A stiff back and aching leg can look like a simple lower spine problem until the real culprit hides higher up. We share Diane’s journey from conservative care to targeted injections and, finally, two precisely timed surgeries that unlocked lasting relief. Along the way, our interventional pain specialist and neurosurgeon walk through how they think, starting with imaging and exam, testing hypotheses with blocks and epidurals and only then decide whether surgery is the safest, most effective move.

You’ll hear how short-lived relief from medial branch blocks, rhizotomy, and epidural injections became a diagnostic signal, not a failure. The turning point came with a second MRI that revealed severe cervical stenosis compressing the spinal cord, an insight that explained leg symptoms and shifted priority to neck surgery first. We break down why the cervical spine often takes precedence, how operating where the danger is highest can also calm symptoms elsewhere and why “smallest effective surgery” often beats a bigger, hardware-heavy approach.

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What should a 30-acre, 537,000-square-foot hospital become after a century of care? We sit down with Centra’s Denise Woernle, urban planner Suzanne Schulz, and Lynchburg’s economic development director, Marjette Upshur, to map a community-first path for reimagining Virginia Baptist Hospital. The conversation unpacks adaptive reuse in plain terms: listen first, decide later. Together, we walk through the process from January listening sessions to February goal-setting to a March community charrette designed to build trust, reduce surprise and turn lived experience into actionable plans.

We connect the study to Centra’s modernization plan, including new facilities coming online and service transitions that open space at VBH. Rather than let the campus go dark, the team explores how partnerships, potential tax incentives and careful market analysis can spark a viable future. With strong architecture, a prime location between downtown and Liberty University and a deeply personal legacy for neighbors and staff, VBH stands out as a rare chance to blend preservation with progress. We address the stakes plainly: an empty site drains value, while an engaged process can create jobs, honor history and keep the neighborhood vibrant.

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A stronger primary care relationship can be the difference between constant crisis and steady health. That’s the throughline of our conversation with Dr. Detwiler, the incoming Director of Osteopathic Medicine at the CMG Lynchburg Family Medicine Residency. Dr. Detwiler brings rural roots, 25 years of family practice and a clear mission, to train physicians who treat mind, body and spirit while delivering measurable results for communities that need care the most.

We dig into what actually sets osteopathic medicine apart. It’s not a split from modern medicine. DOs are fully trained in the same diagnostics, procedures and specialties as MDs. The distinction is a disciplined focus on human connection, structure and function and the body’s capacity to heal with proper support. That lens changes the clinic room. Conversations include stress, sleep, work, beliefs and budget, because those factors drive adherence and outcomes. We also clear up misconceptions about OMT. Osteopathic manipulative treatment is a practical, hands-on tool for musculoskeletal issues, designed to complement medications and therapy, not replace them. At LFMR, we’re building a curriculum that helps residents provide OMT efficiently within standard visits.

There’s a bigger system story too. Healthcare is shifting toward value-based care, where metrics like blood pressure control, A1C levels, and vaccination rates matter. LFMR’s team-based model with residents, faculty, imaging, lab, OB care and social work under one roof makes it easier to close loops and lift those numbers. And the pipeline is real. By partnering with LUCOM and integrating trainees with local surgeons, hospitalists and specialists, we’re creating the relationships that encourage physicians to stay at Centra for their care. That means more access, shorter waits and care that feels personal and effective.

We’re also launching an OMT clinic at LFMR for patients seeking targeted help with back and musculoskeletal pain from an osteopathic perspective. If you’ve struggled to find a primary care provider who listens and coordinates, we’d love to meet you. Subscribe, share this episode with someone who needs a steady healthcare home, and leave a review to help more people discover whole-person primary care in Lynchburg.

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