Neurosurgery: Lumbar and Cervical Surgeries

neurosurgery - lumbar and cervical

Pain Treatment Centers of America offers a variety of minimally invasive pain treatment procedures that we have perfected to help you achieve pain relief. Our treatments are effective and are at the forefront of pain management. Our goal is to increase a patient's overall function to regain a better quality of life. Below is a list of the surgeries we offer. Please continue reading to learn more about them.

 

Lumbar Surgeries

Neurosurgery

Surgical procedures involving the nervous system are called neurosurgery. Many people think of neurosurgery as brain surgery, but it is so much more. It is a medical specialty concerned with the diagnosis and treatment of patients suffering from injuries to, or diseases/disorders of, the brain, spinal cord, and spinal column, as well as peripheral nerves throughout the body.

 

Both adult and pediatric patients are treated in the field of neurosurgery. A neurological surgeon may provide surgical and non-surgical care depending on the nature of the injury or disease.

 

Microdiscectomy

Microdiscectomy, also known as Microlumbar Discectomy (MLD), is a procedure used to treat patients with a painful lumbar herniated disc. Microdiscectomy is one of the most common surgeries performed by spine surgeons. The herniated or protruding portion of the intervertebral disc that compresses the traversing spinal nerve root is removed during the process. Only in a few cases is a second (repeat) microdiscectomy required.

 

Hemilaminectomy

Hemilaminectomy is a surgical procedure used to treat excruciatingly painful spine problems. A Hemilaminectomy may be the solution when your vertebrae pinch or restrict your spinal cord or nerve roots. Hemilaminectomy is a surgical procedure frequently used in conjunction with other techniques, such as hemilaminectomy discectomy, to treat a spinal condition.

 

Your spine is both the foundation of your central nervous system and the main structural component of your skeletal system. When pain in any part of your spine flares up, it can rapidly become chronic and debilitating. A Hemilaminectomy, which means "half a laminectomy," involves removing half as much bone from your spine.


Microforaminotomy

Microforaminotomy is a minimally invasive spinal decompression surgery commonly used to help alleviate spinal nerve root and spinal cord compression. A microforaminotomy is a procedure in which your spine surgeon expands the size of a nerve root pathway—the neuroforamen—by removing bone spurs and soft tissue (e.g., a herniated disc), that is pressing on a neural structure in the spine. Compression of the spinal nerves is a common cause of back and neck pain.

 

Removal of Synovial Cyst

Synovial cysts form in the joints of your spine and, even though they are benign, they can still grow large enough to pinch spinal nerves. Pain Treatment Centers of America's physicians provide a variety of interventional treatments to manage your pain without any surgical procedure. Still, when your condition worsens, synovial cyst removal is the best choice.

 

Your treatment will begin with conservative measures such as activity modification and physical therapy when your symptoms are mild. As your pain worsens, interventional pain management techniques such as facet joint or epidural steroid injections may be recommended to relieve your discomfort.

 

When your pain becomes chronic and severe enough to interfere with your daily routines, it is time to think about cyst removal. Minimally invasive surgery removes synovial cysts, resulting in less postoperative pain and a faster recovery.

 

Sacroiliac Fusion

The sacroiliac joint fusion procedure is used to stabilize a dysfunctional pelvic joint. When conservative methods fail to provide pain relief, this procedure is used. Pain in the lower back, pelvis, or leg on the affected side can result from sacroiliac joint dysfunction.

 

Conservative measures such as physical therapy, medications, or injections are used to treat sacroiliac joint dysfunction at first. If conventional treatment does not ease the symptoms, surgery is recommended.

 

Interspinous Clamps

They function as a spacer between the spinous processes in the back to treat the symptoms of neurogenic claudication caused by lumbar stenosis. Another way, the device separates the spinous functions from the very back of the spine, stretches the ligaments inside the canal where the nerve routes pass, and relieves pressure on the nerve roots.

 

Initially used only for spinal stenosis, these clamps are now being used to provide a lower stiffness fusion at the decompressed level. As a result, in older patients who do not lead active lives, the physician may recommend an Inter-Spinous clamp/device to boost rigidity at that level after nerve decompression.

 

Lumbar or Thoracic Kyphoplasty

Kyphoplasty is used to treat spinal compression fractures. These fractures are typically caused by pathologies such as osteoporosis or cancer. They develop because of compression on the diseased bone of the spine. As a result, the spine cannot support the weight and structural stresses that have been placed on it. The vertebra collapses, resulting in pain, hunched posture (kyphosis), and loss of height. The importance of early intervention in treatment cannot be overstated.

 

The thoracic spine is treated with kyphoplasty. T1-T12 vertebrae make up the thoracic spine. It could also affect the lumbar spine, which includes the L1-L5 vertebrae. A small incision through the back, adjacent to the degenerated vertebra, is required for lumbar and thoracic kyphoplasty. A small tube will be inserted through the pedicle of the diseased vertebral tissue by your surgeon. Fluoroscopic imaging will be used to monitor optimal placement.

 

After inserting the tube, your surgeon will insert a tiny balloon into the vertebra and slowly inflate it until the vertebra is restored to its proper height. Two balloons may be inserted within the vertebra to ensure symmetry. The small balloon is removed after inflation, leaving a cavity.

 

The surgeon will then fill the cavity with polymethylmethacrylate, a cement-like substance (PMMA). The patient will be monitored closely after the injection. This procedure could necessitate a 24-hour hospital stay.

 

Permanent SCS and Trials

Spinal Cord Stimulation (SCS), as effective as it can be for some patients, is not for everyone. Since long-term solutions for severe back pain are required to minimize medication dependency, SCS devices are placed under the skin to provide ongoing pain relief, a kind of "set and forget" solution.

 

However, before permanent implantation, there is usually a trial period to assess the efficacy of SCS therapy. The trial gives both the doctor and the patient an idea of how successful SCS can be. Since these stimulators are programmable, the electrical pulses can be adjusted to achieve the best results. SCS trials are critical for both effective pain management programming and placement.

 

SCS trials typically last about a week. To track how the SCS device affects your pain sensations, you will keep a pain log. The trial may include keeping track of any medications you take on an as-needed basis. Adjustments may be made if adequate pain relief is not obtained during the trial week.

 

A permanent implant can be placed beneath your skin when your trial demonstrates that an SCS device can effectively relieve your back pain. After the incision heals, you can resume normal activities such as showering and swimming.


Permanent Pain Pumps and Trials

Chronic pain is treated with an intrathecal pump. The pump, which is placed beneath the skin of the abdomen, delivers a precise dose of pain medication into the spinal cord, preventing pain signals from reaching the brain. This pain management technique frequently decreases the medicine needed to ease the pain compared to an oral agent.

 

A trial is performed before implanting a pump to determine the effectiveness of the intrathecal pump. A permanent pump is installed if the trail pump reduces a patient's pain by 50% or more.

 

Intrathecal pumps are suitable for patients who have not responded well to more conservative pain management treatments. An intrathecal pump is reversible and can be removed at any time.

 

List of Cervical Surgeries

Cervical Disc Replacement

A diseased cervical disc is removed and replaced with an artificial disc during cervical disc replacement surgery. Before the availability of this procedure, the affected disc was removed, and the vertebrates were fused to prevent motion.

 

A new type of treatment that the FDA has recently approved is the use of an artificial disc to replace your natural cervical disc. Disc replacement surgery may allow more movement and less stress on your remaining vertebrae than traditional cervical disc surgery.


Anterior Cervical Discectomy and Fusion- One Level

Anterior Cervical Discectomy with Fusion, one level may be performed when a herniated disc pinches a nerve in the neck, and non-surgical treatment has not provided adequate relief. Numbness, weakness, and pain in the arm and neck are the most common symptoms of an Anterior Cervical Discectomy.

 

The purpose of the Anterior Cervical Discectomy with Fusion is to remove the disc that is pinching the nerve, thereby eradicating the source of discomfort and numbness. One disc engages in a one-level anterior cervical discectomy with Fusion.

 

Posterior Cervical Foraminotomy and Microdiscectomy

The primary goal of a posterior cervical microdiscectomy is to alleviate pressure on your spinal nerve. A small incision in the back of your neck will be made, and the muscles will be gently spread apart to place the tube through which the surgery will be conducted. After that, specialized instruments will be used to trim the bone and ligament pressing on your nerve. If a herniated disc is causing the issue, it will be removed as well.

 

The advantages of posterior cervical foraminotomy and microdiscectomy include a small incision, less pain, less blood loss, and a faster recovery time.

 

 

 

With experts from multiple medical specialties, CLIA-certified labs, cutting-edge surgery centers, and more, Pain Treatment Centers of America has the most combined pain management experience of any practice in the region. Call us at (844) 215-0731 or visit our website today to learn more about how we can help you find relief from your pain.

Spinal Cord Stimulation: Who Is a Candidate and What to Expect

August 28, 2026
Chronic pain can impact many areas of daily life, particularly when it continues despite medications, physical therapy, or other conservative treatments. For some, spinal cord stimulation (SCS) may provide an alternative for managing ongoing pain and enhancing function. At Pain Treatment Centers of America, we study each patient’s well-being, medical history, and treatment goals to determine if SCS is suitable as part of a personalized pain management plan. What Is Spinal Cord Stimulation? This pain management treatment uses a small, implanted device to deliver mild electrical signals near the spinal cord. These signals can change how pain messages get to the brain, which may reduce chronic pain intensity. SCS is most commonly considered for certain types of chronic pain. SCS is typically considered for chronic nerve-related pain, such as pain that persists after surgery or does not respond to other treatments. It is not intended for all types of pain, and eligibility is based on individual factors. Stimulation may be considered for adults experiencing chronic pain that has not improved sufficiently with more conservative treatments. Candidates may have conditions such as: Chronic back or leg pain Nerve pain or neuropathy Persistent pain following spinal surgery Complex regional pain syndrome (CRPS) Specific types of chronic pain which have not reacted based on other treatments A thorough evaluation is essential before considering SCS. Your provider will review your symptoms, prior treatments, imaging, medical history, and overall health. A psychological evaluation may also be recommended to determine if an implanted device is appropriate. What Happens Before Spinal Cord Stimulation? For most patients, SCS starts with a trial period instead of immediate permanent implantation. During the trial, providers place temporary leads near the spinal cord and connect them to an external generator. This helps patients and providers assess whether stimulation delivers considerable pain relief and enhanced function. The trial lets patients experience the effects of spinal cord stimulation before deciding on permanent implantation. What to Expect During Permanent Implantation If the trial is successful, you may proceed with a permanent SCS system. Leads are placed near the spinal cord, and the pulse generator is positioned under the skin. The system is programmed to deliver stimulation based on your needs. As with any medical procedure, the stimulation involves possible risks and may not be appropriate for everyone. Your provider will review the benefits, risks, alternatives, and expected recovery before treatment. Personalized Pain Management at Pain Treatment Centers of America At Pain Treatment Centers of America, we recognize that chronic pain has many causes and affects each patient differently. Our experienced providers use a complete approach to diagnosis and treatment, considering your symptoms and goals.  If you have serious back, nerve, or persistent pain despite other treatments, spinal cord stimulation may be an option to consider. Schedule a consultation with Pain Treatment Centers of America to see whether you are a candidate for SCS and to discuss appropriate treatment options.

How Poor Posture Contributes to Chronic Pain (and How to Fix It)

July 31, 2026
Many people spend hours each day sitting at a desk, looking down at a phone, or driving between appointments without realizing how these habits affect their bodies. Over time, poor posture places excessive stress on muscles, joints, and the spine, leading to chronic pain that interferes with daily life. At Pain Treatment Centers of America, we help patients identify the causes of persistent pain and develop bespoke treatment plans that improve function, mobility, and well-being. How Poor Posture Leads to Chronic Pain Proper posture keeps your body aligned, allowing muscles, ligaments, and joints to work efficiently. When posture is compromised—whether from slouching, hunching over a computer, or standing unevenly—certain muscles become overworked while others weaken. Such imbalance places unnecessary strain on the spine and surrounding tissues. Over time, poor posture leads to chronic pain in several areas of the body, including: Neck and shoulders Upper and lower back Hips and pelvis Knees Head, leading to tension headaches Many people don’t notice the effects immediately, but repeated poor posture can gradually cause inflammation, muscle fatigue, nerve irritation, and reduced flexibility. Common Signs Your Posture May Be Causing Pain Poor posture often develops slowly, making it hard to recognize until discomfort becomes persistent. Typical symptoms include: Frequent neck or shoulder stiffness Ongoing lower back pain Muscle tightness after sitting for long periods Headaches which start at the base of the skull Rounded shoulders or a forward head position Fatigue from standing or sitting throughout the day If these symptoms continue despite rest or over-the-counter treatments, it may be time for a medical assessment. Simple Ways to Improve Your Posture Improving posture doesn’t happen overnight, but small daily changes can greatly reduce pain and prevent future problems. Consider these healthy habits: Sit with both feet flat on the floor and your back supported. Keep computer monitors at eye level to reduce neck strain. Take regular breaks to move your body throughout the day. Strengthen muscles in your core to better support your spine. Practice posture awareness while standing, walking, and lifting objects. Try not to look down at your phone for longer periods of time by raising the screen closer to eye level. These simple adjustments can reduce stress on your body and improve comfort during daily activities. When Professional Treatment Is Needed While posture correction helps many people, chronic pain may require additional medical care, especially if poor posture has caused joint dysfunction, nerve irritation, or long-term muscle imbalances. A complete evaluation can determine whether posture is causing your symptoms and identify other underlying conditions that may be involved. Depending on your diagnosis, treatment may include: Physical therapy and guided rehabilitation Interventional pain management procedures Trigger point or joint injections Medication management when appropriate Personalized exercise recommendations Education on body mechanics and ergonomics Combining posture correction with targeted treatment often provides the greatest long-term relief. Personalized Chronic Pain Care at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand chronic pain is rarely caused by a single factor. Our experienced providers evaluate the whole person to identify the root cause of discomfort and create individualized treatment plans that support lasting relief. Whether your pain stems from poor posture, repetitive strain, or another underlying condition, we’re committed to helping you improve mobility, restore function, and return to the activities you enjoy.  If chronic neck, back, or shoulder pain is impacting your quality of life, schedule a consultation with Pain Treatment Centers of America today. Together, let’s customize a treatment plan that helps you stand taller, move more comfortably, and live with less pain.

When Pain Isn’t Structural: Understanding Neuropathic Pain

June 26, 2026
Pain is often associated with injury, arthritis, or another structural problem in the body. However, not all pain comes from damaged bones, joints, muscles, or tissues. Sometimes, the nervous system itself causes discomfort. This pain is called neuropathic pain and can greatly affect quality of life. At Pain Treatment Centers of America, we help patients determine the source of their symptoms and develop personalized plans to manage chronic nerve pain effectively. What Is Neuropathic Pain? Neuropathic pain happens when nerves are damaged, irritated, or dysfunctional. Unlike pain from injury or inflammation, it results from abnormal signaling within the nervous system. These disrupted signals cause the brain to sense pain even without ongoing tissue damage. Patients commonly describe neuropathic pain as burning, tingling, shooting, electric-like, or stabbing. Some may experience numbness, elevated sensitivity to touch, or pain that seems disproportionate to any physical findings. Common Causes of Neuropathic Pain Neuropathic pain can develop from a variety of conditions that affect the nerves or nervous system. Some common causes include: Diabetes-related nerve damage (diabetic neuropathy) Herniated discs are causing nerve compression Shingles and postherpetic neuralgia Complex regional pain syndrome (CRPS) Multiple sclerosis Spinal cord injuries Stroke-related nerve damage Chemotherapy-induced neuropathy Symptoms can vary widely, so proper evaluation is key for accurate diagnosis and efficient treatment. Neuropathic pain is often challenging to identify because imaging exams like X-rays, CT scans, or MRIs may not always reveal the source of the problem. Patients may experience significant pain despite having slight structural abnormalities. A complete evaluation includes medical history, physical exam, neurological assessment, and diagnostic tests when needed. Identifying nerve involvement is critical because neuropathic pain often responds differently to treatment than musculoskeletal pain. Treatment Options for Neuropathic Pain Successful treatment focuses on addressing the underlying cause when possible while reducing symptoms and improving function. Depending on the patient’s condition, treatment options may include: Medication management designed specifically for nerve pain Nerve block injections Physical therapy and rehabilitation Spinal cord stimulation Lifestyle alterations Interventional pain management procedures Many benefit from an approach that combines several therapies for the best outcomes. When to Seek Professional Care Persistent burning, tingling, numbness, or shooting pain should not be ignored. Early diagnosis and treatment prevent worsening symptoms and improve long-term outcomes. If you have ongoing pain not connected to a structural injury, it may be time to explore if neuropathic pain is the cause. An extensive evaluation can determine the source of your symptoms and identify the most effective treatments. Personalized Neuropathic Pain Treatment at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand that chronic pain is complex and every patient’s experience is unique. Our team uses sophisticated diagnostic tools and evidence-based treatments to identify nerve-related pain and create individualized care plans to improve comfort, mobility, and quality of life. If you are experiencing persistent nerve pain symptoms, schedule a consultation with Pain Treatment Centers of America today. Together, we can develop a treatment plan designed to help you regain control of your daily activities and move toward lasting relief.
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