Thank you for posting the link to this very
interesting article. I see the lead author on this
study is the same doctor as the one I referred to in
Santa Monica.

Here is my reaction to the article.

1- The stated objective of the study is to show this
imaging technique can accurately diagnose & prove
there is something called PS syndrome. Treatment of PS
was secondary.

2-I note with interest that a huge percentage of the
"rediagnoses" established using NMN are "syndromes"
that can be caused by muscle and pelvic imbalance.

3-The study shows chronic muscle spasm plays an
important role in nerve compression. So why don't
doctors give patients a trial of a good muscle
relaxant like valium or soma?

4- The whole discussion of "Muscle Spasm Causes Nerve
Compression" is a surgeon's view of the problem -
looking at a single muscle & nerve rather than how
the muscles work together & effect each other as well
as the nerve.

5- In terms of surgical outcomes I am a little
suspicious. There were re-occurrences in a few of the
earliest patients. Since clipping the tendon, in my
opinion, would not affect the underlying cause of the
muscle imbalance, a reoccurrence over time seems
possible, unless, of course another problem is
created. Reoccurrences have occurred in traditional PS
surgery as well as developing PS on the opposite side.

My question remains - what is the long term effect on
back & leg pain as a result of surgery. It seems to
me, inevitably you are setting up the patient for a
different kind of back pain & problems.

6- If anyone is going to have PS release surgery, this
is definitely the surgery to have. Done on an
outpatient basis, your recovery time is greatly reduced.



__________________________________
Do you Yahoo!?
Yahoo! Small Business - Try our new resources site!
http://smallbusiness.yahoo.com/resources/