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Spine Care

Spine Care Treatments

Our Spine Care & Rehabilitation Program is a comprehensive program offering pain management and improved function through patient guidance and education. Individualized attention begins on the first session with a detailed examination and individualized rehabilitation treatment regime. Specific instruction is emphasized to return the patient safely back to work and sports.

Goals of Spine Care Therapy

  • Improve range of motion
  • Decrease spine pain
  • Enhance strength development
  • Restore prior functional capabilities
  • Posture and lifting education 

Specialty Spine Services

  • Professional staff with advanced manual and mechanical training in the McKenzie Method
  • Evidenced-based spine care treatment protocols
  • Communication with physician
  • Aquatic therapy
  • Core training/Pilates/spine stabilization
  • Pain-relieving modalities
  • Post-rehab/wellness program
  • Ergonomics education

Professional Staff

  • Physical therapists/physical therapy PT's, PTA's, CAT's
  • Assistants/certified athletic trainers
  • Certified McKenzie therapists
  • Certified Pilates instructors
  • Certified strength and conditioning specialists
  • Certified functional movement screeners

The North Shore-LIJ Health System provides comprehensive spine care for patients suffering. These spine disorders include back and neck pain as a result of degenerative changes in the spine such as stenosis, osteoporosis, herniated discs, trauma and even tumors.

We consider the physicians, nurses, and therapists associated with our spine services best in class and are proud of the care they provide. We provide state-of-the-art, multidisciplinary spine care to help patients regain mobility and return to active, independent lives.

From diagnosis to treatment, all of the spine care specialists will be at your disposal. Patients receive a comprehensive evaluation and treatment plan from our expertly trained clinicians.

Spine care treatments include:

  • Baclofen Pumps – These are used to relieve both severe pain and muscle spasms by implanting a small pump and medicine-filled reservoir in the body. A thin tube, or catheter, goes from the pain pump to the spine where the medication is released into the fluid surrounding the spinal cord.
  • Cryoneurolysis/Cryoablation – A technique that relieves pain by using cold to destroy nerve tissue.
  • Discography/Annuloplasty – Discography uses a tiny scope to look at spinal damage, then annuloplasty uses a needle to produce heat and destroy disc defects that cause pain.
  • Epiduroscopy – Using a special, small endoscope, the pain specialist can enter the spinal canal to remove scar tissue and take painful pressure off nerves.
  • Injections:
    • Epidural injections are a way of treating back pain that is caused by a herniated disk or pinched nerve. An anti-inflammatory medication, such as cortisone, is injected near the irritated nerve root, decreasing inflammation and hereby decreasing pain. A specially trained physician does the procedure under X-ray guidance.
    • Facet injections target back pain as a result of arthritis in the small joints of the spine known as facet joints. Anti-inflammatory steroid medication is injected to diminish the pain that is being caused by inflammation along these joints. During this process, a specially trained physician uses fluoroscopic guidance for accuracy.
    • Sacroiliac joint injections treat low back pain that results from arthritis in the joint that connects the pelvis with the spinal column, the sacroiliac joint. To reduce the pain being caused by inflammation of these joints, anti-inflammatory medication, such as cortisone, is injected into the joint. A specially trained physician does the procedure under X-ray guidance.
  • Nucleoplasty – An advanced treatment for spinal cord pain that reduces the size of a damaged disc to relieve pain-causing pressure on nerves.
  • Radiofrequency Lesioning – With a probe that generates a microwave, spinal pain specialists can destroy nerve tissue and relieve pain.
  • Spinal Cord Stimulation – This technique can block the sensation of pain with an electrical device implanted in the body. It uses a mild current to replace the feeling of pain with a sensation similar to the feel of running water. Spinal cord stimulation is used when back surgery fails, for peripheral neuropathy (severe pain in the arms, legs, hands or feet), and when severe phantom limb pain follows amputations.