Treatment of back pain, sciatica, and claudication has changed due to understanding of anatomy, physiology of pain generators leading to change in access, philosophy and equipment.
Dr. Gore has tried to summarize what was the traditional past, why change is necessary and what has changed, and how the change is incorporated in
Gore Matrix for diagnosis and
Gore System for treatment in back pain, sciatica, and claudication by proposing spine surgery as stitchless and under local anesthesia in awake and aware patients.