Back Talk Doc

Battlefield acupuncture, a form of ear acupuncture, is well-known in military medicine. It’s now making its way to the civilian population due to ease of use, minimal risk involved, and effectiveness in relieving pain.

John Howard, a clinician and academic, is a leading authority on this revolutionary technique. Upon earning his degree in acupuncture, he completed a five-year fellowship with the father of battlefield acupuncture himself, Dr. Richard Niemtzow. John joins Back Talk Doc host, Dr. Sanjiv Lakhia, to discuss battlefield acupuncture’s history, how it works, as well as some of the programs he runs to help fellow clinicians learn and implement the technique.

Battlefield focuses on inserting needles into specific points in the ear to relieve pain. And with the low risk involved combined with high pain reduction rates, it’s a safe alternative to opioid use. “There's no contraindication with the medicine. You can’t say well, since you’re on this medication, I can’t give you this needle.” John says. “You don’t have to contact the pharmacy to see if there are any problems with this. It’s that simple.”

John and Dr. Lakhia also share examples of how the technique has relieved pain with their own patients, as well as discussing John’s upcoming book to help other clinicians implement battlefield and bring their patients a better quality of life.

Name: John Howard, LAc., Dipl. Ac

What he does: John is a clinician and academician, providing international lectures in acupuncture and auriculotherapy. He has authored five books and 21 articles on the subject.

Company: Battlefield Acupuncture Seminars

Words of wisdom: “It's really embryology at its finest. Have one of your members look at someone’s ear, or even look at their own ear in the mirror. It kind of looks like an inverted fetus in the womb. And you can go back to physics where the part contains the whole, where the specific parts on the ear contain specific parts of the body. And with the interaction of the cranial nerves, that's how the body balances out the pain and its processes. And that's the question everybody always asks. They always say, Well, how does battlefield work? And I say, Very well, thank you, and just go along with that.”

Connect: Website | LinkedIn

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Pain, Function & Parkinson's with Sam Schroeder, PT

👉 Enroll in Dr. Lakhia’s 6-week course to lower inflammation. 

👉 Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

For those living with Parkinson's, back pain and stiffness can be some of the most frustrating symptoms of the neurological disorder. Luckily, with cutting edge physical therapy programs like LSVT BIG®, those living with Parkinson’s can combat the slowing and smallness of movements associated with the disease. 

Samantha Schroder, DPT, a physical therapist based in Carolina Neurosurgery and Spine’s Charlotte office is certified in the approach. She joins Back Talk Doc host, Dr. Sanjiv Lakhia, to discuss how the program reorganizes nerve networks in the brain to improve functioning.  

The program focuses on big movements, which yield significant improvements in patients committed to the regimen. Samantha explains, “[We] get them to move really big. While it might seem super exaggerated when we act it out, when [the patient] acts it out, it's essentially going to be normal movement because they're starting from a place that's smaller. Having them do things that feel really exaggerated to them is going to look normal to us, and that's one of the main parts of the program.” 

In addition to explaining the science behind the program, Samantha shares exercises that patients can do to improve their posture and decrease back pain, also noting the benefits of integrating diaphragmatic breathing into the routine.

Name: Samantha Schroeder, DPT

What she does: Samantha Shroeder, DPT, is a licensed physical therapist living in Charlotte, NC. She has extensive experience in treating neuromuscular and musculoskeletal conditions, with specific interest in Parkinson’s Disease. Samantha is certified in treating Parkinson’s using the LSVT BIG® method.

Company:  Carolina Neurosurgery & Spine

Words of wisdom: "I fell into Parkinson’s because, during my clinical rotations, I noticed that it was more common than I had realized. It's the second most common neurological disease in the U.S., and people with Parkinson's can experience moderate to severe functional deficits. I believe that there is a significant role for physical therapy in treating Parkinson's, and that's where my interests stem from."

Connect: LinkedIn | LSVT BIG® Promotion

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Back Surgery Revisions with Patrick Jowdy, MD

👉 Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 

👉 Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

In this special episode, Dr. Sanjiv Lakhia offers listeners a guided meditation session to help manage daily pain levels.

Dr. Lakhia emphasizes the importance of deep breathing as a powerful tool to connect with the present moment and promote relaxation. This episode is especially helpful for those struggling with pain who are looking for natural ways to manage their symptoms.

This meditation is meant to be listened to in a quiet, comfortable environment, perhaps seated in a comfortable chair or laying down comfortably. Do not listen to this meditation if you are operating machinery, a vehicle, or in any situation that could be harmful. 

Name: Dr. Sanjiv Lakhia

What he does:  In addition to hosting Back Talk Doc, Dr. Sanjiv Lakhia is a board-certified physiatrist who cares for patients at the Ballantyne and Rock Hill offices of Carolina Neurosurgery & Spine Associates. As a physiatrist, he specializes in non-surgical approaches to spine and orthopedic conditions and offers a diverse range of innovative treatments for back pain, including acupuncture, spinal injections, and prescriptive exercise.

Company: Carolina NeuroSurgery & Spine Associates

Connect: Website |  LinkedIn 

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Back Surgery Revisions with Patrick Jowdy, MD

👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 

👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

During medical school, Dr. Patrick Jowdy was drawn to neurology and neurosurgery because of the challenges of the pathology and the importance of the work in improving patients’ lives. It was seeing the patients doing well post-op that finalized his interest in neurosurgery.

In this episode of Back Talk Doc, host Dr. Sanjiv Lakhia talks with colleague Dr. Jowdy, now a neurosurgeon at Carolina Neurosurgery & Spine Associates, about how he treats patients who may need second low back surgeries. 

“Whenever anybody presents with [recurring] issues, the main thing that you need to really tease out is what the history is and what's really bothering them,” says Dr. Jowdy. “Sometimes there could be problems from an error in judgment and not really technique. That's why it's really important to identify what the problem is to begin with.” 

In addition to discussing treatment options for second, or revision, spinal surgeries, Dr. Jowdy also offers guidance on how back pain sufferers can try to avoid needing a second surgery. Tune in to hear how surgeons approach patients who present recurrent back pain after surgery and tips for maintaining a healthy spine. 

Name: Patrick Jowdy, MD

What he does: As a neurosurgeon at Carolina Neurosurgery & Spine Associates, Dr. Jowdy offers personalized care to his patients by using minimally invasive techniques and complex procedures to treat spine and brain pathologies.

Company: Carolina Neurosurgery & Spine Associates

Words of wisdom: “What I tell patients after the operation is, there is a defect that the disc herniated through in the first place. The best chance you can give it to heal is to take it easy for a couple of weeks after the surgery. So I tell them, no heavy lifting, no bending, no twisting, just to give your back a rest in the weeks that come after the surgery just to reduce the chance that more discs can re-herniate.”

Connect: Website | LinkedIn 

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Conquer Pain With Virtual Reality. 

👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 

👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

It was more than 13 years ago that a veterinarian introduced Dr. Gregory Lutz to platelet-rich plasma (PRP). Dr. Lutz had a lame horse suffering from a tendon injury. With the help of a portable ultrasound, the veterinary physician drew the horse's blood, spun it in a centrifuge, and injected it into the tendon, right there in the stall. Within a few weeks, the horse was running around like a pony. That inspired Dr. Lutz to research this treatment for his own patients. 

With more than 30 years of clinical experience under his belt, Dr. Lutz has proven himself to be a driving force in today’s regenerative medicine movement. He has co-authored more than 60 scientific publications on the topic of PRP and continues to research the power of this treatment to improve outcomes.

“We have to share research, speak openly about our findings, report the good and the bad and the ugly, so that people are aware of the risks, and see if we can keep moving this forward,” says Dr. Lutz. “It's been a very exciting journey to finally find something that I think has staying power.” 

In this episode of Back Talk Doc, host Dr. Sanjiv Lakhia and Dr. Lutz discuss PRP treatments for low back pain and Dr. Lutz’s new book.

Name: Gregory Lutz, MD

What he does: Dr. Lutz is the founder of the Regenerative SportsCare Institute, Physiatrist-in-Chief Emeritus at New York City's Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Nationally known for his work and writing on platelet-rich plasma treatments for disc injuries, Dr. Lutz just authored a new book, Heal Your Disc, End Your Pain: How Regenerative Medicine Can Save Your Spine.

Company: Regenerative SportsCare Institute

Words of wisdom: “There's some merit to that thought that if we intervene early with a structured healing treatment, you might prevent some of the degenerative changes that occur with the spine that most likely would result in more aggressive treatment like surgery.”

Connect: Website | LinkedIn

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Conquer Pain With Virtual Reality.

👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation. 

👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only). 

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

When we think of virtual reality, we usually think about its most obvious uses: gaming, socializing, or even shopping. 

But researchers and doctors are also experimenting with VR in the healthcare field. Harvard MedTech has found that VR has unique properties that help the brain address pain and return to homeostasis in a holistic way. 

In the Vx Therapy program, clinicians work alongside VR to help guide anyone from surgical patients to hospice patients and veterans toward relief from their pain. 

Using a biopsychosocial approach, practitioners there have found that creating acute distractions during a VR therapy session leads to pain relief that lasts hours, the equivalent of a pharmacological option like painkillers. That activity also encourages neuroplasticity and has helped patients achieve long-term relief and even sleep improvement.

“We're tapping into the human brain in a way that we've never really been able to do before,” says Gerry Stanley, MD, Senior Vice President and Chief Medical Officer at Harvard MedTech. “We always treated it with drugs, we would treat it with injections, we would do different things, but now we're leaning into the brain's natural ability to find homeostasis and heal itself.”

In this episode of Back Talk Doc, host Dr. Sanjiv Lakhia sat down with Dr. Stanley to discuss Harvard MedTech’s Vx Therapy program, why VR therapy works, and how it can revolutionize medicine as we know it.  

Name: Dr. Gerry Stanley 

What he does: As Senior Vice President and Chief Medical Officer at Harvard MedTech, Dr. Stanely leads the company’s tech and VR solutions to help combat the opioid epidemic and mental health crisis in the United States. He is also a consultant and business leader providing guidance to healthy systems on healthcare solutions.

Company: Harvard MedTech 

Words of wisdom: “If we treat people holistically, we give them a tool to engage them biopsychosocially — look at the savings on the backend for the carriers. Look at the happiness of the patients […] That’s the holy grail.”

Connect: Website |  LinkedIn

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Hip vs. Back pain with Dr. Puneet Aggarwal

👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation:

https://www.drlakhia.com/offers/WanLnrxk

👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only)

https://www.drlakhia.com/apply

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

One of the more challenging conditions for doctors to diagnose whether pain is originating in the hip or back. In this episode of Back Talk Doc, host Dr. Sanjiv Lakhia and his guest, Dr. Puneet Aggarwal, MD, troubleshoot different patient symptoms and explore how they would treat them.

Dr. Aggarwal is the director of Atrium Health Musculoskeletal Institute of Sports Medicine, where he specializes in non-surgical treatments for the spine and interventional pain medicine. 

Dr. Lakhia and Dr. Aggarwal discuss multiple scenarios and treatment methods for a patient presenting hip and back pain. They run through different ways of identifying the root cause of the pain, how they would go about treating it, and the multiple options for patients who need more help. 

And for patients dealing with ongoing pain, Dr. Aggarwal stresses the importance of stretching and strengthening to maintain flexibility in your joints and muscles. 

From tight IT bands to testing pain on the stairs to SI joint pain and steroid injections, the two doctors cover the full gambit of hip and back pain. They provide tips for physicians to diagnose pain issues, and also help patients assess their own pain. 

Name: Puneet Aggarwal, MD

What he does: As the director of Atrium Health Musculoskeletal Institute of Sports Medicine and division chief of Physical Medicine and Rehabilitation, Dr. Aggarwal specializes in non-surgical spinal treatments and interventional pain medicine.

Company: Spine First - Atrium Health

Words of wisdom: “I think maintaining strength, but also maintaining flexibility at the same time is the key.” 

Connect: Website

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Grief Connects Us with Jodi Stern, MD 

👉Enroll in Dr. Lakhia’s 6 week course to lower inflammation:

https://www.drlakhia.com/offers/WanLnrxk

👉Apply for an Integrative Medicine consult with Dr. Lakhia (NC/SC residents only)

https://www.drlakhia.com/apply

 🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

When his younger sister, Victoria, died from leukemia, Dr. Joseph Stern stepped out of his white coat, becoming more than a physician. He was a patient’s loved one — his sister’s caretaker and advocate.

In this episode of Back Talk Doc, host Dr. Sanjiv Lakhia talks with Dr. Stern about how his experience with his sister led him to reexamine what it means to be a physician, which he chronicles for readers in his book Grief Connects Us: A Neurosurgeon’s Lessons on Love, Loss, and Compassion. 

“I saw, as if for the first time: what it was like to be a patient and what it's like to be a patient's family member. It really had a tremendous impact on me personally in terms of my relationship with her and family, but also how I take care of patients and the whole notion of passion in medicine,” says Dr. Stern. “I realized that, in many ways, I had never really been as empathetic as I needed to be or as compassionate, and hadn't really understood what it was like to be a patient [going] through this kind of illness.”

Dr. Stern explains how physicians can become better doctors by practicing more patience, understanding, empathy, and compassion. He references multiple resources, in addition to his own book, so listeners can learn more about the power of connection between patient and physician. 

Name: Joseph Stern, MD

What he does: Dr. Stern is a neurosurgeon, author, and inventor. He is a partner at Carolina Neurosurgery & Spine Associates and practices neurosurgery at the Moses H. Cone Hospital. 

Company: Carolina Neurosurgery & Spine Associates

Words of wisdom: “Have patience and the ability to listen — not being hurried — being present and listening and appreciating the [patient’s] experience is of vital importance. It makes you a better doctor, but it also takes your care to a whole different level in terms of the relationship you establish with a patient and family members.”

Connect: Website | LinkedIn | Facebook | Twitter | Instagram  

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode 2022 Gift List For Back Pain2022 Gift List For Back Pain.

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

Holiday shopping season is upon us, and there’s something out there for everyone. Dr. Sanjiv Lakhia reflects on the guests that decked the halls of Back Talk Doc in 2022 and compiled a list of the top ten gifts for people with back pain. 

The list is inspired by discussions with guests, including Dr. David Schecter and Esther Gokhale, and addresses a range of prices and applications. Finding the perfect gift is tough, so Back Talk’s top ten list helps strike the balance of something that lights up your loved ones’ faces while not depleting your budget or inflicting more back tension. 

Dr. Sanjiv Lakhia’s Top Ten List 

10. Think Away Your Pain by Dr. David Schechter

 9. Desert Tortoise Botanicals Trauma Pain Salve

 8. Dr. Eric Goodman’s Foundation Training App

 7. Fresh N Lean Meal Delivery Service

 6. 8 Steps to a Pain-Free Back by Esther Gokhale

 5. Back Mechanic by Dr. Stuart McGill 

 4. Crossover Symmetry Padded Bands

 3. Ear Seeds

 2. Thermophore Heating Pad

 1. The Back Talk Book by Dr. Sanjiv Lakhia 

Bring enlightenment into friends’ and families’ spines and homes this holiday season and start 2023 with habits that are guaranteed to ease any back pain or stress. Listen to this episode of Back Talk for the top ten gifts people with back pain can’t wait to receive this year. 

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode Back Pain Relief with Spinal Cord Stimulation

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com. 

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.

Physicians strive to find ways for their patients to live healthy, active lifestyles, and that is what attracted Dr. Dave Eichman to the specialty of spinal cord stimulation. 

In this episode of Back Talk, host Dr. Sanjiv Lakhia and his guest, Dr. Eichman, cover what makes a patient a good candidate for the treatment, what to expect from it, and some potential pitfalls. 

“The unique ability to test the device before committing can help patients feel more confident in their choice. “[Once] you've had the surgery done, there's no going back. But with the stimulator, there's a five-to-seven day trial period where you come in, like you're gonna have an injection performed,” Dr. Eichman says while explaining a unique aspect of this treatment. “You just get to try it out, see if you can walk further, stand longer, sleep better, use less pain medicine. Are you comfortable with it?” 

The technology behind spinal cord stimulation has made significant progress since it first became available almost 50 years ago. In the past ten years alone there have been major improvements in the therapeutic modality of the device, so patients have more choices in what the treatment feels like to them. The devices are also now MRI-friendly, giving patients more imaging choices than they traditionally had if they had chosen to pursue this treatment. 

Tune in to this episode of Back Talk to hear how spinal cord stimulation can improve the lives of patients living with recurring nerve pain. 

Name: Dave Eichman, MD

What he does: As a clinician, Dr. Eichman enjoys caring for patients by using critical thinking, patience, and perseverance. He specializes in pain management with a special interest in spinal cord stimulation, peripheral nerve stimulation, MILD procedure, and Botox for migraines.

Company: Carolina Neurosurgery & Spine Associates

Words of wisdom: “My interest has been in trying to make people's lives as bearable as possible. There are a lot of people that, unfortunately, are dealing with conditions that make it difficult for them to function throughout their day. So I've developed an interest in trying to make their lives better.”

Connect: Website | LinkedIn

👉 If you enjoyed this episode of Back Talk Doc, check out our recent episode A Guided Meditation For Pain: Creating A Safe Space.

🔎 For more information on Dr. Sanjiv Lakhia and the podcast visit BackTalkDoc.com.

🎧 Subscribe in your favorite podcast app.

Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to backtalkdoc.com. To schedule an appointment with Carolina Neurosurgery & Spine Associates, you can call us at 1-800-344-6716 or visit our website at CNSA.com.