Adjacent Segment Disease (ASD)
This is a problem you can develop after spinal fusion. It happens when the vertebrae above and below the fusion become weak and damaged. We say they "degenerate." And as they degenerate, more vertebrae are at risk for harm.
Anatomy of the Spine
The spinal column is the body's main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.
Cervical Facet Joint Syndrome
This is a problem with the facet joints of the cervical spine. They are the joints found where one vertebra connects to another. Facet joints support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful in the upper part of your spine.
Cervical Radiculopathy
This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.
Compression Fractures of the Spine
This is a collapse of vertebral bone. It can affect one or more vertebrae. Compression fractures typically develop in your mid or lower back. This can change the shape of your spine.
Degenerative Disc Disease
This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.
Discogenic Pain
This pain comes from one of your spinal discs. Those are the soft cushions that allow the bones of your spine to flex and twist. Discogenic pain is a common reason for chronic lower back pain.
Facet Joint Syndrome
This is a problem with the facet joints of the spine. These are the joints where one vertebra connects to another. They support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful.
Herniated Disc
Between the vertebrae of your spine are soft discs. They let your spine twist and bend. They absorb shocks. But if damaged, the disc's soft center can push through the disc wall. That's a herniated disc. This bulge presses against nerves in your spine.
Herniated Disc (Cervical)
This condition is a rupture of one of the vertebral discs in your neck. A herniated disc can allow disc material to press harmfully against the spinal nerves.
Kyphosis
This condition is a deformity of the spine. With it, your vertebrae change from a cylindrical shape to a wedge shape. Your spine may begin to curve forward. Eventually, this gives your upper back a rounded appearance.
Lumbar Radiculopathy (Sciatica)
This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.
Muscle Strain of the Upper Back (Trapezius Strain)
This common injury is a stretching or tearing of the trapezius. This large muscle group spans the upper back, shoulders and neck. These muscles are commonly called the "trap" muscles.
Myelopathy
This is a problem that affects your spinal cord. It happens when something presses harmfully against it. Your spinal cord is the main nerve pathway between your brain and your body. Pressure on it can cause problems throughout your body.
Osteoarthritis of the Spine
If you have back or neck pain that doesn't go away, you may have osteoarthritis of the spine. Osteoarthritis is the most common form of arthritis. For many of us, it develops slowly as we age. And it can keep you from being as active as you like.
Osteoporosis
As you get older, your bones may get weaker. This is called "osteoporosis." Weak bones are more likely to break. Osteoporosis can be a problem for anyone, but it is more common in women.
Pinched Nerve
If you have unexplained pain, numbness, weakness or tingling, you may have a pinched nerve. That's when something presses against a nerve in your body. It stops the nerve from acting the way it's supposed to.
Post-Laminectomy Syndrome
This condition, also called "failed back surgery syndrome," is a type of chronic pain. It can develop in some people after spine surgery.
Sacroiliac Joint Pain
Your sacroiliac joints (we call them the "SI" joints) are the places where your hips meet your spine. These joints don't have a lot of flexibility, but they do move slightly as you move your body. And if SI joints become damaged or diseased, it can be painful.
Spinal Stenosis
Your spinal nerves travel through your spinal canal and exit through openings we call "foramen." If any of these spaces are too narrow, your nerves become compressed. We say you have "spinal stenosis." It's a problem that most often happens in the neck and lower back.
Spinal Stenosis (Cervical)
This problem affects the spinal nerves in your neck. It's a narrowing of the spinal canal. That's the space your spinal nerves travel through. In a healthy spine, the spinal canal protects these nerves. It keeps them free from injury. But with spinal stenosis, the spinal canal is too narrow, and your nerves get compressed.
Spondyloarthritis (Spondyloarthropathy)
This is a name we give to a group of arthritis diseases. They cause inflammation in your spine and other joints and can lead to chronic pain.
Spondylolisthesis
This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.
Spondylolysis
This is a crack that forms in a narrow bridge of bone at the back of a vertebra. A vertebra is one of the bones that forms your spine. Often, this injury happens in the lumbar spine. It can happen to people of all ages. But, we most often see it in children and teens. That's because their bones are still growing.
Where Lower Back Pain Begins
Lower back pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your lower back.
Where Neck Pain Begins
Neck pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your neck.
Bone Density Scan (DXA or DEXA)
This is a type of x-ray that measures your bone density. Your doctor may recommend it if you're at risk for osteoporosis (that's a weakening of your bones). This scan is a quick and easy way to check for signs of bone density loss.
Caudal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.
Cervical Epidural Steroid Injection (without contrast)
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Cervical Transforaminal Epidural Steroid Injection
This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
CT Scan (Computed Tomography; CAT Scan)
This scan lets doctors see inside your body by taking x-ray images from many angles. These are combined to show clear cross-section slices of parts of your body. A CT scan shows much more than a typical x-ray. It can show cancer and other problems.
Discography (Lumbar)
This procedure, also called a "discogram," helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let's watch a discography done in the lumbar spine.
Facet Joint Injections
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient's pain. It can also relieve pain and inflammation.
Facet Joint Injections (Cervical)
These injections help your doctor find or treat pain in the facet joints of your neck. Facet joints are found on both sides of your spine. Your vertebrae connect at these joints.
Intradiscal Injection
This is an injection of medicine into a spinal disc. That's a soft cushion that allows the bones of your spine to flex and twist. An intradiscal injection helps your doctor find or treat your pain.
Living With Chronic Pain
If you have pain that lasts for more than six months, you have "chronic" pain. It's different from the temporary pain you feel when you hurt yourself. With chronic pain, you may not know why you are hurting. Your pain may affect your whole body and your mind, causing problems that ripple through every part of your life. But there is hope. Here are some tips to help you manage chronic pain.
Living With Osteoarthritis
If you've been diagnosed with osteoarthritis, you may need to make some changes in your lifestyle. But you can still do many of the things you enjoy. You just have to take steps to manage your condition.
Lumbar Epidural Steroid Injection (without contrast)
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Managing Low Back Pain
Low back pain can cause problems that ripple through every part of your life. You don't do a lot of the things you enjoy because it just hurts too much. But there is hope. Here are some tips to help you manage your pain.
Managing Neck Pain
If you're dealing with neck pain, you know how frustrating it can be. Fortunately, you can try these simple strategies for managing neck pain.
MRI (Magnetic Resonance Imaging)
This scan lets doctors see inside your body without using radiation. Instead, MRIs use magnets and radio waves. An MRI shows clear views of your soft tissues. It can show cancer and other problems.
Myelography (Myelogram)
This outpatient procedure is a diagnostic examination of the spine. It allows the physician to identify problems involving the spine, the spinal cord and the nerve roots.
Nerve Conduction Study (NCS)
This noninvasive, outpatient exam is used to measure how quickly nerves conduct electrical signals through the body. NCS is a valuable technique for diagnosing nerve damage. If damage exists, NCS can help a physician find its source.
Osteoporosis Screening
As you get older, your risk for osteoporosis increases. That's a disease that makes your bones thin and weak. A screening procedure called a "bone density test" shows if you have osteoporosis. It shows if you are likely to develop it. Or, if you are being treated for osteoporosis, it can show if your treatment is working.
Preventing Back Pain
Most of us know the frustration of back pain. It's something almost everyone has to deal with at some point in life. Back pain can last for a few days or weeks. For some, it becomes a chronic problem. The good news is, there are some things you can do to keep back pain away. These tips can help.
Sacroiliac Joint Steroid Injection
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
Selective Nerve Root Block (SNRB) in the Lumbar Spine
This injection targets a painful nerve in your lumbar spine. It helps your doctor find which nerve is hurt by a herniated disc, spinal stenosis or some other problem. It may give you pain relief.
ALIF: Anterior Lumbar Interbody Fusion
ALIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
ALIF: Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws)
ALIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
Anterior Cervical Discectomy and Fusion (ACDF)
This surgery removes a herniated or degenerative vertebral disc in your neck and replaces it with a bone graft. This can relieve painful pressure on spinal nerves.
Anterior Cervical Discectomy and Fusion (ACDF), with Cage
This surgery replaces a damaged vertebral disc in your neck with a cage containing bone graft. It's done to relieve painful pressure on spinal nerves.
Anterior Cervical Discectomy and Fusion (Intervertebral Spacer)
This surgery removes a herniated or diseased disc and relieves neck and radiating arm pain caused by parts of the disc pressing on nerve roots.
Artificial Cervical Disc Replacement
This procedure replaces a degenerative or damaged spinal disc with an implant designed to preserve motion in your neck. This procedure can relieve the pain of compressed nerves in the cervical spine.
Artificial Disc Replacement (in the Lumbar Spine)
This surgery treats a bad vertebral disc in your lower back. It replaces the bad disc with an artificial one. The new disc will let your spine bend and twist. For some, this surgery is an alternative to spinal fusion.
Foraminotomy (Lumbar Spine)
This procedure relieves pressure on spinal nerves in your lower back. It makes more room in an opening called a "foramen." That's where a spinal nerve exits as it branches away from your spine.
Interlaminar Stabilization (coflex®)
This small implant gives your spine support. It's placed in your spine as part of a surgical treatment for the pain of spinal stenosis. Unlike a spinal fusion, the implant preserves motion. So your spine can still move naturally.
Kyphoplasty (Balloon Vertebroplasty)
This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine's natural shape. Some patients experience rapid pain relief after the procedure.
Laminectomy
This procedure relieves pressure on the nerve roots in the spine. It is most commonly performed to relieve the pain of stenosis. This is a narrowing of the spinal canal that is often caused by the formation of bony growths that can press against the nerve roots. The surgeon may treat one or more vertebrae.
Laminectomy (Cervical Spine, With Fusion)
This surgery relieves pressure on spinal nerves in your neck. It treats a condition we call "spinal stenosis." Laminectomy makes more space for these compressed nerves. Then, your spine is stabilized with implants.
Laminectomy (Cervical)
This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis.
Laminotomy (of the Lumbar Spine)
This surgery creates more space around your spinal nerves. It gets rid of pressure and pinching. It can relieve pain, numbness and weakness linked to spinal nerve compression.
Lumbar Disc Microsurgery
This minimally-invasive procedure relieves pressure on nerve roots caused by a herniated disc. It can eliminate the pain of sciatica.
Lumbar Interbody Fusion (IBF; LIF)
This surgery helps a painful lower spine. It treats a degenerated or damaged disc. The bad disc is removed and the vertebra bones above and below that disc are joined together. A fusion can reduce or eliminate your pain.
Lumbar Spinous Process Plating (CD Horizon® SPIRE™)
In this minimally-invasive procedure, a metal device is implanted to stabilize the spine and help relieve back problems from conditions such as spinal stenosis, spondylolisthesis, and degenerative arthritis. This procedure is often performed in addition to spinal fixation with pedicle screws and rods.
Mild® Procedure (Vertos Medical)
This procedure treats lumbar spinal stenosis. That's a narrowing of the space around the spinal nerves in your lower back. The mild procedure makes more room for these nerves, relieving painful compression.
Minimally-Invasive TLIF (Transforaminal Lumbar Interbody Fusion)
This minimally invasive procedure is used to remove a degenerated disc to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.
OLIF: Oblique Lumbar Interbody Fusion (for L2-L5)
This is a surgery to correct problems caused by a degenerated disc in your spine. It creates more space for your nerves. OLIF is performed through a small opening in your side.
Posterior Lumbar Interbody Fusion (PLIF)
This procedure fuses two of your vertebrae with implants and bone graft material. It stabilizes your spine. It can be used to treat pain caused by degenerative disc disease.
Spine Stabilization System (DYNESYS®)
This minimally-invasive surgical procedure treats chronic lower back or leg pain by stabilizing damaged or misaligned vertebrae with specially-designed screws, spacers and cables. The flexible DYNESYS® system is an alternative to spinal fusion. It aligns and supports the spine while still allowing some flexibility and movement. The surgery takes two to three hours to perform.
Superion® InterSpinous Spacer (Vertiflex)
This is an implant that lifts and separates your vertebrae. It's used to treat lumbar spinal stenosis. That's a narrowing of the space around your spinal nerves in your lower back. The Superion implant makes more room for these nerves, relieving painful compression.
TLIF: Transforaminal Lumbar Interbody Fusion
TLIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
Total Disc Replacement: Synthes® Prodisc-C
This surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc that restores the natural alignment of the spine. Unlike fusion surgery, which causes the vertebrae above and below the problem disc to grow together into a single bone, the artificial disc preserves spine motion at that level.
Vertebral Augmentation
This type of spine surgery treats a problem called "compression fracture." That's when the body of a vertebra (one of the bones of the spinal column) cracks and collapses. Vertebral augmentation makes the bone stronger. It may restore lost height and relieve pain.
Vertebral Body Replacement (VBR)
This surgical procedure replaces a severely diseased or damaged vertebra with a device designed to restore the spine's proper height and alignment. The patient's pain is relieved by eliminating pressure on the spinal cord or nerve roots in the thoracic or lumbar spine.
Vertebroplasty
This minimally-invasive procedure is an injection of bone cement into a vertebra. It stabilizes a compression fracture of the spine. One or more vertebrae may need to be treated.

Get In Touch With Us!

Mussinanstraße 6, 94327 Bogen, Germany

counselor@dr-bertagnoli.com

+1 (512) 784 5824