Degenerative lumbar spine manifests as 3 symptom groups.

Back pain, leg pain and numbness in legs or caludication. Each has 2 subgroups.

1. Back pain is due to

a. facet and

b.due to chronic non healing posterior annular tear with trapped nuclear fragments.

2. Leg pain due to

a. leaking annular tear , chemical radiculitis or

b. mechanical compression due to herniated and migrated fragments.

3. Numbness due to

a. lumbar canal stenosis over the axilla and the DRG.

b. due to instabilities or deformities affecting the DRG area.

we have a specific plan of action for all causes and fundamentally we know how to diagnose and differentiate each one. 

This is based on gore sign, gore matrix and new under standing of lumbar stenosis.

GORE system is to diagnose and treat, unlike traditional approach where we know only how to choose patient for surgery. 

DR Gore has distilled his vast experience in his online training course. [link below] This is self paced paid course.