Adam P. Smith, MD, FAANS is a board certified neurosurgeon and Rocky Mountain Brain & Spine Institute is his business providing neurosurgical information to the community. He is committed to the wellness of the patients he treats. Dr. Smith uses minimally invasive surgical approaches for the brain and spine, and uses the most up-to-date neuroimaging, surgical navigation, robotic and artificial intelligence modalities.

The Pain-free Gene

In a practice performing spine surgeries, pain management is a common topic. Attempts to minimize postoperative pain involve minimally invasive techniques, which have been shown to limit pain. Consideration of ERAS techniques, including semi-awake procedures, also helps diminish postoperative pain and avoidance of narcotic medications. Recently, it has been found that some patients have a…

Am I Too Old for Surgery?

With the advancement of medicine and more common knowledge of how to remain healthy, more of our population is living longer.    At Rocky Mountain Brain & Spine Institute, I am commonly asked by older patients, “Am I too old for surgery?” King Tut became pharaoh around the age of 10, and died when he…

Leonardo da Vinci Had a Peripheral Nerve Injury?

A new study published this month reviews a portrait of da Vinci, painted by Giovan Ambrogio Figino.  Previously overlooked is da Vinci’s arm and hand in a sling, with the right hand in a position not typical of a stroke.  Following a stroke, a patient’s hand often is fully clenched. In this rendering, only the ring and pinky fingers are flexed and da Vinci’s right hand is in the typical “ulnar claw” position.

Marijuana… And The Munchies

Well known is the theory that smoking marijuana is associated with the urge to eat junk food…. also known as the “munchies”.  However, researchers have actually scientifically explored the relationship between cannabinoids and eating.   A synthetic cannaboid, dronabinol (Marinol), is now a commonly used medication to increase appetite in certain medical conditions where the…