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Spinal Surgery a Risk for Tiger
Date:5/12/2010

Edward Tobinick MD, Director of the Institute for Neurological Research® (INR), a private medical group, inc. in Los Angeles and inventor of anti-TNF methods for treating disc-related pain, comments: "Without more information it is impossible to determine if, or to what degree, this could have an effect on Tiger's career in the long-term. People with these types of problems can suddenly get better even without treatment, particularly during the first six weeks of symptoms. As a general guideline, patients with neck pain are treated conservatively, without surgery if possible. At the INR nearly a decade of clinical experience with the off-label use of an anti-TNF approach for disc-related pain has been extremely favorable, and candidates include patients with severe and chronic pain. If symptoms do not respond to non-surgical treatment then more invasive approaches, such as surgical intervention, are considered."

"With regard to MRI images, these can give guidance for treatment but generally do not by themselves indicate the best treatment options or the expected outcome. Patients with disc bulges, protrusions, herniations or tears may have no symptoms at all; but sometimes even small bulges or an isolated tear can cause severe chronic pain. The best guide for treatment is the patient's symptoms: is there continued pain, tingling or weakness? Is there impairment of function and daily activity? Is the pain so severe that it is interfering with sleep, or requiring the use of opioids? With conditions like this the outcomes can be so variable in the short term that the best guidance comes from examining how the symptoms evolve over time."

About the INR
The INR in Los Angeles evaluates and treats patients with disc-related neck pain, back pain, and sciatica. The INR has developed patented off-label methods of use of anti-TNF molecules for treating neuroinflammatory disorders, including cervical radiculopathy and o
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