No Looking Back

Disc replacement gives Gainesville woman new lease on life.

For years, Rhonda Clark powered through pain with grim determination. It will get better, she’d tell herself. It always did.

As far as she was concerned, a badly degenerative spine condition and the bouts of excruciating pain that came with it were just a part of life. She chose to deal with it — especially when the alternative would mean putting the needs of her son second.

So it was that Rhonda utilized a combination of chiropractor visits, pain fighting routines and old-fashioned perseverance to overcome the scoliosis diagnosed in her teenage years.

It was a combination that allowed her to always – always – be there for her youngest son Reid, who was wheelchair bound due to a blood clot that had denied his brain critical blood flow as a child.

But one morning, after weeks of trying to make the pain go away, it wouldn’t.

“It was 2015 and the pain was becoming unbearable,” Rhonda recalled. “I try not to complain; that’s just the way I raised. I was always the well one and then suddenly I was literally crawling out of bed. It was a relentless struggle for the next two years.”

And not just physical torment either, as Rhonda also suffered from the emotional stress of wondering how best to care for Reid, now 20.

“I have been my son’s primary caregiver his entire life, and I was getting fearful and wondering, ‘what if I can’t take care of him? Or myself?’” Rhonda said. “I constantly worried about my husband because he was trying to take care of me, Reid, and all the things I normally took care of, plus working a full-time job. I felt completely helpless, because there wasn’t anything I could do to fix it.”

In her darkest moment, however, Rhonda found a ray of light in the form of a recommendation.

“My husband Ken worked for the Hall County Fire Department, and one of his co-workers there, Zach Philyaw, had seen Dr. Betsy Grunch, a neurosurgeon with Longstreet Clinic. Dr. Grunch had operated on Zach, and he raved about what she did for him, so I decided to go see her.”

It was a decision that changed Rhonda’s life. And, with a steady hand from Dr. Grunch, allowed Rhonda to regain control.

“Neck and back problems are certainly common – 95 percent of people will experience neck and back pain at some point in their lives,” Dr. Grunch said.

“Most of the time, we’ll treat it with six to eight weeks of therapy and people will do just fine. But Rhonda was in an unusual position: She was young with debilitating issues. But she was not going to let that change her life. So, she put in a lot of work and effort to take back control.”

"I feel so good now. I was afraid nothing could be done and I felt so hopeless, but Dr. Grunch fixed me. She is my hero. I can never thank her enough for giving me my life back."

After surgery, a new outlook

Following the pursuit and exhaustion of more conservative approaches – including physical therapy and pain-killing injections – Dr. Grunch determined that Rhonda was a strong candidate for two separate disc replacement surgeries, one in her lower back (Lumbar 4-5) and one in her neck (Cervical 5-6-7).

In this type of surgical procedure, the patient’s compromised disc(s) is removed, and a titanium disc is inserted in its place, providing stability and flexibility for the spine while relieving excruciating nerve pain.

“It may sound like an intimidating process to insert a replacement disc into the spine, but it’s actually a pretty straightforward procedure,” said Dr. Grunch, who says she understands why back surgery might concern any patient. “With the spine, it seems like everyone has heard some horror story of back surgery. It is a complex system, and it requires a great diagnostic workup in order to pursue the surgery that’s best for the problem.

Dr. Grunch, a board-certified neurosurgeon who specializes in minimally invasive spinal surgery and artificial disc replacement, notes that surgery techniques and diagnostic systems are continually improving, giving surgeons more options that weren’t available even five to 10 years ago.

“As doctors, we have a lot more options now, and much more minimally invasive options,” she said. “And we make sure we get great diagnostic workups, so that we can see exactly what we need to do.”

Those advances, combined with Dr. Grunch’s knowledge and experience, and Rhonda’s post-surgery determination, proved the perfect combination for providing lasting relief.

In March 2017 Rhonda underwent a lumbar disc replacement at Northeast Georgia Medical Center Gainesville. She followed that with neck surgery three months later.

“With disc replacement, we go in through the front of the body, making a small incision and pushing things to one side – that’s why some levels of the spine are not accessible for disc replacement because of what you’d have to go through to get to them,” Dr. Grunch said. “Typically, the neck is an outpatient surgery. And with the low back I’ll hold patients overnight, but they usually go home the next day.”

Rhonda recalls a recovery period that was not always easy – especially following the lumbar disc replacement.

“I could have never gotten through it without my faith in the Lord and the support of my family. My husband Ken, who always told me, “You’ve got this.” My sweet mama, who stayed by my side and reminded me to do all things Dr. Grunch said to do. The encouragement from my son, Brock, and my daughter Geriah,” she said. “It was tough! But once I became mobile there was no turning back.”

Rhonda was determined to get through it, no matter how slow recovery felt in the beginning.

“At first, I came home from lumbar surgery and was taking tiny steps, I felt like a turtle. But my attitude was: this is going to make me better,” Rhonda said. “By June I wasn’t having any back pain but was a little anxious about my upcoming neck surgery. In comparison, the neck surgery was a breeze and by September I was feeling like a brand new person.”

Rhonda stressed the importance of following the physician’s post-surgery instructions “to a T.” She also keeps herself in good physical condition to avoid adding stress to her back. “I don’t lift anything that’s too heavy and I listen to my body. I ask for help now when I need it. But other than that, I can do anything I want to do,” she said.

“I feel so good now. I was afraid nothing could be done and I felt so hopeless, but Dr. Grunch fixed me. She is my hero. I can never thank her enough for giving me my life back.”

For Rhonda that means being there for her family and taking care of Reid, whenever they need her.

“Now I can do all things in daily life I need to do pain free,” Rhonda said. “When I think about where I was in 2015 compared to now, it’s miraculous. I am blessed beyond measure.”

Learn more about Longstreet Clinic Neurosurgery, named Best Neurosurgery Group in Best of Hall 2020.

Questions? Call us at 770-533-7288.

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