The Many Faces of Foot Drop

Foot drop is a condition in which the foot cannot elevate (dorsiflex) toward the sky. It can be on one side (unilateral) or both feet (bilateral) When muscle strength becomes less than a 3 out of 5, an abnormal gait pattern arises, due to the foot tripping on the ground. This is usually called a…

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Awake Neurosurgery

It may shock some, but the first neurological surgeries were performed at least semi-awake. As we discussed in prior blogs, Mesoamerican trephinations likely only used coca and wild tobacco. Maize beer may have limited pain. But even more, recent procedures, as modern neurosurgical techniques emerged in the late 1800s, weren’t all too different. Nitrous oxide…

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Patient Preference Regarding Invasiveness

Lumbar decompression for sciatica is a very common procedure, being performed over 480,000 times per year in the United States. Traditionally, decompression was performed as an “open” approach. During “open” decompression, often a multi-inch incision is made, the large back muscles are elevated off the spine, bone is removed, and the nerves are decompressed. However…

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Predicting Aneurysms

Most brain aneurysms are thought to be congenital, meaning people are likely born with them. A weak point in the blood vessel wall allows an outpouching which can stay dormant or burst. About 5% of people have an aneurysm, however many are unaware since symptoms may not develop until rupture. Warning signs are often subtle…

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Gait Analysis

On November 19, 2021, the current health summary of President Biden was released by Dr. Kevin O’Connor, DO, the physician of the President. Of note, the current White House physician (who is not the Surgeon General) was Dr. Biden’s personal physician prior to taking office. It is very unusual for the President’s previous PCP to…

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