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About Dr Ron Grassi,DC.,MS.,ACFEI.
Expertise
Medical questions as they relate to the Diagnosis & Treatment of Orthopedic; Neuro-Musculo-Skeletal pain and injury. As a Board Qualified Chiropractic Orthopedist & Court Expert Forensic Witness of 23 yrs., I am qualified to answer questions as they relate to treatment & mamagement of personal injury. I can answer questions about Manipulation Under Anesthesia (MUA). I enjoy treating Sports and Performing Artist injuries. In addition to my Doctorate in Chiropractic Medicine, I have a Master's, MS. Degree in Biomechanical Trauma and hold Certificates from the National & Florida Boards of Chiropractic Examiner's. Fellow of The American College of Forensic Examiner's. I Research, Publish & Lecture. I founded www.Physicians4Musicians.com www.DrGrassi.com
Experience
23 yrs.Clinical Practice,Jupiter,Florida.USA.Editorial Review Board's; "The Forensic Examiner".www.ACFEI.com & www.SpineUniverse.com
Organizations
American Board of Forensic Medicine,American College of Forensic Examiners.Florida Chiropractic Society. Rotary Club International (Paul Harris Fellow).
Publications
Editorial Review Boards: The Forensic Examiner www.ACFEI.com & www.SpineUniverse.com Master's Thesis "Manipulation Under Anesthesia".
Education/Credentials
University of Miami,BS. Biology/Chemistry/Nuclear Medicine (1979).National Chiropractic College. Chicago,Ill. BS,Human Biology,DC,Doctor of Chiropractic Medicine (1984).Lynn University,Boca Raton,Fl. Master's Degree,MS. Biomechanical Trauma,(Summa Cum Laude) (1996).Board Qualified: Chiropractic Orthopedics,(1996).Certified,Manipulation Under Anesthesia (MUA) & Sports Medicine.
Awards and Honors
Univ. of Miami, Dean's List, President's Honor Roll.Graduated Summa Cum Laude,Lynn University,Boca Raton,Fl.Master's Degree, MS., Bio-Mechanical Trauma.
Past/Present Clients
Private Clinical Practice Patient's, Expert Consultant for Attornies and Insurance Companies.
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You are here: Experts > Health/Fitness > Back and Neck Injury/Chronic Pain > Chiropractors > Herniated Disk
Expert: Dr Ron Grassi,DC.,MS.,ACFEI. - 10/26/2009
Question
Hi Dr. Grassi,
My Mom (a young age 74) has been in pain for nearly 6 months-mainly showing up as sciatic left leg pain. She has very little loss of strength and no numbness. She is hunched over when walking and cannot stay upright for more than a few minutes at a time. She hates taking medications but is forced to by the pain. Her MRI indicates a bulge at L5 S1 with only slight stenosis and sciatic nerve impingement. In the last few weeks her bladder %26 bowels are also irritated. She was offered steroid injections and was tempted to try them but she is allergic to the contrast material needed to perform the procedure. She wants to avoid surgery(including the laser types-like foraminotomy)if possible.
We are now exploring the possibility of spinal decompression therapy but will have to drive approximately 1 hr.each way to get the treatments. I would appreciate your opinion regarding this treatment. I'm aware of the DRX 9000 computerized table and the cox table- do you have any thoughts about either or both of these, or other treatments that may work?
Thanks in advance for your help.
Julie
Answer
Hi Julie: Has your Mom had an EMG Nerve Test by a Neurologist,MD.? If not, she needs to get one. The MRI shows anatomy. The EMG shows physiology. I'm concerned about Bladder/Bowel (Cauda Equina Syndrome) involvement. That does not add up because of minimal findings of Spinal Stenosis. That is probably a coincidence. I would go with the IDDD. But, only AFTER clearance from Neurologist. You DO NOT want to make anything worse. Cox method is great. Much less expensive but time consuming. You will know if IDDD is working in 3 to 6 sessions. If no significant improvement. At least 20-30%. It's NOT for her. Combine IDDD with Acupuncture, Biofeedback & Physical Rehab. YOU MUST strengthen the Multifidi and Psoas Muscles. Long term goal. Get her into Yoga/Palates. Groups of Seniors at the Y water aerobics. Consider getting her a home Inversion Traction Device. You can pick one up cheap at a Sports Consignment Store. Only OK too after clearance from Neuro. Get a Neuro. that's open minded. Most of them are not. Once she proceeds past the IDDD she should start Chiro. Adjustments to maintain her at MMI or Maximum Medical Improvement. Yes, there is much hope for her. Julie, please read this a few times and follow through. She will improve. You need to keep in touch with me to let me know if she is making any progress so I can determine if she is on the right path. Later....Dr Ron Grassi,Jupiter,Florida.DC.,MS. www.DrGrassi.com
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