Doctor insights on:
Neurologist Vs Neurosurgeon
Neurologist determined I have spinal stenosis with several pinced nerves. Is a neurosurgeon or orthopedic surgeon a better treatment provider?
Spinal stenosis: Find a surgeon you trust. Traditionally, neurosurgeons did not reconstruct patients, but more-or-less decompressed patients and also did nerve-tumor work. Orthopaedic spine surgeons were more biomechanically trained to stabilize patients where needed. Nowadays, there is a lot of cross training, so find a good guy/girl you like. Ask prior patients or look at rating on the web for local docs! ...Read moreSee 2 more doctor answers
A neurosurgeon is a specialist in the evaluation and treatment of disorders of the nervous system. This includes brain, spine, and peripheral nerve problems. The most common surgeries done are for back/neck problems, head injuries, brain tumors, aneurysms, and strokes. Training for neurosurgery is usually 6-8 years of residency training after medical school. There ...Read more
Both able to: Neurosurgeons are spine surgeons by nature and receive training in spine surgery throughout their residency. Orthopedic spine surgeons generally do not get as much spine surgery training in residency, however they complete a spine surgery fellowship after residency. It ultimately comes down to the individual surgeon and how comfortable you are with them and he/she is with particular procedure. ...Read moreSee 1 more doctor answer
Experience/training: Orthopaedic and neurologic surgeons are qualified with basic training to perform spinal fusions. Surgeons from both fields can undergo additional training in spine surgery known as a fellowship. The best recommendation of choosing a surgeon should be based upon experience and training. Understand board certification status, and ask for patient recommendations. ...Read moreSee 1 more doctor answer
Is a neurosurgeon vs orthopedic spine surgeon better for performing cerv artificial disc replacement or vice versa?
Most experienced: Both orthopaedic spine surgeons and neurosurgeons can be trained to perform arthroplasty. I have trained hundreds of both and those with the most commitment to excellence, experience, surgical skill, thoughtful decision making and ultimately commitment to their patients, whether neuro or ortho are best. I encourge you to find a surgeon who has committed experience. ...Read moreSee 4 more doctor answers
What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?
Ortho biased: As an orthopaedic surgeon, i feel our 5yrs of residency plus fellowship training in spine surgery, give us an advantage in treating spinal problems. We are well versed in biomechanics, bone healing and metabolism, as well as biomaterials. Our knowledge base is grounded in musculoskeletal care, which includes bone, joint, muscle, nerve, ligament, tendon and skin. ...Read moreSee 2 more doctor answers
What type of doctor would one see for severe Thoracic nueral spinal stenosis with severe pain, a neurosurgeon or orthopedic spine specialist?
Both are ok: Both neurosurgeons and fellowship trained orthopaedic surgeons treat spinal disorders. It is worth your time to learn about your surgeon before considering surgery. Hopefully, your primary care doctor can help to point you in the right direction. The most important thing to do is to make sure that the surgeon you choose has expertise in treating your problem. Check out healthgrades.Com. ...Read moreSee 3 more doctor answers
What type of orthopedic surgeon can perform spinal surgery for a C7 foramenal stenosis radiculopathy?
Looking for a California ENT or neurosurgeon who is expert treating anterior ethmoid nerve syndrome (aka sluder's neuralgia, contact headache). ?
ENT consult Sluder's: I would do a pubmed search with Sluder's neuralgia and California and see if anyone has published on this from CA. Search Yahoo groups or web to see if there is a support group for Sluder's. You can search for ENT experts here I think also. ...Read moreSee 1 more doctor answer
Either might: I know individuals in each specialty who are well-trained and have heavy experience in Fibro and others who don't meet that description. What you need to do is ask that at the point of calling for an appointment. Their office will tell you and might refer to one they know is best at that condition. Good luck - I hope it goes well. ...Read moreSee 1 more doctor answer
ISO Remote MRI review need second opinion of
Adhesive Arachnoiditis. I need a Radiologist or NeuroRadiologist. ?
Neurologist or N.Rad: Either a Neuroradiologist or a well-trained Neurologist would be the ones you should seek out for answers. If you have questions regarding CLINICAL SYMPTOMS, then a Neurologist would probably serve you better; bring a copy of the MRI report & pictures with you to the encounter. IF you can get a hold of a Neuroradiologist, s/he could prob explain the findings on the MRI; symptoms is another matter. ...Read more
Neurologist: Basilar migraines are now termed migraines with brainstem aura(MBA), because there is little evidence that the basilar artery is involved. These migraines are uncommon and can be very frightening as they can resemble a stroke: inability to speak, slurred speech, confusion, vertigo, double vision, loss of balance etc. (This type of migraine is different from retinal migraine.) ...Read moreSee 1 more doctor answer
Why is a neurosurgeon referring me to a neurologist after an emg for herniated lumbar disc and DDD?
Perhaps the EMG does: not match the area of the disk, or it could have been normal & a 2nd opinion is needed. ...Read more
Merely technical: Looking directly at base of brain and pituitary requires slightly different cuts and angles, as the focus is directed to a small area of brain, but the software and pictures are handled in a similar fashion. In ms, we tend to use specialized approaches, such as flair or double inversion recovery to see the white matter spots better. Not needed for pituitary views, usually. ...Read more
Either: Either a neurosurgeon or orthopedic surgeon who specializes in spinal surgery are qualified to diagnose and treat spondylolisthesis. Treatment can range from conservative, nonoperative therapies (medications, physicial therapy) to complex surgical correction. ...Read moreSee 2 more doctor answers
Doc ordered brain MRI for lhermitte's signal. Wouldn't a spine MRI also be necessary to rule out ms?
Agree with you: I do appreciate the thinking that resulted in brain mri, but lhermitte's can be due to non-ms mechanisms such as b-12 deficiency, and would certainly add a cervical mri. However, in defense of your doc, the decision could have been influenced by insurance restrictions. (choices mandated by non-physicians, who have gained control over the marketplace). Talk with your doc, as i think he means best. ...Read moreSee 1 more doctor answer
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