spine
  • Spinal Deformities
  • Congenital Scoliosis
  • Spinal Stenosis
  • Sciatica
  • Pinched Nerve
  • Lumbar Spinal Stenosis
  • Facet Disease
  • Rheumatoid Arthritis of the Spine
  • Osteoarthritis of the Spine
  • Post-Traumatic Arthritis of the Spine, etc.

For more details about the benefits of laser spine surgery as a treatment option for spine conditions you can consult Dr. Burg in Plano, TX. To schedule an appointment with the spine specialist, you can call at (972) 985 – 1072.

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Minimally Invasive Spine Surgery, Plano, TX

by Administrator 13. February 2015 07:03

Minimally invasive spine surgery (MISS) is a treatment option often recommended for people who suffer from degenerative spine conditions. This surgery uses advanced technology and innovative techniques to treat back and neck pain with a shorter recovery and rehabilitation period. The procedures are often aimed at releasing the compression of nerves in the spinal column, which can be the cause of pain and discomfort. It is a preferred surgery option by patients and surgeons due to quick healing and high success rate.

Who Is The Right Candidate For MISS?

The orthopedic surgeon might recommend minimally invasive surgery for the following spine conditions:

  • Sciatica
  • Herniated and Bulging Discs
  • Scoliosis
  • Spine Deformities
  • Degenerative Disc Disease (DDD)
  • Spinal Infections
  • Fractures of the Spinal Vertebrae
  • Spinal Tumors
  • Spinal Stenosis
  • Facet Disease
  • Spondylolisthesis

Techniques Used In Minimally Invasive Spine Surgery

Mainly, there are three minimally invasive techniques used in this procedure:

  • Mini-open: This is quite similar to an open spine surgery but involves comparatively smaller incisions. There is also minimal blood loss and reduced risk of infection post operation.
  • Tubular: This procedure involves using a tubular retractor as a tunnel to access the patient’s spine through the back muscles. This type of Minimally Invasive Spine Surgery is often stated as a ‘muscle splitting’ approach. There is significant less blood loss and muscle damage in this surgery.
  • Endoscopic: This spine surgery involves inserting a small video camera, known as an endoscope, into the incisions made in the back. This camera allows the surgeon to have an internal view of the patient’s spine anatomy and provide treatment accordingly. The incisions made in this type of surgery are usually very small, usually less than 2 cm. Thus, there is very less blood loss and scarring.

Advantages Of Minimally Invasive Spine Surgery

  • Shorter stay at the hospital
  • Faster recovery
  • Smaller incisions
  • Less tissue dissection
  • Less post-surgical pain and discomfort
  • Less anesthesia
  • Minimum damage to adjoining muscles and soft tissues
  • Less scarring
  • Reduced blood loss
  • Minimal risk of infection
  • Higher success rate
  • Quicker return to routine activities

For comprehensive diagnosis and treatment of spinal conditions you can consult Dr. Burg in Plano, TX. The surgeon specializes in performing Minimally Invasive Spine Surgery to treat various orthopedic problems of the spine. To schedule an appointment with the spine specialist you can call at (972) 985 – 1072.

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Scoliosis: Orthopedic Treatment In McKinney, TX

by Administrator 4. February 2015 09:33

Scoliosis, also known as curvature of the spine, is a condition in which the spinal column develops a three dimensional curvature. The spinal column is made of small bones, which when deviated lead to the condition. When the curvature of the spine is more than 10 degrees, then the condition is called Scoliosis. People in the age group of 50-70 years are more susceptible to Scoliosis and the condition is also more common among girls as compared to boys.


  • Structural Causes: In this type of scoliosis, the curvature is there by birth or occurs due to certain diseases such as metabolic diseases, muscular dystrophy or any connective tissue disorders.
  • Non-structural: In this the spine is normal and the curvature occurs due to other problems such as spasms, appendicitis, injuries, etc.
  • Degenerative Scoliosis: It occurs in older adults due to arthritis, which is called Spondylosis. The ligaments and soft tissues weaken and bone spurs cause abnormal curvature. The condition also occurs due to vertebral compression fractures, osteoporosis and disc degeneration.


Often there are significant symptoms and the patient may experience muscle back pain, fatigue, and stiffness. The condition often goes undetected for years and the symptoms vary with the severity of the condition.
However some of the common symptoms include:

  • One shoulder or hip higher than other
  • Head misaligned from the center
  • Walking with rolling gait
  • Back pain
  • Tiredness while doing excessive belly and chest movement
  • Uneven length leg
  • Clothes do not fit properly


It is recommended that you consult a spine surgeon if you experience any of the symptoms. The surgeon will carry out physical examination of the spine, ribs, hips and shoulders. Imaging tests such as X-ray, MRI, or CT scan can also be recommended to determine the location, shape, direction and angle of the curve. Depending upon the severity of the condition, the surgeon will devise the treatment plan.


Mild scoliosis need not be treated and the orthopedic physician often recommends the patient to have a routine follow up at the prescribed time. However the physician chooses a treatment depending upon the severity of the curve, location, gender and bone maturity.  In children, the physician uses casting to bring the spine to its normal position. A brace is attached to the outside of the body to improve the curvature.

If the Scoliosis is severe, then orthopedic surgeon suggests spinal fusion. It reduces the spinal curvature and stops its progression. Often screws, hooks, wires and metal rods are used to hold the part of spine straight while the bones heal.

For complete treatment of Scoliosis, visit Dr. Burg at OrthoTexas, McKinney. To schedule an appointment, call at (972) 727-9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Orthopedic Treatment For Spinal Cord Injuries

by Administrator 19. January 2015 09:12

The spinal cord is composed of a bundle of nerves and vertebrae that runs through the back. It acts as a medium to carry signals to and from the brain to other parts of the body. Any injury to the spinal cord results in disruption of these signals and causes perpetual changes in sensory, strength and other body functioning.

Spinal Cord Injuries can be classified as:

  • Complete Injury: In this, the spinal cord becomes completely unable to transmit sensory and motor signals below the site of injury.
  • Incomplete Injury: In this, the individual may have some sensory or motor functioning below the affected area.


  • Motor vehicle crashes: Most of the spinal cord injuries are due to trauma experienced due to a motor vehicle accident, particularly to the head, face, neck, chest or back area.
  • Violent attacks: Spinal cord can also be injured while being involved in violent encounters like knife and gunshot wounds.
  • Falls: After the age of 60, most spinal cord injuries are caused due to a fall.
  • Sports activities: Athletic activities, such as playing contact sports or diving can also cause injuries to the spine.
  • Orthopedic conditions: Vertebral fractures, Spondylosis, Arthritis, Osteoporosis and other such conditions are also a major cause of injuries.


  • Loss of sensation, unable to feel touch, cold and heat
  • Loss of bladder and bowel control
  • Loss of movement
  • Difficulty in walking
  • Inability to move legs or arms
  • Tingling or numbness sensation
  • Headache
  • Unconsciousness
  • Stiffness and pain in neck
  • Exaggerated reflex actions
  • Difficulty in coughing, sneezing and breathing
  • Abnormal head position


  • Medications: The spine surgeon may prescribe certain anti-inflammatory medications to reduce the pain and tenderness near the site of injury. Although the patient might find temporary relief, medications are usually not the ultimate cure for the condition.
  • Immobilization: Traction might be required to provide stability to the spine or to bring it back to normal alignment. In case of a cervical spine injury, wearing a neck collar may also be effective.
  • Surgery: Surgical treatment is often recommended in order to remove remains of herniate discs, foreign objects, fractured bones or vertebrae that put pressure in the spinal cord. It may also help to stabilize the spine to avoid the recurrence of deformity and pain.

For treatment of spinal cord injuries consult Dr. Burg, a renowned spine surgeon in Plano, TX.  To schedule an appointment, you can call at (972) 985 – 1072.

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Lower Back Pain: Orthopedic Treatment In Frisco, TX

by Administrator 12. January 2015 14:01

Lower back is a complex structure consisting of a number of overlapping and interconnected components such as muscles, tendons, soft tissues, nerves, ligaments, joints and spinal discs. Any problem or irritation with these can lead to pain in the lower back that can radiate down to the legs and other parts of the body. Although the condition is extremely common, the severity, cause and symptoms may vary in every patient.


  • Age Related Changes: As people age, many degenerative changes can be experienced in the spine and increase the chances of getting lower back pain
  • Over Activity: Another common cause of the condition is performing excessive and rigorous physical activity. This can result in stretching and soreness of back muscles, thus, causing pain.
  • Disc Injury: The spine is made of many vertebral discs that provide support and allow its movement. Any injury or dislocation of these discs can also be a cause of back pain. Disc injury occurs after turning the back suddenly or lifting with a wrong posture. Unlike a strain, lower back pain due to disc injury lasts for many days.
  • Spinal Stenosis: This condition causes the spinal canal to narrow down while putting pressure on the spinal cord, nerves and nerve roots.
  • Scoliosis: This is a condition causing the spine to develop an abnormal curvature and puts pressure on the spinal nerves. It can lead to pain in the lower back, down to the hips and legs.


  • Pain that worsens while lifting or bending
  • Pain increases after long periods of sitting, standing or walking
  • Pain may radiate down to the hips and legs
  • Numbness and tingling sensation in the legs
  • Severe muscle spasms
  • Soreness and inflammation upon touching the affected area


  • Medications: The orthopedic doctor may prescribe certain over the counter anti-inflammatory medications to provide relief from lower back pain. For severe symptoms, oral or injectable steroids may be recommended.
  • Physical Therapy: These may include heat or ice packs, massage, electrical stimulation and ultrasound. Exercises may help to restore strength and motion to the lower back muscles, thus, relieving pain.
  • Braces: These can be worn to provide stability and support to the lower back. It will also provide relaxation to the back muscles and allow them to heal.
  • Surgery: This is usually not recommended as a treatment option. However, surgery might be needed if an underlying orthopedic condition is causing lower back pain.

For comprehensive treatment of back pain in Frisco, TX, consult Dr. Burg. To schedule an appointment with the spine surgeon, call at (214) 618 - 5502.

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Endoscopic Spine Surgery In Plano, TX

by Administrator 5. January 2015 11:37

Endoscopic spine surgery is a minimally invasive technique that involves the use of an endoscope to treat various chronic and acute conditions of the cervical and lumbar back. An endoscope is a thin fiber optic video camera that can be used to have a clear view of internal parts of the spine. The built-in enlargement camera and the light source, allows for direct imaging of the spinal structures in a video screen attached to the endoscope.

In an Endoscopic Surgery, the spine surgeon attempts to remove the adhesions or tissues from around the constricted nerves. This procedure aims to diagnose the damage caused to the spinal nerves and relocate or remove some of the damaged tissues. This allows the medications to reach the affected areas so that the conditions and its related symptoms can be treated.  Endoscopic spine surgery is also known as ‘Epiduroscopy’ as the surgeon looks into the epidural space during the surgery.

Some of the cases in which endoscopic spine surgery can be an effective treatment options are:

  • If the patient has suffered from herniated discs more than one time
  • Patients with Spinal Stenosis, Bone Spurs, slipped vertebrates and Spinal Joint Arthritis
  • When conservative treatment for back problems are not being effective

The Procedure

Endoscopic spine surgery may be performed under the effect of local anesthesia with the patient being fully awake. A small incision that is usually less than 10 mm is made. Proper care is taken to prevent the surrounding nerves, muscles and arteries from any damage. The spine surgeon inserts the endoscopic tubes through the incision, which are the path for the micro-instruments required to perfume the surgery.

With an endoscope, the surgeon is able to view the spinal anatomy on a monitor. The damaged structures are then removed without affecting any other part of the spine. After the procedure, the incisions are carefully sealed with sutures and covered with a bandage.


  • Usually performed on outpatient basis
  • No general anesthesia
  • Less risk involved
  • Smaller incisions
  • Less visible scars
  • Shorter recovery period
  • Less blood loss
  • Minimal damage to muscles and supporting tissues
  • Less chances of infection
  • Earlier return to work and daily activities
  • Lesser post-operative complications
  • Reduced dosage of pain medications

For more information about Endoscopic Spine Surgery, feel free to contact Dr. Burg in Plano, TX. To schedule an appointment, you can call at (972) 985 – 1072.

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