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Spine

The Spine Center Approach—Providing Non-Surgical and Advanced Surgical Options

Back pain is so common, four out of five Americans will have an attack during their lifetime. Fortunately 80% of the time, back or neck pain is simply a result of strain or soft tissue injury and the patient’s condition will improve with specialized exercises, rest and anti-inflammatory medicine. However, for people who have herniated discs, serious muscle strains or other spine conditions, symptoms can last for years and may even be permanently disabling.

Our highly specialized team, which collaborates to create the best treatment plan for each patient, includes:

  • Board-certified, fellowship-trained physical medicine and rehabilitation physicians who specialize in the non-surgical management of back and neck pain, including fellowship training in interventional spine (injections for non-surgical pain relief)
  • Board-certified, fellowship-trained orthopaedic spine surgeons
  • Physician assistants specialty-trained in orthopaedics
  • Therapists who specialize in spine

Using a multidisciplinary spine center approach, OrthoWilmington is dedicated to providing an advanced level of care for patients with neck pain, back pain, sciatica, myelopathy and other spine conditions. In keeping with this progressive approach, the spine experts at OrthoWilmington exhaust all non-surgical treatment options before considering spine surgery.

If spine surgery is unavoidable, the spine surgeons at OrthoWilmington make use of the latest minimally invasive techniques that can enable a patient to have simple spine surgery in the morning and be home later the same day.

North American Spine Society releases Coverage Recommendations for Common Spine Surgery Procedures

The North American Spine Society (NASS), the premier multidisciplinary medical organization dedicated to improving spine care, recently released evidence-based coverage recommendations for spine procedures and treatments.

Please click here to view a message discussing coverage recommendations from William Watters III, MD, President of NASS.

Please click here to view Coverage Recommendations for Common Spine Surgery procedures, Including Laser Spine Surgery.

Clinical Outcomes and Patient Education

An important component of our spine center approach is the meticulous tracking of clinical outcomes— from the use of medications to patient satisfaction to the return of function. We then publish a clinical outcome report card for employers and health insurance plans.

We are also committed to patient education. OrthoWilmington provides a 36-page Home Remedy Book containing therapeutic exercises and information about when a patient needs to be seen quickly by a spine specialist. Please contact us if you would like a copy.

Spine Physicians

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Jon K. Miller, MD

R. Mark Rodger, MD

D. Todd Rose, MD

 
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Francis S. Pecoraro, MD

     

Spine Conditions

Back Pain

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Neck Pain

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Degenerative Disc

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Herniated Disc

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Bone Spur

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Stenosis

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Scoliosis

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Kyphosis

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Spondylolsis

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Spinal Tumor

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Briefly, here are some rules of thumb to keep in mind about your back or neck problems:

Trauma - If you fall down, are in a car accident or do anything abrupt that may have fractured your back, go to a spine specialty clinic within 24 hours.

Radicular pain - Anytime you have back or neck pain that radiates down into your leg or arm, you probably need to be evaluated by a spine specialist within two to three days, especially if it is getting worse.

Persistent pain - If pain limited to the low back or neck area does not begin to subside after three days with anti-inflammatories and rest, then you probably need to be evaluated by a spine specialist. For example, if you first noticed back or neck pain on Monday, and it is now Thursday, and the pain is not getting better, it is time to see a spine specialist to find out what is causing your problem.

Anytime you experience loss of control of your bowel or bladder, that is an EMERGENCY signal that you need to see a spine specialist THE SAME DAY. If you wait too long, you could suffer permanent paralysis of the nerves that control these functions.

Foot drop - If you notice that your toe is dragging as you walk, this is a DANGER SIGNAL for serious neurological problems. Again, if you delay, you could experience permanent damage. This problem should be seen within 24 hours by a spine specialist.

Weakness, numbness or pain that extends below a knee or elbow is a serious symptom. Go to a spine center within two days.

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