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Herniated Disc Caused By Deadlifting

Herniated Disc Caused By Deadlifting

Weightlifters understand back pain well. Weightlifters should avoid strains and pain by using a variety of techniques, including foam rolling and altered positions. If you lift weights often, there are no guarantees that your neck or back will be protected 100%. Even powerlifters who are meticulously trained in pain management and orthopedists can often be diagnosed with herniated discs.

What is a herniated-disc?

A herniated disc is when one of the gel-like capsules that lie between our vertebrae becomes inflamed or slips out of its place. Some patients may not even feel the symptoms of a herniated spine. A disc may also cause pain in the spinal nerves or surrounding tissue. This can make it difficult for weightlifters to lift weights well and can lead to chronic pain. In certain cases, the disc may compress the spinal nerve to cause numbness or tingling in the limbs.

What causes a herniated spine?

Simply by straining their backs, weightlifters can cause disc damage to their spines. The most common way to injure your back is by lifting heavier than your legs with your back muscles. Deadlifting, the most common form of exercise that can cause herniated discs, is very common.

What’s the difference between a Disc Herniation or a Bulge?

A disc herniation can involve 25% or less of the disc matter (nucleus pulposus), but disc bulges can include more than 25%. Yes, it is true. You might find it a little odd. Most people have heard that herniations cause more problems than bulges. This is because herniations do not exceed 25% of the disc’s circumference but are more likely than others to compress nerve roots due to the additional displacement of matter.

What about deadlifts and herniated Discs

Even though it’s cool to be able to see all the anatomical terms and understand the diagrams, these terms are not really relevant. Why? Because it doesn’t provide any information about whether you can deadlift using a herniated disc!

If you’re suffering from back pain, you don’t necessarily need an MRI. This is because you won’t be able to deadlift if you have back problems. You can instead use these tips to quickly relieve your back pain. If your MRI has already shown a bulging disc or herniated disc, you may still be able to deadlift. The most important thing to take away from this article is that MRIs are not able to tell you which type of treatment you should have and can often find a lot more “normal” results. Loading and programming should be based on how you feel and not what your MRI shows. Let’s discuss these “normal” findings.

Bulging discs and herniated discs are more common that you might think

Did you know that, if you’re 30 years old and have no back pain, there’s a 30% chance you may have a low-back disc herniation. It’s even more likely if you are in your 40s and have no back pain that you may have a disc bulge. You guessed it. If you’re over 40 and don’t have back pain, flip a coin. You could have a bulging disc.

HAPPENINGS OF Bulging Discs and Herniated Discs

They are an inevitable part of aging. These are called “wrinkles in the inner”. If your MRI has shown a bulging disc or herniated disc in your back, this could be the reason you are experiencing back pain. It is possible to treat your problem and make your back stronger. This is the time to put your focus on what YOU CAN do. Improve strength, resilience, tissue capacity.

Herniated and Bulging discs Can UN-HAPPEN

Similar to bulging and herniated discs that can be considered “wrinkles inside”, these wrinkles might also be reversible. You’re correct. After about a year, discs may actually stop herniating. This is a 96% rate for disc sequestration, 76% for disc extrusion and 41% respectively for disc protrusion and disc bulging. This is very encouraging news. This is yet another reason to be confident in the process. Rehab does not happen overnight.

Red Flags

Before you begin doing haphazard deadlifts with an injured disc, let us do our homework and ensure nothing is wrong. Cauda equina and cancer/tumor are all serious spinal conditions. These are known as red flags. These could include, but are not limited:

  • Recent history of traumatic injuries
  • Saddle paresthesia: Pain/numbness in the genital or inner thighs.
  • Fever or unintentional weight loss that causes back pain
  • Loss control of the bladder/bowel
  • Numbness in BOTH of the legs or an unrelenting shooting pain.
  • Loss in movement of the legs

If you are experiencing any of the red flag symptoms or signs, you should immediately seek medical attention. Good news: If you aren’t experiencing any red flag signs or symptoms, you should be able to deadlift with a herniated spine.

Pain or Numbness in One Leg

Unrelenting pain and numbness along both legs is a contraindication to deadlifts. You should seek medical treatment. What about pain or numbness on one leg? This is a common problem and is often called “sciatica.”

This can often feel like tightness in the hamstrings. It could be due to a herniated disc pressing on nerve roots. If you are in this situation, it is not something that you want to do. You want to do it. Training hip hinge variations that you are able to tolerate and that do not cause leg pain is a good idea. This could mean training with a narrower range of motion, such as rack pulls or block pulls. Additionally, you can continue to train your squats and lunges to tolerance as long as they aren’t reproducing leg tightness or pain. This article will provide a guide for training with pain. If you are working around leg pain, there are some exercises you can do to reduce it. You can also use sciatic nerve flossing drills and neo-plumbing exercises to reduce the pain.

Prone Press Up

It could be your low back that is causing the pain in one leg. You can relieve the pain by lying down on your stomach while performing a push up, keeping your hips lower. Try this for 10 reps, and then see how your leg feels. You may find this a good exercise if your leg doesn’t hurt.

You can reduce leg pain by doing 2-3 sets of 10 reps every day. It is possible to bombard your body in a way that feels great. Then, forward bending and other painful movements will slow down. If you have difficulty doing the full press up, try the modified prone pressing up onto your elbows. You can then move onto the full prone presses up with elbows locked.

Sciatic Nerve Relaxation

You can also try sciatic nerve flossing to reduce leg pain. This is how it works: Instead of pressing on the sciatic nerve and pushing through a hamstring stretch, you will move your head and leg together in order to help that nerve move a bit better.

The positions look something like this:

  • Lift your leg and look up (knee extension, cervical extension).
  • Look down, bending your knees and extending your neck (knee flexion or cervical flexion).
  • You should make sure they are as easy as possible (ideally, without pain). Don’t get mad at your leg; the goal is to move healthy!

If this is more tolerable, you could also do it lying down on your back. You can also do the supine variation by bringing your knee toward your chest. Then, lift your leg up and down until your ankle feels light. See the video to see how I mean it.

Both can be repeated for 10 reps multiple times per day. If flossing and pressing up are not helping, or your symptoms get worsening, you should consult a professional physiotherapist.

Sciatica and Deadlifts…The Big Picture

Here are some tips for dealing with sciatica after a deadlift. This pain can be avoided by choosing a deadlift variant that doesn’t replicate it. This is something you do not want to go through. You might need to stop performing hip hinging exercises temporarily if you cannot find a hip-hiding variation that doesn’t cause leg pain. You can continue to squat, lunge, and do other exercises until you feel comfortable, as long as your legs don’t hurt.

No Leg Pain…Just a Disc Problem on MRI

If you experience back pain with no leg pain, but you don’t have any other symptoms, and your MRI showed a disc bulge/herniation, then you are in luck. You can use deadlifts in this case to heal your herniated disc. However, many rehab and medical providers still believe that it will make the situation worse.

Deadlifts aren’t too bad for your back. Deadlifts that are poorly executed or programmed can cause injury. If you are suffering from a backache only, it is important to determine the right hip hinge variant and dose to help you feel better and to stimulate strength and hypertrophy.

To do this, you must find your entry point exercise. This is the one that is closest to the deadlift variation you are comfortable with. Here are some suggestions. Congratulations if you can deadlift at an acceptable level right now! You can start with the deadlift as your entry point. If you find it difficult to lift from the floor, or you feel too nervous, then you can try RDLs.

Start with Dumbbell RDLs

Do you have back pain? No leg pain? Then dumbbell RDLs might be the right choice for you. Dumbbells are easier to lift than a barbell. You only need to lower the dumbbells as much as is comfortable. Do not forget to bring the dumbbells along your sides as you lift them. This is a great way to improve hip hinge patterns and can be done for three to four sets of 8-12. These are great for the hamstrings as well as spinal extension strength and hypertrophy.

Move to your Deadlift of Choice

If you have mastered DB RDL and you feel your back can handle it well, then you can try a deadlift variation. You might need to limit your range of motion when deadlifting or repairing herniated discs.

You can also do rack pulls and block pulls as well, which we have already discussed in this article. Alternately, you have the option of choosing from trap bar, conventional deadlift or sumo deadlift.

Sumo deadlifts or trap bar deadlifts tend to put less stress on your spine. This is because they allow you to move your center point closer to the weight.

However, conventional deadlifts may be harder on the spinal than traditional ones. If you are trying to force your spine into adaptation, then conventional may be the best option. I suggest trying all three variations to find the one that feels right for you.

The Key to Bringing It All Together

You should now be able to determine if your disc is herniated and can you still deadlift. I created a flowchart to help you get started.

  • You should be looking for red flags. Red flag symptoms should be screened immediately. Don’t deadlift
  • To reduce the pain/numbness you feel down one leg, try a deadlift exercise that does not cause it. You can also practice prone presses and flossing to ease it. Seek out a local physical therapist if you become stuck.
  • Fear not if you don’t feel any leg pain/numbness, red flags, or other symptoms that indicate you may have a disc bulge. Locate your hip hinge “entry points” and increase the tolerance. This will help you to reduce pain and build strength!

With this in mind, here’s five tips to help prevent common back injuries from occurring while lifting.

TRAIN YOUR POSTURE

Poor form increases the risk of injury when you do any type of exercise. You should align your vertebrae properly when working on your back to avoid placing too much pressure or strain on any particular bone.

Do not try to copy the movements of others if you are just starting out in lifting. To better understand your body position, consult a trainer or research online. Even if your fitness level is higher, it’s still worth checking on your form. Regularly recalibrating and stopping bad habits from leading to injury is a good way to protect your body.

Recognize THE RISKS

You are at risk if you lift weights that require forward or backward bending, or flexion (forward bending), of your joints. These movements are often accompanied by sprains. This can be a tear of rupture of a ligament, but they can also cause more serious injuries. Extreme extension, such as spondylolysis (or cracks in the vertebrae), can result. Excessive flexion can cause a herniated disc.

These risks extend beyond exercises that target the back. The most common weightlifting-related cause of herniated discs is the deadlift, which — when done properly — doesn’t depend on back flexion or extension for power, but when done incorrectly, puts a dangerous amount of pressure on the vertebrae. Also, deadlifts can exacerbate degenerative disc disease, lumbar stenosis, or other chronic conditions that affect lower back.

KNOW WHEN YOU NEED TO STOP

You might feel the twinge after working out tomorrow. All it takes is some stretching and rest. However, if you add stress to the area, it could lead to something worse. Do not ignore the warning signs your body is giving you. You should listen to your body. A tired muscle burn is very different from a pulled back. And “no pain no gain” doesn’t work if you don’t undermine the body you want to strengthen. You should stop lifting if your back hurts.

MODIFY YOUR ROUTE

First of all, I strongly recommend that you use a weightlifting belt to support your back while working out. You can always remove the belt if you are having trouble with any particular movement. Most lifts have one or more exercises that target similar muscles and don’t cause the same pain.

STRETCH

Proper posture is something you can learn, but to really put it into action requires extra work. Any skilled trainer will tell you that a regular stretching program is essential for sustainable lifting. To build a strong, resilient back, talk to an orthopedic specialist. Together you can create a stretching routine to keep your back healthy for any future challenges. Stretch both before and during each lift session for maximum results.

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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

Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. Dr. Terebuh completed his Physical Medicine & Rehabilitation residency training at The Ohio State University in 1997 and has been in solo practice in Ohio since 2001 because he is committed to providing accessible, individualized and attentive care to his patients. His regenerative approach to solving spine problems enhances the body’s natural ability to heal itself. His guiding principle is integrity – doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Dr. Terebuh is a very unique Medical Doctor because he has earned seven Board Certifications in the field of musculoskeletal medicine and nonsurgical spine care. Boris Terebuh, MD is delighted to be a Discseel® provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Dr. Terebuh is also grateful to Discseel® developer, Kevin Pauza, MD, for all the years of diligent and meticulous research to create this innovative, paradigm-shifting intervention, which will certainly spare countless individuals the prospect of avoidable spine surgical procedures.

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

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

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

Dr. Buyanov is originally from Kiev, Ukraine. He received his training in Anesthesiology and his Interventional Pain Management Post-Doctoral at Penn State Medical Center, PA. Dr. Buyanov moved to San Antonio in 2003 at which time he was part of a multi-specialty group before he founded Premier Pain Consultants in 2004. His practice has over 5000 active patients in his practice. Dr. Buyanov treats his patients in a cost-effective manner although giving them the best care with interventional pain treatments/procedure to help each patient improve their quality of life. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: “pain is inevitable but suffering is optional”. He works closely with the area internists, physical therapists, chiropractors, psychiatrists, neurologists, and spine surgeons to insure that each patient has the most optimal individualized treatment plan. Dr. Buyanov enjoys spending his spare time with his children.

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