Spine Program: Treatments

Non-surgical Treatment:
Managing lower back pain with non-surgical treatments is often the best course to take with most patients. The goals of non-surgical treatment are to achieve enough pain relief for a patient to be able to participate in his or her normal activities, including functioning at home and at work, to be able to participate in any recommended physical therapy or rehabilitation program and to avoid additional injury. 

The most common non-surgical treatments for patients with back pain or neck pain are:

  1. Pain medication: Acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), oral steroids, narcotic drugs, muscle relaxants and anti-depressants are all options, depending on a patient’s particular diagnosis and condition.
  2. Physical therapy and exercise: Strengthening and stretching exercises, application of heat and/or ice, and electrical stimulation are all treatments that can be part of a several-week-long physical therapy program. Your doctor can recommend a physical therapist and prescribe a treatment program.
  3. Interventional pain management: CHS patients suffering from chronic back or neck pain have access to interventional pain management specialists who offer a full range of spinal injections and other minimally invasive procedures, such as:

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Surgical Treatment:
If non-surgical treatment options have been unsuccessful in relieving pain following the suggested course, surgical treatment should be considered. For those patients who are surgical candidates, the CHS Spine Program team offer a full range of options, from minimally invasive spine surgery to more complex spinal reconstruction. 

Some of the procedures our surgeons perform include:

• Microdiscectomy
• Laminectomy
• Spinal cord stimulator implant
• Spinal fusion (lumbar spine, for treatment of spondylolisthesis)
• ALIF (anterior lumbar interbody fusion)
• PLIF (posterior lumbar interbody fusion)
• TLIF (transforaminal lumbar interbody fusion)
• ACDF (anterior cervical discectomy and fusion)
• Cervical posterior foraminotomy
• Vertebroplasty

A patient’s specific diagnosis will determine which surgical procedure is best suited to relieve pain and allow that patient to return to normal activities. Our surgeons often work with the patient’s primary care physician and other specialists, including radiologists, pain management specialists and rehabilitation specialists. This multidisciplinary approach allows us to take advantage of the expertise of all of our doctors to make sure our patients receive the most comprehensive and effective treatments available. 

Learn about the spine conditions we treat or about preventing spinal injuries.