Graham Smith Arnold

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Map & DirectionsDirections14546 Old Saint Augustine Rd Ste 403Jacksonville, FL 32258 Write a ReviewWrite Review

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Categories: Physicians & Surgeons, Neurology, Physicians & Surgeons, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Orthopedics, Physicians & Surgeons, Surgery-General

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Phone: (904) 391-6862

Address: 14546 Old Saint Augustine Rd Ste 403, Jacksonville, FL 32258

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Graham Smith Arnold

General Practitioners

Primary Care
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Emergency Care
Arnold Graham Smith studied at King’s College at the University of London to obtain his degree in Medicine. He had been encouraged to become a Doctor by his family practitioner, William T Macdonald, MB, ChB, who was a graduate of Edinborough University, but it soon became clear that a career as a Trauma Surgeon was to be his goal. After interning at his Teaching Hospital on the Orthopaedic Surgical firm, he entered general surgical training and 5 years later passed the examinations required to become a Fellow of the Royal College of Surgeons of England. During those surgical training years he spent additional time as an Emergency Room doctor and served six months in Plastic Surgery to prepare for a career in Trauma.

MRI
In 1994 a local Physical Therapist asked Dr. Graham Smith to find out what could be done to help patients with disabling Sacro-iliac Joint (SIJ) pain. Nothing had been written about this in the spinal surgery literature for nearly 70 years and this small group of patients had been overlooked. A lack of a secure diagnosis was at the heart of the problem, but the advent of the CT scan and then the MRI made it clear that their symptoms of buttock and leg pain were not due to nerve pressure from a disc herniation or spinal arthritic changes. Again Dr Aprill obliged by describing a diagnostic injection technique to temporarily anesthetise the painful SIJ. A local radiologist, Clifford H Spohr MD, learnt how to do the test and by 1995 there were six patients in Jacksonville ready with confirmed diagnosis, waiting for definitive treatment. In the ten years that have followed over 80 patients with this condition have undergone surgical treatment using three different procedures. The latest operative technique was perfected in Jacksonville in 2003 and it is now being used in other centers across the USA. Further information about the SIJ can be found among his Published Articles and Education documents.
X-Rays
Computed Tomography

Sciatica
Neurosurgery
Dr. Graham Smith followed his general surgical experience with one more elective course, six months of Neurosurgery at the Radcliffe Infirmary, Oxford, under the supervision of Prof. Joe Pennybacker. Here, he learnt how to carry out detailed neurological examination of patients and assisted in neurological surgery, including spinal surgery. He was next appointed Orthopaedic Registrar for two years in the Oxford training program, and followed this with four years as Senior Registrar in Orthopaedic Surgery at the St. Mary’s Hospital training program in London. It was during this final four years that he spent one year as Fellow at Rancho Los Amigos Hospital in the Los Angeles area of the USA, and his plans to become a Trauma specialist changed.

Plastic Surgeons

Plastic Surgery
Rancho is the Rehabilitation Hospital for L.A. County, and when it was discovered that Dr. Graham Smith had neurosurgical experience he was placed on the Spinal Cord Injury (SCI) service, to care for paraplegics and wheelchair people with varying degrees of paralysis. His knowledge of plastic surgery was helpful in treating the skin breakdown of pressure ulcers and bedsores but it was here that he first experienced the workings of a rehabilitation team where therapists, nurses, psychologists and surgeons all had equally important roles to play in achieving the best treatment outcome for each individual patient. That philosophy has stayed with him ever since and he still relies on the expertise of a treatment team for the best outcome.

Physical Therapists

Physical Therapy
Back Pain
Manual Therapy
While Dr. Graham Smith is a surgeon, his holistic approach supports treatment options that range from conservative therapy and rehabilitation to medical solutions including surgery—always striving for the least invasive surgery possible. Dr. Graham Smith’s staff includes therapists trained in both manual therapy techniques for spinal disorders, acupuncture, myofascial trigger point therapy and frequency specific microcurrent. These techniques quickly and reliably restore myofascial and neuromuscular function of the spine, and help resolve pain in patients who don’t need surgery. Additionally Dr. Graham Smith works with a network of physical therapists that have specialized training in spine stabilization, Pilates, sports injury and post-operative rehabilitation. Complementary medicine is incorporated whenever possible for patients seeking a more holistic approach to their spinal disorders. [This approach enables patients to receive the proper rehabilitation, referrals and appropriate surgery when necessary to help resolve their pain and disability.]

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