Blog

Artificial Disc Replacement

This month I have chosen a topic that seems like the perfect solution to a significant problem—Artificial Disc Replacement surgery.  Recently, I have had more questions posed to me on this matter.   As I’m not a neurosurgeon, I don’t have all the answers, but wanted to obtain more edification on the subject.
Artificial Disc replacement (ADR) or Total Disc Replacement  is a surgical procedure that replaces a worn/degenerated disk in the neck or lower […]

By |February 12th, 2018|Categories: Back Pain, Pain Management|Tags: , |Comments Off on Artificial Disc Replacement

Gratitude

Last week, I truly had one of the most gratifying patient care experiences in my professional career.

A patient had traveled a ways from Montana to see me. His lumbar spine had been fused years back and he was beginning to suffer the consequences; adjacent segment degeneration and worsening back pain. He was interested in regenerative medicine, and I counseled him that his candidacy was poor (previous fusion makes it difficult to treat the spine, […]

By |February 5th, 2018|Categories: Back Pain, Regenerative Medicine|Tags: |Comments Off on Gratitude

Year in review, 2017

I figure if this gets posted before March it still counts as an end of the year review!

2017 was an exciting time for Eastern Idaho Spine, Sports and Rehab. A few highlights:

1. We were thrilled to be added as the exclusive Idaho Regenexx provider. www.regenexx.com
This has allowed us to take our regenerative medicine to the highest level, particularly offering cutting edge spine procedures to patients from Idaho, Wyoming, Montana, and we even […]

By |January 30th, 2018|Categories: About Our Practice|Tags: |Comments Off on Year in review, 2017

PED’s/Steroids

I have had the wonderful privilege of being part of the medical staff for my sons’ sporting events, I also work in a physiatry practice that has a serious focus on sport medicine. As a PA, I truly enjoy the opportunity to help out when and where needed and find that to be a fringe benefit of the job.

As the intensity and competitiveness have increased in sports, at all levels, I have been […]

By |January 8th, 2018|Categories: Sports Medicine|Tags: |Comments Off on PED’s/Steroids

Pop Quiz!

Because I am sadistic, I like to surprise my staff with pop quizzes at our quarterly ‘All Hands’ Meetings. Just kidding, they are really in good fun, and are to help make sure we all understand our vision and mission.

On the last pop quiz, I asked them, “If a patient asked, ‘do you do pain management?’ what would you say?”

Most people said ‘no, I would refer them to the pain anesthesiologists’. However, one brilliant […]

By |December 22nd, 2017|Categories: About Our Practice|Tags: |Comments Off on Pop Quiz!

Laser Surgery

As a physiatry PA, I view the world from the perspective of conservative treatment first, procedures second and if there is no relief/resolution of symptoms or the problems are more severe the “S” word…Surgery as a last resort. This is not to say I view surgery as a bad thing, but just a later step in the hierarchy of treatment steps.

With this thought framework in mind, I often get asked, “do I qualify…what […]

By |December 11th, 2017|Categories: Pain Management|Tags: |Comments Off on Laser Surgery

You’re so good..

This time of year, the staff lunchroom table begins to overflow with treats. Some days I’ll nibble at a few treats, but most days I stick to my regular, packed “healthy” food. Invariably, one of my staff notices my abstinence and says, “Oh, Dr. Vlach, you’re so good. You never eat the treats”.

It’s an interesting perception, that not eating treats is by definition virtuous or associated with tremendous will power. The simple truth […]

By |November 25th, 2017|Categories: Healthier Lifestyle|Tags: |Comments Off on You’re so good..

Year’s Wrap Up and Confessions of a Doctor #2

We are often horrible patients and make poor health choices

My running plans for 2017 did not exactly pan out.

As my work life has intensified (a good thing, my regenerative medicine practice is exploding, thanks to many grateful patients who are avoiding surgery and spreading the word, as well as our affiliation with www.regenexx.com, becoming their exclusive Idaho provider), my running life has had to take a back seat. I love the long 100 […]

By |November 20th, 2017|Categories: About Our Physicians, Healthier Lifestyle|Tags: |Comments Off on Year’s Wrap Up and Confessions of a Doctor #2

Diagnosing Pain

Another stellar blog post with fresh perspectives on healthcare from our PA, Craig Kantack. Craig has been with Eastern Idaho Spine, Sports and Rehab for over 3 years and is really an expert in PHYSIATRY and musculoskeletal care.

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As a PA walking into the exam room for the first time (new patient) or for that matter any other appointment, I diligently try to keep an open mind. By this, I mean trying to avoid the […]

By |November 13th, 2017|Categories: Pain Management|Tags: |Comments Off on Diagnosing Pain

Confessions of a Doctor: Part 1 (by Dr. Vlach)

Confession #1: I hate my electronic medical record (EMR) and would like to throw my computer out the window, at least while seeing patients.

I recently got feedback from a patient who had seen me, relayed through an acquaintance, and it went something like this: “I wasn’t sure about her, because she spent our entire office visit looking at her computer, but then when I tried some of the things she suggested I started feeling […]

By |October 9th, 2017|Categories: About Our Physicians, About Our Practice|Tags: |0 Comments