76 episodes

Millions of Americans suffer from back pain every day. Chances are you, or someone you love is suffering or will suffer from back pain at some point. You do not have to suffer in silence. Help is here. Back Talk Doc is a podcast brought to you by Carolina Neurosurgery & Spine Associates, where providing personalized, highly-skilled, and compassionate spine care to the Charlotte, NC area has been our specialty for over 75 years. And now, it’s time to understand the cause of back pain and learn about options to get you back on track! On Back Talk Doc, Dr. Sanjiv Lakhia will help you find answers to some of the most common questions about back pain and spine health. As a Physiatrist at Carolina Neurosurgery & Spine Associates, Dr. Lakhia is an expert in finding non-surgical treatment options for back and spine problems. The podcast features interviews with neurosurgeons and spine specialists along with episodes where Dr. Lakhia covers an array of different issues such as back pain, neck pain, spine surgery, spine injections, and concussion testing. If you would like to know more about Dr. Lakhia and treatment options for back issues, go to BackTalkDoc.com. To make an appointment, contact Carolina Neurosurgery & Spine at 1-800-344-6716 or visit CarolinaNeuroSurgery.com.

Back Talk Doc Sanjiv Lakhia - Carolina Neurosurgery & Spine Associates

    • Health & Fitness
    • 5.0 • 42 Ratings

Millions of Americans suffer from back pain every day. Chances are you, or someone you love is suffering or will suffer from back pain at some point. You do not have to suffer in silence. Help is here. Back Talk Doc is a podcast brought to you by Carolina Neurosurgery & Spine Associates, where providing personalized, highly-skilled, and compassionate spine care to the Charlotte, NC area has been our specialty for over 75 years. And now, it’s time to understand the cause of back pain and learn about options to get you back on track! On Back Talk Doc, Dr. Sanjiv Lakhia will help you find answers to some of the most common questions about back pain and spine health. As a Physiatrist at Carolina Neurosurgery & Spine Associates, Dr. Lakhia is an expert in finding non-surgical treatment options for back and spine problems. The podcast features interviews with neurosurgeons and spine specialists along with episodes where Dr. Lakhia covers an array of different issues such as back pain, neck pain, spine surgery, spine injections, and concussion testing. If you would like to know more about Dr. Lakhia and treatment options for back issues, go to BackTalkDoc.com. To make an appointment, contact Carolina Neurosurgery & Spine at 1-800-344-6716 or visit CarolinaNeuroSurgery.com.

    From Host to Guest: Dr. Sanjiv Lakhia Discusses Back Care on "Interview the Expert" at The SpineXchange

    From Host to Guest: Dr. Sanjiv Lakhia Discusses Back Care on "Interview the Expert" at The SpineXchange

    After undergoing multiple spine surgeries himself, Joel Proskewitz founded the SpineXchange to offer educational materials for others who are dealing with back surgery or general back pain. 
    On this episode of Back Talk Doc, Dr. Lakhia sits in the hot seat as he is interviewed by expert guest Joel for the SpineXchange. Joel and Dr. Lakhia cover advice on many different aspects of back care. 
    Both Joel and Dr. Lakhia found a passion for spinal care and education through personal experiences. For Dr. Lakhia, it was his exposure to osteopathic medicine that included over 300 hours of hands-on training in osteopathic manipulation that sparked his interest in lightening the burden patients feel when suffering from spine issues. Joel shares Dr. Lakhia’s interest in spine care and knows first-hand how important spine health is after having to undergo multiple surgeries to repair a fracture in his spine. 
    Combining standard medical interventions with additional elements like addressing stress levels, prescribing breathing exercises, discussing research-based supplementation, and incorporating acupuncture is core to Dr. Lakhia’s approach. He emphasizes the need for evidence-based alternative treatments as part of a comprehensive approach for patients. 
    “What I've observed in my career is patients are moving away from a pill for every ill, and they want to be able to take more control of their health and use natural interventions,” Dr. Lakhia says when describing the increased interest in integrative medicine for spine health. 
    If you’re interested in learning more about the SpineXchange and becoming a subscriber you can check out their website here: https://thespinexchange.com/. 
    💡 Featured Expert 💡Name: Joel Proskewitz
    What he does: For over two decades Joel Proskewitz has specialized in spinal rehabilitation for people that have undergone or are facing spinal surgery. He has built up a wealth of experience, both as a long-term spine patient himself and working with doctors and physicians from across the medical world. His specific focus is on spinal pathologies, their associated intervention surgeries, and subsequent patient rehabilitation.
    Company: The SpineXchange
    Words of wisdom: “The owner of the spine has emotions. They have certain stressors that can systematically create a whole bunch of problems, and you really need to understand the individual who's sitting in front of you.”
    Connect: Website |  LinkedIn 
    ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode 
    Having a healthy functioning spine is critical to having a healthy functioning life. Dr. Lakhia’s passion for anatomy led him to osteopathic medicine. He wanted to dive deeper into spine care and understand the science behind a healthy spine so he could contribute to treating dysfunction. In addition, his osteopath older brother inspired him to pursue physical medicine. The modern lifestyle is impacting our health. Dr. Lakhia stresses the importance of reviewing your diaphragm’s ability to expand correctly. The connection between good diaphragmatic movement, posture, and overall health is paramount. Those who disregard the influence of posture on pain are overlooking a crucial component of their health.You have to meet people where they are. When meeting patients, Dr. Lakhia...

    • 32 min
    We Feel Your Back Pain with Dr. Joe Cheatle

    We Feel Your Back Pain with Dr. Joe Cheatle

    Even with their in-depth medical training, doctors can brush off accidents and deny the possibility of a lumbar issue. It’s not until the pain persists or worsens that they come to terms with the possibility of having a longer-term injury. 
    Doctors can even experience a sense of shame about having a spine problem while being a spine expert. 
    On this episode of Back Talk Doc, Dr. Sanjiv Lakhia invites his colleague and friend Dr. Joseph Cheatle, a neurosurgeon at Carolina Neurosurgery and Spine Associates, to discuss the personal challenges that he has faced with low back pain. 
    Dr. Cheatle’s injury occurred following a skiing accident where they were hit by another skier. Initially, he brushed off the incident, but over time, he began experiencing increasing discomfort in his back and buttocks. As the pain worsened, he realized the challenge of diagnosing his own condition.
    Even after finally seeking professional help with his injury, which included physical therapy and an MRI, Dr. Cheatle was still not entirely upfront with his own family. But they noticed changes in his behavior, including staying in his car longer after arriving home from work because it hurt to get up, and having to excuse himself to go lay down. 
    Ultimately it was conservative therapies, including spinal injections, that helped Dr. Cheatle reduce his pain and begin to recover. It was at this point that he was able to reintegrate exercise into his life with the help of physical therapy. 
    The experience has made him a better doctor, allowing him to provide more meaningful support and encouragement to patients during the healing process. He emphasizes that the emotional aspect of recovery is often as challenging as the physical.
    💡 Featured Expert 💡Name: Joseph Cheatle, MD
    What he does: As a board-certified neurosurgeon at Carolina NeuroSurgery & Spine Associates, Dr. Cheatle, provides adult neurosurgical care. His clinical special interests include treating brain tumors, degenerative spinal disorders, transsphenoidal surgery, and spinal cord stimulation.
    Company: Carolina NeuroSurgery & Spine Associates
    Words of wisdom: “I'm a better doctor, for sure. And what I mean by that is that I can sympathize and not empathize.”
    Connect: Website 
    ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode 
    You should be a patient, not a doctor for yourself. After realizing the severity of his situation, Dr. Cheatle sought professional help from the physical therapy department. He completed a thorough examination and underwent an MRI. Don’t immediately jump to surgery as a solution. A discectomy would likely have provided quick relief. But even as a surgeon, Dr. Cheatle recognized the importance of trying other therapies first. He opted to explore more conservative treatment options before considering more invasive measures.Distinguishing between sympathy and empathy. Dr. Cheatle says that he is a better doctor after his injury. It allowed him to connect with patients on a deeper emotional level. By sharing his patients own struggles and triumphs, he can better relate to patients undergoing difficult situations. 
    ⚕️ Episode Insights ⚕️[04:28] Brushing off an injury: Dr. Cheatle shares how he was involved in a skiing accident that he originally...

    • 35 min
    Empathy and Compassion: The Journey from Spine Patient to Provider with Physician Assistant Lindsay Howard

    Empathy and Compassion: The Journey from Spine Patient to Provider with Physician Assistant Lindsay Howard

    What happens when the doctor becomes the patient? In the first episode in this new series, Dr. Sanjiv Lakhia discusses personal back care journeys with some of his esteemed colleagues.
    On this episode, he talks with Lindsey Howard, PA-C, a physician assistant in the physiatry department at Carolina Neurosurgery and Spine Care. Her spine care journey began with scoliosis. 
    When she was 12, she was diagnosed with scoliosis during a routine school screening for the condition. Her spinal curve was 40 degrees and quickly progressed to 72 degrees. Her doctor recommended surgery or, he told her parents, she likely wouldn’t live past age 30.
    She hadn’t experienced much pain, only discomfort, from her scoliosis, but she remembers some of her post-op pain clearly. It’s helped her become more empathetic with patients.  
    “The resident was trying to peel off the bandage on my back — that was very painful,” she said. “So now when I remove bandages, I'm very, very sensitive to that for patients.” 
    Thankfully, surgery allowed her to get back to a sporty lifestyle and allowed her to be a cheerleader in high school. And the experience as a whole inspired her to work in medicine. 
    Originally, her plan was to go to medical school, with the goal of helping other girls who suffered from similar issues. But she ended up becoming a physician assistant because she liked to spend more time with patients in their care transitions. 
    Tune in to this episode of Back Talk Doc to hear more of Lindsey’s story with scoliosis and how she uses that difficult experience to be a better care provider today.
    💡 Featured Expert 💡Name: Lindsey Howard, MPAS, PA-C
    What she does: Lindsey has been a physician assistant with Carolina Neurosurgery and Spine Associates since she graduated in 2013. She works in the physiatry department with Drs. Wiercisiewski and Sumich. 
    Company: Carolina Neurosurgery and Spine Associates 
    Words of wisdom: “The main reason I got into this is because I don't want anybody to ever feel [alone]. I think whenever you go through a major illness or any major medical issue, you can sometimes feel really alone.” 
    Connect: Website |  LinkedIn
    Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Talking Artificial Disc and Facet Replacement Surgery with Dr. Vince Rossi. 
    👉 Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 
    👉 Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only).
    🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.
    👀 Check us out on the 15 Best Back Pain Podcasts list!
    🎧 Subscribe in your favorite...

    • 24 min
    Talking Artificial Disc and Facet Replacement Surgery with Dr. Vince Rossi

    Talking Artificial Disc and Facet Replacement Surgery with Dr. Vince Rossi

    As non-urgent medical procedures slowed during the height of COVID in 2020, some docs faced a lot of stress. Vince Rossi, MD, took advantage of his more-open schedule to get an MBA. 
    So, why did Dr. Rossi want to pursue another degree after becoming a successful neurosurgeon? He wanted to better understand the health care system in which he works, believing that knowing the business world would benefit both his patients and his practice. That desire to benefit his patients led him to do a year of his residency in Australia. He was able to see a higher volume of arthroplasty procedures in a shorter period of time. 
    On this episode of Back Talk Doc, Dr. Sanjiv Lakhia and his guest, Dr. Vince Rossi, talk about artificial disc and facet replacement surgery. Dr. Rossi is a minimally invasive spine surgeon at Carolina NeuroSurgery & Spine Associates (CNSA). 
    Dr. Rossi’s entire philosophy surrounds improving the lives of his patients — from understanding the business and back end of things to ensuring each one of his patients has explored all conservative treatments before even considering spine surgery. 
    “If there's a reasonable option for any sort of interventional procedure or injections, then those are all the first first line treatment for that patient,” explains Dr. Rossi. “For me, the younger the patient is, the longer I make them wait before we talk about arthroplasty. Even if they've done six months of conservative treatments and they're a young, mid-20s-year-old, I want them to give their body as much chance as possible to heal that on its own.”
    Tune into this episode of Back Talk Doc to hear Dr. Rossi discuss arthroplasty, his typical route for diagnosis, and what he would tell any potential patient about the pros and cons of this newer intervention. 
    💡 Featured Expert 💡Name: Vince Rossi, MD, MBA
    What he does: Dr. Rossi is a neurosurgeon practicing minimally invasive spine surgery at Carolina NeuroSurgery & Spine Associates (CNSA). He believes in using the least invasive methods to help patients reclaim their pain-free lives. Dr. Rossi focuses on motion preservation, specializing in non-fusion techniques such as endoscopic spine surgery and disc replacement.
    Company: Carolina Neurosurgery & Spine Associates (CNSA)
    Words of wisdom: “When patients come to CNSA and get motion preservation options there, they're not just getting someone that knows how to implant these devices, they're getting an organization that really has [made] this technology available locally, nationally, and internationally.”
    Connect: LinkedIn
    ⚓ Anchor Points ⚓Top takeaways from this Back Talk Doc episode 
    Conservative treatments are still the first option. While artificial disc and facet replacement surgery is changing lives for recipient patients, following conservative routes of treatment — spine injections, physical therapy, etc. — are still the first path for patients experiencing lumbar pain. Prevention is the best treatment. Dr. Rossi emphasizes the importance of maintaining a healthy spine. Practicing good behaviors in everyday life, such as when picking something up or doing core-strengthening exercises, will do more to protect the spine than anything else. Prevent and maintain before treatment is even necessary. Get curious. Curious about how to better help and improve the lives of his patients, Dr. Rossi determined that understanding the business and back end of the healthcare system would be beneficial. He pursued an MBA when surgeries slowed...

    • 37 min
    An integrative approach to low back pain with Dr. Elizabeth Yurth

    An integrative approach to low back pain with Dr. Elizabeth Yurth

    You get hurt, and your instinct is to blame the injury itself, right? For Dr. Elizabeth Yurth, it’s a much broader picture than just the injury. 
    While Dr. Yurth got her start in orthopedics and sports medicine, she took a pivot about 15 years into her career. She started looking at ways to keep patients out of her office, rather than coming back in. 
    “I was patching people back together, throwing them back in the fire, and they're back a month later,” she says of her patients. “So I started to ask, could we do better? Could we make people healthier? That way, they could actually heal more completely and they wouldn't keep coming back into my office.”
    Rather than looking at just the injury, Dr. Yurth looks at the whole inflammation framework. And fortunately, she’s found that you don’t need expensive lab tests to figure out if your hormones are the source of your inflammation. Basic lab work, like CBC, metabolic panels, and glucose tests, can indicate whether hormones are off balance — and at a low cost. 
    Her best advice to maintain health before you even hit the doctor’s office? Keep moving. It’s tempting to stop exercising when you’re injured, but something is better than nothing. Find the movement that works for you and stick to it. Why? Because your muscle acts like an organ, and building and stimulating muscle can help reduce pain. 
    “Stop moving and you will die,” she says. “You’ve got to do something … you've got to move your muscles.”
    On this episode of Back Talk Doc, hear some of Dr. Yurth’s top tips for staying out of the doctor’s office, such as identifying and minimizing sources of inflammation and treating your muscle as an organ.
    💡 Featured Expert 💡Name: Elizabeth (Betsy) Yurth, MD
    What she does: An expert in orthopedics and spine care, Dr. Yurth is the co-founder and Chief Medical Officer of the Boulder Longevity Institute. She’s fellowship trained in anti-aging medicine, regenerative medicine, and cellular medicine, with over 500 hours of continued education in longevity, nutrition, epigenetics, bioidentical hormone replacement therapy, and regenerative orthopedic procedures. 
    Company: Boulder Longevity Institute
    Words of wisdom: “We have absolute certainty and absolute proof now that the cause of the degenerative disease is not the trauma. It’s the immune response to the trauma. If you can change that immune response, then you shouldn't see the trauma go on.”
    Connect: LinkedIn | Instagram
    Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Food Elimination and Pain with Heather Wolcott.
    👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 
    👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 
    🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.
    🎧 Subscribe in your favorite podcast app.
    Back Talk Doc is brought to

    • 1 hr 4 min
    Food Elimination and Pain with Heather Wolcott

    Food Elimination and Pain with Heather Wolcott

    As a holistic nutritionist, as well as a health and wellness coach, Heather Wolcott understands concerns about all-or-nothing lifestyles and dietary changes. Instead, Heather believes in promoting a well-rounded lifestyle — and understanding that nothing is forever. 
    On this episode of Back Talk Doc, Dr. Sanjiv Lakhia and his guest, functional health coach Heather Wolcott, talk about nutrition and its effect on health, wellness, and even pain. Much of their discussion focuses around food elimination diets.
    Heather understands that the term “elimination diet” can be daunting for some people. But, she says, this form of lifestyle change is really just a tool to identify food sensitivities and intolerances that can cause brain fog, joint pain, rashes, anxiety, bloating, and fatigue. 
    As with all things in wellness and nutrition, the key is balance. Even elimination dieting doesn’t have to last forever, says Heather. For some people, it may only last a couple of weeks. 
    Everyone is different, and no two paths to health are the same. But Dr. Lakhia and Heather have both observed that certain foods seem to cause more problems than others. 
    Tune in to learn how you might be able to improve your lifestyle by simply cutting certain foods. 
    💡 Featured Expert 💡Name: Heather Wolcott
    What she does: As a holistic nutritionist for more than 20 years, Heather has been helping clients improve their health and achieve their nutrition goals. She is a National Board Certified health and wellness coach and an ADAPT-Certified Functional Health Coach. 
    Company: Heather Wolcott
    Words of wisdom: “I love to really dial into nutrition because it's super complicated and complex when you get granular with it, but it doesn't have to be. I think people just need to be more educated.”
    Connect: Website | Instagram
    Subscribe & Contact👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Evaluating Supplement Quality with Dr. Tod Cooperman
    👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 
    👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 
    🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 
    🎧 Subscribe in your favorite podcast app.
    Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

    • 38 min

Customer Reviews

5.0 out of 5
42 Ratings

42 Ratings

mommidwife ,

Changed my life

I found this podcast through the Andrew Weil Fellowship alumni website. I was curious about it because of the award mentioned on the website and was drawn to listen because of an acute back pain episode I had recently experienced. It is not easy to find hope for the tool chest, but it did give me hope- an essential tool to reclaim some sense of possibility. I was told I needed to have several vertebrae fused following laminectomy by two surgeons at excellent academic centers in Michigan.
Thank you for the interviews with Esther Gotkhale and Dr. McGill. I’ve taken Esther’s classes and I am walking differently, using my body differently at 67 years of age and I am without back pain almost 100%. Thank you for making this information available Dr. S. I have given the book to providers in my area and wonder… why isn’t this information shared with anyone who comes in for an evaluation of back pain?

Oscar watcherabby ,

Excellent

Excellent podcast with truly helpful information that makes a priority of connecting with listeners. Thank you for making this podcast, it is a godsend!

DS Mtp ,

Best Podcast

Always enjoy these podcasts. Very informative and understandable for patients. Thank you for doing these.

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