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What is a bulging disc?
Your discs are located in-between the vertebrae of your spine. Because of its location, they are technically called the intervertebral disc. These discs are made up of two very distinct parts that allows your spine to withstand many forces. The inner part of the disc, or the nucleus pulposus is made up of a jelly like substance that is mainly water and its purpose is to allow the spine to withstand compression forces. The nucleus pulposus is surrounded by the second part of the intervertebral disc, the annulus fibrosus. The annulus fibrosus is much tougher than the nucleus pulposus. Consisting of strong ligament fibers, the annulus fibrosus allows the spine to resist torsional forces, and to keep the nucleus pulposus in its place. This annulus also securely connects the upper and lower vertebral bodies of the disc. A bulging disc occurs when the annulus fibrosus of the intervertebral disc extends beyond its normal boundaries. This displacement of the disc can occur due to the normal aging process of the spine, or a bulge can also occur if an individual has sustained a trauma to the spine.
Endoscopic Discectomy
An endoscopic discectomy is one of the least invasive surgeries that can successfully treat a bulging disc. For this procedure the surgeon uses a small camera called an endoscope that allows the surgeon to visualize and safely remove the bulging portion of the disc. Endoscopic discectomy is an outpatient procedure that does not require a hospital stay and is commonly performed in a surgery center.
Percutaneous Discectomy
Percutaneous discectomy is a procedure where the surgeon places a needle into the disc space. When the needle is placed the surgeon can now use lasers and other smaller diameter instruments that are designed to remove disc material. Percutaneous discectomy is the least invasive procedure performed to correct bulging discs.
Percutaneous discectomy is an outpatient procedure with no blood loss, can be done in an outpatient setting, and it also provides a quick recovery.
What is Degenerative Disc Disease?
Degenerative Disc Disease is an unfortunate result of getting older. As we age the intervertebral discs lose their ability to act as your spine’s shock absorbers.
Degenerative Disc Disease is not actually a disease. It is a condition in which this loss of the natural shock absorbers of the spine can cause a variety of conditions such as, bulging disc, herniated disc, and foraminal stenosis just to name a few.
Transforaminal Lumbar Interbody Fusion (TLIF)
Once the spine loses one or more of its shock absorbers, or intervertebral discs, it is the goal of the surgeon to restore the space that the disc once held. This restoration was typically performed as an open surgery, but now thanks to the advancement of spinal instrumentation, the Minimally Invasive TLIF (MIS-TLIF) procedure is available to restore disc height and hold the spine in its new position, so the body can fuse the specific location. The MIS-TLIF is a procedure where the surgeon operates on the spine through small incisions that allows for minimal disruption of the muscle. This greatly reduces blood loss and reduces the recovery period for most patients. The MIS-TLIF procedure is a decompression procedure as well as a fusion procedure. This procedure allows the surgeon to remove disc material and create a successful fusion of the spine for the hope of relieving pressure on the nerve roots, easing your pain.
Stem Cell Injection
At every moment, your body is going through a natural process of degeneration and regeneration. Every day your body sends out specialized cells called Mesenchymal Stem Cells that are specifically designed to develop into any specific tissue. The type of tissue the Mesenchymal Stem Cells develop into is determined by the signals received from the surrounding area of the cell. Because of injury or due to the natural aging process, sometimes the degeneration process can exceed the natural regeneration process of the body. When this occurs these Mesenchymal Stem Cells, which are found in high concentration in the bone marrow, can be harvested and injected into the affected area. The introduction of this high concentration of regenerative cells accelerate natural healing of the body and can sometimes help to repair tendons, ligaments, cartilage, and form new bone.
What is a Disc Tear?
A disc tear is a disruption in the outer portion of the intervetebral disc. Typically this type of injury is due to the natural aging process of the spine, or disc degeneration, and some sort of trauma. A disc tear, if server enough, can lead to a situation where the inner substance of the disc seeps out of the disc or herniates.
Endoscopic Discectomy
An endoscopic discectomy is one of the least invasive surgeries that can successfully treat a bulging disc. For this procedure the surgeon uses a small camera called an endoscope that allows the surgeon to visualize and safely remove the bulging portion of the disc. Endoscopic discectomy is an outpatient procedure that does not require a hospital stay, and is commonly performed in a surgery center.
Endoscopic Foraminotomy
An Endoscopic Foraminotomy is a decompression procedure that is performed to enlarge the passageway of the nerve root. During this procedure a small camera or endoscope is used to visualize the exiting nerve root and protect it. The surgeon can now use instruments specifically designed to remove any disc material, ligament overgrowth, or bone spurs that are obstructing the path of the nerve.
What is Facet Joint Disease?
The facet joints are located throughout the back or posterior of your spine. These joints allow your spine to flex, bend, and twist. Not unlike other joints, the facet joints consist of cartilage that cushions the bones providing protection and a smooth surface for the two bones to move against each other. When this smooth surface begins to break down because of the natural aging process or trauma. The two bones that make up the facet joint begin to rub together causing inflammation and pain.
Facet Ablation or Rhizotomy
A laser procedure performed to deaden a damaged nerve and stop it sending pain signals to the brain. A safe and quick outpatient procedure with no blood loss.
Facet Fusion
The most reliable form of treatment for facet pain. A spacer is inserted into the facet joint to stabilize it and eliminate pain. This is an outpatient procedure with fast recovery.
Stem Cell Injection
At every moment, your body is going through a natural process of degeneration and regeneration. Every day your body sends out specialized cells called Mesenchymal stem cells that are specifically designed to develop into any specific tissue. The type of tissue the Mesenchymal stem cells develop into is determined by the signals received from the surrounding area of the cell. Because of injury, or due to the natural aging process, sometimes the degeneration process can exceed the natural regeneration process of the body. When this occurs these Mesenchymal stem cells, which are found in high concentration in the bone marrow, can be harvested and injected into the affected joint. The introduction of this high concentration of regenerative cells accelerate natural healing of the body and can sometimes help to repair tendons, ligaments, cartilage, and form new bone.
What is a Failed Surgery?
Failed surgery is a very generalized term that is often used to describe the condition of patients who have not had a successful result with back surgery or spine surgery and have experienced continued pain.
Microdiscectomy
When the inner portion of the intervertebral disc pushes through the outer fibrous layer, or Herniates, the surgeon would perform a Microdiscectomy to remove the herniated portion of the disc. Depending on the severity of your issue, a Microdiscectomy can be performed using 3 main techniques.
- Mini-Open: Similar to an open discectomy, the surgeon will use special instruments that work with a much smaller incision to remove herniated disc material.
- Minimally Invasive: For this procedure the surgeon will use a tube system that reduces the incision even more than a Mini Open. This procedure spares your back muscles by allowing the surgeon to gradually open the area or dilate by using a tube system that graduates in diameter.
- Endoscopic Discectomy: For this procedure the surgeon uses a small camera called an endoscope that allows for the visualization, and safe removal of disc materials3. Endoscopic Discectomy: For this procedure the surgeon uses a small camera called an endoscope that allows for the visualization, and safe removal of disc materials.
Transforaminal Lumbar Interbvody Fusion (TLIF)
Once the spine loses one or more of its shock absorbers, or intervertebral discs, it is the goal of the surgeon to restore the space that the disc once held. This restoration was typically performed as an open surgery, but now thanks to the advancement of spinal instrumentation, the Minimally Invasive TLIF (MIS-TLIF) procedure is available to restore disc height and hold the spine in its new position so the body can fuse the specific location. The MIS-TLIF is a procedure where the surgeon operates on the spine through small incisions that allows for minimal disruption of the muscle. This greatly reduces blood loss and reduces the recovery period for most patients. The MIS-TLIF procedure is a decompression procedure as well as a fusion procedure. This procedure allows the surgeon to remove disc material and create a successful fusion of the spine for the hope of relieving pressure on the nerve roots, easing your pain.
What is Foraminal Stenosis?
Foraminal Stenosis is a fancy way of saying a narrowing or tightening of the openings in your spine where your nerves exit the spinal canal and enter the rest of the body. When the intervertebral discs begin to lose height due to normal Disc Degeneration, or rupture due to a trauma, these normal openings where the nerves freely exit the spine begin to narrow. This narrowing can pinch the nerves causing pain.
Epidural Steroid Injection
A steroid injection given to reduce inflammation entrapping a nerve, providing temporary relief of symptoms and pain.
Endoscopic Foraminotomy
An Endoscopic Foraminotomy is a decompression procedure that is performed to enlarge the passageway of the nerve root. During this procedure a small camera or endoscope is used to visualize the exiting nerve root and to protect it. The surgeon can now use instruments specifically designed to remove any disc material, ligament overgrowth, or bone spurs that are obstructing the path of the nerve.
What is a Herniated Disc?
A herniated disc occurs when the jelly like substance, called the nucleus purposes, which is located in the center of the disc, leaves its normal location.
Endoscopic Discectomy
An endoscopic discectomy is one of the least invasive surgeries that is successful in treating a herniated disc. For this procedure the surgeon uses a small camera called an endoscope. This camera allows the surgeon to visualize and safely remove the herniated portion of the disc. Endoscopic discectomy is an outpatient procedure that does not require a hospital stay, and is commonly performed in a surgery center.
Percutaneous Discectomy
Percutaneous discectomy is a procedure where the surgeon places a needle in the disc space. When the needle is placed the surgeon can now use lasers and other smaller diameter instruments that are designed to remove disc material. Percutaneous discectomy is the least invasive procedure performed to correct herniated discs.
Percutaneous discectomy is an outpatient procedure with no blood loss, can be done in an outpatient setting, and it also provides a quick recovery.
Endoscopic Foraminotomy
Endoscopic surgery performed to safely remove debris from a damaged foramen compressing a nerve and causing nerve pain.
Microdiscectomy
When the inner portion of the intervertebral disc pushes through the outer fibrous layer, or Herniates, the surgeon would perform a Microdiscectomy to remove the herniated portion of the disc. Depending on the severity of your issue, a Microdiscectomy can be performed using 3 main techniques.
- Mini-Open: Similar to an open discectomy, the surgeon will use special instruments that work with a much smaller incision to remove herniated disc material.
- Minimally Invasive: For this procedure the surgeon will use a tube system that reduces the incision even more than a Mini Open. This procedure spares your back muscles by allowing the surgeon to gradually open the area, or dilate, by using a tube system that graduates in diameter.
- Endoscopic Discectomy: For this procedure the surgeon uses a small camera called an endoscope that allows for the visualization, and safe removal of disc materials.
Anterior Discectomey and Fusion (ACDF)
Anterior Cervical Discectomy and Fusion or ACDF is a procedure where the surgeon approaches the spine through the front or anterior portion of the spine. Once the surgeon has access to the spine, they remove any diseased disc replacing it with a spacer that is typically made from Polyetheretherketone (PEEK), or Titanium spacer. After the interbody is placed the surgeon will then stabilize the cervical spine by using plate and screws to fuse the location of the spine that was diseased.
Artificial Disc Replacement
Artificial disc replacement is when the surgeon approaches the spine from the front, or the anterior. The surgeon replaces the diseased cervical disc with a new and artificial disc that allows the patient to maintain their same natural mobility.
What is a Pinched Nerve?
A pinched nerve occurs when too much pressure is applied to a nerve by surrounding tissues, such as bones, cartilage, muscles or tendons. This pressure disrupts the nerve’s function, causing pain, tingling, numbness or weakness. A pinched nerve can occur at several sites in your body.
Endoscopic Foraminotomy
An Endoscopic Foraminotomy is a decompression procedure that is performed to enlarge the passageway of the nerve root. During this procedure a small camera or endoscope is used to visualize the exiting nerve root and protect it. The surgeon can now use instruments specifically designed to remove any disc material, ligament overgrowth, or bone spurs that are obstructing the path of the nerve.
What is Radiculitis?
Radiculitis refers to pain that radiates along the nerve caused by inflammation at the root of its connection to the spinal column.
Endoscopic Foraminotomy
An Endoscopic Foraminotomy is a decompression procedure that is performed to enlarge the passageway of the nerve root. During this procedure a small camera or endoscope is used to visualize the exiting nerve root and protect it. The surgeon can now use instruments specifically designed to remove any disc material, ligament overgrowth, or bone spurs that are obstructing the path of the nerve.
What is Radiculopathy?
Radiculopathy is a common condition that refers to any kind of pinched nerve root within the spine, which can then lead to a variety of painful symptoms. Sciatica is another and more common name for lumbar radiculopathy, which is a pinched nerve root in your lower back.
Endoscopic Foraminotomy
An endoscopic Foraminotomy is a decompression procedure that is performed to enlarge the passageway of the nerve root. During this procedure a small camera or endoscope is used to visualize the exiting nerve root and protect it. The surgeon can now use instruments specifically designed to remove any disc material, ligament overgrowth, or bone spurs that are obstructing the path of the nerve.
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What is Coccydynia?
Coccydynia, in simple translation is “tailbone pain” The tailbone is a small bone of the spine that is made up of three to five coccygeal vertebrae. This group of bones is located at the base of the spine and has the shape of a small triangle. Pain orginiating from the tailbone can be caused by a fracture or break of the tailbone due to trauma from a slip and fall, or even from natural childbirth.
Impar Ablation
A laser procedure performed to deaden a damaged nerve and stop it sending pain signals to the brain. A safe and quick outpatient procedure with no blood loss.
Impar Block
An injection of medication that numbs and blocks pain signals being transmitted from a damaged nerve in the coccyx or tailbone area of the spine to the brain.
Coccygectomy
A surgery performed to treat coccyx or tail bone pain. Pain is relieved by removing the damaged coccyx, as it is a bone that our body does not use.
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What is Shoulder Arthritis?
There are two types of arthritis that can be affect the shoulder. Osteoarthritis: This is the most common type of arthritis seen in the shoulder. Due to the normal wear and tear the smooth lining of the shoulder joint covering the bones begins to wear away. This normal wear begins to expose the ends of the bones causing them to rub together. This rubbing forces the body to heal itself causing the formation of bone spurs which creates irregular motion within the shoulder joint. These spurs and irregular motion leads to inflamation and pain radiating from the joint. Another type of arthritis seen in the shoulder is called rheumatoid arthritis. Rheumatoid arthritis is more of an inflammatory response and is typically seen in patients that have had a major trauma to the shoulder.
Stem Cell Injection Therapy
Your body right now is going through a natural process of degeneration and regeneration. Every day your body sends out specialized cells called Mesenchymal stem cells which are specifically designed to develop into any specific tissue. The type of tissue the Mesenchymal stem cells develop into is determined by the signals received from the surrounding area of the cell. Because of injury, or due to the natural aging process, sometimes the degeneration process can exceeds the natural regeneration process of the body. When this occurs these Mesenchymal stem cells, which are found in high concentration in the bone marrow, can be harvested and injected into the affected joint. The introduction of this high concentration of regenerative cells accelerate natural healing of the body and can sometimes help to repair tendons, ligaments, cartilage, and form new bone.
Resurfacing Shoulder Replacement Treatment
Procedure performed to scrape away or remove arthritic areas in the shoulder joint. Outpatient procedure with little to no blood loss and quick recovery.
What is Shoulder Tendonitis?
Shoulder tendonitis (or tendinitis) is an inflammation injury to the tendons of your shoulder’s rotator cuff. Because inflammation is not always present in injuries to the shoulder tendons, this group of injuries are medically known as a rotator cuff tendinopathy or tendinopathies.
Stem Cell Injection Therapy
At every moment, your body is going through a natural process of degeneration and regeneration. Every day your body sends out specialized cells called Mesenchymal stem cells that are specifically designed to develop into any specific tissue. The type of tissue the Mesenchymal stem cells develop into is determined by the signals received from the surrounding area of the cell. Because of injury, or due to the natural aging process, sometimes the degeneration process can exceeds the natural regeneration process of the body. When this occurs these Mesenchymal stem cells, which are found in high concentration in the bone marrow, can be harvested and injected into the affected joint. The introduction of this high concentration of regenerative cells accelerate natural healing of the body and can sometimes help to repair tendons, ligaments, cartilage, and form new bone.
Resurfacing Shoulder Replacement Treatment
Procedure performed to scrape away or remove arthritic areas in the shoulder joint. Outpatient procedure with little to no blood loss and quick recovery.
What is Sacroiliac Joint Pain?
The Sacro Illiac joint is located between the illium bones of the pelvis and the sacrum of the spine. Over time this joint, like any joint can begin to lose its natural elasticity due to normal wear. As this natural barrier betwen the illium and sacrum wears, the bones begin to rub together causeing pain.
Sacroiliac Joint Fusion
Sacroiliac joint fusion is a fusion technique where the surgeon fuses the diseased joint which eliminates the micro motion between the Ilium and the sacrum. This type of fusion can be done in two ways. 1. The surgeon can approach the joint from the side (or Lateral) going through the muscles to place implants that are designed to fuse this are of the spine. 2. A less traumatic way to fuse this area of the spine is by approaching it through the back (or Posterior). The posterior approach is a much less traumatic way to access the joint space allowing the surgeon to insert specifically designed implants to fuse the SacroIliac Joint.
Stem Cell Therapy
At every moment, your body is going through a natural process of degeneration and regeneration. Every day your body sends out specialized cells called Mesenchymal stem cells that are specifically designed to develop into any specific tissue. The type of tissue the Mesenchymal stem cells develop into is determined by the signals received from the surrounding area of the cell. Because of injury, or due to the natural aging process, sometimes the degeneration process can exceeds the natural regeneration process of the body. When this occurs these Mesenchymal stem cells, which are found in high concentration in the bone marrow, can be harvested and injected into the affected joint. The introduction of this high concentration of regenerative cells accelerate natural healing of the body and can sometimes help to repair tendons, ligaments, cartilage, and form new bone.