Conditions We Treat
The human spine is comprised of 24 vertebrae separated from each other by discs that serve as shock absorbers and provide flexibility of the spine. In addition, they serve to allow adequate space for spinal nerves to exit, providing sensation and movement to all parts of the body.
If you have ever been in a car crash and experienced pain in your neck, you have most likely had whiplash. Whiplash, also called neck sprain or neck strain, is an injury to the soft tissues of the neck. It is usually caused by sudden movement of the neck which forces the head and neck to whip back and forth.
Radiculopathy refers to pain that is felt along a particular nerve distribution as a result of nerve root compression. It is known as either neck or back radiculopathy depending upon the location of nerve root compression.
Complex Regional Pain Syndrome (CRPS)/Reflex Sympathetic Dystophy (RSD)
Complex regional pain syndrome is a complicated form of neuropathic pain (pain caused by nerve irritation). It is characterized by increased sensitivity to normal stimuli, discoloration and temperature changes in the extremities and emotional responses.
Spondylosis, or disc degeneration, is sometimes referred to as osteoarthritis. It describes bony overgrowths (osteophytes), predominantly along the anterior, lateral, and less commonly the posterior aspects of the superior and inferior margins of the vertebral bodies.
A compression fracture is a common fracture of the spine. It implies that the vertebral body has suffered a crush or wedging injury.
Scoliosis is generally found in children, but adults can have it, too. This typically happens when scoliosis is not detected during childhood or the disease progresses aggressively. The diagnosis of scoliosis is made by a careful physical exam and an x-ray to evaluate the magnitude of the curve.
A cervicogenic headache is defined as a one-sided headache originating from the cervical region. The headache is usually brought about by neck movement or by local pressure over tender spots in the cervical region.
An occipital headache is usually defined as a sudden jabbing pain in the distribution of the greater or lesser occipital nerves. There is often accompanied by diminished sensation or tingling in the affected area.
Low Back Pain
Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body. Sciatica most commonly occurs when a herniated disk or a bone spur on the spine compresses part of the nerve. This causes inflammation, pain and often some numbness in the affected leg.
Spinal stenosis refers to narrowing of the spinal canal. This may cause compression of the spinal cord centrally or to the exiting nerves of the spinal cord laterally. It occurs as a result of degeneration and is often age related. As we age, the bones and ligaments of the spine may thicken and enlarge from arthritis and may contribute to further narrowing of the spinal canal.
Internal Disc Disruption
Internal disc disruption or discogenic pain syndrome is an entity affecting the intervertebral disc. It is caused by fissures in the ring of the disc that distort the internal architecture of the disc, making it structurally incompetent and a source of pain.
Facet-mediated pain or posterior element pain is caused by irritation or inflammation of the facet joints (zygapophyseal joints). The facet joints are diarthrodial joints with a synovial lining, the surfaces of which are covered with hyaline cartilage, susceptible to arthritic changes and arthropathies.
Sacroiliac Joint Pain
While still somewhat controversial, it has become increasingly accepted that the sacroiliac joint can be a major focus of back pain. Mechanical dysfunction, inflammation, infection, trauma, and degeneration all have been attributed to the sacroiliac joint. Once diagnosis is established, treatment can be directed to the affected joint, often with satisfying results.