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This is Carly Beam with the Becker Spine

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and Orthopedics podcast,

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and I'm thrilled to be joined today by

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doctor Bolan Akubadejo,

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a spine surgeon

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in New York City. Thank you so much

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for being with us today. Thanks for having

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me.

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So before we dive into our questions, could

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you introduce yourself and share a bit more

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about your background?

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Absolutely.

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So my name is Bolanha Kupadejo.

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I am a practicing orthopedic spine surgeon in

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the New York Metro Area. I have offices

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in both New York and New Jersey. I've

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been in practice now about eighteen years.

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My focus is primarily spine.

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I do some orthopedics as well.

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So I,

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I went to undergrad at Brown University, med

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school at Johns Hopkins, did did my residency

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at WashU.

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Wash WashU University of St. Louis is,

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a very balanced program, but very strong on

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spine, and that's where my interest in spine,

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developed. And in spine, typically,

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you can go one of two routes. Can

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either go with deformity where you do a

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lot of scoliosis work and a lot of,

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realignment of the spine, or you do degenerative

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work where you're doing, disc herniations,

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focusing on cervical lumbar spine pathology,

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and getting patients moving that way. So that's

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where my focus is more on the cervical

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lumbar spine. I do decompressions. I do dish

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replacements.

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I do procedures to to get patients,

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back into their quality of life. So I

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did my fellowship at University of Pittsburgh,

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which is a great hands on fellowship,

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and I've been in practice since 2008.

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That's great to hear. And, you know, I'd

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love to start what where do you see

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the biggest gaps in how patients are experiencing

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back pain versus

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how it's treated?

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The biggest gaps, I think, is where patients

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initiate care. So I think a lot of

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patients,

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tend to

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either stay home and and try to, you

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know, get by on their own and deal

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with pain without really seeing anyone professionally.

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Some patients will start with the chiropractor,

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maybe talk to their personal trainer in the

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gym, before coming in for evaluation with the

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doctor. So I think that's really where where

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the gap

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begins. So I think if they begin by

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seeing a physician,

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then we can do proper diagnostics

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and give them a plan and get them

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going a little more efficiently. So I think,

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the more they see us, the professionals,

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the doctors, either primary care doctor or spine

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specialist, the quicker they can get to the

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endpoint when it comes to to treatment of

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their back pain.

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Yeah. And can you talk a bit about

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just kind of,

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you know, the consequences for patients, but then

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also you as,

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physicians and physician practices,

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when patients

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are going to, the professionals

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first or are putting off their care?

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Absolutely. It's definitely debilitating.

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Some people have a fear. Some people especially

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when it comes to seeing a spine surgeon.

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A lot of patients are fearful that coming

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to see us means that the only solution

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that we'll offer is something surgical,

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And, it's actually quite the contrary.

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I think no one understands the spine better

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than the spine surgeon because we know how

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it looks from the very inception

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to something surgical. So we kinda have,

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that the bigger picture

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world view where we can get patients into

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the category of treatment that will get them

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better,

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most efficiently.

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So my preference is,

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for people to see me once they have

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pain, and then I can get the diagnostics

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and, give them an idea of what's going

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on and what to expect.

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And patients who put their trust

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in me tend to have very good outcomes.

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So I think that's really,

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the best way to go.

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Absolutely. And, you know, I'm wondering, you know,

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with the the advent of,

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you know, Internet, Google, we have social media,

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chiachi b t now.

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Are you seeing patients coming in and

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they have kind of their own preconceived

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ideas or misconceptions

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perhaps about their conditions?

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Absolutely.

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Actually, it gets

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it gets more challenging when patients have

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very specific ideas as to what treatment that

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they they need. So some patients, regardless of

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their symptoms,

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if the pain's been going on for a

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while, let's say they've had some treatment, physical

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therapy, maybe injections,

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they'll research a very specific procedure,

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and and they come in looking for that.

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But,

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without an understanding

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of how your pathology,

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is what really determines the treatment,

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there's no way they know what what they

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need. You know? And that's why we're experts

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because, you know, a good expert, a good

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spine surgeon is trained in all the techniques,

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and then we match the patient's pathology

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to the surgical technique,

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that will best suit them.

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So some patients are great candidates for minimally

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invasive procedures.

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Some patients have pathology where minimally invasive is

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not appropriate for them, and they they need

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something more traditional.

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So I think that that's really the disconnect

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where there's so much information

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that people educate themselves, but they don't really

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have the experience or know how to allocate

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pathology to treatment plan.

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Are there are there any,

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common myths or misconceptions

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that you're hearing from patients?

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Yeah. The the the two major ones. So

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the first one is no one gets better

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from spine surgery.

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A lot of people feel,

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that if they get surgery, that means it's

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almost like a not a death sentence, but,

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you know, they're doomed to be, limited indefinitely.

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And that's definitely false. That's false because,

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the technology has evolved to a point where

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we're more efficient with our techniques,

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our diagnostics, so actually get patients

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much better, much quicker, and the outcomes in

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spine surgery have never been better. So that's

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definitely a myth that, we're we're trying to

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to to to, to LA as strongly as

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possible.

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The other thought, that's a major misconception is

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that spine surgery is is very dangerous,

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and, actually, it's less dangerous now than it's

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ever been. And once again, that comes back

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to to,

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technology. Our understanding of the anatomy is better.

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The options we have when it comes to

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treatment are are more precise.

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So surgery has never been safer,

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and, the outcomes have never been better. So

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this is a great time to be a

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spine surgeon, and it's a great time if

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you're having back pain and if you're in

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the hands of the right person to have

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your issues resolved.

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Yeah. You bring up a great point about,

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the technologies that we have now in spine

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surgery, definitely,

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in minimally invasive techniques as well. I'm wondering

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what innovations in spine have been the most

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exciting to you recently.

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So things that are minimally invasive and things

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that are robotic. So,

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so what I've enjoyed the most,

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most recently are are new endoscopic techniques.

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So when endoscopic techniques were first introduced,

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we were limited in terms of the approach

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to the spine, in terms of how we

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could get to the pathology.

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But that technology has evolved to a point

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where,

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we can use a more traditional approach to

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get into the spine while still using,

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endoscopic techniques to get to the pathology,

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to have excellent,

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visualization of pathology,

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and to resolve symptoms very quickly. And the

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less damage you do anatomically,

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to solve pathology, the quicker the recovery is.

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So that's one arm, the endoscopic arm. The

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other arm is the robotics. So with robotics,

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we can plan our procedures better,

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use advanced imaging

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prior to surgery,

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marry that to, intraoperative imaging,

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and our placement of implants has never been

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better. So we're able to get our screws

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in better when it comes to fusion cases.

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Our cages, we can see the antibody spaces.

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Also, with robotics,

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AI is also playing a role,

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when it comes to spine surgery. So it's

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it's a great time. It's a great time

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to be in the field.

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And how much are you using AI in,

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your clinical, but then also just kind of

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your, administrative or day to day work?

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AI is critical. AI is critical. AI makes

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us a lot more efficient.

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We're able to to use less manpower,

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in the office because we have AI agents

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that are helping us depending on which

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EMR system you're using or how you you

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incorporate it into your flow.

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We're definitely much more efficient in the office.

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Our billing is more efficient because a lot

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of things are automated. So anything that,

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you can use in an algorithm,

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to match up, to get production,

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is is what fits into the the role

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of AI.

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So,

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AI is is less fallible than humans,

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with with certain things. So, certainly, efficiency has

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improved tremendously.

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Yeah. And then, Bolan, I'd love to hear

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is, what are, you know, two or three

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more health care trends that you've been following

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lately?

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So the biggest trend in health care currently

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is the trend of

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prioritizing

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prevention

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as opposed to waiting until you have pathology

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and being in pain, and then we come

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up with solutions, prevention. So prevention

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looks

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the form of wellness. So wellness is is

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a huge thing now in in medicine,

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huge thing in orthopedics.

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So we're studying, the way,

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to use IV vitamins, you know, to make

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our bodies as healthy as possible.

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Newly emerging

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fields when it comes to longevity

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There's the use of peptides in medicine that's

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becoming bigger and bigger.

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So that's that's really the most exciting thing

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is, the wellness realm. And,

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we're we're diving deeper into that and trying

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to develop

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our own protocols and and and and and

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bring more of these treatments, to to our

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patients. So I think that's really the biggest

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thing. And as I mentioned, the the minimally

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invasive techniques when it comes to,

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the tech aspect surgically.

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So those two things, I I would say,

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are are the biggest trends in our field

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right now. And in terms of these wellness

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protocols you're talking about,

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what has been working at your practice, and

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what are you hoping to grow?

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So I promote wellness. I I have a

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vested interest in prevention.

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I personally

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have been on on this path for some

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time. I I, invented a a core fitness

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product called three sixty core board It's been

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on the market now for about half half

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a decade or so.

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So I've been invested in optimizing

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body's performance, to minimize the the risk of

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injury or or just to be able to

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cope with pathology and and avoid having surgery.

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And then then when it comes to wellness

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itself,

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you have to pursue that education independently,

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because it's an emerging field. So this this

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is not information we learned during our training.

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So I've I've made the effort to attend

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seminars,

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I've made trips to try to understand as

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much as I can within this realm. And

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the mostly the most exciting,

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aspect of wellness is really,

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the use of peptides. Peptides are precursors to

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hormones,

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and that's very big when it comes to

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longevity and,

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having the body work more efficiently,

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as we age because the body tends to

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become less efficient with senescence,

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and the peptides are finding ways,

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to minimize the role of senescence

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and having our cells,

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be more efficient for longer.

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So it's it's making antiaging

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and, performance

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better for longer in life. So that that's

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really a a very exciting area that we're

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we're we're diving deeper into.

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That's very well said, and I love how

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you've worded that too, you know,

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prioritizing

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prevention.

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And, last question I have for you is

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just, you know, what does how else does

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growth look like in your work for the

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next twelve to twenty four months? What are

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your biggest goals for 2026?

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So my goals are are very personal, when

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it comes to the structure of my practice.

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So, you know, I'm a spine surgeon,

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because I'm looking at,

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kind of a

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a more a a wider view

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of orthopedics and, trying to be more multidimensional.

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I'm personally looking to grow my practice, to

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have

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other dimensions incorporated into my practice beyond spine

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surgery.

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So having more more pain managements, having,

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more,

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sports when it comes to arthroscopy and having

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other practitioners,

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join my practice so I can deliver more

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more of these,

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cares to to my patients.

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And also within wellness, I have nurse practitioners

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who are,

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improving their skills when it comes to delivering

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a lot of, these treatments directly to patients

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when it comes to peptides, when it comes

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to PRP.

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So these are all emerging exciting,

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aspects of of medicine, orthopedics specifically, and I'm

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planning to incorporate more and more of these

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into my practice.

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Well, well, and thank you again for joining

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us on today's podcast.

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It's great to connect, and I hope to

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stay in touch in the future.

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Absolutely. Thanks for having me.