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News & Press

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February 06, 2024

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The One Thing You Should Never, Ever Do if You Have Joint Pain

Understanding joint pain is crucial. “Treatment has to be tailored to the diagnosis, so it is essential to understand exactly where the pain is coming from,” says Dr. Georgiy Brusovanik, MD, an orthopedist.Part of that treatment might involve avoiding a particular temptation. Experts share the one thing not to do when you experience joint pain (and what to do instead).

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December 24, 2023

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Study Investigates Why Some Cancers Metastasize to the Spine

MIAMI – Research is helping explain why some cancers have a higher risk of spreading to the bones of the vertebrae. Spine surgeon Dr. Georgiy Brusovanik with Miami Back and Neck Specialists said the findings, published in the Journal Nature, may solve a long standing mystery about metastases to the backbone. “The extrapolated message from this study is that there perhaps is something stem cell or mediator related that makes some specific a cancers, specifically lung, prostate, breast, renal, GI and thyroid cancers go to the spine more than others,” he said. Brusovanik said patients with these cancers who have sudden onset back pain accompanied by unexpected weight loss should undergo an MRI to check for spinal metastases.

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December 10, 2023

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Minimally Invasive Treatments for Pain Sufferers

Georgiy Brusovanik, M.D., of Miami Back & Neck Specialists in Florida, who offers minimally invasive treatments for pain sufferers, says patients sometimes come in on significant amounts of pain drugs because they are in severe pain, and to refuse them treatment on that basis would be to “deny patients who are on narcotics proper care.”

“As a revision specialist, I’m the last resort for patients who’ve had bad outcomes after surgery,” Brusovanik says. “Denying these patients care while they’re on narcotics is essentially condemning them to having pain forever.” Brusovanik stresses that pain and its treatment (or maltreatment) can lead to increased tolerance and dependence. “One of my old orthopedic attendings had an ankle fracture,” he says. “This person knew the side effects of opioids, and yet this person ended up stealing narcotics from patients and then committing suicide. I’m not in a position to tell my patients to go home and sleep it off.”

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December 10, 2023

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Should I be worried about right shoulder blade pain?

“If pain in the right shoulder blade develops after an injury or accident, that’s a good reason to go ahead and seek medical attention as soon as possible,” says Georgiy Brusovanik, MD, an orthopedic surgeon in private practice in Miami, Florida. Other than that, Dr. Brusovanik recommends seeing a healthcare provider if pain in the right shoulder blade interferes with the ability to carry out normal tasks of daily living or becomes annoying and impossible to ignore.

But, it may not be necessary to worry too much about a mild case of pain in the right shoulder blade. “Shoulder blade pain is usually not a serious problem, especially on the right side,” Dr. Brusovanik says.

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November 08, 2023

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Tragic Death of Ice Hockey Player Underscores Urgent Need for Improved Neck Injury Education

Last week, American ice hockey player Adam Johnson died in a “freak accident” during a game. Johnson, 29, was allegedly “struck in the throat by an opponent’s skate, causing a fatal injury,” reports The Guardian. The incident occurred when another player’s ice skate cut Johnson’s neck—slicing his carotid artery. Johnson died in the ambulance. As a result, the National Hockey League is now “strongly recommending” players use neck guards going forward. According to reports, two other professional ice hockey players had their necks slit during games in 1989 and 2008—but both survived.

A 1996 article published in the Scandinavian Journal of Medicine & Science in Sports found that three amateur ice hockey players also experienced neck slash injuries, with two dying from their wounds. “One player died of asphyxiation secondary to hemorrhage into the respiratory passage, but the other died of hemorrhage from the main blood vessels in the neck, severed by the skate blade,” the authors write. “Neck slash injury from skate blades, as a preventable sports-related injury, and the need for neck protective equipment in preventing such injuries are discussed.”

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November 01, 2023

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Dr. Brusovanik’s Patient Story | ABC Local 10 News

In this touching video, one of my patients generously shares their journey from experiencing severe back pain to regaining an active lifestyle following a total disc replacement.

October 30, 2023

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From Wheelchair to Walking: A Woman’s Journey from Failed Back Surgeries to Recovery

After 10 failed back surgeries and constant pain, Debby Hutchens traveled to find Dr. Georgiy Brusovanik. Her 11th surgery with him led to a pain free life.
So many patients just like Debby are fixable but doctors just drop them after surgery and it’s an injustice. Debby’s fight was a worthwhile one that I was willing to take on.” — Georgiy Brusovanik, M.D.

Failed back surgeries are more common than many people realize, with only 30% of patients finding relief, while 30% experience no improvement, and 30% fare worse after surgery. In the midst of this troubling statistic, one woman’s story has emerged as a beacon of hope and resilience.

Debby Hutchens, a 55-year-old wife and mother of two college boys from North Carolina, has endured a series of devastating failed back surgeries that left her in excruciating pain and seeking answers. In 2019, Debby underwent surgery for spinal stenosis, a result of an earlier car accident. However, in April 2021, her situation took a turn for the worse as she began to grapple with scoliosis. Seeking help from a surgeon in North Carolina, a grievous error related to a wound vac procedure set off a chain reaction of surgeries and further complications.

From April 2022 onwards, Debby’s life became a “nightmare,” as she describes it, with excruciating pain so intense that even simple movements like reaching or getting out of bed would elicit screams of agony. Basic tasks, like bathing, became impossible. In her desperate search for relief, Debby was rejected by multiple surgeons who were no longer willing to treat her, offering only a pain pump as an alternative. She was taking 6 Percocets a day, yet still, the pain persisted, leaving her in a constant state of physical and emotional anguish.

“I couldn’t roll or sit up, reach for anything. I hurt all over,” recalls Debby through tears. “My choices were to go to hospice and wait to die or try one last time to find a doctor who would treat me.”

[ Read Full Story – Click Here ]

August 11, 2023

(Russian) Untitled

From The Doctor | How is the transforaminal steroid injection procedure performed, and what can patients expect during and after the injection?

Back, neck, and leg pain are frequently treated with transforaminal steroid injections. A combination of local anesthetic and steroid medicine is injected into the space around a nerve root to provide pain relief. This essay will discuss the transforaminal steroid injection technique and its aftereffects for the patient.

Procedures involving transforaminal steroid injections are often performed at an outpatient medical facility like a clinic or ambulatory surgical center. Patients are requested to lay on their bellies on an X-ray table while their injection sites are prepared. The doctor then utilizes fluoroscopy or a piece of X-ray equipment to help him, or her insert a small needle between the skin and muscles of the patient’s back and directly into the affected nerve root.

As soon as the needle is in place, a tiny quantity of contrast dye is injected to ensure that the drug will be given to the right site. After the exact position of the nerve root has been determined, a local anesthetic and steroid drug combination is administered gently into the region surrounding the nerve root. The injection itself just takes a few minutes, and afterward, patients are merely observed for a brief time to rule out any potential consequences.

Due to the requirement for the needle to be guided through the skin and muscles of the back, patients may feel some discomfort throughout the treatment. Nonetheless, local anesthetics are commonly used to numb the injection site. Mild adverse effects, such as skin flushing, headaches, and transient numbness or paralysis in the afflicted region, have been reported by a small percentage of individuals.

Patients can be required to wait a little while to relax after their procedures before being released. Due to the possibility that the patient’s driving abilities would be impaired by the medicine, a so-called “designated driver” should be arranged to transport them home. After receiving an injection, patients should rest for a few days and may be requested to keep a pain diary to document their experiences.

In conclusion, transforaminal steroid injection is a reliable method for relieving pain in the lower back, neck, and limbs. Injecting the drug directly into the nerve root allows for more precise and effective pain alleviation. Most patients use a local anesthetic to alleviate the discomfort they may experience during the operation. Patients should take it easy for a few days after the injection and not push themselves too hard. All in all, it’s a non-invasive therapy that has the potential to significantly reduce persistent discomfort.

June 16, 2023

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From The Doctor | What are the common misconceptions about fibromyalgia, and how can they be addressed?

Many individuals throughout the world suffer with fibromyalgia, a painful ailment that has no known cure. Considering how common fibromyalgia is, many people still have the wrong idea about the condition, which can hinder their access to treatment and support. Here, we’ll look at some of the most widespread misperceptions regarding fibromyalgia and how to dispel them.

This idea that fibromyalgia is not a real ailment is one of the most common myths surrounding the condition. There are many who dismiss fibromyalgia as nothing more than a fabrication of the patient’s imagination or a convenient label for any kind of mysterious discomfort. Fibromyalgia, on the other hand, is a legitimate medical ailment that has been carefully investigated by scientists and doctors. Pain, exhaustion, and other systemic manifestations are hallmarks of this condition, which can have a devastating effect on an individual’s standard of living.

Fibromyalgia is commonly thought to be only another type of arthritis. Fibromyalgia is not a form of arthritis, although it can induce arthritis-like symptoms such as joint pain and stiffness. Pain signals in the brain may be misinterpreted in those with fibromyalgia, a condition of the central nervous system. This can lead to increased sensitivity to pain and other sensations.

Third, people often assume that only women are affected by fibromyalgia. Although women are more likely to be diagnosed with fibromyalgia than men, anybody of any age can be affected by the condition. In fact, studies have shown that men may not get the proper diagnosis for fibromyalgia because of the common belief that it only affects women.

Last but not least, there is a false belief that fibromyalgia is untreatable and that those who suffer from it must learn to live with their symptoms. Although fibromyalgia currently has no known cure, several effective treatments are available to help manage symptoms and enhance the quality of life. Medication, physiotherapy, counseling, and lifestyle adjustments, including exercise and stress management, are all viable options.

Awareness of fibromyalgia and its effects on people’s daily lives must be raised to dispel these myths. Media coverage, public forums, and awareness initiatives can all help with this. Early diagnosis and treatment of fibromyalgia may greatly improve patient outcomes; therefore, it’s crucial that doctors understand the condition and take their patients’ complaints seriously.

In conclusion, many people with fibromyalgia do not get the help they need because of common misunderstandings regarding the condition. Education and awareness campaigns aimed at dispelling these myths would go a long way toward easing the suffering of individuals who live with fibromyalgia and reducing the condition’s negative social connotations.

May 15, 2023

(Russian) Untitled

From The Doctor | What types of artificial discs are available, and how do they differ in terms of design and materials?

Surgery known as total disc replacement (TDR) is performed to replace a damaged or deteriorated intervertebral disc with a prosthetic disc. The artificial discs on the market now come in a wide variety of designs and materials. This review will examine the various artificial discs used in TDR and discuss their similarities and differences in terms of construction.

A ball-and-socket design, the first kind of artificial disc, consists of metal endplates implanted into the vertebrae at either end and a plastic insert between them. Often employed in cervical TDR, its design provides for a great deal of freedom of movement. Prestige LP cervical disc is an artificial disc.

Sliding-core designs, which use two metal endplates and a core composed of metal or plastic that may slide between them, are another sort of artificial disc. This design is frequently employed in lumbar TDR due to its flexibility. The artificial disc developed at the Charité Medical Center is a good example of this kind.

The elastomeric design is the third category of artificial disc and is composed of metal endplates and a rubber-like elastomeric core. Often utilized in cervical TDR, its design provides a comfortable degree of mobility. Artificial cervical discs like the Mobi-C exist.

The hydrogel artificial disc is constructed from metal endplates and a water-absorbing hydrogel core. Lumbar TDR often employs this design due to its restricted mobility. The ProDisc-L is an artificial disc that fits this category.

Moreover, artificial discs can be made from a wide variety of materials. The endplates are often constructed of metals like titanium or high-strength plastics, whereas the core can be made of metal, plastic, elastomer, or hydrogel. The artificial disc’s longevity, mobility, and biocompatibility can all be impacted by the materials used to construct it.

To sum up, there are many different synthetic discs out there for TDR, each with its own construction and materials. Disc replacement options vary from patient to patient based on criteria including age, activity level, and the surgeon’s personal taste. Patients should consult with their doctors to figure out the best surgical choice for them, as is the case with any medical condition.

April 18, 2023

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From The Doctor | What are the common causes of non-unions in bone fractures, and how can they be prevented?

Fractures of the bones happen to people of all ages and are common. Fractures usually heal without problems. Nevertheless, non-union occurs when the bone does not typically mend. A non-union is a condition in which the bone does not fuse following a fracture, resulting in persistent discomfort and the inability to perform routine daily activities. This post will discuss the most prevalent reasons why bone fractures don’t heal properly and what can be done to avoid them.

Lack of enough blood flow to the wounded area significantly contributes to non-unions. A healthy blood flow is essential for bone repair because it carries oxygen and nutrients to the bone tissue. Bones may not repair correctly if their blood supply is impaired by smoking, diabetes, or vascular disease. Treating preexisting problems and quitting smoking before and after a fracture are crucial preventative measures.

Inadequate immobilization of the injured region is a common contributor to non-unions. In addition, movement at the fracture site can hinder the bone from fusing if the broken piece is not held firmly and correctly in place as it heals. The best way to avoid this is to adequately immobilize the fracture using casts, braces, or surgical fixation.

The infection can induce non-unions because of the combination of low blood supply, inadequate immobilization, and the illness itself. Bone fractures can heal slowly or never if the patient has an infection at the fracture site or elsewhere in the body. Antibiotics and keeping the wound clean and dry are two of the most important things you can do to avoid infection.

Age, bad diet, and drugs like steroids can also prevent bones from joining together correctly. Non-unions can be avoided by following a balanced diet, taking the recommended vitamins, and being aware of any drugs that could interfere with bone repair.

Finally, poor blood supply, insufficient immobilization, infection, aging, malnutrition, and medication usage are all potential causes of bone fractures that fail to heal. Individuals can lower their likelihood of having a non-union if they address these variables and implement suitable preventative measures. To avoid further issues like non-unions, it is essential to consult a doctor immediately if you think you may have a fracture.

November 29, 2022

Injections before Surgery: Failures of my methodology

Introduction: to describe the pitfalls and failures of a common pre-surgical diagnostic pathway, ie epidural steroid injections and facet injections to isolate the source of a patient’s pain.

Background: multilevel, degenerative disc disease appears on an MRI of most patients after a certain age. Back pain is also very common, but physicians are often unable to reliably pinpoint which specific disc causes a patient’s pain, especially if there is no neurological component, or “sciatica”. To say in another way: when a patient has pain in his back while sitting, that is associated with sciatica in the back of the thigh, back of the calf or bottom of the foot, an experienced surgeon will immediately recognize that this patient’s pain is in the distribution of the S1 nerve root. Nerves begin in the brain and traverse the spine on the way to the extremitie. Read More

September 08, 2022

Dr. Brusovanik Contributes to Jiu-Jitsu Article

Dr. Brusovanik Contributes to Jiu-Jitsu Article | Click Here to Download PDF Article

December 14, 2021

Dr. Brusovanik was featured in Ocean Drive Magazine

Dr. Brusovanik was featured in Ocean Drive Magazine | View Article
Miami Spine Specialist was featured in Ocean Drive Magazine 1 Miami Back & Neck Specialists

April 26, 2020

Coronavirus Update | Back Pain Emergencies


Coronavirus Update | Back Pain Emergencies————————————————————-

April 25, 2020

Coronavirus Update | Safe Medications for Back Pain


Coronavirus Update | Safe Medications for Back Pain——————————

February 05, 2020

Especialista garantiza el regreso de Lourdes Gurriel Jr.

Especialista garantiza el regreso de Lourdes Gurriel Jr.
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February 05, 2020

What are the parts of the spine that cause nerve compression?


What are the parts of the spine that cause nerve compression?——————————

January 30, 2020

“Lumbar Stenosis = difficulty walking” with Dr. Brusovanik


“Lumbar Stenosis = difficulty walking” with Dr. Brusovanik——————————

January 14, 2020

Dr. Brusovanik discusses innovations in spine surgery on Telemundo


Dr Brusovanik discusses innovations in spine surgery on Telemundo——————————

October 06, 2019

Dr Brusovanik on Mexico City’s Las Estrellas


Dr Brusovanik on Mexico City’s Las Estrellas——————————

August 16, 2019

Dr. Brusovanik discusses back pain with Dr. Mena


Coronavirus Update | Back Pain Emergencies————————————————————-

March 14, 2019

Dr. Brusovanik on the Paul Castrono Show – March 14, 2019

Dr. Brusovanik on the Paul Castrono Show – March 14, 2019

March 07, 2019

Dr. Brusovanik on the Paul Castrono Show – 1 of 2 March 2019

Dr. Brusovanik on the Paul Castrono Show – 1 of 2 March 2019

March 07, 2019

Dr. Brusovanik on the Paul Castrono Show – 2 of 2 March 2019

Dr. Brusovanik on the Paul Castrono Show – 2 of 2 March 2019

December 25, 2018

Problemas comunes de dolores de espalda en los atletas

Read Full Article on Listin Diario
Los problemas discales y cervicales que causan dolor en el cuello, las piernas, brazos y hombros, así como debilidad en miembros inferiores y superiores, figuran entre los principales problemas de salud que afectan a los atletas, sobre todo a los que practican deportes de alto rendimiento y requieren de giros bruscos en el cuerpo.

No obstante, esos problemas de columna y los dolores del nervio ciático no sólo son propios de atletas, sino que son frecuentes también en la población general en diferentes edades, que presentan dolor en la espalda baja y el cuello, cuyas causas, aunque muchas veces se asocian a la postura, no son del todo conocidas.

La revelación fue hecha por el doctor de origen ruso Georgiy Brusovanik, ortopeda especialista en columna con manejo de técnicas mínimamente invasivas; ejerce en Miami y estuvo recientemente en el país ajustando acuerdos con las autoridades del Ministerio de Deportes y del Comité Olímpico, que lo convertirán en el médico principal de columna de los atletas olímpicos del país. Destacó que jugadores profesionales de fútbol americano tienden a sufrir mucho de esos padecimientos de columna, cuello y espalda baja, así como los peleadores, jóvenes que practican tenis, golf y los beisbolistas, fruto del esfuerzo y giro brusco del cuerpo al momento de lanzar o batear la pelota, que puede generar desgaste de los tejidos blandos alrededor de la columna.

Los problemas discales requieren tratamiento quirúrgico; antes se utilizaban técnicas más invasivas que paralizaban el movimiento de columna, donde el 25% de los pacientes tenían que volver a ser operados cada 10 años, pero que ahora se utilizan tecnologías novedosas mínimamente invasivas que reducen esa incidencia a un 3%.

September 10, 2018

Spinal Replacement Options

I am excited to live in 2018 where as a spine surgeon I can use the current available technology to its fullest and where on a daily basis new advances of technology are taking place. Spine surgery has progressed significantly and especially so, with advancement of minimally invasive spine surgery. The young spine surgeon can sneak into the canal, correct the problem, and sneak out; thereby inflicting minimal damage. This imparts faster recovery and less postoperative pain. Some patients go home the same day and take no pain medicine after surgery.

We have come to a point in history where we can replace most parts of the spine. Disc replacement has been in various stages of development over the past 20 years. There are some 15-year studies out of Europe and some younger studies out of United States with very promising results. Neck disc replacement has especially been shown to have better satisfaction rates and earlier return to work than fusion surgery. Lumbar disc replacement lags in a quality of research but is another very promising technology. We are able to remove cancers and block and replace them with 3D-printed bone. In my armamentarium, are metal and plastic cages that can be placed through very small incisions and once in place can be deployed where by oscillating its mechanism, the cage will expend in 1, 2, or 3 planes. This can fill larger bony defects and replace the bony component of most aspects of the human spine.

Georgiy Brusovanik, M.D.
GB/st

August 10, 2018

Robotic Spine Surgery

Robotic spine surgery has already changed the precision of modern day minimally invasive spine surgery. Historically, placement of instrumentation in order to stabilize the spine or correct and hold a deformed spine would require a large incision. Muscles would have to be stripped off the bone in order to find a perfect starting point for placement of screws, for example. Even still, a significant amount of guessing was involved because of a three-dimensional shape of the human vertebrae.

Screw placement accuracy improved with the use of x-rays, neuromonitoring, and computer guidance. All of the above methods have allowed regeneration of spine surgeons to use smaller, more sparing incisions, and a less invasive technique. The most recent innovation improves on the past by increasing the accuracy of placement to 99.9% by using a CAT scan and some intraoperative data. This is a very promising technology that can make a six-hour operation with a 2% error rate into a two-hour operation with a 1% error rate. This is a huge improvement when it comes to spine surgery.

Georgiy Brusovanik, M.D.
GB/st

August 08, 2018

Dr. Brusovanik as seen on PBS

Dr. Brusovanik as seen on PBS

July 14, 2018

SO FLO Health & MY VIP Interview



SO FLO Health & MY VIP Interview with Dr. Brusovanik

July 10, 2018

Cancer Markers

Screening tests in medicine are designed with the disease prevalence in mind; that means that for a condition that is not dangerous and occurs rarely, screening tests really would not make sense. However, for conditions that ARE preventable early, if caught early, and for conditions that are more common, sometimes it is very reasonable to have a screening test such as mammography for breast cancer. Some screening tests are very expensive and that has to be kept in mind because screening tests are applicable to the entire population, therefore costs matters in the approach to screen. And that is exactly why insurance companies will not authorize certain screening tests. It simply is not cost effective. But in the game of life, I would want every additional chance that I could find.

Cancer markers are not that expensive. There are no general guidelines to screen for pancreatic cancer, brain cancer, or testicular cancer (with exception of manual exam). Some cancer markers have a poor prognostic value because of a high rate of false positives. Some screening tests do not provide full confidence because of a significant rate of false negatives. But for me, additional $150 per year, is a worthwhile expense if I can catch one of these deadly cancers way in advance. So whether it is covered by insurance or not, I ask my primary care doctor to order some cancer markers and I offer to pay him cash if insurance refuses to pay for it and I would advise you to do the same.

Georgiy Brusovanik, M.D.
GB/st

June 21, 2018

La Fundación Pro Mundo Libre de Tabaquismo FUNDACOT US

La Fundación Pro Mundo Libre de Tabaquismo FUNDACOT US, entregaron un reconocimiento al Dr Georgiy Brusovanik, por su entrega a las obras sociales altruistas tanto en Los Estados Unidos así como en las islas y el Caribe. Entregan Dellanira Herasme Florian, Presidente y José Rosario Ventura, Director Relaciones Publicas Internacionales
Spine Specialist Miami Miami Back & Neck Specialists

May 21, 2018

Practicing new Minimally Invasive Spine Surgery approaches on cadavers

Dr. Brusovanik and the team are practicing new Minimally invasive spine surgery approaches on cadavers. The only safe way to improve the techniques.
Top Spine Surgeon Miami Miami Back & Neck Specialists

February 14, 2018

Nuevos Métodos De Cirugía Moderna Con El Dr. Georgi Brusovanik & Victor Camara En Ustedes Y Nosotros

Nuevos Métodos De Cirugía Moderna Con El Dr. Georgi Brusovanik & Victor Camara En Ustedes Y Nosotros

January 25, 2018

Dr. Brusovanik was chosen as the new director of spine surgery for the myVIP Medical Center.

Dr. Brusovanik was chosen as the new director of spine surgery for the myVIP Medical Center.

December 26, 2017

Reconocido cirujano de la columna da a conocer novedosa técnica

Nuevos Métodos De Cirugía Moderna Con El Dr. Georgi Brusovanik & Victor Camara en Ustedes y Nosotros Clic aquí para leer el artículo
minimally invasive spine surgeon Miami Back & Neck Specialists

December 26, 2017

Nuevos Métodos De Cirugía Moderna Con El Dr. Georgi Brusovanik & Victor Camara en Ustedes y Nosotros

Nuevos Métodos De Cirugía Moderna Con El Dr. Georgi Brusovanik & Victor Camara en Ustedes y Nosotros

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December 21, 2017

Why do pregnant women have more back pain?

First: Increased oxytocin – is associated with increased tissue flexibility and elasticity. This allows the pro inflammatory disk tissue to sneak out of its margin and cause irritation of the long ligament behind the disks (posterior longtitudinal ligament). The same mechanism causes nerve irritation, since nerves glides right behind the disks. Nerve irritation presents as “sciatica” and back pain. Frequently, these symptoms continue after delivery and the solution is fast and reliable. Just please, first, get an MRI and confirm the diagnosis. Thats the most important step to recovery.

Second: increased weight does put more pressure on the spinal disks making disk herniation more likely.

Last: increased lordosis – as the uterus get bigger and bigger, most pregnant women assume a lordotic posture. That means that the back is arched more towards the back to lift the weight off the front. Furthermore, abdominal muscles get stretched and that makes the back muscles work harder. That may result in muscle fatigue and pain.
Furthermore, this adaptation also puts more pressure on the little joins that connect each of the vertebrae and that in itself may cause back pain.

December 17, 2017

Epidural & Delivery

Low back pain is very common after pregnancy and may affect up to 90% of pregnant women. A common statement female patients have for Dr. Brusovanik is “my back pain began after my epidural during labor”. There are multiple studies that have found that there is no significant difference in the prevalence of back pain among those females who had epidurals for labor and those who did not. The belief that an epidural given for labor pains can cause chronic back pain is rather common, even among medical professionals.

An epidural anesthesia during labor is a procedure involving a needle which is inserted in the epidural space (outer layer of spinal canal) of the lumbar spine. An epidural anesthesia is the most common method of pain relief during labor and more than 50% of women giving birth at hospitals use epidural anesthesia. Many studies have shown that if low back pain is experienced at the later stages of pregnancy, the patient tends to attribute her pain to the epidural given for labor.

There are several factors which have been shown to attribute to back pain after childbirth, with and without an epidural. The most common cause is gestational back pain, which can affect about 40-90% of pregnant women. Gestational back pain is believed to be attributed to the hormone called relaxin, which is produced during pregnancy to loosen the ligaments of the spine and pelvis making the joints more flexible to open up the birth canal for childbirth. The spine may potentially become more susceptible to lumbar muscle strain or disc injury.

May 05, 2017

Dr. Brusovanik and Victor Camara discuss cervical disk replacement for neck and shoulder pain and take calls from Victor’s fans on Facebook Live

December 15, 2016

Dr. Brusovanik selected to be Head of Spine Surgery

Dr. Brusovanik was recently selected by the staff of the Miami Medical Center to be the Head of Spine Surgery.

May 01, 2016

The Miami Medical Center

Dr. Brusovanik is proud to announce the opening of a brand new 5 star hospital facility that is covered by insurance where he performs spine surgery.

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April 11, 2016

Dr. Georgiy Brusovanik is featured on NYFightlife as the physician for the USKBA Action Sports

Dr. Georgiy Brusovanik is featured on NYFightlife as the physician for the USKBA Action Sports

April 08, 2016

Dr. Seth Kaufman Joins the Miami Back & Neck Specialists Team

Dr. Seth Kaufman joins the Miami Back & Neck Specialists team to bring the practice to a whole new level of excellence and patient care. Personalized patient care is what sets Dr. Seth Kaufman apart. Dr. Kaufman’s years of experience in helping patients find relief for their pain is unrivaled. Whether you suffer from neck pain, back pain and/or knee pain Dr. Kaufman’s treatment can help. The practice is not only one of the top pain management treatment centers in the industry but also a top Miami pain management treatment facility as well. For more information about Dr. Kaufman visit his Pain Management Miami Website.

February 26, 2015

spine surgeon awarded in miami
Mayor Hernandez and Councilman Gonzalez present Dr. Brusovanik with a proclamation, naming Feb 24th, the Dr. Brusovanik Day!

The City of Hialeah presented Dr Georgiy Brusovanik with a Proclamation declaring today February 24, 2015 as Dr Georgiy Brusovanik day in honor of his many contributions to the community. The Proclamation was eloquently presented by the Honorable Councilman Luis Gonzalez who touched on the struggles and adversities immigrants face in their homeland when they decide to come to the United States. Councilman Gonzalez and Dr. Brusovanik are two exemplary leaders in our community who labor with conviction. Today was a reminder that we live in a country of opportunity where regardless of your origins you can achieve anything through hard work.

February 02, 2015

WSVN 7 News: Patients in Pain Cured by Miami Spine Surgeon

Dr. Brusovanik was featured on WSVN 7 News

January 30, 2015

Dr. Brusovanik receives the key to the Miami/Dade county in recognition for all the good he’s doing in the community and how he is changing lives. Click Here to View Full Story on WSVN’s Website

January 29, 2015

spine surgeon in miami news
Grand opening of our Spine center at Doctors’ hospital

Grand opening of our Spine center at Doctors’ hospital. The center features “relax the back” chairs, free valet and pain management service as well.

December 09, 2014

3 Simple Ways to Alleviate Common Back Pain

3 Simple Ways to Alleviate Common Back Pain
Back and neck pain may have a long list of possible causes. However, the most common cause of pain is muscular. If the pain radiates (shoots down to) the arms or legs, there is a strong possibility of nerve compression and a consultation with a spine doctor is warranted. However, for the common back and neck pain try the following simple steps:

1. Low Back Stretching.
This is a direct way to relieve the back spasm. Just like a leg cramp, the long muscles of the back go into a “tetanic” contraction (a spasm) and that is very painful. Flexion and extension stretching is a gray way to start the morning. It re-distributes the blood flow and important minerals such as calcium that are important for smooth contraction and relaxation of the muscles. Stretching also, prepares the muscles for the daily activities so that getting in and out of the car or lifting one’s keys off the floor isn’t painful.

2. Abdominal Strengthening
The human spine is deep inside, almost in the middle of the body. The lower vertebrae work like a fulcrum, or a pivot, and the spine sways with the pull of the abs and the back muscles. If the back muscles over pull, one begins to develop pain due to the compression of the spinal facet joints (intervertebral joints). A strong abdomen counters the pull of the back muscles. A set of a 100 crunches in the morning will immediately set the right tone and you may notice an improvement in back pain with every movement. Avoid lifting the lower back off the floor during this exercise. Focus on abdominal compression while lifting the shoulder blades only. The arms can support the head but avoid flexing the neck.

3. Hamstring Stretching
The hamstrings are a unique group of muscles because they cross two joints – specifically the knee and the hip joint. Most muscles only cross one joint. The hamstrings attach to the bottom of the pelvis, or more precisely deep under the butt cheeks. Therefore, tight hamstrings will pull the pelvis against the muscles of the thighs and legs and that in itself can cause back pain. You may notice that placing a couple of pillow under the knees will improve back pain as well. The reason why that works is that flexed knees and flexed hips result in a relaxed position for the hamstrings. Daily hamstring stretching can be done together with stretching of the Achilles’ tendon which will prevent Achilles tendinitis – a common cause of pain at the bottom of the foot. I like to lean against a wall, and by keeping my knee straight, push the foot into an acute (sharp) angle with the floor.

There are many ways to stretch and to do crunches. It’s always a good idea to seek an opinion of a trainer, a physical therapist or a doctor to make sure the proper technique is used and this may lower the chances of injury. If the pain persists or if the exercises make the pain even worse don’t wait and talk to your spine doctor.

Georgiy Brusovanik, MD
Minimally Invasive Spine Surgery
.

August 24, 2014

Dr. Brusovanik to work with Internationally recognized Surgical Center at Doral.

Dr. Brusovanik will perform advanced minimally invasive spine surgery at the Internationally recognized Surgical Center at Doral..

July 11, 2014

Watch our latest Spansih TV Spot

Dr. Brusovanik Spanish TV spot featuring a recent patient testimonial.
Click Here to Watch the Video

May 29, 2013

Dr. Brusovanik gave a lecture in front of the Florida Orthopedic Society

Dr. Brusovanik giving a lecture to the Florida Orthopedic Society regarding the advances in minimally invasive treatment of stenosis and back pain on May 29th in Key Largo, Florida. Click Here to View Image

May 21, 2013

Dr. Brusovanik announces the winner of 2013 Scholarship at the Noche En Honor Al Medico Dominicano

Dr. Brusovanik was happy to announce the winner of 2013 Scholarship at the Noche En Honor Al Medico Dominicano – Dr. Araliia Almeida Taveras! Click Here to View Image

May 08, 2013

ZNS Bahamas on 5/8/2013

April 10, 2013

Dr. Brusovanik Interviewed on Radio Bahamas

Dr. Brusovanik Interviewed on Radio Bahamas

March 05, 2013

Dr. Brusovanik was named the Physician of the Month at Palmetto Medical Center.

Dr. Brusovanik was named the Physician of the Month at Palmetto Medical Center.
“It has been a real challenge starting a Minimally Invasive Spine Surgery program at Palmetto Medical Center. I help patients with neck pain that radiates to the shoulders and arms and back pain that is felt down the thighs and legs. However, to perform these intricate surgeries safely, I rely on a large team. I would really like to thank every member of my team. Everyone makes it their first priority to take care of the patients. The nurses, the anesthesiologists, the surgical techs, the radiology techs, the scrubs and my colleagues have dedicated themselves to provide the kind of care that I would want for my family. Thanks everyone for your hard work and dedication!” Click Here for PDF Version

September 25, 2012

Doctor Brusovanik was recently featured on a news radio show.

Doctor Brusovanik was recently featured on a news radio show. During the interview, Dr. Brusovanik discussed the common fear of spinal cord compression and disk herniation; most spinal conditions can be helped with non operative means.

July 07, 2012

Doctor Brusovanik was recently featured in the El Nuevo Herald

Doctor Brusovanik was recently featured in El Nuevo Herald newspaper. Click here to read the Full Article [Spanish]