PUSH Fitness & Rehabiliation
Welcome !! PUSH-as-Rx ®™ is leading the field with laser focus supporting our youth sport programs. The PUSH-as-Rx ®™ System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. Immediately, we adjust our methods for our athletes in order to optimize performance. This highly adaptive system with continual dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics. PUSH-as-Rx ®™ offers specialized extreme performance enhancements to our athletes no matter the age.

Outpatient Spine Surgeries

Many complex spinal surgeries take place in a hospital environment. The individual spends a night or two in the hospital, so medical staff can monitor them if any complications arise. However, outpatient surgeries have increased with new developments in minimally invasive procedures, pain management, and home rehabilitation. The improvements compared to traditional spinal surgical procedures are significant. These advancements have made it possible to perform more complex surgeries outside of a hospital. Outpatient surgeries have:

  • Accelerated recovery times
  • Decreased complications
  • Decreased infections
  • Healthier overall outcomes

Outpatient Spine Surgeries

Outpatient Surgery Candidates

Determining if outpatient surgery can be performed effectively depends on the injury/s and/or conditions that the individual is going through. An individual who is debilitated or has underlying medical conditions that increase their risk for complications or do not have support at home to assist with recovery and rehabilitation is recommended to have the surgery done in a hospital. To be considered for outpatient spine surgery, a surgeon looks at:

  • Age
  • Disease/s
  • Condition/s
  • Overall health
  • Weight
  • Body type

Individuals must also be a non-smoker or have quit before surgery, as smoking:

  • Interferes with proper healing
  • Can accelerate disc degeneration
  • Can cause ill effects on the spine and other areas of the body

Recovery times vary on a case-to-case basis and procedure type. Most procedures’ recovery time is between three weeks and three months.

Ambulatory Surgery Centers

An ambulatory surgery center or ASC is an outpatient clinic that offers surgical procedures. Standard outpatient procedures include:

  • Abdominal hernia repairs
  • Cataract surgeries
  • Skin therapies

Standalone ambulatory surgery centers offer same-day surgical procedures for individuals that meet specific criteria. Medical staff assess the patient’s condition and determine recovery at home. If issues arise, the individual can be transferred to a hospital. Some facilities are single-specialty facilities, focusing on one medical specialty, and others are multi-specialty, meaning they offer a range of medical services from:

  • Orthopedic
  • Podiatry
  • Pain management services

Procedures

Anterior Cervical Discectomy and Fusion – ACDF

ACDF is a two-part surgery. First, the surgeon removes part of an intervertebral disc with bulged and compressed nerves from the spinal cord.  Because there is less cushion, the vertebrae above and below are fused to prevent and eliminate painful movement. The discectomy:

  • Provides more accessible access to the vertebrae
  • Reduces healing time
  • Causes less pain

ACDF outpatient procedure treats several neck conditions that include:

  • Cervical spinal stenosis
  • Cervical radiculopathy
  • Neck-related degenerative disc disease
  • Herniated disc
  • Cervical spinal fracture

Individuals recover in the surgical center for one to several hours following the surgery before returning home. Traditional ACDF procedure takes three weeks to three months to recover.

Lumbar Discectomy

A lumbar discectomy is a minimally invasive procedure that repairs a lower back herniated disc compressing the surrounding nerves. This procedure provides compression relief and allows the nerve to heal. A traditional lumbar discectomy takes four to six weeks to recover.

Lumbar Laminectomy

This minimally invasive procedure removes thickened ligaments and lamina from the lower back. This opens the spinal canal space, relieving pressure and bringing pain relief. The surgery commonly treats lower-back spinal stenosis. A traditional laminectomy takes four to six weeks to recover.

Lumbar Spinal Fusion

Outpatient lumbar spinal fusion permanently connects two or more vertebrae in the lower back. The surgery helps stabilize the spine from severe arthritis or herniated disc removal. Spinal fusion has been found to be effective for correcting certain spinal deformities. The surgery involves a short recovery time at the outpatient center, after which the individual can return home the same day. A traditional or open spinal fusion requires a two-to-three-day hospital stay. After four to six weeks and with a doctor’s clearance, individuals can return to light activities, with full recovery requiring six months.


Back Surgery


Chiropractic Spinal Decompression


References

International Journal of Spine Surgery. (April 16, 2021) “The expanding frontier of outpatient spine surgery.” https://pubmed.ncbi.nlm.nih.gov/33900984/

Mayo Clinic. (n.d.) “Spinal fusion.” https://www.mayoclinic.org/tests-procedures/spinal-fusion/about/pac-20384523

Neurosurgeons of New Jersey. (July 21, 2019) “Lumbar discectomy recovery timeline: Your guide to recovery.” https://www.neurosurgeonsofnewjersey.com/blog/lumbar-discectomy-recovery-time/#:~:text=The%20overall%20lumbar%20discectomy%20recovery,discectomy%20recovery%20time%20should%20progress

Rothman Orthopaedics. (March 2, 2017) “Outpatient spine surgery: A new way to look at surgery.” https://rothmanortho.com/stories/blog/outpatient-spine-surgery

Post Disclaimer *

Professional Scope of Practice *

The information herein on "Outpatient Spine Surgeries" is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.

Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*