DrShanbhag

DrShanbhag Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from DrShanbhag, Doctor, 14605 Potomac Branch Drive, Suite 1001, Woodbridge, VA.

๐ŸŸข MrBackPain
๐Ÿฅผ SpineHealer | PainTerminator | InjurySolver
โ›‘ OrthoBiologics | Spine Cancer & Fractures
๐Ÿš€ Board Certified | Fellowship Trained
๐Ÿ’ฅ Physiatrist
๐ŸŒ Woodbridge,Virginia

Gabor Racz, M.D. {1937 - 2025}The passing of one of the Pioneers & Founders of the specialty of Interventional Pain Mana...
06/22/2025

Gabor Racz, M.D. {1937 - 2025}

The passing of one of the Pioneers & Founders of the specialty of Interventional Pain Management โ€ฆ.๐Ÿ™๐Ÿฝ



The information published here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information on this site is provided for educational and informative purposes only, & is not a substitute for professional medical advice

Osteoporosis Exercise - particularly weight bearing, are an important staple for the therapeutic treatment & prevention ...
06/19/2025

Osteoporosis

Exercise - particularly weight bearing, are an important staple for the therapeutic treatment & prevention of Osteoporosis.

๐ŸŸขReDucing Pain
๐ŸŸขReStoring Function
๐ŸŸขReCharging Quality of Lifeโ€ฆ..Our Primary Goal & Focus.



The information published here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information on this site is provided for educational and informative purposes only, & is not a substitute for professional medical advice

If you have osteoporosis, you may wonder what exercises are safe. Our physical therapist offers advice.

๐‡๐จ๐ฐ ๐€๐ซ๐ž ๐„๐ง๐๐ฉ๐ฅ๐š๐ญ๐ž ๐ƒ๐ž๐Ÿ๐ž๐œ๐ญ๐ฌ ๐‚๐ฅ๐š๐ฌ๐ฌ๐ข๐Ÿ๐ข๐ž๐ ๐ข๐ง ๐ญ๐ก๐ž ๐‹๐ฎ๐ฆ๐›๐š๐ซ ๐’๐ฉ๐ข๐ง๐ž?The spinal endplate, a bilayer structure composed of cartilage a...
02/17/2025

๐‡๐จ๐ฐ ๐€๐ซ๐ž ๐„๐ง๐๐ฉ๐ฅ๐š๐ญ๐ž ๐ƒ๐ž๐Ÿ๐ž๐œ๐ญ๐ฌ ๐‚๐ฅ๐š๐ฌ๐ฌ๐ข๐Ÿ๐ข๐ž๐ ๐ข๐ง ๐ญ๐ก๐ž ๐‹๐ฎ๐ฆ๐›๐š๐ซ ๐’๐ฉ๐ข๐ง๐ž?

The spinal endplate, a bilayer structure composed of cartilage and bone, separates the intervertebral disc from the adjacent vertebral body. It plays a crucial role in nutrient transport to the avascular disc and in mechanical load distribution. Damage to this structure can lead to structural and functional impairments of the entire disc-endplate-bone marrow complex.

Recently, endplate lesions have gained significant attention, leading to the development of several classification systems. One of the earliest, proposed by Rajasekaran et al. (Eur Spine J, 2008), describes six different types based on MRI-evaluated severity of damage:

๐“๐ฒ๐ฉ๐ž ๐ˆ: Normal endplate
๐“๐ฒ๐ฉ๐ž ๐ˆ๐ˆ: Thinned endplates without visible breaks
๐“๐ฒ๐ฉ๐ž ๐ˆ๐ˆ๐ˆ: Focal defects in the endplate without subchondral bone changes
๐“๐ฒ๐ฉ๐ž ๐ˆ๐•: Breaks involving less than 25% of the surface, usually accompanied by adjacent bone marrow changes
๐“๐ฒ๐ฉ๐ž ๐•: Large defects affecting up to 50% of the surface, associated with bone marrow changes
๐“๐ฒ๐ฉ๐ž ๐•๐ˆ: Extensive damage involving nearly the entire endplate

Recent research highlights several important associations of endplate defects, including:

1. A strong and independent correlation with ๐๐ž๐ ๐ž๐ง๐ž๐ซ๐š๐ญ๐ข๐ฏ๐ž ๐๐ข๐ฌ๐œ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž (Rade et al., Spine 2018)
2. A strong association with ๐Œ๐จ๐๐ข๐œ ๐‚๐ก๐š๐ง๐ ๐ž๐ฌ (Mรครคttรค et al., Sci Rep, 2018)
3. Associations with ๐ฅ๐จ๐ฐ๐ž๐ซ ๐๐ข๐ฌ๐œ ๐ฌ๐ข๐ ๐ง๐š๐ฅ ๐ข๐ง๐ญ๐ž๐ง๐ฌ๐ข๐ญ๐ฒ, ๐ซ๐ž๐๐ฎ๐œ๐ž๐ ๐๐ข๐ฌ๐œ ๐ก๐ž๐ข๐ ๐ก๐ญ, ๐š๐ง๐ ๐ข๐ง๐œ๐ซ๐ž๐š๐ฌ๐ž๐ ๐๐ข๐ฌ๐œ ๐›๐ฎ๐ฅ๐ ๐ข๐ง๐  (Feng et al., Spine 2018)
4. Specific types of endplate defects are associated with ๐›๐š๐œ๐ค ๐ฉ๐š๐ข๐ง ๐ก๐ข๐ฌ๐ญ๐จ๐ซ๐ฒ and may be an independent ๐ซ๐ข๐ฌ๐ค ๐Ÿ๐š๐œ๐ญ๐จ๐ซ ๐Ÿ๐จ๐ซ ๐›๐š๐œ๐ค ๐ฉ๐š๐ข๐ง (Chen et al., Spine J 2020)

๐€๐๐๐ข๐ญ๐ข๐จ๐ง๐š๐ฅ๐ฅ๐ฒ, ๐š๐œ๐œ๐จ๐ฎ๐ง๐ญ๐ข๐ง๐  ๐Ÿ๐จ๐ซ ๐ž๐ง๐๐ฉ๐ฅ๐š๐ญ๐ž ๐๐ž๐Ÿ๐ž๐œ๐ญ๐ฌ ๐ข๐ฌ ๐œ๐ซ๐ฎ๐œ๐ข๐š๐ฅ ๐ข๐ง ๐œ๐ฅ๐ข๐ง๐ข๐œ๐š๐ฅ ๐ญ๐ซ๐ข๐š๐ฅ๐ฌ ๐จ๐Ÿ ๐ฌ๐ฉ๐ข๐ง๐š๐ฅ ๐๐ž๐ฏ๐ข๐œ๐ž๐ฌ. Their necessity as an exclusion criterion should be carefully evaluated, and their assessment should be clearly described in the radiographic evaluation protocol.

โœ๐ŸปRajasekaran et al. Pharmacological enhancement of disc diffusion and differentiation of healthy, ageing and degenerated discs: results from in-vivo serial post-contrast MRI studies in 365 human lumbar discs. Eur Spine J. 2008;17(5):626โ€“643.

Credit: Marcel Dreischarf, PhD.

During training as a physician, there are those who leave a lasting impression and their fingerprint on your care of pat...
02/15/2025

During training as a physician, there are those who leave a lasting impression and their fingerprint on your care of patients.

For me, one of them was Sam Yue, M.D.

He was a great person, human being, mentor, & friend to me. Innovative & progressive in his thought processes & perspectives - both personally & professionally.

He recently passed away - December 21, 2024.

There was a celebration of his life today in Minnesota - Friday February 14, 2024.

11/12/2024
Remember, the time to change your insurance is upon us. Medicare Advantage is an advantage in name only. *Itโ€™s a complet...
10/20/2024

Remember, the time to change your insurance is upon us. Medicare Advantage is an advantage in name only. *Itโ€™s a complete scam*

Change to traditional Medicare and add a supplemental.



Disclaimer: The information here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information provided on this site is intended for educational & informative purposes only, & is not a substitute for professional medical advice.

Disclaimer: This content is in part for educational purposes. I unequivocally denounce any form of violence, hate, harassment, or bullying. This page does not endorse or promote dangerous acts, organizations, or any forms of violence. In accordance with the 107 of the Copyright Act of 1976, this content is made available for "fair use" purposes, including criticism, comment, news reporting, teaching, scholarship, education, and research.

Acute Low Back Pain.One of the most common series of questions I receive when seeing a patient for an episode of acute b...
10/12/2024

Acute Low Back Pain.

One of the most common series of questions I receive when seeing a patient for an episode of acute back pain is:

๐Ÿ›‘โ€Did I rupture a disc?
๐Ÿ›‘โ€Break a bone in my back?
๐Ÿ›‘โ€Do you think it could be cancer ?โ€

All are legitimate questions & concerns as a patient. Particularly someone who is very active & independent- whether young or mature/seasoned (gentle terminology for the senior population).

Most acute back pain is not life threatening, & will resolve uneventfully on its own or with minimal treatment (eg home exercises, rest, heat ice).

However, unresolved and/or debilitating pain with/without neurological or other red flag signs - the determination of the source and next steps in care require a combination of a careful history (where the diagnostic impression is formulated) & directed, focused spine examination (where the findings confirm the diagnostic impression or direct the physician to a different conclusion or the necessity of additional diagnostic studies).

Relying solely on an MRI/CT/XRay imaging study is not how itโ€™s done, but serves as a useful adjunct.




Disclaimer: The information here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information provided on this site is intended for educational & informative purposes only, & is not a substitute for professional medical advice.

Disclaimer: This content is in part for educational purposes. I unequivocally denounce any form of violence, hate, harassment, or bullying. This page does not endorse or promote dangerous acts, organizations, or any forms of violence. In accordance with the 107 of the Copyright Act of 1976, this content is made available for "fair use" purposes, including criticism, comment, news reporting, teaching, scholarship, education, and research.

With Virginia Cancer Specialists โ€“ I just got recognized as one of their rising fans! ๐ŸŽ‰
10/12/2024

With Virginia Cancer Specialists โ€“ I just got recognized as one of their rising fans! ๐ŸŽ‰

Osteoporosis & Vertebral Compression Fractures A gentle reminder of the negative & unfortunate cascade of untreated vert...
10/06/2024

Osteoporosis & Vertebral Compression Fractures

A gentle reminder of the negative & unfortunate cascade of untreated vertebral (spinal) compression fractures.

The ubiquitous presence & availability of physicians to provide both a life changing & pain relieving procedure of Cementoplasty (aka Kyphoplasty) and that to in an office based, outpatient setting, same day basis, should prompt patients & their families to pursue this care solution aggressively.

Failure to do so violates the Orthopedic Principles of Fracture Care.

Sadly, this too often occurs in the misguided & misinformed attempt to pursue and maximize six (6) weeks of โ€conservativeโ€ care treatment options of medications, bracing, & therapy (useful and necessary adjuncts, but not a substitute for treating the underlying spine fracture).



Disclaimer: The information here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information provided on this site is intended for educational & informative purposes only, & is not a substitute for professional medical advice.

Disclaimer: This content is in part for educational purposes. I unequivocally denounce any form of violence, hate, harassment, or bullying. This page does not endorse or promote dangerous acts, organizations, or any forms of violence. In accordance with the 107 of the Copyright Act of 1976, this content is made available for "fair use" purposes, including criticism, comment, news reporting, teaching, scholarship, education, and research.

Upper Limbs - Evaluation of the Sensory System                               Disclaimer: The information here is not int...
10/05/2024

Upper Limbs - Evaluation of the Sensory System





Disclaimer: The information here is not intended to replace the services of a physician, nor does it constitute a physician-patient relationship. Information provided on this site is intended for educational & informative purposes only, & is not a substitute for professional medical advice.

Disclaimer: This content is in part for educational purposes. I unequivocally denounce any form of violence, hate, harassment, or bullying. This page does not endorse or promote dangerous acts, organizations, or any forms of violence. In accordance with the 107 of the Copyright Act of 1976, this content is made available for "fair use" purposes, including criticism, comment, news reporting, teaching, scholarship, education, and research.

March 30th.On March 30th, 1933 Eudora Brown Almond, wife of Dr. Cha Almond, commemorated the anniversary of the first us...
03/31/2024

March 30th.

On March 30th, 1933 Eudora Brown Almond, wife of Dr. Cha Almond, commemorated the anniversary of the first use of anesthesia back in 1842.

From 1933 to 1958, the Womenโ€™s Auxiliary of the Southern Medical Association kept the tradition of Doctorsโ€™ Day alive by mailing cards to physicians and by placing flowers (red carnations) on the graves of the deceased doctors every March 30th.

In 1958 the United States House of Representatives adopted a resolution to commemorate March 30th as Doctorsโ€™ Day.

In 1991, President George Bush signed a resolution proclaiming March 30th as the first National Doctorsโ€™ Day.

Cheers to all my fellow physicians on this day.

Credit Source: Tisha Titus, M.D.

03/31/2024

As we celebrate National Physicians week, - March 25th - 31st, please read these words shared from a colleague :

An Ode to Doctors on Doctorโ€™s Day:

On Doctorโ€™s Day, my mind first goes to the Doctors who brought my children into the world. Those who counseled our family during times of grief and loss. The doctors who manned the Emergency Rooms in the middle of the night when our family rolled in in crisis. Those who continue to care for myself and my family members as we navigate complex health issues and rare diseases. And to every physician who provides care, from the mundane to the complex.

But then my mind wanders further โ€“to the decade before every one of these Doctors became the person we know.
To them as undergrads, forgoing many of the usual rights of passage to stay late in the science lab, make time for the volunteering required for applications, or study for the MCAT on top of their already heavy load.
To the medical students who not only have to learn the enormity of the science of medicine, but to perfect the art of medicine as well. Who spend thousands of dollars they donโ€™t have on applications and interviews, only to have their future decided by a computer algorithm telling them where they will move for future training, sometimes leaving family and spouses behind.
To the residents, who worked 80+ hour weeks for years, constantly under scrutiny and exhaustion, to become a physician worthy of caring for those you love.
To the new attending, with crippling worry, balancing the realities of their passion for caring and the pressures of the business of healthcare.
To the seasoned doctors, who selflessly mentor their newer colleagues, who continue to sleep in tiny call rooms and work endless hours, all while the rest of the world thinks they have it made. To those who silently cry, pull themselves together, and walk into the next exam room.
And to the physicians who step away from clinical medicine, and struggle with identity and purpose. Those who endured the years of grueling training by telling themselves they were meant for only one purpose, only to have it change in the blink of an eye.

Each of these doctors spent a decade or more of their life with the sole goal of being the best-trained, most dedicated member of the healthcare team. They refused to take an easier or shorter route. They grew their sleep debt and slept with constant self-doubt โ€“ they waited on growing their own families and later struggled with infertility โ€“ and they were saddled with hundreds of thousands of dollars of debt โ€“ so that when we, the patients, come through their exam door โ€“ they could know they did everything they could to be prepared for that moment.

Physicians are the heart of medicine. Today we celebrate them โ€“ the parts of it we see as patients and the decade of sacrifice that came before.

Maggie Mangold, MD

Address

14605 Potomac Branch Drive, Suite 1001
Woodbridge, VA
22191

Opening Hours

Monday 7am - 3pm
Tuesday 7am - 3pm
Wednesday 7am - 3pm
Thursday 7am - 3pm
Friday 6am - 3pm

Telephone

+17037384371

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