Vertrae® 360

Kamal Woods

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

  1. 10 Questions Patients Ask Before Lumbar Fusion │ Vertrae® 360 (Ep. 47)

    2d ago

    10 Questions Patients Ask Before Lumbar Fusion │ Vertrae® 360 (Ep. 47)

    If you’ve just been told you may need a lumbar fusion, it’s normal for fear to take over — especially after reading spine surgery stories online. But not every fusion is the same, and not every outcome you read about reflects the reality of modern minimally invasive spine surgery. In this Vertrae® 360 Deep Dive, we break down the questions patients often ask before lumbar fusion: Will I ever be the same? Will my spine feel different? What could go wrong? You’ll learn why online horror stories can create a distorted picture, why single-level MIS-TLIF is very different from large open multi-level fusion, and why patient selection matters so much. This episode also explains adjacent segment disease, spinal hardware concerns, Mazor X™ robotic guidance, minimally invasive muscle-sparing techniques, and what recovery may realistically look like. We also discuss why fear of movement, or kinesiophobia, can affect recovery even when the fusion itself is healing well. At Vertrae® in Dayton, Ohio, Dr. Kamal Woods uses a MotionFirst™ approach that considers the full spectrum of options — including physical therapy, ReActiv8®, BVNA, interventional procedures, and minimally invasive robotic fusion when appropriate. The goal is not to rush into surgery, but to determine whether lumbar fusion is truly the right solution for your specific condition. Visit Vertrae.com to request your MotionFirst™ evaluation.

    15 min
  2. Why Standard Physical Therapy Fails Lumbar Instability | Vertrae® 360 Short Deep Dive

    4d ago

    Why Standard Physical Therapy Fails Lumbar Instability | Vertrae® 360 Short Deep Dive

    Why does physical therapy sometimes fail for lumbar instability — even when you do the exercises, show up consistently, and put in the work? In this Vertrae® 360 Short Deep Dive, we explain why lumbar instability is not always a simple “weak core” problem. Standard physical therapy often focuses on general strengthening, but instability usually requires a more specific approach that targets the deep stabilizing muscles of the spine, especially the multifidus and transversus abdominis. You’ll learn why traditional core exercises like crunches, planks, or generic back-strengthening routines may not fully restore spinal control when the multifidus has become inhibited by chronic pain or injury. We also discuss why stability-directed therapy must focus on timing, coordination, endurance, and neuromuscular control — not just strength. For some patients, the deep stabilizing system does not respond enough to voluntary exercise alone. In those cases, options like ReActiv8® restorative neurostimulation may be considered to help activate and retrain the multifidus muscle. When structural instability is more advanced, additional treatments may be needed. At Vertrae® in Dayton, Ohio, Dr. Kamal Woods evaluates lumbar instability by looking at symptoms, imaging, movement patterns, function, and patient goals to determine which treatment path makes the most sense. Visit Vertrae.com to request your MotionFirst™ evaluation.

    6 min
  3. Treating Lumbar Instability: Every Option Explained | Vertrae® 360 (Ep. 46)

    4d ago

    Treating Lumbar Instability: Every Option Explained | Vertrae® 360 (Ep. 46)

    If you’ve been diagnosed with lumbar instability and you’ve already tried physical therapy, injections, or other treatments without lasting relief, it can feel overwhelming when surgery enters the conversation. In this episode, we break down the full treatment spectrum for lumbar instability — from stability-directed physical therapy to ReActiv8® restorative neurostimulation, basivertebral nerve ablation, injections, and minimally invasive fusion surgery. You’ll learn why treatment should follow the patient, not just the MRI, and why two people with similar imaging may need very different care plans. We explain why standard core exercises may not fully address lumbar instability, especially when the deep stabilizing muscles like the multifidus and transversus abdominis are inhibited or underactive. We also discuss how ReActiv8® may help selected patients retrain the multifidus muscle, how BVNA targets vertebrogenic pain from Modic changes, and how injections can support the treatment plan without “fixing” instability itself. When a structural problem is advanced — such as significant spondylolisthesis, nerve compression, or progressive weakness — minimally invasive stabilization may become the right conversation. This episode explains MIS-TLIF, how it differs from traditional open fusion, and how robotic guidance with the Mazor X™ system helps support precision in modern spine surgery. At Vertrae® in Dayton, Ohio, Dr. Kamal Woods evaluates each patient personally, using a full-spectrum approach that considers symptoms, imaging, function, lifestyle, goals, and anatomy before recommending a path forward. Visit Vertrae.com to request your MotionFirst™ evaluation.

    20 min

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

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