Back pain answered — before anyone mentions fusion.
Disc problems, sciatica, facet and SI-joint pain — confirmed with precision diagnostics, then treated with image-guided, opioid-sparing care.
Your MRI is not the whole story
Nearly every back has “findings” on MRI — but findings and pain generators are not the same thing. A bulging disc, an irritated facet, an unstable SI joint each produce different pain and demand different treatment, and none of them should be guessed at.
We confirm the generator with focused examination and, when needed, fluoroscopy-guided diagnostic blocks. Only then do we treat — calming the confirmed source and reinforcing the structures around it, with surgery held in reserve for the cases that truly need it.
Back & Spine conditions we treat
No two of these share a protocol — the diagnosis decides everything that follows.
Herniated & bulging discs
Disc injury and the nerve irritation it causes.
Sciatica
Leg pain radiating from a compressed nerve root.
Facet joint pain
Pain that spikes with arching and twisting.
SI joint dysfunction
Deep pain across the pelvis and beltline.
How we treat the back & spine
The order matters as much as the menu — therapies are sequenced to your specific diagnosis.
Keeping the operating room in reserve
Surgery keeps its place in the toolbox — at the back, where it belongs until the biology has had its chance.
Common questions about back & spine treatment
Do herniated discs heal on their own?
The majority improve without surgery — and precise, image-guided treatment plus intelligent rehab shortens that road and lowers the odds of the same disc flaring again.
How can you tell which level is causing my pain?
By refusing to trust the MRI alone. We correlate imaging with a focused exam and, where it matters, diagnostic injections that confirm the generator before we commit to treating it.
Will I end up on pain medication long-term?
That's precisely what this model is built to avoid: targeted procedures and active rehab in place of escalating prescriptions, with opioids off the table as a maintenance strategy.
Put a name on your back & spine pain.
One evaluation: a committed diagnosis, your realistic options, and a plan you could explain over dinner.