group getting their fantasy football draftFor anyone who is an avid sports fan, this is a great time of year. The baseball pennant races are full-bore, the college football season has kicked off and the 94th season of the National Football League (NFL) begins on Thursday night, September 5, 2013. Six months later, on February 2, 2014, the NFL season will end with the crowning of a champion team of Super Bowl XLVIII.

Between now and February, a curious addiction will befall many otherwise sane men and women who enjoy following professional football. They will be consumed with the stats of players who most likely don’t even play for their favorite teams. They will spend many hours studying obscure facts such as how well a given running back performs on artificial turf versus real grass. They will struggle to juggle all-star lineups to best take advantage of a scoring system that approaches the complexity of the U.S. Tax Code.

Unlike the treatment delivered by the specialists at Texas Back Institute to patients with back pain, herniated discs or other back problems, there is really no cure for this football sickness. These lost souls are smitten by the phenomenon of playing fantasy football!

Consuming Football Facts

It may not surprise you to learn fantasy football is a very big business. It is estimated by the Fantasy Sports Trade Association that 32 million people, aged twelve and older in the U.S. and Canada, play fantasy sports. The trade group notes that fantasy football players make up 90% of the fantasy sports “industry.” This participation has grown by over 60% the last four years with 19% of males in the U.S. playing fantasy sports.

Because of this high level of participation many consumer products companies such as Sprint, Yahoo, ESPN, Fox and others have invested millions of dollars in fantasy football services and promotions. The two groups who usually disagree about almost everything associated with professional football – NFL properties (composed of the team owners) and NFL Players (the players’ union) – have both created products and services that encourage fans to play fantasy football.

The Texas Back Institute Dream Team 

Most of the fun of playing fantasy football involves choosing a “dream team” from a group of outstanding players. There are no bad football players in the NFL. They’re all good. Therefore, getting to choose the best of the best for one’s own team can be great fun.

In a similar fashion, the spine specialists at Texas Back Institute are the best in their class and as such, there are only great choices. In celebration of the hundreds of thousands of fantasy drafts in full-swing at this moment, we thought we’d introduce you to our dream team.

History of the Team:

Texas Back Institute was formed in 1977 by Stephen Hochschuler, M.D., Ralph Rashbaum, M.D. and Richard Guyer, M.D. The organization is internationally recognized for excellence for spine injuries. In football terms, this team plays offense and defense equally well and the patients are the big winners.

The Texas Back Institute Fantasy Team:

As with NFL teams, the Texas Back Institute team is composed of the best of the best of spine surgery, research and therapy. The game plan for our team has been consistent for more than 35 years. Each patient injury or condition is unique and is best treated with the most minimally invasive approach.

Here’s a brief “draft” report on each of the Texas Back Institute physicians.

arakal0Rajesh G. Arakal, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Arakal and other TBI surgeons to your team if you need thorough evaluation and treatment of cervical, thoracic and lumbar pathology.

Belanger_MD_small

Theodore Belanger, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Belanger and other TBI back experts to your team if you want a spine specialist who evaluates each patient and their situation carefully and makes treatment recommendations based on their goals.

Block_PhD_Small

Andrew R. Block, Ph.D., A.B.P.P.

Specialties: Psychologist

Add Dr. Block to your team if you need to overcome emotional difficulties of surgery, deal with stress and control medications to achieve the best surgical outcomes.

blumenthal

Scott L. Blumenthal, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Blumenthal and other TBI back specialists to your team if you believe the goal of a spine surgeon is to get his patients back to life using the most advanced motion-preserving technologies, including lumbar and cervical artificial discs as well as posterior dynamic stabilization.

bosita

Rey Bosita, M.D., M.B.A.

Specialties: Orthopedic Spine Surgeon

Add Dr. Bosita and other TBI physicians to your team if you want to be treated with respect and have your fears about neck and back pain removed.

bradley

W. Daniel Bradley, M.D.

Specialties: Orthopedic Spine Surgeon

Dr. Bradley along with every other TBI specialist should be on your team if you feel treatment should use the latest in motion preservation and minimally invasive surgical techniques.

cable

James D. Cable, M.D.

Specialties: Occupational & Sports Medicine

Add Dr. Cable to your team for occupational and sports medicine issues. He knows wear and tear eventually affect all of us but most back pain is manageable with proper care.

duff_small

Michael F. Duffy, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Duffy to your team if you agree that we should get busy living! His goal and that of the other spine specialists at TBI is to deliver effective spinal care to patients in order for them to return to doing what it is that makes them happy.

gibbs

Sharon J. Gibbs, M.D.

Specialties: Physiatrist

Add Dr. Gibbs to your team if being in pain affects many aspects of your life. As a physiatrist she works hard to provide patients with the best comprehensive non-surgical care.

guyer

Richard D. Guyer, M.D.

Specialties: Orthopedic Spine Surgeon

As one of the founding physicians of Texas Back Institute, Dr. Guyer is both a player and a coach for new team members. Add him to your team if you agree with his “family test” philosophy – treating patients the way he would want his family members to be treated.

Henry_MD_web_1

Shawn M. Henry, D.O.

Specialties: Orthopedic Spine Surgeon

Dr. Henry and the other spine specialists at TBI should be on your team if you want to be treated with the most advanced technology and treatment available for your condition; holding surgery as a last resort.

hisey

Michael S. Hisey, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Hisey to your team if you feel the goal of neck and back treatment is to return patients to productive and pain-free activity using the most advanced minimally invasive and motion-preserving techniques.

hochschuler

Stephen H. Hochschuler, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Hochschuler and the other spine surgeons at Texas Back Institute to your team if you have lumbar spinal problems or have had a failed spinal procedure.

Jehan_85x85_1

Effat Jehan, M.D.

Specialties: Spine Triage Specialist

Add Dr. Jehan and the other specialists at TBI to your team if you feel the goal should be to help treat not only back and neck issues but also to provide effective coordinated support to help patients get through every day of life without any stresses related to their condition.

lankford

Craig Lankford, M.D.

Specialties: Physiatrist

If you want to be treated with respect, compassion, add Dr. Lankford and every other physician at TBI to your team. He can help you understand how pain affects your everyday life in order to help you get back to life.

lieberman

Isador Lieberman, M.D., M.B.A., FRCSC

Specialties: Orthopedic Spine Surgeon

Add Dr. Lieberman and the other spine surgery experts at TBI to you team if you want to be treated as if you were the only patient we have.

marchetti

Jason Marchetti, M.D.

Specialties: Physiatrist

If you believe in ethical treatment and the importance of educating patients regarding all available treatment options, you should consider adding Dr. Marchetti and the other spine specialists at TBI to your team.

patel

Nayan R. Patel, M.D.

Specialties: Physiatrists

Add Dr. Patel to you team if you think patients should be treated in the same way a physician treats his own family.

rashbaum

Ralph F. Rashbaum, M.D.

Specialties: Orthopedic Spine Surgeon, Pain Management

Add Dr. Rashbaum and the other spine surgery specialists at TBI to your team if you want a timely response to back conditions which leads to predictable outcomes.

shellock

Jessica Shellock, M.D.

Specialties: Orthopedic Spine Surgeon

Add Dr. Shellock to you team if you think it’s time to take your life back, with minimally invasive treatment. Along with the other experts on the TBI team, she is highly trained in the latest procedures.

Tolhurst_MD_web

Stephen R. Tolhurst, M.D.

Specialties: Orthopedic Spine Surgeon

If you want a doctor who sees surgery as a last resort and is dedicated to returning you to the lifestyle you had before the back pain, you want Dr. Tolhurst on your team.

zigler

Jack E. Zigler, M.D.

Specialties: Orthopedic Spine Surgeons

Add Dr. Zigler and the other spine surgeons at TBI to your team if think surgery should be the last resort. However, if it’s required, he’s one of the best spine surgeons in the U.S.

Choosing Your Team

There are literally hundreds of ways to set up your league and arrange for a draft of NFL players. The best advice for those new to this pastime is to understand how the players’ performance will be scored each week. This will help determine the number of running backs, wide receivers, tight ends to choose. For example, in some leagues, the yardage gained by running backs is weighted higher than the passing yardage of quarterbacks.

One should also be aware of the “bye” weeks each team has (when they are not playing) because this will mean a player on the team with the bye, will not play that week and should not be in the lineup.  Here’s a good primer  on choosing your fantasy team.

Fortunately, choosing a spine specialist is much easier than choosing a fantasy football team! With more than 35 years of excellence in spine treatments, management of many FDA trials and a foundation of minimally invasive treatment, the dream team of physicians at Texas Back Institute is championship caliber.

Facet Joint Pain

Recently Spine-Health.com featured the blog post below by Dr. Stephen Hochschuler, co-founder and orthopedic spine surgeon at Texas Back Institute.

Stephen_Hochschuler_MD

Facet Joint Pain after Spine Surgery

The facet joints are two small joints in the back of the spine, on the left and right sides, at each level. These joints work with the discs to provide support and motion to the spine.

There are several ways in which these joints can produce pain:

  • Nerves in the joints can be compressed and/or irritated by inflammatory agents
  • Facet joints can degenerate, become arthritic, and produce pain by forming osteophytes (bone spurs) which compress nerves passing into the legs.

As with many joints, degenerative changes can occur in the facets, which can become painful. Degeneration is likely to occur in the spine as a part of the aging process, regardless if surgery has been performed or not. However, some types of spine surgery may alter load or movement patterns of the spine, which in turn can affect the facet joints.

Causes of Post-operative Facet Joint Pain

Facet joints may be related to pain after spine surgery in several ways:

  • These joints may continue to degenerate after a surgical procedure to treat a herniated disc or compressed nerve roots at the same spinal level
  • Surgery may change the loading or movement patterns of these joints, leading to degeneration and pain.

Following a spine fusion at one spinal level, motion of the level(s) next to it may be altered to compensate for changes the fusion caused. This change in motion pattern may cause facets at the adjacent segment(s) to degenerate and become painful.

Facet joint pain is difficult to identify without injections into these joints. In back pain patients, pain may arise from more than one source within the spine. While surgery may address one problem, existing facet joint pain may not have been recognized prior to the spine surgery, and therefore not addressed.

Treatment Options for Facet Joint Pain

Treatment of facet joint pain may include one or a combination of the following:

  • Physical therapy
  • Medication
  • Chiropractic care/manual manipulation

If these treatments do not provide relief, then more invasive procedures are an option, including:

Treatment Considerations

The most important aspect of pre-operative planning for facet joint pain is the diagnosis. As with real estate investments, where the focus is on “Location, Location, Location,” for spine surgery the name of the game is “Diagnosis, Diagnosis, Diagnosis.”

It is therefore stressed that before any spinal surgical intervention is considered, a thorough diagnostic work up is needed to determine any and ALL causes of the back pain one is addressing.

This is part of the reason that a preoperative discussion and a patient education program is necessary. This process will afford the patient a full understanding as to what is known and unknown in each individual case and what expectations can be set in accordance with all treatment variables.

Failed Back Surgery Syndrome

The post below was featured on Spine-Health.com and was contributed by Dr. Stephen Hochschuler, co-founder and orthopedic spine surgeon at Texas Back Institute.

Failed Back Surgery Syndrome (FBSS) refers to chronic back or neck pain, with or without extremity pain, which occurs if spine surgery does not achieve the desired result. Contributing factors include recurrent disc herniation, compressed nerves, altered joint mobility, scar tissue, muscle deconditioning and degeneration of facet or sacroiliac joints.

The problem of failed spine surgery has long been a perplexing and intriguing problem my colleagues and I have tried to accurately analyze and pro-actively prevent. My goal as a spine surgeon is to help treat patients with pain stemming from their spine. Many times I am able to treat patients with nonsurgical treatment options, such as physical therapy or medication, and they do very well. In some instances though, this treatment plan does not provide patients with the pain relief needed so we have to pursue more aggressive treatment options including surgery.

I always consider surgery to be a last option approach to spine care and therefore am very careful to make sure my patients are in the best position to have a successful surgery, in turn minimizing the chances of FBSS. Through experience I know there are several factors that have shown to contribute to failed back surgery syndrome, and therefore I follow the protocol below to make sure my patients are set up for their best outcomes:

  1. Before the surgery:
    • Always treat patients conservatively (non-operatively) first
    • Make sure the patient is correctly diagnosed – meaning that the cause of the patient’s pain has been accurately identified
    • Provide a thorough pre-operative evaluation
    • Make sure the surgery is the right one for the patient
    • Appropriately educate and set expectations for the patient, including pre-operative psychological evaluations.
  2. During the surgery:
    • Take all proper precautions to minimize intra-operative issues.
  3. After the surgery:
    • Keep a close eye on post-operative recovery
    • Work closely with the patients’ interdisciplinary care team.

If you are considering spine surgery, it is important to sit down with your surgeon and determine how he actively attempts to minimize the risk for failed back surgery syndrome. If you have been diagnosed with FBSS, it is not necessarily the end of the road. There exist many alternative treatment approaches to deal with this syndrome, but once again one size does not fit all. It is important to find a surgeon who has experience in treating patients with FBSS and can offer you multiple treatment options.

Congratulations to Dr. Hochschuler and Dr. Lieberman!

Becker’s Spine Review recently released the “61 Spine Surgeon Inventors to Know,” which includes Dr. Stephen Hochschuler and Dr. Isador Lieberman of Texas Back Institute.  Members of the list were selected for their research and innovation contributing to the development of spine surgical devices and techniques.

The list was created as a result of extensive research. Surgeons included on the list were trained at top medical schools and have worked with some of the biggest device companies to bring their ideas to the market. In many cases, their contributions have made a difference in the quality and cost-effectiveness of spinal procedures. Many of them are also leaders within their practices, hospital departments or professional organizations.

Here is what was written on the Becker’s website.

Stephen Hochschuler, MD (Texas Back Institute, Plano). Dr. Hochschuler is the co-founder of Texas Back Institute and chairman of Texas Back Institute Holdings. He has several patents for spinal stabilization devices and co-founder of Innovative Spinal Technologies. During his career, Dr. Hochschuler has served on the scientific advisory board of physicians for Alphatec Spine and business advisory board for DePuy Spine. He was co-founder of the Spine Arthroplasty Society, now known as the International Society for the Advancement of Spine Surgery, and has participated in several FDA trials. Dr. Hochschuler earned his medical degree at Harvard Medical School in Boston and completed his residency in orthopedic surgery at the University of Texas Southwestern Medical School in Dallas.

Isador Lieberman, MD (Texas Back Institute, Plano). Dr. Lieberman holds multiple patents for his technological innovations, including SpineAssist, a robotic tool he recently co-developed for use during minimally invasive spine surgery. He has held appointments with Cleveland Clinic as staff surgeon and professor of surgery at Cleveland Clinic Lerner College of Medicine. His developments have been recognized with awards from Cleveland Clinic and the Spine Society of Europe. He recently co-founded the Uganda Charitable Spine Surgeon Mission, with which he accompanies a team of surgeons to visit Uganda each year to treat the underprivileged with spine conditions. He earned his medical degree from the University of Toronto in Ontario, Canada, and completed his residency at Mount Sinai Hospital in Toronto. He also completed residency programs in orthopedic surgery at two Toronto hospitals along with a clinical fellowship in spine and trauma surgery at The Toronto Hospital.

Physicians do not pay and cannot pay to be selected for this list.

*Becker’s Spine Review is a Chicago-based publication focusing on spine and pain practice management. The primary contributors and audience for the publication are spine surgeons and industry experts.

A Leader in Spine Surgeon Practices…Texas Back Institute founder, Dr. Stephen Hochschuler, leads the way to help patients find relief from neck and back pain!

Today Becker’s Orthopedic and Spine Review released a list of 10 Spine Practice Leaders to Know. Dr. Stephen H. Hochschuler, one of Texas Back Institute’s founding partners made the list! Congratulations Dr. Hochschuler!

Stephen H. Hochschuler, MD (Texas Back Institute, Plano). Dr. Hochschuler is co-founder of Texas Back Institute and former president of the Spine Arthroplasty Society. During his career, he has served as chairman and sat on the board of directors for SpineMark. He also founded the spine division at Veterans Administration in Dallas and served as a clinical instructor at the University of Texas Southwestern Medical School. He is a founding member of the American Board of Spinal Surgery and chairman of the Texas Back Institute Holdings Corporation. Dr. Hochschuler earned his medical degree at Harvard Medical School in Boston and completed his orthopedic residency at the University of Texas Southwestern School in Dallas. He also spent time in the United States Air Force.

Congratulations to Dr. Stephen Hochschuler!  We are so proud to have you as one of Texas Back Institute’s Founders and Spine Surgeons! 

Dr. Stephen Hochschuler with Chief Development Officer, Cheryl Zapata, and Texas Back Institute CEO, Trish Bowling on Doctor’s Day the other year! 

Orthopedic Spine Surgeons and Founders of Texas Back Institute, Dr. Ralph Rashbaum, Dr. Richard Guyer and Dr. Stephen Hochschuler.



Super Doctors!!!!

March 23, 2011

Living magazine recently did a feature in their March issue showcasing “Super Docs” throughout the community.  Well guess who made it on the list….Texas Back Institute. Congratulations on being “SUPER“!

Our Plano physicians

 

Dr. Henry and Dr. Duffy

Dr. Gibbs, Dr. Lankford and Dr. Guyer at our Trophy Club office

 

 

Dr. Belanger, our newest physician at our Rockwall office

 

Our Flower Mound and Denton physicians, Dr. Arakal, Dr. Bradley, Dr. Marchetti and Dr. Bosita

We know finding a spine specialist can be a complex process and our goal is to make it as easy as possible.  With 20 physicians and 14 convenient locations throughout the metroplex – let us help you get back to life!

 

Plano! 

Check out our new radio commercial. What do you think? Did you know Texas Back Institute has trained over 90 spine surgeons now practicing in the US?  Did you know TBI surgeons performed the first artificial disc replacement, have written over 200 articles for scientific journals and have pioneered numerous minimally invasive surgical techniques? 

Sounds like the work of Super Heroes to me!

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