- Osteoporosis
- Arthritis
- Medical Weight Loss
- Emergency CareSudden loss of bowel and bladder control. This could be a sign of cauda equina syndrome. This is a true emergency that requires immediate evaluation possibly in an emergency department.
- Constipation
- Depression
- UltrasoundPhysical therapy is one of the most commonly recommended treatments for back or neck pain. Physical therapy can provide relief without surgery in many cases. Your physician will refer you to a therapist who is specially trained in this type of care who will use a combination of active and passive therapy to assist you in decreasing your pain and increasing physical function. Passive therapy includes things like heat or ice packs, ultrasound, or TENS units. Active therapy includes things like stretching, lumbar stabilization, or other exercises to strengthen the back, core muscle strengthening, and low-impact aerobic conditioning.
- MRIDepending on the circumstances you may need to get imaging, like an MRI or CT scan, performed before your appointment. In cases of "red flag" conditions, like weakness, bowel and bladder dysfunction, a fracture, or cancer, our healthcare provider may need an image to make the appropriate diagnosis. In other cases, our advance practice providers can see you, make the evaluation, and order conservative care for you without the need for imaging.
- Computed Tomography
- SciaticaPain caused by these two conditions may feel similar or even identical however they are caused by quite different reasons. Sciatica is typically caused by a herniated lumbar disc, stenosis, bone spur, or spinal instability that irritates the spinal nerves or sciatic nerve sending pain, numbness, tingling, or weakness down the back of your leg. Sacroiliitis or sacroiliac joint dysfunction is caused by trauma or degeneration of the sacroiliac (SI) joint. The SI joint is where your iliac (pelvis) bone connects to the sacrum (lower spine above the tailbone). Treatment for these two conditions is different. Your healthcare provider will evaluate you to determine the exact cause of your pain.
- Sports MedicineVertebral compression fractures occur when the vertebral body in the spine collapses, leading to severe pain, deformity, and loss of height. The fractures most commonly occur in the thoracic spine and are often associated with a condition called osteoporosis. Other common causes are car accidents, sports injuries, or a hard fall. Finally, metastatic tumors can be a cause in patients younger than 55. Symptoms include a sudden onset of back pain, pain intensity increasing while standing or walking, and limited mobility. Most of the time it is treated conservatively with over-the-counter pain medication, bracing, muscle relaxants, or medications for nerve/bone pain. Opioids should only be used for a short period of time for acute pain. There are a few minimally invasive procedures that sometimes may help, including vertebroplasty or kyphoplasty. There is also a relatively new procedure called spine jack that is providing good results for patients.
- Physical TherapyThe Spine Center offers a comprehensive program of care starting with a nonsurgical approach to spine care. Many patients can find relief from treatments other than surgery, like injections, physical therapy, exercise, activity modification, and medication.
- Neck Pain
- Back Pain