spine

It’s NEVER a stupid question. Always ask.

 

40 Questions to Ask Your Surgeon Before Back Surgery

www.spine-health.com Stephanie Burke

Before you decide to have the surgery

1. What type of surgery are you recommending? Why?
2. What is the source of the pain that is being addressed? How do you know this?
Exploratory surgery is never done on the back.
3. Please explain the procedure in great detail.
The amount of information depends on your personal preferences. Some patients want to know everything, some not so much!
4. What are my non-surgical options?
5. What is the natural course of my condition if it is not surgically addressed?
6. What would you recommend if I was your friend, wife, sister, or daughter?
7. How long will the surgery take?
8. What are the side effects, potential risks, and potential complications?
9. Please explain the risks and how they relate to me personally.
For example, different risk factors like smoking, being overweight or having grade 3 spondylolisthesis, etc, will affect surgical outcomes.
10. What if, during my surgery, you encounter a different spine issue than you expected?
11. Do I need to donate my own blood? If yes, why?
For most types of back surgery, blood does not need to be donated ahead of time.
12. Do you perform the whole procedure? Will any students and/or other surgeons be doing any parts of the operation? If yes, who are they and what are their qualifications?
13. Who else will assist you in the operation? What are their background and qualifications?
14. What are the long-term consequences of the proposed procedure?
For example, will the operation ever need to be re-done? If it is a fusion, will it lead to degeneration at other levels of the spine? Questions about the surgeon
15. How many times have you done this procedure?
Generally, when it comes to surgery, “practice makes perfect,” so more experience is better. However, if the doctor is recommending something that is not often done, such as multi-level fusions, more experience would not necessarily be better.
16. Are you board eligible or board certified?
You can usually look on the wall and see a certificate.
17. Are you fellowship trained in spine surgery?
This is more important if the surgery is a fusion, artificial disc replacement, or other more extensive procedure.
18. If I want to get a second opinion, who would you recommend?
The recommendation should be someone not in the same practice.
19. Statistically, what is the success rate for this type of surgery? What is your personal success rate, and how many of this type of surgery have you done?
20. Can I talk to other patients who have had a similar procedure?
The patient will have to sign a HIPAA release form, but typically, happy patients want to share their success stories.

Any defensiveness on the part of the surgeon when you ask these types of questions may be a red flag. A surgeon with good results and appropriate qualifications will not be threatened by these types of questions and will respect your attention to these matters.

Questions about what to expect after the surgery

21. What kind of pain should I expect after the surgery and for how long?
22. How long is the hospital stay?
23. May a family member spend the night with me in the hospital?
24. How do you manage the pain in the hospital?
25. Which pain medications will I be sent home with? What are possible side effects of these prescriptions (e.g. constipation, drowsiness, etc.)?
26. Will you know before the surgery if I will need a back brace afterwards? If so, will I be fitted for one before the surgery?
27. Will I need any other medical equipment (like a walker) when I go home?
28. Who can I call if I have questions after the surgery? What is the process for communication?
29. How often will I see you after my surgery?
30. What symptoms would warrant a call to your office?
31. What symptoms would warrant immediate medical attention?
32. What limitations will I have after surgery and for how long?
33. How long should I wait to bathe?
34. How long will I be out of work? School?
35. What kind of help will I need when I return home?
36. When can I drive again?
37. When can I resume normal (light) household chores?
38. What expectations do you have for my recovery?
39. When is it safe to resume sexual relations?
40. How soon after the surgery can I start physical therapy?

One thing we pride ourselves on here at Blue Ridge Orthopaedic & Spine Center is our willingness to listen to you and answer all the questions you may have about a procedure. Back surgery is scary stuff and it’s not taken lightly, often it’s the last resort when treating the injury. Please do not hesitate to bring these, or any other questions to the table if
you are looking at having spine surgery. We welcome it.

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Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. Both of our offices are equipped with in-office  radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton office at 540-347-9220 or our Gainesville office at 703-743-2814.

Is Minimally Invasive Spine Surgery ever an Option?

Is Minimally Invasive Spine Surgery ever an Option?

Article written by: Allison Walsh – spine-health.com

After months of conservative therapy, some spine patients may opt for spine surgery if their pain is uncontrolled or if they are unable to do their daily tasks, and if a surgeon can identify a spine lesion that is responsible for the pain.

Conservative vs Surgical Care for Lower Back Pain

spinal cord

Some surgical candidates worry that they will need a spine fusion, which is an invasive surgery requiring months of recuperation.

The good news is that some spine conditions can be treated with a minimally invasive surgery, like a discectomy.

Reasons you may need a spinal fusion

First, let’s take a look at the types of conditions that may need to be treated with a fusion.

A fusion surgery is designed to stop joint motions in the spine that are generating pain. This may happen as a result of:

 

For many patients, spinal fusion helps them get back on the road to leading a normal, pain-free life. But as stated above, the surgery is considered invasive and the recovery time can be up to a year long.

Spine Fusion Risks and Complications

Many patients who need spine surgery will find relief from less invasive surgical procedures known as microdiscectomy or a microdecompression.

 

Reasons you may need a microdiscectomy or microdecompression surgery

Sometimes nerves in the spine are compressed by a narrowing of the spinal canal, causing referred pain to radiate down the arms or legs. This pain is called radiculopathy. The narrowing of the spinal canal may be caused by a bone spur or by a herniated disc.

 

See herniated discs and bone spurs

 

A microdiscectomy or microdecompression spine surgery, considered a minimally invasive surgery, removes the small portion of the offending bone or disc, allowing the nerve to heal.

See also Microdiscectomy (Microdecompression) Spine Surgery

The majority of patients with only radiculopathy pain (in the absence of one of the conditions mentioned above as a reason for spine fusion) improve without fusion surgery.

Microdiscectomy is often done on an outpatient basis. Typically, the patient will have no restrictions on their activity immediately following the surgery, and the success rate is 90-95%.

Most back patients will never need surgery. If you do need spine surgery, it doesn’t necessarily mean you will need a spine fusion.

 

BRO-Logo-colorBlue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. Both of our offices are equipped with in-office
radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton office at 540-347-9220 or our Gainesville office at 703-743-2814.

Treat your spine to some pampering this weekend!

It’s the weekend, time to relax, enjoy time with friends and family and indulge in good times. However, did you know that there are a few things that you can do that are pretty easy, massage therapy anyone, to take care of your spine at the same time? Just a little preventative care now, can make a big difference later.

3d rendered illustration - backache

11 Ways to Indulge Your Spine

courtesy of Spine-Health.com

Taking care of your back before serious problems arise is easier than you think. We have 11 ideas to help you give your spine the special treatment it deserves.

Our spines are made for movement. Watch: Lumbar Spine Anatomy Video

Make exercise a daily ritual
Research has consistently shown that exercise is the key to maintaining a healthy spine, and it helps rehabilitate injured spines. Our spines are made for movement, and even a simple exercise program that focuses on stretching and strengthening the back, hamstring, and abdominals can go a long way toward distributing nutrients into the spinal discs and soft tissues, accelerating the healing process, and keeping the discs, muscles, ligaments, and joints healthy. For more information, visit our Exercise Health Center.

Believe in the mind body connection
Take time to engage in mindful-meditation every day. Studies have shown this to be an effective tool for fighting chronic back pain. While the mechanism of pain perception is still a fairly mysterious topic, being able to tap into the mind-body connection may help you cope with pain. See Mindful Meditation vs. Chronic Pain

Maintain good posture while sitting
The spine is naturally built to curve, but slouching in a chair for eight hours a day at work can lead to muscle tension and lower back pain, and leg pain (sciatica).

As the discs in the lumbar spine (lower back) are already loaded three times more while sitting than standing, why make things even more difficult? Be sure to have an ergonomically-friendly office chair setup and to get up and stretch every 30 minutes or so.

For more information on preventing bad posture from becoming a habit and incorporating the right posture while not only sitting but walking, driving, standing, and lifting, see these Guidelines to Improve Posture.

Choose shoes wisely
The benefits of walking for the spine are plentiful, including strengthening the muscles that keep the body upright, nourishing spinal structures with necessary nutrients, improving flexibility, and strengthening the bones.

While walking, it’s important to have a flexible, comfortable pair of shoes that also serves as a stable base for the spine to stay in alignment. Here are some Guidelines for Buying Walking Shoes

Relax with heat therapy
Naturally your neck and back may feel sore at the end of a long day. Applying heat therapy is a great way not only to soothe spinal discomfort but to kick back and relax prior to going to sleep.

Try heating pads, wraps, warm gel packs, hot water bottles, or a bath/shower to benefit from heat therapy. Learn How to Apply Heat Therapy

Sleep on a supportive mattress and pillow
In ideal circumstances, nearly a 1/3 of the day is spent sleeping, which also serves as a time for the spine to rest after a hard day’s work. Still, an insufficient mattress can make rest a stressful time on the spine, and lead to some patients complaining of a stiff neck or back ache in the morning.

While sleep comfort is a matter of personal preference, taking into consideration a mattress that allows for correct support and sleeping positions can go a long way towards avoiding pain in the back and neck (cervical spine). See Choosing the Best Mattress and Pillow Support and Comfort.

Choose your food wisely
Your diet can make or break your overall health, and it can have an especially big impact on your spine health. Try sticking mostly to whole foods-foods you would find in nature- like vegetables, fruits, dairy, meats, grains, and legumes. Eventually make it your goal to eliminate all processed foods, and to only indulge in unhealthy treats once or twice a week.

Focusing on foods that are high in calcium (for bone strength and mass) and other nutrients and vitamins can help prevent osteoporosis, osteoarthritis and other conditions in the future. Similarly, maintaining a proper weight can reduce pressure on the spine and minimize back pain. For more information, visit our health center on Nutrition, Diet and Weight Loss.

Go for a swim

swimmer

Water therapy is especially advantageous for the spine because of the support the water gives to bones and joints during exercise. Buoyancy provides both mild resistance and support, thus reducing the risk of injury or pain during certain exercises.

Cold water soothes joint inflammation, while hot water stimulates circulation for stiff muscles and healing for minor muscle sprains or strains. For more information, get immersed in the following Water Therapy Exercise Program.

Literally Treat Yourself to Massage Therapy
Studies show that massage therapy is a legitimate treatment for some back pain. Massages offer several benefits, including improving blood circulation for the recovery of sore muscles, restoring spinal range of motion, helping with insomnia, and upping endorphins – the body’s natural chemicals that make patients feel good. See Massage Therapy for Lower Back Pain.

Resolve to quit smoking
Quitting smoking reduces the likelihood of lower back pain, which is reportedly 300 percent more likely in smokers than non-smokers. Resolving to quit is difficult, but there are many products, support groups, and strategies that have worked for thousands of people.

According to one study, smoking leads to degenerative spinal disorders and back pain as a result of damaging the vascular structures of spinal discs and joints. See why quitting smoking is a must-do for the spine in the following video: Stop Smoking!

Lift Correctly

lifting boxes
Improperly lifting heavy items can put the lower back muscles in abnormal positions that can produce painful muscle strains, and even cause the spinal joints to lock and the spinal discs to rupture.

Correct lifting is more than involving the knees, and should incorporate keeping the chest forward and the weight close to the body, and leading with the hips rather than the shoulders. Do you practice the right lifting techniques?

With all these suggestions in mind, what better day than today to start getting active and making these changes!

 

BRO-Logo-colorBlue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions. For your convenience, both of our offices are equipped with in-office radiology departments. Not only does this facilitate rapid diagnosis but it is also convenient for patients who may be experiencing pain or disability at the time of their visit. To schedule an appointment with one of our board-certified and fellowship trained physicians, call our Warrenton  office at 540-347-9220 or our Gainesville office at 703-743-2814.

56 Things to Do While Recovering from Surgery

This weekend is looking to be stellar, weather-wise, and if you can get outside and enjoy it, please do! However, if you’re recovering from back surgery, getting around might be a bit tough, so here are 56 things to do to help you pass the time, courtesy of spine-health.com. Remember though, staying sedentary for too long can have negative effects on everyone, especially those recovering, so unless instructed by a doctor to stay in bed, please make sure to get up and move around a bit.

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Pure entertainment

  1. Discover new music from the Internet: Fill up your iPod from iTunes, or join Spotify and Pandora to discover thousands of new tunes.
  2. Search Spine-health.com for articles relating to your condition.
  1. Sharpen your thinking skills with online games from luminosity.com. You can sign up for the free version to see if you like it.
  2. Read a great classic: To Kill a Mocking Bird, A Catcher in the Rye, The Grapes of Wrath, The Old Man and the Sea, The Great Gatsby, The Call of the Wild, or War and Peace. Invest in a tablet reader such as a Nook, an eReader, or a Kindle to have instant access to almost any book in the world. If you have a smart phone or tablet, download the Kindle or iBooks app. Be sure to check Bookbub.com for free or discounted ebooks.
  3. Listen to books on CD or your iPod. Sometimes it’s easier to listen to a book than to read.
  4. Ask your kids to read to you.
  5. Play classic board games with your kids like Monopoly, Chess,Scrabble or Uno.
  6. Subscribe to Netflix, Amazon Videos, or Hulu to watch a season of a TV series that you had always wanted to see. Game of Thrones is an R-rated epic, Breaking Bad is intense and addicting, Chicago Fire is a drama with a fierce following. Or watch an older series, like 24Cheersor The Dick Van Dyke Show.
  7. Do crossword puzzles. Or try a numbers version of crosswords like Sudoku or kakuro puzzles. You can find free kakuro puzzles atKakuro.com and free Sodoku puzzles at Livewire Puzzles.
  8. Play the guitar (or learn to), or ask someone to play an instrument or sing for you.
  9. Watch old movies. These are great if you are feeling fuzzy from the pain medications . The classic old movies are slow-moving, so it’s easy to follow the plot. The library is a good source for free or very inexpensive rentals.
  10. Enjoy Xbox or Nintendo, Gameboy, Sony PSP, or any handheld electronic games. Try some of the new games on your smart phone or tablet. Download the Touch Arcade App to keep up to date with the hottest new games.
  11. Try Simon, a classic memory test game. It’s not too difficult, so it’s good if the pain medications are affecting your concentration. You can get a small version of it from Amazon.com.
  12. Get wrapped up in a long, complicated novel series. Here’s a great listto get you started.
  13. If you prefer, read the original magical book series, The Chronicles of Narnia by C.S. Lewis.
  14. Give yourself a manicure or a facial, or look through magazines to find a new hair style you’d like to try.
  15. Open up a Pinterest account and start pinning away. Pinterest allows you to create collections of your favorite ideas on different boards. VisitSpine-health’s boards while you’re at it.
  16. Read the entire New York Times – that will take at least a half a day!

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Emotional care

  1. Sit out on your deck or porch for awhile each day and get some fresh air and sunshine. The Vitamin D from the sun will help get your endorphins flowing.
  2. Get free therapy online and make friends with other people who are in similar situations on theSpine-health.com Discussion Forum: “…finding this site and spending time here was a great help during recuperation – both in regard to having something to do but also for learning and understanding about our surgeries and recovery, and also being able to help and assist others here – that’s why I am still active here 7 months after surgery.”
  3. Start a blog: an online diary that allows you to chronicle your recovery and automatically notifies your network of friends and family each time you update it. WordPress.com offers free blog sites.
  4. E-mail a loved one who is having difficulty empathizing with your condition and invite him or her to view the Message Board so they can see what you and others in your condition have to go through.
  5. Connect with an old friend with whom you’ve lost touch. Try sending a card or letter to him or her via old fashioned mail. Or find your friend on Facebook and reconnect.
  6. Learn to meditate and practice, practice, practice. Meditation is great for reducing stress and producing an overall feeling of calm and well-being, all of which contributes to healing.
  7. Start to plan your rehabilitation by visiting Spine-health’s wellnesssections. Pick out exercises you think you’d like to try, and spend time mapping out your exercise plan.

Productive time

  1. Take this time to put all those old pictures in an album, or to turn your digital prints into real photos. Consider learning how to scrapbook or create online photo albums of all your digital prints with Shutterfly.com, Snapfish.com, or any other online photo service.
  2. Research and plan ahead for your next vacation.
  3. Become an expert on a specific subject: rent documentaries, read books, and use Google Scholar to do free online research on a certain subject. Ancient Greece? Bird watching? History of golf? Research and learn all about whatever interests you.
  4. Sort out the pile of mail, bills, catalogs etc.,that has been piling up on kitchen counter since before your surgery.
  5. Put your financials online with Quickbooks or a similar financial management program.
  6. Make some gifts the old fashioned way. Knit or crochet a baby blanket for someone who’s expecting a baby soon, needlepoint something to decorate the baby’s nursery, or make advance holiday gifts.
  7. Learn the almost-lost art of lace making.
  8. Learn to write left handed (or right handed, if you’re a lefty) to exercise a new part of your brain.
  9. Inventory all the stuff you want to get rid of around the house and garage, and sell it on eBay or Craigslist.
  10. Get started on that novel you’ve always wanted to write.
  11. Make a Honey-do (or handyman) list for all those odd jobs that need to get done around the house.
  12. Help build the online encyclopedia Wikipedia by editing or starting any topic where you have expertise.
  13. Learn origami and create beautiful origami gift boxes or figures.
  1. Learn calligraphy and make your handwritten notes gorgeous! This is especially valuable if you have horrible handwriting like mine…
  2. Create a list of recipes that are easy to prepare that you can make once you’re up and around but still recovering. Keep track of them online with Pinterest.
  3. Learn a new language using Rosetta Stone. Many libraries carry the Rosetta Stone program. Or, learn sign language.
  4. Research the health professionals you plan to see once you are ready to leave your home:massage therapists, physical therapists, personal trainers, etc.
  1. Order personalized stationery or address stamps or stickers. Or, if you send out an annual card, get to work designing it and updating your address list.

Feeling better by doing good

  1. Every day write a short thank you (or love note) to the person who is caring for you and put it in the same place for them to find each day.
  2. Write thank you notes to everyone in the hospital who was helpful to you. Go on the hospital’s social media sites and comment on the positive experiences you had.
  3. Help a homeless animal find a home by sharing their stories and pictures from rescue groups on Facebook. Start here.
  4. Pray in your own way. Research new prayers and devotionals.
  5. Read online verses from the Bible about healing and related topics.
  6. E-mail thank you notes to all the websites you found especially helpful (hint, hint!)…it makes all the hard work worth it! Contact us.
  7. Anytime you reach out to help someone else in need, you will feel less lonely and less depressed. Volunteer with an organization that allows you to call and talk to people who are lonely, such as people in nursing homes or people confined to their house.
  1. If you don’t yet have a cause that you’re passionate about, research one online (start here) and make a plan to start donating your time and energy to something you care about once you can get around.
  2. Be an excellent host or hostess. Send out invitations to your friends and family, schedule visits, greet your visitors enthusiastically even when you’re in pain, and encourage them to talk about themselves and their lives. It will go a long way to help take your mind off your situation, and will make it a pleasant visit all around.

Getting mobile again

  1. If you can’t walk much yet, have someone drive you to Wal-Mart or Target and ride one of the scooters.
  2. Schedule appointments with the professionals you researched from #42. Put the appointments in your calendar, and mentally prepare for them.
  3. Just walk, walk, walk. Try to gradually work up to 10,000 steps a day.
  • See Exercise Walking for Better Back Health
  • Get comfortable shoes for walking that are easy to get on and off. Crocs are a favorite – they’re lightweight, slip on so you don’t have to bend over to get them on or off, and have some traction to help avoid slipping.
  • Walk on a treadmill and set a progressive goal (e.g. go for 2 minutes longer each day) that is OK’d by your doctor. Chart your progress each day so you have a visual confirmation of how far you’ve come!
  1. Sign up for a water therapy – it’s very gentle on your back, as the water supports you while you exercise and prevents any jarring motion.

Of course, check with your doctor first before doing any of the above. Many of these ideas do require a laptop and Internet access. If you don’t have a laptop, you can buy an inexpensive one (starting at $600) or try to borrow one from a friend or family member. Wireless Internet access is a good idea so you can access the Internet from your bed, a recliner, or wherever you’re most comfortable. Courtesy of spine-health.com.

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Blue Ridge Orthopaedic & Spine Center has on-site state-of-the-art technology to diagnosis and treat orthopaedic conditions.  For your convenience, both our Warrenton and Gainesville offices are equipped with in-office radiology departments.  Not only does this facilitate rapid diagnosis but it’s also convenient for patients who may be experiencing pain or disability at the time of their visit.

To schedule an appointment with one of our board-certified/ fellowship trained physicians, call our Warrenton office at 540.347.9220, or our
Gainesville office at 703.743.2814, or, click here to make an appointment.  Don’t forget to visit us at www.broava.com for a complete list of all comprehensive musculoskeletal services offered at Blue Ridge Orthopaedic & Spine Center.

What is Physical Therapy?

Blue-ridge-physical-therapy

 

Physical Therapy is “the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.”

At Blue Ridge Orthopaedic & Spine Center, our Physical, Occupational, and
Hand Therapy Team works exclusively in the treatment of orthopaedic conditions.

What Sets Us Apart from others?
Our therapists have more than a century of combined clinical experience developing and administering “evidence-based” treatments proven to obtain the most beneficial patient outcomes as backed by medical research. Each therapist practices in a specific area of orthopaedic expertise, and most have a master’s or doctoral degree supporting years of clinical work.

We work diligently to provide complete satisfaction to our patients, and our efforts show. We consistently rank above industry benchmarks on the nationally renowned Sullivan Luallin “Patient Satisfaction Survey,” and were named Warrenton’s “Best in Physical Therapy” for 2011, 2012 and 2013 by Warrenton Lifestyle Magazine readers.

Using evidence-based treatments, we work hard to restore full functionality. Created specifically to meet your orthopaedic needs, our facility includes:

Physical Therapy
Sports medicine, joint replacements, gait and balance training, and orthopaedic conditions of the shoulder, knee, hip, and ankle are treated in our Physical Therapy Gym.

Occupational & Hand Therapy
This program is designed for patients who have orthopaedic conditions of the hand or upper extremity, problems with fine motor skills, or the need for improvement in daily living activities.  Our Occupational and Hand Therapists are skilled in fabricating custom splints for the hand and upper extremities.

Spine Center
Spinal rehabilitation takes place in our state-of-the-art Spine Center.  This therapy focuses on improving spine strength and flexibility, body mechanics, ergonomics, weight management, and aerobic conditioning. Using the MedX Exercise System (www.MedXonline.com), we isolate and strengthen core muscles surrounding the spine. Research has shown the MedX Exercise System obtains the best patient outcomes based on objective measures not solely on subjective pain ratings. Other treatment modalities include: Manual Therapy Techniques, Orthotics, Traction, and Orthopaedic Bracing.

Orthotics
Using our in-house orthotics lab, we assess gait and foot mechanics to determine the best product for your condition. We’re one of the few providers in the region offering both customized and over-the-counter orthotics. Physical Therapist, Jennifer Wilkins, has over 20 years of experience treating foot and ankle conditions and has completed Phases I and II of When the Foot Hits the Ground continuing education courses

Orthopaedic Bracing
Whether recovering from surgery, preventing a sports injury, or just seeking more support, our therapists are there to help. The right brace with the right fit is critical in preventing further injury.We specialize in bracing of the spine, knee, ankle, elbow, wrist, and hand. Our Spine Brace System allows core muscles to work while supporting and protecting the spine, decreasing painful symptoms. With less pain, you feel better and can do more. We also provide knee braces designed for orthopaedic conditions such as ligament insufficiency, patella maltracking, or unloading an arthritic joint.

Aquatic Physical Therapy
Aquatic Physical Therapy uses water to facilitate healing and return of function.  Water buoyancy decreases the amount of weight borne by the joints and can be useful for patients with osteoarthritis, healing fractured bones, or obesity. Our staff provides this therapy through a cooperative arrangement with the Warrenton Aquatic and Recreation Facility.

Medical Nutrition Therapy
A key component of comprehensive healthcare, Medical Nutrition Therapy can improve the health and quality of life for those with a variety of conditions and illnesses. Making a few small changes in your diet now may make a world of difference in your medical future. We can help you in various areas such as weight management, understanding and controlling diabetes, or by providing a few general nutrition tips. Our Registered Dietitian is here to assist you in making healthy lifestyle choices. We provide this vital service by identifying your nutritional deficiencies and imbalances and customizing a nutritional program you can easily implement at home.

Massage Therapy
Massage therapy uses touch to manipulate soft tissues and bring relief to the body and mind. Benefits of massage therapy range from basic daily stress relief and head-to-toe relaxation to aiding in injury or surgery rehabilitation. Our Certified Massage Therapist specializes in Therapeutic, Sports, Swedish, Myofascial Release, & Deep Tissue Massage.

This short video can give you a glimpse into the Physical Therapy Center.
https://www.youtube.com/watch?v=_pQ2LQTDRPQ

At Blue Ridge Orthopaedic & Spine, we truly care about you and your health and getting you back to doing what you love to do. Call us to see how we can help you feel better today! 540.347.9220 or broava.com