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Dr. Richard Guyer

Orthopedic Spine Surgery
Plano, TX
47 years experience male

Locations

Office

Plano, TX

Address

Texas Back Institute, 6020 W Parker Rd, #200, Plano, TX
Directions

Practice website

Insurances accepted

Aetna

Blue cross blue shield

Cigna

Medicaid

United healthcare

About

Bio

Dr. Guyer is certified by the American Board of Orthopedic Surgery and specializes in spinal surgery. He led Texas Back Institute's initiatives to research and understand the Charité technology used in Germany in the 1980s. He also played a key leadership role in the clinical trials of the Charité device in the United States in 2000. Dr. Guyer performed the third artificial disc replacement (Charité device) in the country early in 2000. Subsequently he led the TBI team in study of the Kineflex lumbar and cervical disc replacement study. He also participated in the Prodisc cervical TDR study along with the Activ Lumbar and Freedom Lumbar TDR studies as well participating in numerous other TDR trials. He has also published landmark work on the two- and five-year follow-ups of the Charite TDR and the Kineflex TDR. Dr Guyer continues to lecture extensively nationally and internationally, teaching surgical techniques and lecturing on the results of lumbar and cervical ADR. He had performed the first TDR in Chile and was the first US surgeon to perform TDR in Brazil. His extensive education and Spine Surgery fellowship training includes: a Spine Fellowship (1982) with Leon Wiltse, M.D. in Long Beach, CA; a Spine Fellowship (1981) at Case Western Reserve University with Henry Bohlman, M.D., Cleveland, OH; Orthopedic Surgery Residency (1976-1980), Hospital of the University of Pennsylvania, Philadelphia, PA; Internship (1975-1976), Parkland Memorial Hospital, Southwestern School of Medicine, Dallas, TX; M.D., and a B.S. degree with honors from Ursinus College, Collegeville, PA (1971-75). In addition to his current position as Director of the Texas Back Institute Spine Fellowship Program since its inception in 1987, he is also the Founder and Chairman of the Board, Texas Back Institute Research Foundation and is a co-Founder of the Texas Back Institute and its Past President. He currently holds an Associate Clinical Professorship at the Department of Orthopedics, University of Texas Southwestern Medical School, Dallas, TX.. Dr. Guyer serves as an Editorial Board Member for “Spine,” “The Spine Journal” and the “ISASS Journal” as well as an Editorial Reviewer for the “University of Pennsylvania Orthopedic Journal” and is Past President of the prestigious North American Spine Society. .His current awards include: "Best Doctor Award," D Magazine, Dallas, TX, “Best Doctors Award” in America, Most Compassionate Physicians in the US, People’s Choice Award, Strathmore’s Who’s Who Award, the David Selby Award from the North American Spine Society, Ursinus College Alumni Award, and the Volvo Award for Low Back Pain Research.

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 Spine Surgery

Licenses

United States: Texas

Languages spoken

English

Doctor Q&A

57 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 37-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Lumbar strain: more than likely this is just a strain but since it is now the second time I would recommend you go to spine specialist to be evaluated
A 46-year-old male asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Muscle spasms: When the muscles contract they will feel like a mass or swelling and if the spasms are frequent they can get sore.
A member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Herniated disc: It is possible that you have a herniated disc. I would recommend you see spine physician for further evaluation.
A 25-year-old male asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Concentration : If you do not drink enough water your urine will become concentrated and look more yellow. Your pain come from the fact that you have less volume and ... Read More
A 18-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Postural : Depending on your back anatomy some people will find certain positions may bother them. You might try sleeping on your back or if lying on your side b... Read More
A 27-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Merelt Educate: You certainly do not have to alarm your child but rather educate he or she. Make certain that they are followed by a rheumatoloogist and are instruct... Read More
A 39-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Should be zero: It is very unlikely that a single epidural injection will cause wieght gain.
A 38-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Usually nothing: With modern techniques and the tiny needles, headaches are very rare. You really should not expect any side effects.
A 25-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Very rarely: The medication used is some type of steroid. A single dose is unlikely to cause weight gain, though frequent and repeated doses may in some cases.
A 33-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: An ergonomic chair is very helpful for patients who experience low back pain with sitting by maintening the best posture.
A 38-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Absolutely: While not all mris are of the same quality, in general they are used to determine if there is a pinched or compressed nerve or spinal cord in the cerv... Read More
A 43-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
4-12 weeks: The disc not actually heal but the pain usually gets better in that period of time as the inflammation subsides.
A 42-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: Sometimes with injections small blood vessels are injured and bleed. It should get better in a couple of weeks.
A 27-year-old male asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Facet joint popping: More than likely this is caused by popping of the little connecting joints of the vertebra called facets joints. It usually is no significance unless ... Read More
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: It is not unusual after such injections to feel some pain in different areas initially.
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: Cortisone is a kind of steroid (and there are many different preparations) and is often used to describe the injection.
A 34-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Conservative Rx: Usually time, exercises, chiropractic, and anti inflmatories such as Aleve (naproxen) and advil will take care of most of these problems.
A 48-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
They are the same: The pathology report includes histology report which records the microscopic appearance of the tissues and describes the cells etc.
A 42-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Nothing: Half of the time patients have not done anything and the other half had some type of inciting event. As we age so do our discs but also our genes tha... Read More
A 48-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Exercise: Pilates and yoga exercises are excellent to maintain flexiblity and range of motion. One should lead as normal life as possilbe.
A 21-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Exercise and posture: Most patients will benefit from theraputic and core strengthening exercises and learning proper body posture and mechanics. It is best to see a spine ... Read More
A 38-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Cervical strain: Certainly this may be just a cervical strain of the upper cervical spine. Sometimes a tempomandibular (jaw) joint problem may cause similar problems. ... Read More
A 37-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
A defect in vertebra: This refers to a defect in the bone that connects the upper and lower facet joint of a vertebra. It is thought that most these arise as stress fractu... Read More
A 47-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Exercises: In general theraputic and strengthening exercises will help most neck and back problems. These should be learned through a physicial therapist.
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: The vast majority of patients (80%) will get better without surgery in approximately 3 months.
A 34-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Not long : Most patients notice that their leg pain is completely gone right after surgery while others may notice the pain gradually getting better over the nex... Read More
A 32-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: Even though there may be rods in the spine, the abdominal muscles can still be exercised without flexing the spine. A physicial therapist can show yo... Read More
A 48-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Many causes: It can come from a lumbar sprain to a herniated disc. An evaluation by a spine specialist would be appropriate.
A 36-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Bone spurs: The report is describing parts of the cervical spine where the nerves exit between the vertebra and can pinch a nerve.
A 40-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Weakness or paralysi: The ventral root contains the motor fibers which control our muscles. Because muscles have multiple nerve roots innervating them the result may only b... Read More
A 33-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Leg pain: It is best for persistent leg pain after failed surgery.
A 40-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Hopefully easy: You may be sedated, the radioligist will numb your back up and insert a tiny needle to inject a contrast agent. He will take many xrays and then usua... Read More
A 36-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Normal aging: By the time we reach 40 years of age greater 50% of patients will have some degree of degenerative disc disc. One cannot stop but exercise and proper ... Read More
A 40-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Depends: Depends on many factors, size of incision, amount of bony work that is needed. In general most patients can be done on an out patient or overnight sta... Read More
A 41-year-old male asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Disc replacement : It depends howamy discs are involved. We have the ability to replace damaged discs with artificial discs which is a better option than with fusions th... Read More
A 51-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Pinched nerve: You may have compression or pinching of a nerve in your arm or wrist or from your neck but is best to be evaluated by a neurologist first who can dete... Read More
A 37-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Yes: Scoliosis does not limit your exercising. In fact it is beneficial to maintain your flexibility. Obviously if your spine specialist has given you res... Read More
A 42-year-old female asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Many options: the first line of treatment is to go to a physical therapist to be taught core strengthening and theraputics exercises. Anti inflammatories such ibupr... Read More
A male asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Newer Biologics : In the past we had certain chemical materials to prevent scarring around the nerves. Ones own fat from the wound may in some cases help. There are new... Read More
A 29-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Very bad pain: Patients often describe it as a severe knife like, burning, aching, or severe cramping type pain.
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Flexibility exercise: Exercises can maintain flexibility but will not prevent the curvature.
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Discectomy: If the main problem is leg pain a discectomy is indicated. If there is abnormal motion which we call instability or if there has been years of chronic... Read More
A 30-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Possible shingles: It is possible that this could be a case of shingles, but it would be best to see your doctor as soon as possible to get a diagnosis.
A 24-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Depends: Some patients may get great relief from one injection and not be bothered again. Others may need 3 injections and still others may not any relief or ... Read More
A 44-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
24-48 hours: Sometimes the local anesthetic will give a couple hours of relief but the steriod begins to active within 24-48 hours.
A 50-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
No: That is not a usual side efffect.
A 33-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Various metals: Modern spinal plates such as those used in the cervical spine are usually made out of titanium which still allow the patient. In fact most spinal plan... Read More
A 25-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Exercise : I presume you mean bulge of the l45 disc. This is normal finding with aging. Exercise and learning proper posture and body mechanics will usually co... Read More
A member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
If no pain then ok: If you are not having any pain, numbness tingling or weakness in your arms or legs, there should not be any problem.
A 37-year-old member asked:
Dr. Richard Guyer
Orthopedic Spine Surgery 47 years experience
Depends: It really depends on your age and the number of segments that are fused. If you are nearly skeletally mature you may actually be taller after the spi... Read More

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

4
Recommendations
198
Thank you notes
HealthTap member
Feb 9, 2014
Dr. Guyer has been my back surgeon since the year 2000. He is extremely conservative, caring and has helped me get my life back on track with two successful fusions. A lumbar 360 and a cervical fusi...Read More
HealthTap member
May 1, 2012
Dr. Guyer is one of the most caring doctors. He seems to always treats his patients with the utmost respect.
HealthTap member
Mar 30, 2015
Dr. Guyer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! The swelling and tenderness has not subsided yet but I will continue to watch it.
HealthTap member
This was very helpful. Thanks! thank you your the best i give you a 10000000 star rating
HealthTap member
Thanks for your quick reply! 4 in lumbo/sacral area so fusion isn't an option.

Education & Training

Medical/Graduate school

University of Pennsylvania School of Medicine, PA
Graduated 1975MD

Affiliations

Baylor medical center at frisco
Medical center of plano
Texas health presbyterian hospital plano
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