FAQs

Can a damaged disc be replaced?

Yes. Our surgeons are very experienced in cervical disc replacement. The damaged disc is removed and an artificial disc is inserted. Compared to the traditional operative treatment using spinal fusion, an artificial disc replacement can offer better flexibility and movement.

What is transforaminal lumbar interbody fusion?

TLIF is a spine surgery where the lumbar disc is approached from the posterior to remove damaged disc material. “Interbody” means a bone graft is inserted between two vertebrae to fuse the area and provide stabilization of the spine.

Who is a candidate for coccyx surgery?

Any patient who has already exhausted more conservative methods of treatment but continues to suffer with crippling or chronic tailbone pain could be considered a candidate for a coccygectomy. Our spine and orthopedic surgeons are very familiar with providing permanent relief from severe tailbone pain.

What is an S.I. Fix Implant?

Dr. Scott Katzman, MD, has performed so many successful sacroiliac joint fusions that he was able to develop a new device (the S.I. Fix Implant) that provides a permanent fix for chronic sacroiliac joint pain. Surgery involves a direct fusion through a “mini” open technique.

How does laser spine surgery work?

Laser spine surgery allows our surgeons to use light beams, instead of a scalpel, to make incisions or cuts. Generally speaking, the procedure allows for smaller incisions, less blood loss, reduced scarring and a quicker recovery.

What is an percutaneous endoscopic discectomy?

This is a type of laminectomy where the spine surgeon can remove portions of herniated discs or bulges as well as make repairs, such as fixing annular tears. Work is performed through a small tube, so there is little to no blood loss with less chance of infection.

Does NJ Spine & Orthopedics accept Medicare or Medicaid?

No. We do work with many different insurance carriers and offer a broad range of payment options to assist those who need our help to receive the latest spine surgeries and less invasive treatments. Contact our office directly to learn more about your payment options.

How do I know if I have a damaged disc?

Unfortunately you don’t. Anyone suffering with pain in the arms or legs as well as those who are experiencing numbness, tingling or loss of reflexes, may have a disc tear. However, only a physician can accurately diagnose the cause of discomfort and dysfunction and that may require precision imaging, such as an MRI.

What is the difference between radiculitis and radiculopathy?

Radiculitis is a condition with radiating symptoms due to nerve root irritation that typically involves sensory changes (pain) that normally subside with conservative treatments. Radiculopathy usually involves radiating sensory and/or motor changes (numbness, tingling, etc.) and often requires surgery to relieve compression of a nerve root.

Why do I need conservative treatments first?

Any surgical procedure has risks. The use of conservative treatments allows your doctor to see if physical therapy, icing, rest, medications or injections can provide ample relief of discomfort and dysfunction. Additionally, injections of steroids or numbing medications can also aid a physician in determining the exact location of your damaged, inflamed or impinged nerve.

What are the advantages of minimally-invasive procedures?

Minimally-invasive spine surgeries typically require much less time on the operating table with little to no blood loss. This means a quicker recovery time and less chance of infection or other complications.

If I have already had surgery that didn’t work, can your spine surgeons still help?

In many cases, our surgeons can help those who have experienced failed back or neck surgery. When pain or lack of mobility is caused by post-op scarring, a surgical injury, damage to an adjacent area of the spine, inadequate stability, or an incomplete diagnosis, there’s a good chance we can provide additional relief. If not, we will explain why and discuss your best treatment options.

What are the advantages of axial fusion surgery?

Unlike other spinal fusion techniques, only the damaged area of the affected disc is removed and the outer disc structure (annulus fibrosus) remains mostly intact. In most cases, the surgery is much quicker, less invasive and has a shorter recovery time.

Can anything be done about recurring sciatic nerve pain?

Although sciatic pain in the lower back, the buttocks and down the legs is extremely common, the cause can vary. However, in most cases, our surgeons can accurately diagnose what is causing the compression or impingement on the nerve root and recommend the best approach (medications, rest, ice, anti-inflammatory drugs, physical therapy, injections or surgery).

What is ablation surgery?

Ablation is the surgical removal of body tissue as in a laser facet thermal ablation. The technique is also used in several spine surgeries to eliminate damaged tissue that may be causing impingement pain due to nerve root compression.

Can surgery relieve my chronic coccydynia?

At NJ Spine & Orthopedic, we have an overall success rate of 99% using coccygectomy to reduce and eliminate tailbone pain. Patients are typically pain free in 90 days or less following tailbone surgery.

How do I know if I have foraminal stenosis?

Patients suffering from foraminal stenosis often experience tingling or numbness in the affected cervical, thorasic or lumbar area. This is caused by a narrowing of the opening (foramen) that contains the spinal cord. A foraminotomy made be indicated to relieve pain and/or dysfunction. For an accurate diagnosis, consult with a spine or orthopedic surgeon.

Does NJ Spine & Orthopedics offer minimally-invasive orthopedic surgeries?

Yes. Our surgeons are very experienced in providing relief by performing a variety of minimally-invasive orthopedic surgeries, such as a percutaneous discectomy or an endoscopic foraminotomy. We are committed to helping our patients using the less invasive treatment possible.