Dr. Estrada Bernard

Neurosurgery
Anchorage, AK
40 years experience male

Locations

Office

Anchorage, AK

Address

3831 Piper Street, Suite S-450, Anchorage, AK
Directions

My office hours

Thursday: 8:00am - 5:00pm
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Anchorage Neurosurgical Associates, Inc.

Anchorage, AK

About

Bio

I have been a practicing neurosurgeon since completing my neurosurgery training in 1990. My practice offers the full range of neurosurgical care for disorders of the spine, brain and peripheral nerves. I am a graduate of the Duke University School of Medicine where I also completed an internship in General Surgery followed by a full residency training in Neurosurgery. As a diplomate of the American Board of Neurological Surgeons , I have been board certified since 1994. Prior to moving to Anchorage in 2004, I was a professor at the University of North Carolina - Chapel Hill as Chief of the Division of Neurosurgery and Director of the Neurosurgery Residency training program. A partial list of the publications from that time reflect some of my professional interests. I am a member of several medical organizations including the American College of Surgeons , American Association of Neurological Surgeons, Congress of Neurological Surgeons, American Medical Association and AOSpine. My current hospital privileges are at Providence Alaska Medical Center, Alaska Regional Hospital Creekside Surgery Center and Alaska Surgery Center.

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.

Neurosurgery

Doctor Q&A

122 Answers
56 Agrees
The number of answers this doctor has agreed with.
A 25-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: Cauda equina refers to the nerves emanating from the bottom of the spinal cord. If they are poorly functioning, remedy would be based on the cause of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Either: Either could suffice depending on the surgeon's experience . Ask local health care providers or other patients for local recommendations.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: There are multiple potential causes of low back pain. The strategy for getting rid of it would be determined by the proposed cause.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not directly: The fluid is absorbed back into the bloodstream through the peritoneum after a ventriculo-peritoneal shunt. Of course, urine is generated by the blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: The region of the spine covered by the MRI scan will depend on what is specified by the ordering physician . The request should be based on your histo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
No: Would not expect tumor of cranial nerves 5, 6 or 7 to cause gastrointestinal problems. However, involvement of cranial nerve 8 could elicit vertigo wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Expected outcome : The implication is that the surgeon thinks that your long term outcome for a symptomatic disc herniation would be optimal by removing the disc herniat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Correlation : Cauda equina syndrome is a diagnosis based on signs and symptoms of nerve dysfunction of the lumbosacral area. Compression of the nerve roots can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Evaluate first : First get evaluated by a professional competent in assessing your musculoskeletal and neurologic systems. Barring any major structural problems, medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Usually not: Usually not but still in the realm of possibilities. The symptoms may more likely represent a migraine manifestation. I would suggest evaluation by yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: Myxopapillary ependymomas of the spinal cord tend to be low grade tumors. The best outcome is achieved in those who undergo a complete surgical resec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Yes: Cauda equina syndrome may present without much pain especially if there is more effect on lower sacral nerve roots than low lumbar or upper sacral... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: There are multiple potential causes for back pain. The best treatment would depend on the suspected cause. Some cases may not require medication . Oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Maybe: Whiplash is thought to be soft tissue injury to the neck or at least the body's reaction to such an injury. It may or may not include symptoms of head... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Various: Various exercise regimens would be acceptable. I usually suggest starting with low impact walking with gradual increase in distance . Eventually other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Brain: Brain exercises to practice memory and reasoning reduce the odds of dementia.
Created for people with ongoing healthcare needs but benefits everyone.
A 65-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Surgery: Surgical decompression is an effective treatment for spinal stenosis. If you have what is called neurogenic claudication with lumbar stenosis , consul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Get evaluated : You should be re-evaluated by your surgeon. This would include history taking and physical examination
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: Having an imaging study showing a disc herniation does not mean that the said herniation is causing symptoms. The significance could be determined by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
No: Radiofrequency modality is not a recognized treatment for bell's palsy.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Uncertain : Nonspecific symptoms have multiple possibilities from stress to structural problems of nerves, muscles, tendons or bones. Sorting it out requires eva... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Many possibilties: Could be result of previous trauma, could be a benign tumor such as an osteoma. Would have a physician evaluate to ensure that it is innocuous.
Created for people with ongoing healthcare needs but benefits everyone.
A 65-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not necessarily: I do not know if the disc problem is the cause of your chronic back pain. Regardless , if the l45 issue is degenerative, whether it will progress or n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Stiff neck: Neck stiffness or rigidity.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Yes: Post herpetic neuralgia may be a chronic condition
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Prosthetic : Prosthetic lumbar and cervical discs are offered in the us and europe. There are no disc transplants.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not low back: An anatomical explanation of numbness throughout body could be attributable to to a process in the brain or upper cervical spine area. Alternatively, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Ignore: As with any injury, rest and adequate nutrition is essential for recovery.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not all: Ulnar neuropathy would not explain all of the symptoms since it would only involve the upper extremity. To account for symptoms in the arm and leg wou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Varies: Muscle strain, nerve irritation, nerve compression and stress are some possibilities.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: The calculated bmi would be 35.3 which is in the obesity category. Ultimately it depends on whether the mass is due to fat tissue or muscle. See a pri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
No : An injured nerve will not require surgery unless they is residual compression on the nerve. If there is no compression, it will need time to heal. It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Ignore: After a concussion seek ample rest, good nutrition and engage in simple memory exercises.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Consider consult: Sometimes when medications are not effective, consultation with a professional with expertise in the psychophysiologic basis of disease may be useful... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Determine source: The best management would be based on the origin of the pain. Sometimes exercise and physical therapy, rather than drugs, are needed. Persistent pai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not enough info: Not enough information . Diagnosis would require more detailed description and physical examination.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Impaired clotting: If liver disease is severe enough, it will affect the normal clotting function and lead to an increased risk of bleeding into the brain and other orga... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Brain dysfunction : High intracranial pressure can compromise the blood flow to the brain in addition mechanical deformation due to the pressure . It may be cause headac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Nonspecific : Spondylosis is a nonspecific , descriptive term indicating the common degenerative process which is seen with normal "wear and tear " of the spine . ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Get evaluated: The new symptoms are concerning. I suggest prompt evaluation by your physicians.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: Depends on cause. If from atherosclerosis, Aspirin and lipid reducing drugs are effective. If there is a clotting disorder or heart arrhythmia with ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Not directly: The sciatic nerve runs deep to the gluteus maximus and piriformis muscles after the nerve exits the pelvis. An injury mechanism that causes injury to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Varies: Usually begin with progressive exercise regimen as tolerated with consideration of taking oral nonsteroidal anti inflammatory medication.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Nonspecific: A feeling of heaviness of the head is too nonspecific to be considered a reliable indicator of a brain tumor.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Neuro consult: Neurology or neurosurgery consultation would be useful to rule out seizures versus tremors versus myoclonus or even muscle spasms.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Either possible: Could be musculoskeletal or nerve irritation but more likely the former.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Lower nerves: Syndrome due to dysfunction of the nerve roots emanating from the bottom of the spinal cord. May consist of lower extremity weakness, sensation change... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Examination: Examination to determine if the herniated disc correlates with the symptoms is key. Sometimes electrodiagnostic studies are helpful.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Perhaps not disc: Perhaps the problem is not in the disc. Symptoms from different anatomical areas may be similar. Also, sometimes symptoms do not have a distinct anato... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Estrada Bernard
Neurosurgery 40 years experience
Depends: Spondylolysis refers to a defect in a part of the spine structure called the pars. It is also called a pars defect. Some cases are congenital , oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

4
Recommendations
344
Thank you notes
Jul 5, 2013
Dr Bernard has a well established and long career in neurosurgery, well respected and well known to many of the "younger neurosurgery residents"
Mar 2, 2013
Great surgeon, good answers
HealthTap member
Mar 30, 2015
Dr. Bernard is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you doctor. We are lucky to have a mission hospital which monitors our daughter's condition on a monthly basis.
HealthTap member
Thank you, your answer was very helpful! Thankyou! Your reply is different than my surgeon's & will help me out
HealthTap member
Thank you, your answer was very helpful! Thank you! 1neuro said no surgery needed #2 emergency surgery needed?

Education & Training

Medical/Graduate school

Duke University School of Medicine
Graduated 1983MD

Residency

Duke University Medical Center

Residency

Duke University Medical Center

Awards

Top Doctor, Third Place, Alaska - Winter
2013
Most Influential, First Place, Alaska - Winter
2013
Thought Leader, Second Place, Alaska - Winter
2013

Affiliations

American Medical Association
Society of Neurological Surgeons
American Association of Neurological Surgeons
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