Premier Pain Talk-Minimally Invasive Treatment For Spinal Stenosis - EP 12

Minimally Invasive Treatment For Spinal Stenosis

On today’s episode, Dr. Danko has a special guest, a friend of his, Dr. Anjum Bux from Kentucky. They are discussing the minimally invasive lumbar decompression treatment and pain pump therapy. Dr. Bux is one of the international experts on pain pumps and has been involved in a lot of the guidelines that have been developed with it. Tune in now.

Episode Highlights:

• Dr. Anjum Bux introduces himself. He grew up in Kentucky south of Lexington and trained at the University of Kentucky where he did his anesthesia residency. 
• Dr. Bux joined his father’s practice who is an anesthesiologist, pain physician. In the last 4 years, he moved to 100% pain management. They cover all of central Kentucky.
• One of the most common conditions that both Dr. Danko and Dr. Bux treat is called spinal stenosis. A lot of people are familiar with herniated discs, pinched nerves or some of the more acute issues but spinal stenosis is a chronic condition and is something that develops more slowly over time.
• Dr. Danko asks Dr. Bux to give an overview of spinal stenosis and what the symptoms are.
• What is the shopping cart sign? 
• If you have back pain while walking, talk to your doctor and get an MRI. Dr. Bux explains what they look for and how it helps them determine what is causing the pain.
• What are some of the initial or basic treatments to treat stenosis? 
• Dr. Bux talks about an example of one of his patients who did not get relief with injections.
• Epidural injections for stenosis patients? What is the duration of relief like?
• What does the MILD procedure stand for? 
• Lumbar decompression clears out what is causing the stenosis, opening the space to relieve pressure on the nerves.
• What if you’re not a candidate for surgery because of anesthesia? Dr. Bux explains how they go about it.
• Dr. Danko and Dr. Bux discuss the safety of the procedure and how the risk for infection is very low.
• What is the durability of the treatment? Dr. Bux talks about the research studies around it.
• What are the restrictions after lumbar decompression treatment?
• Dr. Bux talks about the benefits of a back brace.
• What is the importance of physical therapy and what is its role for patients especially in these circumstances? 
• Dr. Danko talks about the significance of a pain pump.
• Dr. Bux is one of the international experts on pain pumps and has been involved in a lot of the guidelines that have been developed with it. He talks about what a pain pump is.
• How does a pain pump actually cut down on the tolerance and physical dependence of medicine? They discuss the sustained durability.
• Dr. Bux explains how he helps patients to wean off their pills and greatly improve quality of life.

 

 

3 Key Points:

1. Dr. Danko and Dr. Bux discusses the condition of spinal stenosis, how it develops and  how it presents with symptoms.
2. Lumbar decompression clears out what is causing the stenosis, opening the space to relieve pressure on the nerves.
3. The MILD procedure is backed by research that shows continued improvement for patients and can treat more than one level with the same procedure. 

 

Resources Mentioned:

https://www.buxpainmanagement.com/provider/anjum-bux-md

https://premierpaintreatment.com/

https://premierpaintreatment.com/locations/

https://www.facebook.com/PremierPainTreatment/

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