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Disc Herniation Causes Hip Pain

Hip pain due to disc herniation


Disc herniation in the hip causes pain

Many adults complain of lower back pain as a common debilitating condition. It can be difficult to determine the source of lower back pain. The symptoms may overlap with those of hip pain. Sometimes, the problem is caused by a lumbar disc injury.

How can you tell the difference in pain from your hips and lumbar disc herniation? You can tell if you have a hip problem by persistent groin pain and stiffness. Also, discomfort radiating down to the legs and inner thighs is another sign. A herniated disc can cause low back pain, stabbing ache, and pain that radiates down to the buttocks and legs.

Is my hip pain and back pain related?

Hip pain can be combined with back pain. This can lead to lower back pain, groin and buttock pain, as well as knee pain. To describe people who experience pain in these areas, the term “hip-spine disorder” was created. It can be difficult to diagnose the cause of pain because pain can vary from one area to another.

A visit to your doctor, or specialist, can help you determine the source of your pain. A doctor might use advanced imaging techniques to aid them in diagnosing you after a thorough physical exam and review of your medical history.

Your hip pain and back pain may be related, according to some diagnostics. Your hip, spine or both can cause the pain. We’ll be discussing some of the most common spine conditions that can cause back and hip pain.

Pinched Nerve and Herniated Disc Can Cause Back and Hip Pain

The discs between the spine vertebrae can age and the outer layer of the disc may become weaker, allowing the material “leak” into their spinal canal. A herniated disc is a condition that affects patients with this condition. When the disc material presses on nerves that are protected by the spine, a herniated disc can cause pain. This pain can be felt in other parts of the body as well, since the spinal cord nerves are responsible for communicating with the brain.

Between the pelvis and the ribs is the lumbar region. These five major nerves, which originate from the spine in the lumbar region, are responsible for communicating with the brain, thighs, lower legs and ankles as well as the feet. These nerves also control the abdominal muscles. A herniated disc can cause shooting pains in the legs if pressure is placed on these nerves.

Spinal Stenosis for Hip Pain

In that nerve pressure causes pain, spinal stenosis can be similar to a herniated disc. The pressure in spinal stenosis is not caused by a herniated disc, but by narrowing the spinal canal. Cysts, bulging discs, and arthritis are all common causes of narrowing the canal.

Although spinal stenosis might have a different root cause than herniated disc, the symptoms can be very similar. Both can cause pressure on nerves, which can lead both to pain in your back, hips, and legs.

Arthritis and Hip Pain

Spinal osteoarthritis (also known as degenerative arthritis of spine) is a condition that affects the bones. Osteoarthritis refers to a condition where the cartilage covering the joints begins to degenerate or break down. This material can wear down and cause bone spurs and inflammation.

Spinal osteoarthritis refers to a condition where the cartilage and discs of the lower spine become degenerate and no longer serve their purpose of providing cushioning for the joints. The degeneration of the joints and the increased pressure on them can cause inflammation, pain, and pressure on the lumbar nerves.

What is the difference between pain caused by hip joint and herniated disc?

If you examine the lower back anatomy you will see that the lumbar spine and hip are directly linked. It’s common for your hip movement and function to become abnormal or uncomfortable if there is damage to the lumbar spine. Apart from trauma, pain in the lower back and hips can also be caused by natural degeneration of the spinal structures and joints. Many degenerative changes can occur in the spine, and disc herniation is one of them.

Signs that your pain is caused by a herniated disc

The lower back is made up of several bones, which are stacked over each other and protected with spinal discs. The intervertebral disc is composed of an outer cartilage (annulus fibrusus) and an inside nucleus (nucleus piscosus). This cushions and absorbs shock to protect the spinal cord from any pressure.

As you get older, disc material can become degraded and herniate or bulge into your spinal canal. A herniated disc or bulging disc can cause irritation or compression to the nerves of the spine column. This can cause herniated disc pain, which feels like:

  • A sharp or burning sensation radiating from the buttocks to your legs and feet.
  • The affected spinal nerve can cause weakness or numbness in the affected muscles
  • Mobility and flexibility are affected by pain
  • You can feel more pain if you are standing, sitting, or walking.
  • Hip Joint Pain

Other conditions that may cause hip and low back pain

Other than a herniated disc or slipped disc there are many other spinal conditions that can cause pain in the lower back and hips. These conditions can be caused by injuries, accidents, and natural aging.

Spinal Stenosis

The narrowing of the spinal canal can cause nerve damage. This disorder can be caused by a number of factors, including a bone spur or herniated disc, as well as spinal fracture. Congenital spinal stenosis is a condition in which the spinal canal is smaller than normal.

Pinched Nerve

A disc can herniate, which can cause excess pressure to the surrounding spine structures. This can lead to a pinched nerve. This can lead to low back pain, muscle spasms and numbness.

Sciatica

This condition affects the sciatic nerve, which runs from the lower back to the hips, buttocks and legs. This happens most often when a herniated disc presses on the sciatic root. It causes muscle weakness, low back pain, and leg pain. Sciatic nerve pain may also be felt in the legs and calves.

Degenerative disc Disease

A spinal disorder is when one or more discs begin to fail and cause lower back pain. This condition is usually a result of aging and is most commonly diagnosed in older people.

Piriformis Syndrome

The piriformis muscle at the top of your hip joint causes irritation to the sciatic nerve. It can cause pain on one side of your body, which can impact your movement and activities. Referred pain can also be felt on the legs, buttocks and thighs.

How does pain from hip joints feel?

The hips are located close to the lower back structures but it is not necessarily part of the spine. It’s composed of its own components. The hip joint is made up of the pelvic bones and muscles, as well as articular cartilage and ligaments.

Hip pain can be characterized by discomfort in the groin, which can then spread to the front of your legs and thighs. Referred knee pain can also occur, which can make it more difficult to move. Hip pain can also restrict hip movement, making it difficult to walk normally.

Hip Pain: Common Causes

Although a lumbar herniated disc can cause pain in the hip joint, it is not the only reason. Other conditions can cause pain in the hips, such as:

Osteoarthritis

This is a type of arthritis where the cartilages in your joints naturally start to deteriorate. This condition is most common in the hips and knees. It causes symptoms such as hip pain, stiffness, persistent swelling, reduced range of motion, and joint stiffness.

Hip dysplasia

This is a hip anomaly that results in one of the sockets on the pelvis not fitting and attaching properly to the thigh bone. This can lead to joint instability, which can cause frequent hip and groin pains and even limping.

Sacroiliac joint dysfunction

The sacroiliac (or SI) joint connects your pelvis and lower spine. However, if this joint is injured or inflamed, it can cause low back, hip, and leg pain.

How doctors can identify the source of your pain

There are many causes for chronic pain in the lower body and spine. A doctor is the best way to find out what they are. To diagnose your condition accurately, they will likely conduct a series of medical and physical exams. They may also perform the following tests:

  • X-rays can be used to detect problems in the hip joints, tissues or ligaments.
  • Magnetic resonance imaging (MRI), a medical exam that uses radio waves and a magnet field to create visual images of the spine and hip structures. This test will help your doctor determine if there is a hip injury or a herniated disc in the lumbar.
  • Computed Tomography (CT scan). This type of X-Ray test creates detailed images that show the spinal column and other structures. This scan can be used to determine if there is a hip fracture, or damage to the spinal discs.
  • Myelogram. A myelogram is a way for your doctor to further evaluate your spine. The contrast dye is injected to show whether there is pressure on the spine or nerves.

Common Treatment Options for Hip or Herniated Disc pain

It can be difficult to live with pain in the hips or herniated discs. There are some conservative treatments that can provide pain relief and help prevent symptoms from getting worse. These are some of the possible treatments that your doctor might recommend to you:

  • You can also take medication if your symptoms aren’t severe. These medications can reduce inflammation and pain, as well as release tension from muscle strains or sprains.
  • Steroid injections: An epidural steroid injection can be used to treat swollen hip joints, bulging discs and other symptoms. The effects of the injections can last for up to six months.
  • Physical therapy: You’ll be able to perform movements and exercises that will help you restore mobility and function in your affected joints. This can help reduce the severity of hip pain and herniated disc symptoms.
  • Surgery: While not all patients require surgery, it is possible to perform the procedure on those with worsening hip pain or herniated discs. A doctor might perform surgery to fix or remove the herniated disc. A hip or artificial disc replacement may be performed.
The hip is the usual suspect

Hip problems can cause groin pain. Because the hip joint is located near the spine, this can cause groin pain.

“Groin pain can be a hip problem until it is proven otherwise.”

“Pain above your beltline is not hip.”

Osteoarthritis of your hip joint is the most common cause for hip pain. If you have the following symptoms, hip arthritis may be present:

  • The pain is in your groin.
  • As we age, discomfort can become more frequent.
  • Standing, walking, and other activities can make pain worse. Resting is the best way to relieve it.
  • It feels stiff.
  • Walking with a limp is normal.

Avascular necrosis (or AVN) is a serious condition that causes the death of the hip bone at the joint. The pain is often worse than osteoarthritis and more frequent. “People come to see me and say that their hips are killing them.”

The spine is most likely to be the culprit

A herniated disc presses on the nerves of the spine column, causing most lower spine problems. Sciatica is a pain that can be felt in the hip. If you feel pain, it could be caused by a herniated disc.

  • It is limited to your hip, back, and buttocks.
  • Shoot down your leg.
  • It is more common to have problems with sitting and bending.
  • Increases standing and walking ability

Night sweats, a history or cancer, or pain that doesn’t go away by sleeping (“night pain”), consult your doctor. It could be more serious.

These are the first steps to relieve your hip pain:

  • Talk to your primary care physician. To determine if your hip pain subsides, your primary care doctor will likely recommend nonsteroidal anti-inflammatory drug (NSAIDs).
  • Lose weight. It is crucial to lose weight to relieve hip pain. “Losing weight can often reduce symptoms to the point that surgery is not required.” “It will also increase your chances of a successful outcome if surgery becomes necessary.”

These are the best ways to treat back pain:

  • Keep active and see your primary care doctor. Most likely, he or she will prescribe NSAIDs for up to two weeks. Keep active. “Activity should not be stopped. “Prolonged bed rest for more than 24 hours is not a good idea.”
  • If you are still in pain after two weeks, schedule physical therapy. If you are still experiencing pain after two weeks, a physical therapy professional can help you with exercises to strengthen your spine and back.
  • Stop smoking and lose weight. Your spine will be relieved if you maintain your ideal weight. Tobacco products should be avoided. “Nicotine inhibits microcirculation so your spine will develop at a quicker rate.”
  • A hip or spine specialist can help you pinpoint the cause of your pain if it is not easy to identify. The specialist may order an injection of lidocaine, or they may perform diagnostic/therapeutic hip injection under fluoroscopy or ultrasound.

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Kevin Pauza, M.D.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Travis Foxx, M.D. - Premier Anesthesiology & Pain

Kevin Pauza, M.D. - Turtle Creek Surgery Center

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

After helping hundreds of patients who failed to experience relief after spine surgery, it became evident to Dr. Pauza that current methods needed to change. This motivated him to seek better ways to help patients, by thinking outside the box.

Dr. Pauza is the first physician in history to pursue FDA approval for using biologics to treat the spine. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Brandon Tolman, D.O. - Nashville Spine Institute

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

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Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Mark Reecer, M.D. - Fort Wayne Physical Medicine

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Dmitry Buyanov, M.D. - IV Infusion Treatment Center

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Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

Haley Burke, M.D. - Mile High Sports and Rehab

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

Yasuyuki Nonaka, M.D. - Nonaka Lumbago Clinic

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Matthias H. Wiederholz, M.D. - Performance Pain and Sports Medicine

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

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Michael Wolff, M.D. - Southwest Spine & Sports