Conditions We Treat

Herniated Disc

A disc that has ruptured or bulged can press on spinal nerves, causing pain, numbness, or weakness in the back, neck, arms, or legs.

Spinal Stenosis

Narrowing of the spinal canal puts pressure on the spinal cord and nerves, often causing pain, numbness, and difficulty walking.

Degenerative Disc Disease

Age-related breakdown of spinal discs that can cause chronic back or neck pain and reduced spinal flexibility.

Spondylolisthesis

A condition where one vertebra slips forward over the one below it, potentially causing back pain and nerve compression.

Sciatica

Pain that radiates along the sciatic nerve from the lower back through the hip and down the leg, often caused by a herniated disc.

Scoliosis

Abnormal lateral curvature of the spine that can range from mild to severe and may require bracing or surgical correction.

Cervical Radiculopathy

Nerve compression in the neck causing pain, numbness, or weakness that radiates into the shoulder, arm, or hand.

Lumbar Radiculopathy

Nerve compression in the lower back causing radiating pain, numbness, or weakness in the buttocks and legs.

Procedures We Offer

Discectomy

Surgical removal of the herniated portion of a disc to relieve pressure on spinal nerves and eliminate radicular pain.

Laminectomy / Spinal Decompression

Removal of bone spurs or ligament to widen the spinal canal and relieve pressure on nerves caused by stenosis.

Spinal Fusion

Joining two or more vertebrae together to stabilize the spine, eliminate painful motion, and correct deformity.

Cervical Disc Replacement

Replacement of a damaged cervical disc with an artificial disc, preserving motion compared to fusion.

Microdiscectomy

Minimally invasive removal of herniated disc material using microsurgical techniques for faster recovery.

Epidural Steroid Injections

Anti-inflammatory steroid injections delivered directly to the epidural space to relieve nerve pain from disc herniation or stenosis.

Facet Joint Injections

Injections into the small joints of the spine to diagnose and treat facet-mediated back and neck pain.

Physical Therapy & Rehabilitation

Customized spine rehabilitation programs to strengthen supporting muscles, improve posture, and prevent recurrence.

Our Providers

Jose Ramirez-Del Toro, M.D.

Jose Ramirez-Del Toro, M.D.

Physiatrist

Sports Medicine

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Justin J. Petrolla, M.D.

Justin J. Petrolla, M.D.

Physiatrist

Sports Medicine & Pain Management

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Frequently Asked Questions

Should I try conservative treatment before spine surgery?

Yes, in the vast majority of cases we recommend conservative treatments first, including physical therapy, anti-inflammatory medications, activity modification, and injections. Surgery is typically considered only when conservative measures have failed after an appropriate period, usually 6–12 weeks, or when there is progressive neurological deficit.

What is the difference between a discectomy and a laminectomy?

A discectomy involves removing the herniated portion of a spinal disc that is pressing on a nerve. A laminectomy involves removing part of the bony arch (lamina) of a vertebra to create more space in the spinal canal. Often these procedures are combined depending on what is compressing the nerves.

How long is recovery after spinal fusion?

Recovery from spinal fusion varies by the extent of surgery. Most patients can return to light activities within 4–6 weeks. Return to more demanding work or physical activity typically takes 3–6 months. Bone fusion itself may take 6–12 months to fully solidify on imaging.

Is back pain always treated with surgery?

No—the great majority of back pain resolves with non-surgical treatment. Our spine surgeons specialize in comprehensive spine care and will thoroughly evaluate whether surgery is appropriate for your specific condition. We always explore all conservative options before recommending surgical intervention.

Ready to Get Relief?

Our board-certified orthopaedic specialists are here to help. Schedule your appointment today.

Or call us: (412) 283-0260

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