If identified at an early age the prevention of incipient disability and incapacitation can be, in the Editor’s experience, excellent. This is not a guarantee that individuals with such disorders will not develop progressive neurologic impairment requiring future surgery. It is only to point out that if surgery is needed and performed appropriately (many surgeries for genomic spine disorders are inappropriate) the occurrence can be a minor “blip” on the patient’s life experience and not a ticket for a ride on the “surgical merry-go-round” or to become a “failed back surgery syndrome.”
It has become quite clear that the key factors in maintaining any spine, but most particularly a genomic disorder spine in a healthy state are:
Being A Non-Smoker
Daily Aerobic Exercise
Daily Physiologic Spinal Distraction
Avoiding Excessive Spine Loading
Daily Core Strengthening Exercise
Daily Extension Exercises
Maintaining Good Nutrition
Maintaining a Healthy Weight
By dedicated compliance with the above it is possible to achieve, on a statistical probability basis, good long-term quality of spine health. The key to success is that patients self-administer these programs on a lifetime daily basis. In fact, there is every reason to believe that the typical young patient with a genomic spine disorder (even if they are an athlete) has the potential of achieving a better long-term spine health than the average “normal” person if appropriately guided by knowledgeable professionals.
For initial care there are many good acute therapy programs provided by physical therapists, chiropractors, osteopaths and physicians. The key is for the patient is to use this experience to become independent of them and the health care system health care system. If the average individual were smart enough to start their own spine health program at an early age it is likely that their spine would last them longer than a “normal” spine. Unfortunately the Editor’s experience indicates that information and guidance about this does not abound, but is readily available to those interested in searching it out.
It is indeed unfortunate that the average individual who is free of back problems couldn’t care less about their spines because they have never been educated to consider this important subject. This lack of concern changes dramatically when these people become disabled.
There are many means by which one can initiate rational and cost-effective treatment and preventive programs to address genomic spine disorders. There exist many good exercise and equipment options in this regard. These represent the full gamut of cost and convenience and many patients have even constructed them on their own. The important point to be made is that there are good opportunities even for the poorest individual and for those seeking expert professional assistance combined with appropriate education there are also good options present. In association with non-invasive care it is common to also recommend appropriate spine injections and blocks. Epidural steroids are commonly carried out, but always well. One of the most most effective (and most helpful) minimally invasive procedures in reducing back pain are facet injections and radio-frequency facet nerve blocks (PRFFNB), an important and cost effective treatment modality which has clearly been underutilized.