When should I see a spine specialist?
See a specialist if pain lasts more than six weeks, keeps coming back, travels down an arm or leg, or comes with numbness, tingling, or weakness. Seeing a surgeon does not mean you will have surgery. It means an accurate diagnosis and the full range of options.
Spine conditions we treat
Herniated disc
What it isThe soft center of a spinal disc pushes through its outer layer and can press on a nearby nerve.
CausesAge-related disc wear, lifting or twisting, and sometimes no clear trigger.
TreatmentMost improve within weeks to a few months with activity changes, medication, physical therapy, or an epidural injection. Microdiscectomy is considered when pain persists or weakness worsens.
Sciatica
What it isPain, tingling, or numbness that runs from the low back through the buttock and down the leg, caused by an irritated nerve root. It is a symptom, most often of a herniated disc or stenosis.
TreatmentDepends on the cause, and usually starts with conservative care.
Spinal stenosis
What it isNarrowing of the spinal canal that squeezes nerves, most common after age 50.
SymptomsLeg pain, heaviness, or numbness when walking or standing that eases when you sit or lean forward.
TreatmentTherapy, medication, and injections first; decompression surgery when walking distance keeps shrinking.
Neck pain and pinched nerves
What it isA disc or bone spur in the neck pressing on a nerve root (cervical radiculopathy).
SymptomsNeck pain with pain, tingling, or weakness down the arm into the hand.
Treatmentconservative care first; anterior cervical discectomy and fusion (ACDF) when symptoms persist. Hand numbness can also come from the wrist or elbow; see peripheral nerve disorders.
Spinal cord compression in the neck
What it isNarrowing in the neck that presses on the spinal cord itself (cervical myelopathy).
SymptomsClumsy hands, trouble with buttons or handwriting, and worsening balance. These changes can be gradual and easy to dismiss.
TreatmentBecause damage to the cord may not fully recover, surgery is often recommended once symptoms appear. Come in promptly if you notice these signs.
Degenerative disc disease
Age-related changes in the discs that can cause ongoing neck or back pain. Most people do well with conservative care; fusion is considered only in select cases.
Spondylolisthesis
One vertebra slips forward over the one below, from wear, a stress fracture, or a difference present from birth. Treated with therapy and injections first, and stabilization surgery when pain or nerve symptoms persist.
Adult scoliosis
A sideways curve of the spine, including curves that start in adulthood from disc wear. Many curves only need monitoring; corrective surgery is reserved for progressive curves or significant pain and imbalance.
Spine tumors and compression fractures
Growths in or near the spinal cord, and small vertebral fractures often caused by osteoporosis. Both need imaging and a specialist’s evaluation, especially with new back pain and a history of cancer or osteoporosis.
Recovery and realistic expectations
Conservative treatment often takes 6 to 12 weeks to show its full effect. After surgery, many patients walk the same day; return to work ranges from a few weeks for a microdiscectomy to several months for a fusion. Results vary, and Dr. Mignucci will explain what is realistic for you.
Go to the ER or call 911 if you have:
Loss of bladder or bowel control, numbness in the groin or inner thighs, rapidly worsening leg weakness, or severe back pain with fever or after a serious injury.
Common questions
Can I see you without an MRI?
Yes. We examine you first and order imaging only if it will change your care. If you need an MRI, it can often be done in our building the same day.
Will I need surgery for a herniated disc?
Usually not. Most herniated discs improve with time and conservative care. Surgery is considered when pain does not improve or weakness worsens.
How long is recovery after spine surgery?
It depends on the procedure. Many minimally invasive procedures mean walking the same day and returning to desk work in a few weeks.
Do you offer second opinions on spine surgery?
Yes. Bring your imaging and the recommendation you received, and we will walk through every option with you.
Will my insurance cover this?
We accept all major insurance plans. Tracie Baker, our patient financial counselor, checks your benefits and explains any costs before treatment.
Related
This page is for general education and is not medical advice or a diagnosis. Talk with your doctor about your own symptoms and treatment options.