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Lower Back Pain

Herniated Disc

At Big Apple Spine & Orthopedics, Dr. Arutyunyan specializes in diagnosing and treating herniated discs, a common cause of back and neck pain. Herniated discs occur when the inner core of a spinal disc protrudes through its outer layer, compressing nearby nerves or the spinal cord. This condition, also known as a slipped disc or ruptured disc, can lead to debilitating pain and limited mobility, particularly in the lumbar (lower back) and cervical (neck) regions.

Dr. Arutyunyan and his team understand that herniated disc treatment often begins with conservative measures, such as medication, rest, physical therapy, and injections. However, we also recognize that each patient’s experience is unique and may require a tailored approach. Through shared decision-making, Dr. Arutyunyan collaborates with patients to determine the most appropriate treatment plan based on their symptoms, preferences, and medical history.

Herniated discs can affect different regions of the spine, including the cervical, lumbar, and thoracic areas. Risk factors for herniated discs include age, repetitive strain, heavy lifting, trauma, and genetic predisposition. By identifying these risk factors and conducting a thorough assessment, we can develop personalized strategies to address each patient’s specific needs.

Symptoms of herniated discs vary depending on the location and severity of the condition. In the cervical spine, symptoms may include neck or shoulder pain, arm numbness or weakness, and difficulty with fine motor skills. In the lumbar spine, patients may experience back pain, leg pain, numbness, tingling, or weakness in the legs, and even loss of bowel or bladder control in severe cases.

Diagnosing a herniated disc involves a comprehensive evaluation, including a review of medical history, physical examination, and imaging tests such as X-rays, MRIs, or CT scans. Dr. Arutyunyan utilizes these diagnostic tools to accurately assess the extent of the herniation and develop an individualized treatment plan tailored to each patient’s needs.

Treatment options for herniated discs encompass a range of conservative and interventional approaches aimed at relieving pain, reducing inflammation, and improving function. These may include medications, hot or cold therapy, physical therapy, chiropractic care, traction, epidural steroid injections, and the use of neck collars or braces. Dr. Arutyunyan works closely with patients to explore these options and make informed decisions about their care.

In cases where conservative treatments fail to provide relief, surgery may be considered as a last resort. Dr. Arutyunyan offers various surgical options, such as microdiscectomy or laminectomy, tailored to address the specific needs of each patient. By discussing the risks, benefits, and expected outcomes of surgery versus non-surgical approaches, Dr. Arutyunyan ensures that patients are actively involved in the decision-making process.

Patients experiencing severe or worsening back or neck pain, radiating symptoms, or difficulty with mobility are encouraged to contact Big Apple Spine & Orthopedics for evaluation and treatment. Through personalized care and a commitment to shared decision-making, Dr. Arutyunyan and his team strive to help patients find relief from herniated disc-related symptoms and regain their quality of life.

Shared Decision Making

At Big Apple Spine & Orthopedics, we are committed to providing total quality care to our patients through our dedication to the practice of shared decision making. This medical concept involves active collaboration between patients and healthcare professionals in making healthcare decisions that align with the patient’s values, preferences, and individual circumstances. We understand that each patient is unique, and their perspective is integral to crafting personalized treatment plans that prioritize their well-being and satisfaction.

Dr. Grigoriy Arutyunyan, MD (“Dr. A”)

Board Certified, Mayo Clinic-Trained Orthopedic Spine Surgeon & Founder

Herniated Disc

At Big Apple Spine & Orthopedics, Dr. Arutyunyan specializes in diagnosing and treating herniated discs, a common cause of back and neck pain. Herniated discs occur when the inner core of a spinal disc protrudes through its outer layer, compressing nearby nerves or the spinal cord. This condition, also known as a slipped disc or ruptured disc, can lead to debilitating pain and limited mobility, particularly in the lumbar (lower back) and cervical (neck) regions.

Dr. Arutyunyan and his team understand that herniated disc treatment often begins with conservative measures, such as medication, rest, physical therapy, and injections. However, we also recognize that each patient’s experience is unique and may require a tailored approach. Through shared decision-making, Dr. Arutyunyan collaborates with patients to determine the most appropriate treatment plan based on their symptoms, preferences, and medical history.

Herniated discs can affect different regions of the spine, including the cervical, lumbar, and thoracic areas. Risk factors for herniated discs include age, repetitive strain, heavy lifting, trauma, and genetic predisposition. By identifying these risk factors and conducting a thorough assessment, we can develop personalized strategies to address each patient’s specific needs.

Symptoms of herniated discs vary depending on the location and severity of the condition. In the cervical spine, symptoms may include neck or shoulder pain, arm numbness or weakness, and difficulty with fine motor skills. In the lumbar spine, patients may experience back pain, leg pain, numbness, tingling, or weakness in the legs, and even loss of bowel or bladder control in severe cases.

Diagnosing a herniated disc involves a comprehensive evaluation, including a review of medical history, physical examination, and imaging tests such as X-rays, MRIs, or CT scans. Dr. Arutyunyan utilizes these diagnostic tools to accurately assess the extent of the herniation and develop an individualized treatment plan tailored to each patient’s needs.

Treatment options for herniated discs encompass a range of conservative and interventional approaches aimed at relieving pain, reducing inflammation, and improving function. These may include medications, hot or cold therapy, physical therapy, chiropractic care, traction, epidural steroid injections, and the use of neck collars or braces. Dr. Arutyunyan works closely with patients to explore these options and make informed decisions about their care.

In cases where conservative treatments fail to provide relief, surgery may be considered as a last resort. Dr. Arutyunyan offers various surgical options, such as microdiscectomy or laminectomy, tailored to address the specific needs of each patient. By discussing the risks, benefits, and expected outcomes of surgery versus non-surgical approaches, Dr. Arutyunyan ensures that patients are actively involved in the decision-making process.

Patients experiencing severe or worsening back or neck pain, radiating symptoms, or difficulty with mobility are encouraged to contact Big Apple Spine & Orthopedics for evaluation and treatment. Through personalized care and a commitment to shared decision-making, Dr. Arutyunyan and his team strive to help patients find relief from herniated disc-related symptoms and regain their quality of life.

Shared Decision Making

At Big Apple Spine & Orthopedics, we are committed to providing total quality care to our patients through our dedication to the practice of shared decision making. This medical concept involves active collaboration between patients and healthcare professionals in making healthcare decisions that align with the patient’s values, preferences, and individual circumstances. We understand that each patient is unique, and their perspective is integral to crafting personalized treatment plans that prioritize their well-being and satisfaction.

Dr. Grigoriy Arutyunyan, MD (“Dr. A”)

Board Certified, Mayo Clinic-Trained Orthopedic Spine Surgeon & Founder