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Dr. Paul Gause

Orthopedic Surgery - Spine
Scottsdale, AZ
20 years experience male

Locations

Office

Scottsdale, AZ

Address

9735 N 90th Place, Scottsdale, AZ
Directions

Practice website

Insurances accepted

Aetna Life Insurance Company

Blue Cross Blue Shield Of Arizona

Cigna

Health Net

Anthem BC Life & Health Insurance Company

CIGNA Health Care

Health Net of Arizona

Office

Glendale, AZ

About

Bio

Paul Gause, MD graduated summa cum laude from the University of Arizona before pursuing his medical degree at the University of California, Los Angeles. Following medical school he trained as a resident in orthopaedic surgery at the University of Pittsburgh. Following residency, Dr. Gause served as a fellow in spine surgery at Case Western Reserve University under world-reknowned spine surgeon, Henry Bohlman, MD. As a fellow, Dr. Gause received extensive training in surgical and non-surgical treatments of the cervical, thoracic and lumbar spine. Dr. Gause has pursued research projects during his undergraduate education through today resulting in many published papers and presentations in the United States and internationally. He continues to be active in education, serving as an Associate Professor at Midwestern School of Medicine and as Co-director of a spine surgery fellowship program. Dr. Gause strives to provide state of the art, compassionate care to his patients. His emphasis is on minimally invasive spine surgery and applying the latest advances in spinal treatments.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Orthopedic Surgery - Spine

Orthopedic Spine Surgery

Orthopedic Surgery

Doctor Q&A

42 Answers
16 Agrees
The number of answers this doctor has agreed with.
A 36-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Yes: Any treatment, however, would depend on what your symptoms are. Many people have spondylolysis or a spondylolisthesis and do quite well with exercise ... Read More
A 21-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Possibly anemia: Anemia in an otherwise young, healthy person would be pretty uncommon. It would cause the symptoms you describe, however. Malnutrition, certain vira... Read More
A 25-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Not necessarily: The lumbar spine normally has 5 vertebrae. A sacralized L5 means that the transverse processes, normally separate from the sacrum, have become fused ... Read More
A 32-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Posture?: The most common reason that i see skin discoloration over the spinous processes (the superficial bumps that you can feel on the spine) is from chronic... Read More
A 32-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Spine specialist: Significant neck pain of a year's duration is certainly abnormal. It can be caused from arthritic conditions, though ruling out other, more serious c... Read More
A 48-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Muscles or arthritis: Morning stiffness is a common symptom with arthritis and muscular pain. These two things can also be related. Another possibility would be sleeping po... Read More
A 42-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Give it a little tim: Sciatica, defined as pain radiating down your leg to the foot, is usually caused by a irritated nerve in your lower spine. It is not uncommon for symp... Read More
A 59-year-old male asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Depends on symptoms: Retrolisthesis occurs from degenerative changes in the disc and facet joints of the spine. It is generally considered more stable than a forward slipp... Read More
A member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Start with exercise: Scoliosis has two main types. First is adolescent, where the spine grows with an increasing curve. Second is degenerative where the discs and joints o... Read More
A 34-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Arms and legs, maybe: The head and face are innervated by nerves that exit the skull directly, and do not course through the spine. For this reason, head and facial parast... Read More
A 38-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Exercise therapy: The primary treatment for chronic low grade spinal pain is exercise therapy. This can be combined with anti-inflammatory medication, heat, and possib... Read More
A 34-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
No: Degenerative disc disease (ddd) is a progressive change of the spine that includes loss of disc water content and disc height. We all get ddd as we a... Read More
A 45-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Possibly: There are many things that an MRI enhancing lesion on the spine could be, among them an infection. It is possible for infections to spread directly as... Read More
A member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Probably not: The nerves that exit the cervical spine do not give any sensation to the face and therefore will not cause facial pain when irritated. The upper-most... Read More
A 53-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Maybe: The back of the head is innervated by the greater occipital nerve that arises between the first and second vertebra. While arthritis in that area can ... Read More
A 37-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Big difference: Spinal fractures are thankfully pretty rare. They usually occur from a fairly high energy injury such as a car accident or fall from 10 feet or more.... Read More
A 44-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Surgery, but...: Spinal curvature, or scoliosis, is relatively common. In a 44 year old, it is likely due to residual adolescent scoliosis, in which the spine grows "c... Read More
A 21-year-old male asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
One possibility : Pyriformis syndrome is a rare irritation of the sciatic nerve after it leaves the pelvis that can cause radiating pain. It is difficult to visualize w... Read More
A 46-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Stretching may help: While making an accurate diagnosis is not possible with just a little bit of info, often pain in the upper to mid back when breathing can be a result ... Read More
A 31-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
A could of ideas.: I would certainly say that you have not provided enough information to come to a diagnosis. Given your age, i doubt that degenerative disease/arthrit... Read More
A 38-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Maybe: It is not uncommon to have some persistent pain after a major spinal operation, and maximal improvement can come more than a year postop. A concern, ... Read More
A 33-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Not from your back: Whole body numbness is most certainly not from your lumbar spine. The low back could contribute to some back and leg pain, and occasional numbness, bu... Read More
A 38-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
No easy answer: Sciatica is a term that means pain radiating down the leg, usually to the foot, as a result of nerve compression in the spine. It is often self limiti... Read More
A 37-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Probably not: Spinal instrumentation for fusion serves the purpose of immobilizing the spine while bone is healing. It acts like an internal cast. Once the bone hea... Read More
A 40-year-old male asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Likely muscle injury: Muscular pain is the most common cause of neck/back pain. This can occur with mild or minimal trauma. It is also usually self limited and healing can ... Read More
A 63-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Can be overuse.: The most common cause of pain in that area is overuse. Desk work/typing for long periods of time can cause pain of the muscles that move the shoulder ... Read More
A 38-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Definitely: There is a genetic component for spondylolysis. Certain populations have rates approaching 50%, while others have very low rates. While genetics pla... Read More
A 26-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Probably: I'm not sure exactly what you mean by cervical dysfunction, but many people with chronic neck pain can be successfully treated with exercise and physi... Read More
A 48-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Frequently yes: There are many ways to fracture the spine. Most fractures will heal with time. Often bracing is used to help stabilize the bone to assist healing. ... Read More
A 27-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Correct diagnosis?: It is very, very unusually for a 27 year old to have multiple disc protrusions or herniations. How have you been diagnosed with these disc herniations... Read More
A 35-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Question too vague: There are so many ways to injure the spine, and treatment/rehabilitation would be tailored to your type of injury. There is no one size fits all answe... Read More
A 25-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Yes: Some people do feel temporary relief with moist heat, though not all. You should use caution not to burn yourself, and never fall asleep on the heatin... Read More
A 39-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Check with the lab: Spinal fluid analysis has two costs. First is the procedure to draw it (ie spinal tap). The second is the lab cost. You will need to ask the practitio... Read More
A 26-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Lumbar disc: Radiating leg pain is commonly caused by lumbar disc herniations. An upper level lumbar disc could cause pain in the lower left abdomen and down the a... Read More
A 31-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Approximately 2 hrs.: Ischemia (lack of blood flow) affects different tissues differently. In the extremities, muscle is the most sensitive tissue and can start breaking d... Read More
A 39-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
No: You need to find out the reason that you are having arm symptoms. While you may have bulging discs at multiple levels in the neck, please keep in min... Read More
A 28-year-old male asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
See below: A diskectomy means to remove all or a portion of the intervertebral disk. Imagine the analogy of a jelly donut. The disk is comprised of a tough fibro... Read More
A 32-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Probably not: You have probably sustained a muscle strain as opposed to a true "whiplash" injury. Whiplash is a term for soft tissue, ligament, muscle, and joint i... Read More
A 54-year-old female asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Depends on surgeon: I would probably not delay your surgery for a mildly elevated PTT unless there were family history of bleeding problems, or history of abnormal bleedi... Read More
A 30-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Very unlikely: The amount of force applied to the spine during massage is relatively minimal unless some kind of manipulation is done at the same time. For this reas... Read More
A 45-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Avoid!: Narcotics should have little, if any, use in the treatment of degenerative disc disease. There is not any good evidence that this class of medications... Read More
A 46-year-old member asked:
Dr. Paul Gause
Orthopedic Surgery - Spine 20 years experience
Means normal : Lordosis is the name for the normal curvature of your lower back. As there is a normal roundness to the thoracic spine, there is a curving in of the l... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
105
Thank you notes
I endorse this doctor.
HealthTap member
Mar 30, 2015
Dr. Gause is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gause is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I appreciate the info did know about shot thou not sure i want that just have to stretch some more
HealthTap member
Thanks for your quick reply! Brought therapeutic clogs without talking to my Doc
HealthTap member
Thanks for your quick reply! Wish uk Doctors were so quick to reply or help

Education & Training

Medical/Graduate school

University of California, Los Angeles David Geffen School of Medicine
Graduated 2002MD

Medical/Graduate school

UCLA School of Medicine, CA
Graduated 2002MD

Residency

University of Pittsburgh Medical Center

Awards

Top Doctor, Phoenix Magazine
Phoenix Top Doc 2010
Phoenix Top Doc 2011

Affiliations

Spine Institute of Arizona
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less