Neighborhood Health Watch:  Dr  Joshua Herzog – Motion Preservation
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Neighborhood Health Watch: Dr Joshua Herzog – Motion Preservation

December 10, 2019

– [Male Anchor] Neighborhood health watch is sponsored by the
doctors of HCA Virginia – [Female Anchor] Our topic
for today’s Neighborhood Health Watch is motion preservation. From identifying to
treating arm and neck pain, there are many ways that
doctors can help you stay active and work through the pain. There’s a lot of break throughs
we’re going to talk about. Dr. Joshua Herzog is from Chippenham and Johnson Willis
Hospital joining us today. Thanks for being with us. – Thanks for having me. – So let’s just talk about
what motion preservation is. – So the idea of motion
preservation is that you can actually take the disc out
of two vertebral bodies, and get the pressure off the nerve and put a disc replacement in there instead of fusing
that segment of the spine. – Okay, you’ve got actually
something you can actually demonstrate a little bit right. – So this is one vertebral
body here, and then this is another one vertebral body. And then between the disc is
what resides between those. So when usually when we take
those out, we end up doing a fusion there. But here
with the disc preserving or motion preserving technology,
you can see it still moves with that implant. So it allows the preserve of
motion there, that otherwise would have been lost. – [Female Anchor] That is really amazing. Now you see a lot of people
with neck pain, arm pain; what are some of the symptoms that
they should be watching for? – So these patients are
going to show up, they can talk about pain going down
their arm often time into their hand or below their elbow. Talk about numbness in their
hands, or weakness in their upper extremities and often
times it will get misdiagnosed as rotator cuff or tennis
elbow or carpal tunnel. But it all comes from the neck actual where the nerves are coming out. – Okay, so what kind of treatments are available to help people? – Lot of these get
better all by themselves. So we talk about physical
therapy, tractions, injections, chiropractor, acupuncture,
anti inflammatories all of those nonoperative modalities. And then ultimately if
you fail those and it’s been going on for a long
time then we talk about doing something in the operating room. And whether that be a
fusion or a disc replacement kind of depends on the pathology and the patient and that sort of thing but and so those patients show up and present. – Yeah, but it sounds like
there have been some really great advances to help people
that are dealing with that. – In the current literature
that is really supporting this as far helping to preserve
those levels above or below where we would have done a
fusion, now preserving that motion can hopefully help
us prevent another surgery on those patients. – Okay, Dr. Herzog, thank you
so much for being with us.

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