Putting the pieces together
I review your history, examination and imaging together, including what you have already tried. We discuss what the findings may explain, what remains uncertain and whether additional evaluation would help.
Nonsurgical options
Depending on the diagnosis, a plan may include activity adjustments, directed physical therapy, medication or an injection. These options have different benefits and risks, and the choice should account for your health and symptoms.
- Physical therapy and activity: an individualized exercise and rehabilitation plan may improve strength, movement and function.
- Medication: choices depend on the type of symptoms and your medical history; discuss side effects and interactions with your clinician.
- Injections: selected injections may provide temporary symptom relief. They do not correct every underlying cause and are not appropriate for everyone.
The condition library preserves more specific care information, including lumbar disc herniation, lumbar spinal stenosis and cervical radiculopathy.
When surgery enters the discussion
The diagnosis, neurological findings, effect on your life and response to earlier care guide that discussion. Some problems need timely assessment; a nonsurgical trial is not a required step for every condition. If an operation is an option, we discuss its purpose, alternatives, material risks and likely recovery in your circumstances.
Explore the procedure library for detailed explanations. Smaller incisions do not determine which operation is appropriate; the approach needs to address your anatomy and the problem being treated.
Preparing for a visit
Gather your imaging reports, a list of medications and previous care, and relevant operative records if you have had surgery. Contact the office for instructions on providing images and records through the appropriate channel.
Further reading
This page provides general education. Your clinician can explain how the options apply to your diagnosis.