Back Institute - Herniated Disc? Back Pain? The Best Spine Surgery Anywhere.

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Major surgery is not the only option for many patients with disc herniation.

Dr. Ditsworth explains the fundamentals of Non-Traumatic Spine Surgery.
Most "minimally invasive spine surgery" is actually very traumatic.

Medical Information:
Are you the Patient? If no, please tell us	Yes. If no,
Areas of Difficulty
Has patient had spine surgery?	Yes No
What was done? When was it? Who was the surgeon?
Do you have	Back Pain? YesNo Neck Pain? YesNo Leg Pain? YesNo Leg Numbness?YesNo Leg Weakness?YesNo
Patient's Age \| Patient's Sex	years old Male Female
Please tell us your exact symptoms: (back pain? leg pain? weakness? numbness? exactly where)
Describe patient's problem
The problem started when?
Has patient had a scan? What did it show?
Has patient seen a surgeon for a present problem? What was recommended?
What tests and treatment has patient had?
What would you like to ask us?
Where did you hear about us?	If Others,

Other Information:
Insurance Company Name		Type

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