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About Spinal Orthopaedic Medicine
Spinal Orthopaedic Medicine Associates, Dublin Ohio
Spinal Orthopaedic Medicine is a specialty devoted to the evaluation, diagnosis and non surgical treatment of painful neuromusculoskeletal diseases. Diagnostic modalities include a comprehensive history, detailed and specific physical examination, radiologic evaluations, and local anesthetic blocks. Therapeutic modalities encompass manual medicine, corticosteroids or proliferant regenerative injections with and without fluoroscopic guidance, therapeutic exercise, and use of pharmacotherapy for pain management.
Disorders that are treated at our Spinal Orthopaedic Medicine Clinic located in Dublin Ohio include:
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Headaches |
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Typical and atypical facial pain |
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Neck and arm pain |
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Upper extremity joint and nerve pain |
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Mid back pain |
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Rib and chest musculoskeletal chest pain |
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Thoracic nerve pain |
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Low back pain and leg pain |
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Lower extremity joint and nerve pain |
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Sacroiliac pain |
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Pelvic pain disorders. |
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Cervical, thoracic, lumbosacral disc disorders |
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Personal and/or motor vehicle injuries |
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Chronic myofascial pain disorders |
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Fibromyalgia |
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Cervical dystonia/torticollis |
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Peripheral neuropathy |
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Bursitis and tendonitis/tendinosis |
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Ligamentous laxity/tenio periosteal enthesopathy syndromes |
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Cervical, thoracic, and lumbosacral vertebral segmental dysfunction disorders |
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Failed back syndromes |
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CYRIAX System of Orthopaedic Medicine
Spinal Orthopaedic Medicine is the diagnosis and non surgical treatment of soft tissue lesions around the body. The scope of spinal orthopaedic treatment includes lesions of the ligaments, tendons, bursa and muscles along with lesions of the cervical, thoracic and lumbar spine. The late James Cyriax M.D., an internist and orthopaedic surgeon in England, developed his system of orthopaedic medicine in the 1920's. His collective results after many year of trial and error coalesced into a set of systemic simple spinal orthopaedic clinical exams and each joint and a treatment system for the soft tissue lesions around each joint.
He coined the term Orthopaedic Medicine. The basic principles of spinal orthopaedic medicine are: 1) Every pain has a source, 2) Treatment must reach the source, 3) Treatment must benefit the source in order to relieve the pain.
Most sources of pain in the musculoskeletal system can be localized to a specific tissue. We then systematically isolate the cause of pain, and then treat it specifically. A specific diagnosis leads to successful treatment.
A distinctive nature of the CYRIAX orthopaedic method is the capsular pattern. This capsular pattern denotes inflammation of the capsule such as inflammatory or traumatic arthritis, a fracture or a cancer which extends close to or into that joint. It is associated with a specific pattern of limitation with the various passive movements at the joint. Each joint has its own distinctive capsular pattern.
A non-capsular pattern implies that the capsule is not involved and that intra or extraarticular tissue is inflamed or injured in the source of pain. Either pattern will be consistent on repeated exam from one day to the next. Treatment of these lesions/disorders incorporates very distinctive techniques of manipulative therapy, injections or physical therapy.
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