Severe back pain with movement; improved pain with standing, sitting, or lying down; limited movement in spine; nerve damage; and decrease in your height are some of the symptoms of spinal compression fractures. Dr. Brian Schiro, Interventional Radiologist with Miami Cardiac and Vascular Institute, says many patients feel this pain when they are getting out of bed in the morning or when they are getting up from a chair. "That's typically what causes the majority of pain in these patients."
Dr. Brian Schiro, Interventional Radiologist at Miami Cardiac & Vascular Institute, explains D.V.T. (Deep Vein Thrombosis) is when a blood clot builds up in the veins prohibiting the blood from flowing out of the legs. Dr. James Benenati, Director, Non-Invasive Vascular Laboratory at Miami Cardiac & Vascular Institute, says P.A.D (Peripheral Arterial Disease) and D.V.T. are very different: "One is caused by atherosclerosis and the other is caused by blood that isn't flowing. While many patients with PAD get DVT and viceversa, they're really caused by different things, but the reason we lump them together is because they both affect the legs".
There are some options to treat Deep Vein Thrombosis. Some of them are anticoagulation therapy, thrombolysis and thrombectomy. Dr. James Benenati, Director, Non-Invasive Vascular Laboratory at Miami Cardiac & Vascular Institute, explains anticoagulation therapy is a very complex way of saying you take a blood thinner and it thins your blood out. This is the most common treatment; 95% o the patients are treated with anticoagulation therapy. According to him, thrombectomy and thrombolysis are terms that mean they put a drug into the patient's body and it dissolves the clot. Dr. Brian Schiro, Interventional Radiologist at Miami Cardiac & Vascular Institute, says one of their side effects is an increased risk of bleeding associated with taking blood thinners.
Dr. Brian Schiro, Interventional Radiologist at Miami Cardiac & Vascular Institute, explains angioplasty is for patients that fail conservative treatment and still have claudication or critical limb ischemia and have not improved on medical treatment. According to him, angioplasty consists on a balloon inserted into the blood vessels and by inflating the balloon this would cause the plaque to expand and to get crushed and pushed inside the wall of the blood vessel. So, this opens up the flow channel and allows blood to flow back through the blood vessel.
Dr. Brian Schiro, Interventional Radiologist with Miami Cardiac and Vascular Institute, explains metastasis occurs with different frequencies depending on what type of cancer the patient has. "Most patients when they have staged four cancers they have metastasis that have spread to other parts of the body. The bone is one of those spots where this metastasis can form." He also says ablation is a treatment to deal with the pain. "We are able to put a needle into the vertebral body, and this is a particular need that has radio frequency signals on it. What happens is that radio frequency signal heats up in that location at the tip of the needle and it basically kills any of the bone tumors that are in there."