Vertrae® 360

Kamal Woods

We take you behind the scenes of a neurosurgery private practice and talk all things spine-related.

  1. Oct 9

    When Is It Time to See a Spine Specialist? The Real-World Decision (Ep. 85)

    Back pain, neck pain, numbness, tingling, or weakness does not automatically mean you need surgery. However, certain symptoms and changes in function may be signs that it is time to see a spine specialist for a more complete evaluation. In this episode, we discuss when it may be appropriate to see a spine surgeon and why a consultation does not automatically mean surgery is the next step. You’ll learn why the direction of your symptoms matters, including whether they are improving, staying the same, or progressively getting worse. We also explore how weakness, numbness, tingling, mobility changes, and limitations in daily activities can help determine when further evaluation may be appropriate. The episode also explains why function matters just as much as pain. If your symptoms are affecting your ability to work, exercise, sleep, walk, or complete normal everyday activities, understanding the cause can help you make more informed treatment decisions. Seeing a spine surgeon is about getting answers, understanding the urgency of the problem, and reviewing your available treatment options. Depending on your condition, surgery may or may not be recommended. If you are dealing with persistent back pain, neck pain, sciatica, numbness, tingling, weakness, or changes in mobility, this episode can help you better understand when it may be time to seek a spine specialist evaluation. This episode is for educational purposes only and is not intended to replace individualized medical advice, diagnosis, or treatment.

    When Is It Time to See a Spine Specialist? The Real-World Decision (Ep. 85)
  2. Oct 7

    ACDF vs. Disc Replacement: How Surgeons Decide Between Fusion and Motion Preservation (Ep. 84)

    ACDF and cervical disc replacement are two common surgical options used to treat certain conditions of the cervical spine, but they approach the problem in different ways. In this episode, we compare anterior cervical discectomy and fusion, also known as ACDF, with cervical disc replacement. We explain how each procedure can relieve pressure on the nerves or spinal cord and how they differ when it comes to spinal motion, stability, recovery, and patient selection. You’ll learn how ACDF removes a damaged cervical disc and stabilizes the affected level through fusion, while cervical disc replacement uses an artificial disc designed to preserve motion at that level. We also discuss some of the factors that may influence which procedure is recommended, including spinal instability, arthritis, bone quality, cervical spine anatomy, the number of affected levels, and the specific condition being treated. Neither procedure is automatically the better choice for every patient. The most appropriate option depends on your symptoms, imaging, neurological findings, overall spine health, and treatment goals. If you are considering surgery for cervical radiculopathy, a herniated disc, nerve compression, or another cervical spine condition, understanding the differences between ACDF and cervical disc replacement can help you have a more informed conversation with your spine surgeon. This episode is for educational purposes only and is not intended to replace individualized medical advice, diagnosis, or treatment.

    ACDF vs. Disc Replacement: How Surgeons Decide Between Fusion and Motion Preservation (Ep. 84)
  3. Oct 5

    Family Guide to Fall Risk: What Families Should Watch For (Ep. 83)

    Falls are not always caused by a simple trip or misstep. Changes in balance, leg strength, walking ability, sensation, medications, vision, and even underlying spine conditions can all increase a person’s risk of falling. In this episode, we provide a practical guide for families and caregivers who may be noticing changes in a loved one’s mobility. We discuss common fall risk factors and the warning signs that may suggest something more than normal aging is affecting balance or walking. You’ll learn about symptoms such as leg weakness, numbness, foot drop, frequent near-falls, shorter walking distances, and sudden leg buckling. We also explore how conditions such as lumbar spinal stenosis and neurogenic claudication can affect walking endurance and make the legs feel weak, heavy, or unreliable. The episode also covers other important contributors to fall risk, including medications, vision changes, blood pressure, footwear, and environmental hazards around the home. For family members, changes in everyday function can be especially important to notice. Needing more support while walking, avoiding activities, struggling with stairs, or gradually walking shorter distances may provide useful clues that an evaluation is needed. If you or someone you care about is experiencing worsening balance, frequent falls or near-falls, leg weakness, numbness, foot drop, or changes in mobility, understanding these patterns can help guide a more informed conversation with a healthcare provider. This episode is for educational purposes only and is not intended to replace individualized medical advice, diagnosis, or treatment.

    Family Guide to Fall Risk: What Families Should Watch For (Ep. 83)
  4. Oct 2

    Why Do My Legs Give Out? Lumbar Stenosis, Weakness, and Fall Risk (Ep. 82)

    Why Do My Legs Give Out? Lumbar Stenosis, Shrinking Walking Reserve, and Fall Risk If your legs feel weak, heavy, unsteady, or increasingly unreliable when you stand or walk, the cause may involve more than simple fatigue. Lumbar spinal stenosis can place pressure on the nerves in the lower back and affect strength, sensation, balance, and walking endurance. In this episode, we explore how lumbar stenosis can contribute to leg weakness, numbness, heaviness, and a shrinking walking reserve. We discuss why some people can walk shorter and shorter distances before symptoms begin and why sitting, resting, or leaning forward may temporarily provide relief. You’ll also learn about neurogenic claudication, how nerve compression can affect mobility, and why worsening leg weakness or instability may increase the risk of falls. We explain why a complete evaluation considers more than MRI findings alone. Your symptom pattern, strength, reflexes, sensation, walking ability, medical history, and overall function can all provide important information about what may be happening in the lumbar spine. If you are noticing that your legs give out, your walking distance is decreasing, or you are experiencing leg numbness, weakness, balance problems, or frequent falls, understanding the connection to lumbar spinal stenosis can help you have a more informed conversation with your healthcare provider about your next steps. This episode is for educational purposes only and is not intended to replace individualized medical advice, diagnosis, or treatment.

    Why Do My Legs Give Out? Lumbar Stenosis, Weakness, and Fall Risk (Ep. 82)
  5. Sep 30

    Clumsy Hands, Changing Gait: When Falls May Point to Cervical Myelopathy (Ep. 81)

    Dropping objects, struggling with fine motor tasks, feeling unsteady, or noticing changes in the way you walk may seem unrelated to your neck. In some cases, these symptoms can be signs of cervical myelopathy, a condition caused by compression of the spinal cord in the cervical spine. In this episode, we explain how cervical spinal cord compression can affect hand coordination, balance, gait, strength, and overall mobility. We also discuss why cervical myelopathy can create a different symptom pattern than cervical radiculopathy, which typically affects an individual nerve root. You’ll learn why symptoms such as clumsy hands, difficulty with buttons or handwriting, frequently dropping objects, leg stiffness, balance problems, and unexplained falls may provide important neurological clues. We also explore why a complete evaluation considers your symptoms, medical history, neurological examination, strength, coordination, and MRI findings together rather than relying on imaging alone. Not every fall or episode of hand clumsiness is caused by the cervical spine. However, when changes in hand function and walking begin occurring together, the pattern may deserve closer evaluation. If you are experiencing worsening hand coordination, balance problems, changes in gait, weakness, or unexplained falls, understanding the signs of cervical myelopathy can help you have a more informed conversation with your healthcare provider about your next steps. This episode is for educational purposes only and is not intended to replace individualized medical advice, diagnosis, or treatment.

    Clumsy Hands, Changing Gait: When Falls May Point to Cervical Myelopathy (Ep. 81)

About

We take you behind the scenes of a neurosurgery private practice and talk all things spine-related.