Services

Diagnostics

Our physicians employ state-of-the-art diagnostic tools to pinpoint the source of your pain. Accurate diagnosis is a critical first step toward designing a unique treatment plan for quick and lasting relief. Please bring to your appointment any imaging you may already have, such as MRIs or CT scans. If you don’t have current records, we can refer you to our world-class imaging partners.

Assists in identifying the source of advanced, chronic back pain. Using imaging guidance, a contrast material is injected into the center of one or more spinal discs. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc. Though more invasive than some other imaging procedures, discography is generally safe.

Discography

Assists in identifying the source of advanced, chronic back pain. Using imaging guidance, a contrast material is injected into the center of one or more spinal discs. As part of the procedure, an x-ray or CT scan also may be performed to obtain pictures of the injected disc. Though more invasive than some other imaging procedures, discography is generally safe.
Examines the soft tissues surrounding the musculoskeletal system to aid in determining the cause of abnormal pain or discomfort. The images give a detailed, 3D look at muscles, tendons, ligaments and blood vessels, allowing diagnosis of even the smallest tears and injuries. Patients lie on a table that slides into the MRI machine’s tube. An MRI is painless and can last from 15 minutes to an hour.

Magnetic Resonance Imaging (MRI)

Examines the soft tissues surrounding the musculoskeletal system to aid in determining the cause of abnormal pain or discomfort. The images give a detailed, 3D look at muscles, tendons, ligaments and blood vessels, allowing diagnosis of even the smallest tears and injuries. Patients lie on a table that slides into the MRI machine’s tube. An MRI is painless and can last from 15 minutes to an hour.
Provides a 3D view of a part of the body, revealing a detailed picture of the anatomy of bones and joints. As with MRI, patients lie comfortably on a table that slides into the machine. The process typically takes around 30 minutes.

Computed Tomography (CT Scan)

Provides a 3D view of a part of the body, revealing a detailed picture of the anatomy of bones and joints. As with MRI, patients lie comfortably on a table that slides into the machine. The process typically takes around 30 minutes.
Helpful in diagnosing a variety of muscle and nerve disorders. For an EMG test, a tiny needle electrode is inserted directly into a muscle and records the muscle’s electrical activity. Electrode patches applied to the skin during NCS stimulate the nerve with a very mild electrical impulse to calculate how fast that impulse moves through the nerves. These tests can be done separately or the same time.

Electromyography (EMG) and Nerve Conduction Studies (NCS)

Helpful in diagnosing a variety of muscle and nerve disorders. For an EMG test, a tiny needle electrode is inserted directly into a muscle and records the muscle’s electrical activity. Electrode patches applied to the skin during NCS stimulate the nerve with a very mild electrical impulse to calculate how fast that impulse moves through the nerves. These tests can be done separately or the same time.
Beneficial in confirming a particular spinal nerve as the source of back pain. A small dose of steroid is injected in the epidural space surrounding a spinal nerve. If the nerve becomes numb and pain relief is achieved, your doctor has confirmation that the nerve is the source of pain and can plan treatment options.

Epidural Steroid Injection (ESI)

Beneficial in confirming a particular spinal nerve as the source of back pain. A small dose of steroid is injected in the epidural space surrounding a spinal nerve. If the nerve becomes numb and pain relief is achieved, your doctor has confirmation that the nerve is the source of pain and can plan treatment options.
Used to identify if one or more facet joints may be the source of back pain. The skin is numbed, then a small amount of local anesthetic is injected into a facet joint adjacent to the spine. How much relief the patient experiences – and for how long – assist in determining the treatment path.

Medial Branch Block

Used to identify if one or more facet joints may be the source of back pain. The skin is numbed, then a small amount of local anesthetic is injected into a facet joint adjacent to the spine. How much relief the patient experiences – and for how long – assist in determining the treatment path.
Employed to determine if the occipital nerve may be the source of ongoing headache. A fine needle inserted into the skin just above the neck delivers steroid or other pain-relieving medication near the nerve. If the occipital nerve is swollen, pain relief will generally be achieved within a few days. A lack of results often signals that something else is going on.

Occipital Nerve Block

Employed to determine if the occipital nerve may be the source of ongoing headache. A fine needle inserted into the skin just above the neck delivers steroid or other pain-relieving medication near the nerve. If the occipital nerve is swollen, pain relief will generally be achieved within a few days. A lack of results often signals that something else is going on.
Neurodiagnostic testing evaluates systems associated with the central and peripheral nervous systems and their function. Neurodiagnostics are used to assist providers in determining an accurate diagnosis.

Neurodiagnostic Testing

Neurodiagnostic testing evaluates systems associated with the central and peripheral nervous systems and their function. Neurodiagnostics are used to assist providers in determining an accurate diagnosis.

Treatments

Auto accidents, slip and falls and workplace injuries can often result in acute or persistent pain in the back, joints and extremities, as well as physical, emotional and cognitive issues from traumatic brain injury (TBI). NeuroSpine physicians are experts at treating symptoms across three key areas: pain management, orthopedics and neurology.

Minimally invasive techniques, effective and lasting relief.

Pain Management

Minimally invasive techniques, effective and lasting relief.
Injury treatment without the recovery time of traditional surgery.

Orthopedics

Injury treatment without the recovery time of traditional surgery.
From neurodiagnostic testing to diagnosis and treatment.

Neurology

From neurodiagnostic testing to diagnosis and treatment.
Pain Management Icon

Pain Management

Auto accidents alone injure 3 million Americans annually; around 2 million will experience permanent injuries. Lingering pain compromises quality of life, but masking pain with medications can cause additional problems down the road. Our doctors focus on alternatives to provide lasting pain relief.

Clinically proven to be effective in alleviating pain. A small dose of steroid is injected into the epidural space in the cervical, thoracic or lumbar spine. This common procedure takes only 10 to 30 minutes and patients often see pain relief and improved motion within a day or two. Depending on the patient, relief can last for several months.

Epidural Steroid Injection (ESI)

Clinically proven to be effective in alleviating pain. A small dose of steroid is injected into the epidural space in the cervical, thoracic or lumbar spine. This common procedure takes only 10 to 30 minutes and patients often see pain relief and improved motion within a day or two. Depending on the patient, relief can last for several months.
Creams that include non-narcotic pain relief and/or anti-inflammatory agents can be applied to painful area, including joints. Opioids are rarely prescribed as part of a patient treatment plan.

Medications

Creams that include non-narcotic pain relief and/or anti-inflammatory agents can be applied to painful area, including joints. Opioids are rarely prescribed as part of a patient treatment plan.
Generally providing longer-term pain relief, this procedure involves inserting a small, insulated needle or cannula next to pain-carrying nerves. Local anesthetic numbs the area, then heat is generated and precisely delivered to a small area of tissue, destroying the nerve endings. The procedure itself takes no longer than injections, but pain can be reduced or eliminated for anywhere from a few months to a year.

Radio Frequency Ablation

Generally providing longer-term pain relief, this procedure involves inserting a small, insulated needle or cannula next to pain-carrying nerves. Local anesthetic numbs the area, then heat is generated and precisely delivered to a small area of tissue, destroying the nerve endings. The procedure itself takes no longer than injections, but pain can be reduced or eliminated for anywhere from a few months to a year.
Also known as THE BANDAID SURGERY, DND treats painful nerve compression caused by a herniated disc or stenosis. Unlike “open back” surgery, this technique minimizes disruption to the spine and surrounding soft tissue structures. A small incision is made at the base of the spine. Microsurgery instruments are then used to free the nerve from the compressing disc, bone or ligaments. Patients often go home the same day of surgery with significant symptom relief.

Discectomy with Neural Decompression (D.N.D.)

Also known as THE BANDAID SURGERY, DND treats painful nerve compression caused by a herniated disc or stenosis. Unlike “open back” surgery, this technique minimizes disruption to the spine and surrounding soft tissue structures. A small incision is made at the base of the spine. Microsurgery instruments are then used to free the nerve from the compressing disc, bone or ligaments. Patients often go home the same day of surgery with significant symptom relief.
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Orthopedics

Post-traumatic arthritis is a common and painful condition after an accident. Our staff of licensed orthopedists avoid traditional surgeries to correct spine and joint injuries, owing to what can be long recovery times. Instead, they have perfected non-invasive treatments designed to quickly relieve pain in the back and extremities.

When muscles around the spine and back do not relax properly, knots or “trigger points” can form under the skin, irritating the nerves and causing pain. A small needle is used to inject medication into the muscle to relax tissue and alleviate accompanying nerve pain. In best cases, pain resolves after one injection.

Trigger Point Injection

When muscles around the spine and back do not relax properly, knots or “trigger points” can form under the skin, irritating the nerves and causing pain. A small needle is used to inject medication into the muscle to relax tissue and alleviate accompanying nerve pain. In best cases, pain resolves after one injection.
Commonly used to treat joints that are inflamed, painful and often swollen. After numbing the skin with a topical anesthetic, a needle containing a steroid and numbing medication such as lidocaine is inserted into the joint capsule. Patients often find relief right away or within a few days of the procedure.

Joint Injections

Commonly used to treat joints that are inflamed, painful and often swollen. After numbing the skin with a topical anesthetic, a needle containing a steroid and numbing medication such as lidocaine is inserted into the joint capsule. Patients often find relief right away or within a few days of the procedure.
Neurology Icon

Neurology

Traumatic brain injury (TBI) requires specialized diagnosis and treatment. Some 1.4 million people experience such an injury each year, making it one of the most common causes of disability in adults. Symptoms can range from memory loss to headache, irritability and problems sleeping. Underlying physical, emotional and cognitive issues can pose additional problems. We are pleased to have on staff Dr. Sandeep Vaid, one of Atlanta’s leading neurologists.

Many medications can be used to stop treat pain caused by nerve damage. These include analgesics, non-steroidal anti-inflammatory medications (NSAIDs), tricyclic antidepressants, anticonvulsants and antinausea compounds. Opioids are never prescribed as part of a patient treatment plan.

Abortive Medications

Many medications can be used to stop treat pain caused by nerve damage. These include analgesics, non-steroidal anti-inflammatory medications (NSAIDs), tricyclic antidepressants, anticonvulsants and antinausea compounds. Opioids are never prescribed as part of a patient treatment plan.
During your initial evaluation with our Neurologist, they'll perform a physical exam along with a neurological exam. A neurological exam will test the patient's muscle strength, reflexes, and coordination.

Neurological Evaluation

During your initial evaluation with our Neurologist, they’ll perform a physical exam along with a neurological exam. A neurological exam will test the patient’s muscle strength, reflexes, and coordination.
Reduces chronic headache and neuralgia pain at the back of the skull A fine needle, inserted into the skin just above the neck, delivers steroid or other pain-relieving medication near the nerve. The procedure takes only a few minutes and can alleviate headache immediately.

Occipital Nerve Block

Reduces chronic headache and neuralgia pain at the back of the skull A fine needle, inserted into the skin just above the neck, delivers steroid or other pain-relieving medication near the nerve. The procedure takes only a few minutes and can alleviate headache immediately.