PLEASE CLICK HERE FOR AN IMPORTANT MESSAGE REGARDING COVID-19     Neck & Back Pain The Spine Institute Herniated/Ruptured Disc Neck & Back Pain Lumbar Radiculopathy/Sciatica (Leg Pain) Cervical Radiculopathy (Arm Pain) Spinal Stenosis & Myelopathy Degenerative Disc Disease Spondylolisthesis Low Back Pain Pain Management Minimally Invasive Surgery Sacroiliac Joint Pain Overview Neck and back pain are unfortunately very common in our society. In general, they are more common in sedentary individuals, especially those who work at a desk or computer station. Fortunately, the prognosis for patients with neck pain is excellent, as well over 90 percent of patients with neck and back pain improve with conservative (non-surgical) treatment. Where Neck Pain Begins Where Lower Back Pain Begins Neck & Back Pain Causes & Diagnosis There are many conditions that can cause neck and back pain. To formulate an appropriate diagnosis, it is important to take a thorough history, perform a physical exam and obtain imaging studies, such as X-rays and an MRI. Some diagnoses include: Mechanical Conditions Strain Sprain Annular Tear (disc tear) Herniated / Bulging Disc Degenerative Conditions Degenerative Disc Disease Facet Arthropathy (joint pain) Spinal Stenosis Inflammatory Conditions Rheumatoid Arthritis Ankylosing Spondylitis (chronic inflammatory arthritis) Infectious Conditions Discitis Osteomyelitis Traumatic Conditions Fracture Subluxation Dislocation Oncologic Conditions Benign or Malignant Spine Tumor Metastatic Spine Tumor Congenital Conditions Klippel-Feil syndrome Idiopathic Conditions Unknown causes Psychogenic Conditions Psychiatric disorders with manifestation of neck or back pain Neck & Back Pain Treatment Options Treatments for neck or back pain, like those for many medical conditions, can be conservative (non-operative) or surgical. Conservative, noninvasive treatments are generally the first treatments recommended to patients since most conditions affecting the spine are self-limited and improve or completely resolve with these treatments. Spinal injections and surgical treatments are only considered if the diagnosis is amenable to surgery and non-operative treatments have failed. Rarely, some spinal conditions are more serious (myelopathy, severe stenosis, fractures, cancer, etc.) and require immediate surgical management. Conservative Treatments Rest or Activity Reduction Medications Topical (Ice packs, heat, ointments, etc.) Orthotics (Back brace, corset, etc.) Core Exercises Massage Physical Therapy Modalities, including ultrasound, phonophoresis (ultrasound to apply drugs) and iontophoresis (a kind of electrical stimulation used to dminister medication) Transcutaneous Electrical Nerve Stimulation (TENS) Facet Joint Injections Epidural Steroid Injections (Cervical) Watch Video (Lumbar) Watch Video Surgical Treatments (Neck) Anterior Cervical Discectomy and Fusion Watch Video Microscopic Foraminotomy Watch Video Disc replacement Watch Video Laminoplasty Watch Video Surgical Treatments (Low Back) Anterior Lumbar Interbody Fusion (ALIF) Watch Video Posterior Lumbar Fusion (PLF) Watch Video Lateral Lumbar Interbody Fusion Watch Video Lumbar Disc Replacement Watch Video Lumbar Laminectomy Watch Video Lumbar Microdecompression (MILD procedure) Watch Video Lumbar Microdiscectomy Watch Video Our Doctors & Mid-Level Providers Raphael R. Roybal, M.D. Minimally Invasive Spinal Surgery D'Mitri Sofianos, M.D. Minimally Invasive Spinal Surgery Evan M. Siegall, M.D. Pediatric Orthopaedics; Scoliosis Gregory Spellman, M.D. Pain Management Malissa Nix, PA-C, ATC Salaethia Crawford, MSN, FNP-C Sarah Mcilwain, MSPAS, PA-C Miranda Garcia, PA-C Savannah Locations Chatham Orthopaedic Associates (912) 355-6615|Get Directions ExpressOrtho Savannah (912) 355-3776|Get Directions Chatham Sports Medicine & Physical Therapy (912) 354-5100|Get Directions SouthCoast Health Office (912) 355-6615|Get Directions Effingham Location Effingham Orthopaedics in Rincon (912) 826-3111|Get Directions Effingham Orthopaedics – Pain Management (912) 826-3111|Get Directions Richmond Hill Location Chatham Orthopaedic Associates Richmond Hill (912) 445-5904|Get Directions Pooler Location Chatham Orthopaedic Associates Pooler (912) 450-1101|Get Directions ExpressOrtho Pooler (912) 355-3776|Get Directions Quick Links About Services Our Doctors Patient Information Patient Portal Pay Online Health Resources Locations Contact Join Our Team © 2021 Chatham Orthopaedic Associates | Privacy | HIPAA Notice of Privacy Practices | Website Developed by Robmark Web