Why use methylene blue ?

Why use methylene blue ?

Why use methylene blue ? Why use methylene blue ? How can methylene blue assist with endoscopic spine surgery ? Endoscopic spine surgery is, in many ways,  a self-taught skill set. Especially as one advances from beginner to expert. Of course this steep learning curve...
Failed Back Surgery – Why?

Failed Back Surgery – Why?

Failed Back Surgery…Why? What causes a failed back surgery? One answer could be an inadequate preoperative workup, before the fusion, to help identify the painful disc.  This is a situation that I’m seeing more often, as fusions are being performed more...
Annular Tears and Fragments – Part 1

Annular Tears and Fragments – Part 1

Annular Tears and Fragments – Part 1 What causes an annular tear?   Here is my theory. When I first started doing discography and CT scans to visualize annular tears in a painful lumbar spine, I thought it was wear and tear that caused all the fissures. I...
What’s the cost of not Training

What’s the cost of not Training

What’s the cost of not Training? Training is really the foundation of  success and achievement. The better the training, the more you can expect to accomplish in a safe and successful way. You will begin an endeavour at a higher level of proficiency and not have to...
Where do my patients come from… Part 2

Where do my patients come from… Part 2

Where do my Patients come from? Part 2 I am urging you to take a careful look at your practice and explore the contribution your previous patients are making to your current practice. This is a group of people that you need to recognize and nurture. There are several...