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The spine is a bony column made up of the bony vertebral bodies and intervertebral discs. It protects the spinal cord and the nerves that connect to the muscles. The flexible spine allows us to move, but this also increases the risk of disc degeneration and arthritis which can eventually impact our ability to get around.

Spinal Disease

“The most common source of pain that can be simply treated without surgery” Spinal disease is part of the normal process of aging. In many people, it is painless, but in some individuals, it can result in severe debilitating pain. Starting around the mid-30s, the gel within the disc breaks down with age, which results…

Lumbar Spinal Stenosis

“A common source of leg pain after age 50 that can be simply treated without surgery” Lumbar spinal stenosis is a narrowing of the central spinal canal that is a  relatively rare condition. It presents with single or multiple radiculopathies. It can be due to arthritic degenerative changes or due to family history. Its prevalence can increase…

Spinal Compression Fractures

“A uncommon source of pain that can be very debilitating, yet in mild cases, can be treated without surgery” There are about 15,000 major thoracolumbar fractures per year resulting in 5,000  which result in significant neurological complications. Most occur between the T11  and L1 vertebral body levels. A burst fracture is most common. Falls are the…

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Dear Dr. Panagos,

Although I haven’t seen you in a while, I wanted to write you a thank you testimonial because my one visit at your office changed my life.

When I met you, you immediately heard me, you suggested based on my past medical history (already having seen a doctor and trying physical therapy etc) to have an MRI rather than waiting and making me come back and forth to the office as many other doctors would have tried.

You then gave me great advice – get a standing desk or you’ll be back for surgery. Your straight talk saved my life in so many ways. In fact,
I’ve provided your sage advice to many others that standing desks are beneficial especially for people with back pan (or not) or work at companies where long hours required.

During our visit, you spent time talking to me about the medical facts and my potential for being a candidate for surgery due to my pain from 3 herniated disks, but that it was not the only option. You offered eating tips some closely related to the Paleo Diet (cut out processed foods, eat more fruits, veges, and protein, avoid bread, gaseous foods in my case, limiting dairy, chocolate, common sense, etc) and other pain relief ideas. Believe it or not, I am one of those A type personalities that listened and tried it.

Soon after I bought a book called Paleo Diet, I adhered to it strictly for the first 30 days then modified as the author suggested, I lost 23 pounds in about 13 months without even trying. Then after many months, I started to resume modified yoga and tennis *sorry just can’t give it up*.

However, the biggest pain relief I had was time and the “standing desk.” Guess I was one of the lucky ones.

Thank you again for helping me and going beyond what was required to help my future and provide me the facts about the surgery, alternatives, and healthy choices. I appreciated your visit and sage advice until we may meet again.

Be well and please feel free to keep in touch.

I also concur with your thoughts that women take calcium and magnesium together, along with their Vitamin D’s.. etc..

All great things you managed to say in 1 doctor’s visit to me. It made me feel special.

You are a great doctor. I never knew there was a cure for “pain” and it was so much about food and managing timing (lots of time).

Elysa D.

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