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How to save your life with better nutrition.

Cure more than your need to eat with smarter choices and a leaner lifestyle that supports your SPINE HEALTH.   We’ve heard the old saying, “You are what you eat.” It’s a truer statement than you may realize.   Our bodies are an active chemical laboratory that continuously converts input…
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Four Lifestyle Secrets for the Stress of Aging

People who are proactive about their health, pay attention to their spine health.   The good news is that we’re living longer. The problem is that we don’t know how to live longer. Thanks to that added lifespan, we’re so productive and so busy. But many of us can’t be…
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Preventative Medicine that will help you Age Better!

Medicine and a steady dose of common sense can keep us moving and functional with the highest quality of life possible.   At this moment, I’m thinking about all the wonderful things that medicine can do to stop infections, enhance healing, and keep us active. In nearly every medical field…
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Coping with the Pain in Your Neck

A 5-point self-directed management plan that may save your neck from surgery.   As a physician, I spend a lot of time discussing symptoms with my patients. For instance, persistent, chronic pain in the neck accompanied by numbness or tingling in the arms and hands may indicate a ruptured cervical…
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The Heresy of Preventative Medicine

When we search for disease before it occurs, we have more options for cures and solutions.   As a clinical researcher, I am advancing surgical methodology and technology for artificial disc replacement surgery. This one medical development not only brings a cure to patients suffering from chronic neck and back…
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How to Live Long and Keep Moving

Hint: “Taking it easy” is really the last thing we want to do. Consider that we are living much longer than previous generations. Our current average life expectancy hovers around 85 to 90 years. Some datapoints push expectancy beyond to even 100 years. What happens if, as a society, we…
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Are you recovering from a spinal surgical procedure?

Your role in your recovery, on the path to being “greater than better.”   I congratulate you on reading this article because it means you’re taking your post-operative recovery from spinal surgery seriously. In my experience, patients who end up with the best outcomes are often the ones who spend…
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TIME: The most important aspect of the doctor-patient relationship.

Patients get better care when physicians spend more TIME learning about their condition. Of the many subject matter associated with medical care, the doctor-patient relationship has gotten a great deal of attention. Research in this area saw a considerable increase in the late 1980s, covering every aspect of care concepts…
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What are bone spurs and why do they grow?

A bone spur is a nob of calcium that can grow along the edges of bones such as the vertebrae of the spine. The clinical name for them is osteophytes, or exostoses, both of which mean “bony projection.” The most common location where we find bone spurs is where bones…
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Sad inheritance: back and neck pain

If it runs in your family, that’s nature’s sign that you need to pay attention.   You can’t stop degenerative disc disease, especially if it runs in your family. I’ve seen patients as young as their teens who eventually need surgery. But I also see patients who are well into…
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Artificial Disc Replacement: Faster recovery times and fewer complications.

And the procedure is now covered by most healthcare insurance. I see all kinds of patients every day with all types of pain and conditions. An athlete (age 44), had been managing degenerating lumbar discs with conservative treatment at my office for about a year. Last week, she came home…
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How artificial disc replacement keeps golfers in the game.

Modern ADR technology and medical methodology can solve back and neck pain without ruining your swing. You can tell who the passionate golfers are – the people who take the game seriously. Just about anyone with a minimal amount of training can look great stepping up to the ball. But…
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The link between weight and spinal disorders.

Back and neck pain can be controlled with lower body weight and more active lifestyles. There's a specific link between your body weight and the pain that you can experience in your neck and back. Think about what is going on structurally with your body: all those bones and muscles.…
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Love tennis, but dealing with persistent pain after every set?

Pay attention to the pain, but don’t let fear drive you off the court. If you play a lot of tennis, just like any athlete, you are at risk for chronic back pain. And there’s always a statistic for something like this: 85% of tennis players say that they experience…
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How FDA Studies can help you with back and neck pain.

It takes more than study and perfection to make motion preservation better for all patients.   At least one of the reasons I work hard as a physician in the field of spinal disorders and motion preservation surgeries is because of my personal experience as a patient. I’ve had eight…
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Why am I “pro-motion”?

Only artificial disc replacement offers the promise of preservation of the natural range of motion of the spine. Imagine what your spine does. It’s a marvelous system that flexes, twists, stretches, and bends all the while protecting and projecting the spinal cord down the middle of your back. That incredible…
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Looking Back or Reaching Forward?

My personal perspective as a patient and a neurosurgeon: 15 years and eight back and neck surgeries later.   A patient told me how she found me. She had already received several recommendations for her chronic neck pain. But she couldn’t decide which she was more afraid of surgery or…
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Why we need the Second Opinion

Sometimes the only remedy for bad medical advice is by asking another practitioner for another opinion.   A patient of mine is an avid cross-country cyclist. After 10 years and thousands of miles of road, he started experiencing pain in his neck that would not go away. He also noticed…
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Manage Aging and Spinal Pain?

The instant corollary for back and neck pain is aging. So why not manage both?   While my surgical specialty is treating spinal disorders, I added aging management medicine for the sake of benefitting many of my patients who need help in both areas. From the perspective of my regular…
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Three signs that you may need back or neck surgery.

Learn how to tell the difference when it’s a bit more than just a little back or neck ache.   After a long day, everyone is susceptible to a little back or neck ache. What if the pain doesn’t go away? What if it grows worse? What then?   The…
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Artificial Disc Replacement (ADR): how do they work.

Artificial disc replacement surgery is a medical procedure where a surgeon removes a herniated spinal disc and replaces it with an implant device.   Between every pair of vertebrae (bones in your spine) is a semi-flexible spinal disc that can be damaged or degenerate. Your surgeon may recommend surgery when…
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When to ask for a Second Opinion

Why wonder? Be bold and ask.   To answer the question - when should you seek a second opinion - any time you feel the need. We ask for second opinions when our cars need major work. Don't we look for second opinions about vacations we want to take or…
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A Millennials’ Guide For Preventing Neck or Back Surgery: Confronting a ‘new age’ of bad tech habits and stress with three old good habits: posture, exercise, eating well.

Anyone born within five or six years either side of January 1, 2000, is a certified member of the generation we call the “millennials.” How this particular generation is dealing with the stresses of their emergence into adulthood is not so dissimilar to my generation of “boomers.”   We had…
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The Durable Artificial Disc: Its durability and adaptability is one of the biggest reasons that ADR is the cornerstone of Restorative Motion Surgery.

When you think of other surgically implanted appliances and devices, obviously, you must consider its durability. Once implanted, how long will it last? When will the patient require corrective or “revision” surgery?   Among all surgically implanted devices, artificial discs have one of the most extended duration cycles—more than 70…
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Artificial Disc Replacement Surgery IS Settled Medicine

50 years of research and development makes ADR not just an option, it’s a remedy. It’s hard to overlook the fantastic scientific and technological developments we have witnessed in the last 50 to 60 years. Especially for anyone born on THIS side of the 1950s. I’m not just talking about…
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The Self-Imposed Cycle of Pain

Feeling “better” is easy. Being “greater than better” takes a little effort.   I have a slogan that I use in my practice: Be greater than better. However, it’s more than just some nice sounding words.   It’s a statement—a positive future vision for people dealing with long-term chronic pain…
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Tackling the Cycle of Pain, and Winning

Living longer doesn’t mean surrendering to chronic neck and back pain. No big news: pain comes with aging. You may not be aware, however, how pain may lead us into a cycle that creates conditions for more injury and additional discomfort.   When we feel pain, we want to back…
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The 4 Dimensions of Healthcare: How physicians can be more effective by paying more attention to TIME.

You may hear physicians talk about “standard medical treatments.” At least some standardization is essential, especially when dealing with variables in human healthcare and treatment options. When these standards are treated as guidelines, good physicians use them to help organize information for patients and show them when a deviation is…
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Restorative motion surgery: bringing back motion where fusion has taken it away. Replacing cervical fusions with artificial discs.

More and more cervical fusion patients are reconsidering their treatment and questioning whether they really had to sacrifice their natural range of movement and flexibility for relief from chronic neck pain. As I see these patients come into my office, I wonder about the medical community that continues to rely…
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What is spinal fusion surgery?

Spinal fusion surgery is a procedure where at least two vertebrae segments are permanently joined together with a highly-developed system of titanium screws, rods, and plates. A bone or synthetic graft is used to stabilize the vertebrae as one bone.   The main purpose of spinal fusion surgery is to…
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Restorative Motion Surgery for Patients of past Cervical Fusion Surgery: Reversing fusions and restoring full natural flexibility of the spine with artificial disc replacement surgery.

Historically, when we had problems with the spine that couldn’t be solved with physical therapy or pain management, we turned to fusion surgery. Fusion literally fuses together the very bones that allow us to bend and flex our bodies. As a result, fusion is the end of flexibility and range…
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Back and Neck Pain: The consequences of bad posture, bad technology habits. To protect your spine, the best lessons come from Mom.

As much as you may wince to admit it, your mom was right about your bad posture.   Many of us will eventually develop a little chronic pain somewhere in the body, but more than likely it’ll be your neck or in your lower back. Sometimes both. If your pain…
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Artificial Disc Replacement as a Revision Procedure: Avid basketball player asks if he is a candidate for cervical (neck) artificial disc replacement. Todd Lanman, MD explains.

“I’ve read a lot about artificial disc replacement as a first surgical treatment option to restore and help maintain neck movement. However, my cervical spine surgery was a fusion procedure, and now, years after what was a successful surgery, I’m in pain. I’m an avid basketball player, in relatively good…
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4D Health: Four dimensions of care for chronic back and neck pain. Decoding: Discussion, Diagnosis, Action, and Time

Patients who need to see a doctor, want to “get better.” In my case, if a patient is suffering chronic pain in their neck or back, they probably want to see a neurosurgeon who specializes in treating disorders of the spine. For them, healing and being “better” means that they…
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Los Angeles spine surgeon Todd H Lanman earns ‘Leader in Health Care’ title

Prominent spinal neurosurgeon Todd H Lanman (Lanman Spinal Neurosurgery, Los Angeles, USA) has been honored by the Los Angeles Business Journal as one of its 2018 ‘Leaders in Health Care,’ taking home the prestigious award at the 2018 Health Care Leadership Forum & Awards.   Lanman and his practice earned the distinguished…
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Inside the Transition Zone where we spend TIME discovering.

This is where back and neck pain is the most important thing on my mind.   There's an old joke about a patient who says, "Hey doc, it hurts when I do this." Without even bothering to look up, the doctor replies, "Then don't do that." Of course, this cynical…
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Spine Health in the Transition Zone: Preserving motion should be your most important goal.

Why let pain drive you to desperate solutions that ultimately places you into the “fusion box”?   Konrad Bright lives an active life on the North Shore of Oahu, Hawaii. He’s been surfing all his life and is training in the martial arts. But one day, something went wrong. While…
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Live in the transition zone and preserve motion

All around the web, you’ll find information about how surgeons can fix your neck or back pain with minimally invasive techniques. Some procedures are performed on an outpatient basis. You can literally be cured of a chronic spine disorder and be out of the office in a matter of hours…
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A Full and Fulfilling Life – without the Fear

How to keep your freedom of movement AND solve your chronic neck and back pain. Pain is a natural part of life, but especially as we age. Now that we are living longer and, as we age, we tend to want to stay active as long as possible, pain is…
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Exercises and lifestyle choices to avoid back and neck surgery

There are several exercises that you can do to help you avoid back and neck surgery. But there are also important lifestyle choices that I recommend you consider. Exercises and lifestyle choices are always essential elements in everything we do. I’ve been a spinal neurosurgeon for over 20 years at…
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Failed Back Surgery Syndrome (FBSS): How a good doctor and patient relationship can avoid a syndrome.

A friend of mine who keeps track of all things Internet told me this statistic which I thought was pretty significant. About 85% of Americans use the web to investigate the status of their health.  I have said before that I applaud this trend, and I hope it only grows…
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Failed Back Surgery Syndrome (FBSS): Why patients should question this “diagnosis.”

Failed Back Surgery Syndrome – otherwise known as FBSS – is not a real diagnosis. While I’ve met patients that have been given this “diagnosis” by other physicians and appreciate their genuine pain, the cause of the condition is too broadly defined.   When I went to medical school, one…
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What is Failed back surgery syndrome?

Failed back surgery syndrome is a condition associated post-operatively with back surgeries. It is a diagnosis given to patients who have continued pain after back surgery. Also known as failed back syndrome on the web, it is typically associated with chronic and persistent pain at or near the surgery location.…
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How long will it take to recover from back surgery?

Recovery from the four principal types of back surgery - laminectomy, discectomy, spinal fusion, and artificial disc replacement – will vary because each surgical procedure affects the body in different ways. Recovery from these surgical procedures also depends significantly on the extent of damage from spinal conditions such as degenerative…
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What are the different types of back surgery?

  Laminectomy, discectomy, spinal fusion, and artificial disc replacement are the four principal types of back surgery to treat conditions such as degenerative disc disease, spinal stenosis, spondylolisthesis, and other disorders of the spine.     Laminectomy   Laminectomy is often recommended for patients suffering from spinal stenosis, or a…
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Why is Artificial Disc Replacement surgery better than Spinal Fusion?

  Only artificial disc replacement offers the promise of preservation of the natural range of motion of the spine. Fusion, by its very nature, cannot do this. Artificial discs replace damaged discs, thus allowing the vertebrae to function as close to normal as possible. Fusion requires that at least two…
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What is spinal surgery?

Spinal surgery is a class of surgical procedures that are used to treat patients with spine conditions such as degenerative disc disease, isthmic spondylolisthesis, degenerative spondylolisthesis, and other disorders of the spine.   There are four principle types of spinal surgery: laminectomy, discectomy, spinal fusion, and artificial disc replacement. The…
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Doctor’s Journey: Recovery

As a patient going through recovery, I realized the importance of having a PLAN. There are some things that doctors just can't learn in medical school. Bedside manner is one of them. You can only learn how to talk to patients through the experience of treating them. But what is…
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Doctor’s Journey: Postoperative Healing

Lessons I learned as a patient going through postoperative recovery from back surgery.   Many of my patients take some comfort in knowing that, as their surgeon, I have also undergone the very procedures I prescribe for them. From the patient's point of view, it makes total sense. Having been…
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Doctor’s Journey: The Ultimate Patient Experience

What being my own patient taught me about treating back and neck pain.    When I was in high school, I was a swimmer. I enjoyed working out in the pools and in the master swim programs, I loved the competition, the team experience, and the workout. To augment my…
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Don’t Settle for a Life with Pain

Artificial Disc Replacement can help us reach for the highest quality life possible – no matter how old we are.   As we age, we develop pain. It’s a natural process of aging, but also life. Add the fact that we are living longer (much longer than our parent’s generation)…
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Artificial Disc Replacement as an Alternative for Failed Spinal Fusion

Revision strategies for patients with prior cervical fusion   Spinal fusion has a long history. The procedure itself was developed over time from the early 1900s as a means of limiting spinal deformity caused by infections of tuberculosis. It was actually a coincidence that surgeons later realized that the procedure…
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Artificial Disc Replacement Revisions for Patients with Prior Neck Fusions

Changing the course of patient outcomes with Artificial Disc Replacement surgery.   One of my patients is an avid golfer who had three disks in her neck fused. It had been several years since her last surgery, and she was developing new pain in her neck. Not only were the…
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Review Your Treatment Options for Neck and Back Pain.

Know the facts: Spinal Fusion versus Artificial Disc Replacement?   A neurosurgeon has already diagnosed you with degenerative disc disease resulting from a "slipped" or a herniated (ruptured) disc. You don't remember how you got your injury - it could have started from any impact you received 20 years ago…
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Artificial Disc Replacement: Why it’s better.

ADR is no longer an alternative; it's the clearly the solution.   I see a lot of patients from all walks of life. Some of them are actors and professional athletes; some are business executives and entrepreneurs; most are average people of all ages that have neck and back pain…
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Are you a victim of “Text Neck”?

At least now you have better surgical choices when you need corrective surgery.   Prepare for shocking headlines: habitual cell phone use can lead to a higher risk of spinal damage that may increase your chances for surgery later in life. Do you think I'm overly dramatic?   Think of…
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Artificial Disc Replacement is more than just another surgical procedure.

Finally, we can say that there is a viable alternative for spinal fusion.   When it comes to neck and back pain, it is often a cause and effect' process: one thing always leads to another. “Discs" are semi-soft complex structures that cushion the individual bones (vertebra) of the spine.…
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Artificial Disc Replacement Surgery

Why ADR is a “page-turning” medical development that ALL patients should know about. I see patients, every day, who are broken by excruciating, often debilitating pain. I'm kept very busy by a nearly non-stop schedule at my private practice in Beverly Hills and in my work as an associate surgeon…
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4D Health Process: DISEASE SCREENING

How “asymptomatic” disease screening is the best medicine you can take.   When we think of modern medical innovations, it’s easy to think of “Eureka moments” that not only conquers disease but also increases our quality of life. The microscope allowed us to see bacteria for the first time. Penicillin…
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4D Health Process: CHEMICAL BALANCE

How you can get your balance back with supplements and hormones.   When you think of the word “wellness,” do you think “fitness”? “Nutrition”? “Disease screening”? How about, “chemical balance”?   Of all the ‘dimensions’ in the 4D Health Process, chemical balance is the one that’s the hardest to understand,…
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4D Health Process: FITNESS

Want a healthier spine? Work on your musculoskeletal system and EXERCISE!     We should think of the human body as a collection of systems: groups of organs and tissues working together to help the entire body function. I’m particularly familiar with the musculoskeletal system. This one is a little…
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Don’t just sit there! MOVE!

Relieve common causes of back and neck pain. NINE easy exercise routines that you can do anywhere – even while sitting.   Exercise should be as much a way of life as eating and drinking. Exercise will make you stronger, more energetic, and more alert. I have seen clear evidence…
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4D Health Process: NUTRITION

The simple long-term solution for neck and back pain – is a lot simpler than you think! As a neurosurgeon at my practice in Beverly Hills and an associate surgeon at Cedar-Sinai Medical Center in Los Angeles, I specialize in treating patients who suffer from back and neck injuries and…
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Sitting Around and Waiting for Trouble

Sitting around too much puts you at risk for back and neck pain.     Sitting down and resting your weary bones feels wonderful. Sitting for brief periods of time is natural and necessary. You're probably doing it now, at your desk, whether you are having a quick snack or…
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Spine Health: Can bad posture injure your spine?

How have habitual hunching and slouching increased your chances of a herniated disc?   As it turns out, we have learned good health lessons from some of the oldest aphorisms. Science has confirmed that eating an apple a day really does have some excellent health benefits. Who can argue that…
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Consequences of Living Longer

A “4D” approach: Be Greater than Better   The good news is that we’re all living longer. The bad news is that most adults don’t know how to live longer.   Advancements in medical technology is largely responsible for longer lifespans – we can cure more, heal faster, and even…
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Recovering from a Spinal Surgical Procedure?

Your recovery is a partnership to grow strength and preserve movement.   “A stitch in time saves nine.”   That’s what my grandmother used to say. You can take that to mean that acting promptly in the short term saves effort in the long run. You can also apply it…
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Cyclists Neck: Persistent Pain After a Ride?

Love the sport, but pay attention to the details and save yourself from injury. I mentioned a friend of mine in an earlier post who is an avid cyclist. When we met, he had just walked off his fourth ‘century’ ride – a hundred miles on a bicycle. I have…
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Diets that Help with Post-Operative Healing

Foods that can Help You heal after Back Surgery “We are what we eat,” as my good friend and colleague Dr. Philip Goglia says. Philip is a certified nutritionist. He has more than 30 years of experience – helping and healing through nutrition.   The fact is, he has helped…
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No Quick Answers for Back and Neck Pain

It’s time to take time and get to know your options.    Some people are in such a hurry that they want simple answers for everything. When it concerns the pain in your neck or back, it’s time to take time and really get to know your options.   The…
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An Overview of Common Spinal Surgical Procedures

A general guide for online researchers.   These descriptions are based on frequently asked questions from my patients. I give these summaries to help patients understand the procedures I am prescribing. Use these descriptions as a guide for your own path back to wellness. Remember that the term “cervical” refers…
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No Diets – Just Lean Living

Tips for Lean Living, Foods that Help You Burn Fat, Not Muscle   I’m always talking up the importance of spine health. But there’s also the whole body health that goes hand in hand with everything else. My good friend Dr. Philip Goglia - a certified nutritionist for more than…
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Is Disc Replacement Surgery Right For You?

Who is the ideal candidate for anterior cervical disk replacement surgery?   More than ten years ago, when I was a clinical investigator in the early medical trials for artificial replacement discs, the FDA approved the first set of rules for physicians on the selection criteria for patients. To be…
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Artificial Disc Replacement versus Spinal Fusion

Which spinal surgical procedure is right for you? The big difference between artificial disc replacement surgery and spinal fusion surgery is dependent on the severity of the case I’m treating. Either procedure may apply for cervical, or lumbar regions of your back (neck, lower back, respectively).   Keep in mind…
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The Benefits of Being Proactive About Your Spine

"Sooner than later" increases your treatment options for your herniated disc. Have you developed chronic and persistent pain somewhere along your spine - maybe your neck or between the lower portion of your ribs and your hips? Are you in your 30s or 40s or later? It's possible that you…
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An Apple A Day

The surprising health benefits of Apple Cider Vinegar.   I heard it from every adult in my youth: An apple a day keeps the doctor away. To be honest, I still keep that rule. Not because I believe that apples will actually prevent disease (which they won’t), but because I…
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Use Your Food

Nutrition is the key to curing more than your need to eat. Maybe you've heard the locker room mantra: Train hard or go home. Anyone who has ever dedicated themself to a serious workout plan knows that this is true. There's nothing gained from a half-hearted plan. You might as…
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Not Your First and Only Option

Back pain? Neck pain? What are your options? A friend of mine is an avid cyclist. When I met him, he had just turned 55 and just completed his fourth ‘century’ (100 miles) ride. He came to me experiencing numbness in his right arm and fingers and persistent but manageable…
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The Pain in Your Neck

Are you at risk as a potential disc replacement patient?   If you are experiencing persistent, chronic pain in your neck, you could be exhibiting symptoms of a ruptured cervical disc (see a doctor for a diagnosis). How did it happen? Was it the result of a direct injury like…
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A Doctor’s Journey

What has happened to me in my journey to 4D Health.  My journey began like many of my patients. One day, I developed chronic pain in my lower back that steadily grew worse over the years. I tried to cope with the pain the way we all do, but nothing…
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Aging Management as a Choice

Examining the “4D Health” process as an alternative for a sedentary life. I knew a couple who lived in the Thousand Oaks area. When I met them, they were entering their 70s and had been happily married nearly 50 years. Both of them had long-term health problems: including arthritis and…
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Movement is Life

How "Take it Easy" is really the last thing we should do.   As my grandparents got older, they were constantly encouraged to "take it easy." And so they did. They became sedentary, spending more time sitting around playing cards and sipping drinks on the porch. As time passed, they grew…
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Be Greater than Better

How the Fourth Dimension of Health Does More than Make You Better As a neurosurgeon, I specialize in spinal surgery. But my work is more than surgery. My work begins with assessing what I call the fourth dimension of health. As we live longer, we want to be more active…
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Patients maintain clinical benefits 7 years after two-level cervical disc replacement

CHICAGO — At the American Association of Neurological Surgeons Annual Meeting, Todd H. Lanman, MD, FAANS, spoke about the long-term results of a prospective, randomized, controlled multicenter FDA-approved clinical trial of the Prestige LP Cervical Disc (Medtronic) implanted at two adjacent levels. The low-profile titanium ceramic composite-based artificial cervical disc…
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AGING MANAGEMENT – WHAT WE CONSIDER

Bone health: Bone health can be improved using vitamin D at least 2000 international units a day with calcium with a minimum of 1200 mg a day. I often recommend particularly the patients in Southern California to markedly increase their vitamin D. These supplements are highly in medical grade and…
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DR. LANMAN’S PERSONAL JOURNEY

All the areas of the recommendations that I have designed in the treatment of my spine patients were derived from my own personal experience having undergone four spine surgeries over the last 11 years. I am fully functional, I am able to ski, swim, surf, hike, and be fully active…
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THE EFFECTS OF BAD ADVICE

I see many patients who have been given what I consider to be bad advice. These are the patients who have been told wait until your back is so bad that you have to crawl into the doctor to get your back surgery. This was the advice given to patients…
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