Care Management
Physicians
Fellowship Trained
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Melisa Estes, MD
Physical Medicine and Rehabilitation, Interventional Pain Management
Interests: Physical Medicine & Rehabilitation, Interventional Pain Medicine, Pain Management, Sports Medicine, Gait Impairment, Non Operative Orthopaedics, Headaches
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Fernando Mora, MD
Fellowship Trained: Interventional Pain Medicine
Interests: Anesthesiology, Interventional Pain Medicine, Pain Management, Spine Fractures
Care & Management
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.
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.
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.
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.
Lumbar Epidural Steroid Injection
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.
Lumbar Sympathetic Block
This procedure is an injection that numbs branches of nerves in your lower back. It helps doctors find and treat a number of problems linked to these nerves. Usually, a series of injections is needed to treat a problem.
Orthotics
If you have pain in your foot, knee, hip or back, your chiropractor may recommend orthotics. These are supports you wear in one or both shoes. They can help keep your body aligned correctly and comfortably. Orthotics can correct your posture, and reduce wear and tear on your joints.
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.
Spinal Fusion (Lumbar)
In many spinal surgeries, two or more vertebral bones are permanently joined with a technique called "spinal fusion." A fusion creates a solid mass of bone. It stabilizes your spine.
Trigger Point Injections
This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.