Collaborative Care at the Comprehensive Spine Center

Our comprehensive care model includes consultation and evaluation, medical, surgical, and minimally invasive treatment options, and support services to aid in rehabilitation. 

Our process begins with you receiving an informational packet from our office, which we ask that you fill out in advance of your evaluation to maximize time with your provider. At your initial consultation, a physician will conduct an evaluation that aims to determine where each patient’s pain generator is before recommending treatment options. The evaluation will last 30-40 minutes. The physician’s medical assistant will take vitals, and both you and your provider will come up with an individualized assessment and treatment plan. Patients are asked to provide their medical history and complete a spine-specific physical exam, including a neurologic and musculoskeletal exam. The results of the evaluation will determine which type of treatment is recommended. 

Explore our care: 

Conditions We Treat

At the Comprehensive Spine Center, we provide planned courses of care for a full range of spinal disorders, including:   

  • Cervical radiculopathy
  • Complex regional pain syndrome
  • Congenital spinal disorders
  • Scoliosis
  • Kyphosis
  • Degenerative disc disease (spondylosis)
  • Disc herniation
  • Low back pain
  • Lumbar radiculopathy (Sciatica)
  • Neck pain
  • Post-laminectomy syndrome
  • Spinal stenosis
  • Spine trauma or injury

Interventional Treatment Options

Nonsurgical treatments are combined with fluoroscopy (x-ray) or ultrasound technology. Medical management options include:

  • BOTOX for migraine headaches
  • Bursa and hip injections
  • Diagnostic and therapeutic nerve blocks
  • Epidural steroid injections
  • Joint injections
  • Occipital nerve blocks
  • Radiofrequency ablation
  • Sacroiliac joint injections
  • Spinal cord, peripheral nerve and muscle stimulators
  • Implanted opioid or baclofen pumps
  • Trigger point injections
  • Vertebral Augmentation including Balloon Kyphoplasty or Vertebroplasty
  • Indirect spinal decompression

Advanced Technology and Surgical Treatment 

The center has the most advanced diagnostic and therapeutic equipment and treatment options, including:

  • Cyberknife
  • Disc replacement
  • Discectomy 
  • Dynamic stabilization
  • Gamma knife
  • Highly complex spinal deformity correction with osteotomies
  • Intraoperative CT scanner with image guided navigation
  • Intraoperative neurophysiological monitoring capability
  • Minimally invasive surgery
  • Multi-planar angiography
  • Per cutaneous or open spinal instrumentation and fusion for back and neck pain
  • Stereotactic radiosurgery
  • Spinal reconstruction for traumatic spine injuries
  • Trilogy IMRT 
  • Radical tumor resection and reconstruction

Minimally Invasive Procedures

For patients whose pain is not adequately managed by the above procedures or therapies, we offer minimally invasive surgical procedures:

  • Neuromodulation: Electrical leads on the tips of soft, thin wires are inserted into the spinal canal to stimulate either the spinal cord or peripheral nerves with an external battery during an initial trial phase. If the trial provides pain relief and allows improved function, the patient is a candidate for the second phase of the procedure, in which electrodes are re-inserted and attached to an internal battery, which is implanted under the skin to emit electrical current to the spinal column. The current interrupts or modulates sensations of pain.
  • Intrathecal pump therapies: An intrathecal pump is an implant that delivers medication directly into the intrathecal space around the spinal cord to relieve chronic pain. There is an initial trial to see if pain is controlled with medications administered in the spinal canal via a needle approach before implant.
  • Indirect Spinal Decompression: This device is an interspinous spacer implanted between the vertebrae to indirectly decompress spinal stenosis and relieve patients from symptoms of neurogenic claudication which includes pain or pressure with standing or walking which is relieved with bending forward. This option is best for patients whose symptoms have not been well controlled with physical therapy, medication or spinal injections. These patients often do not want or are not good candidates for more invasive spinal interventions.

Support Services

We offer consultative specialty services in neurology, neurosurgery, interventional radiology, orthopedics and rheumatology.
In addition, we provide support services, including:

  • Behavioral health, including psychiatry, psychology and psychopharmacology 
  • Case management/social work
  • Alternative medicine therapies, including referrals for massage, acupuncture, and chiropractic work
  • Physical and occupational therapy, including both land and water therapy options 
  • Exercise programs
  • Osteopathic manipulative medicine
  • Patient and family education
  • Medication management

Learn more about the Comprehensive Spine Center »