New York City Spine Specialist

New York City Spine Specialist: Big Apple Spine & Orthopedics with Dr. Arutyunyan

Back pain is a common issue that affects millions of people globally, often limiting mobility, causing discomfort, and diminishing the quality of life. In a bustling metropolis like New York City, individuals lead active, fast-paced lives, which can often exacerbate spine-related issues. Whether it’s from injury, aging, or degenerative diseases, back pain can be debilitating if left untreated. That’s where a qualified spine specialist becomes crucial. If you’re looking for expert care, Big Apple Spine & Orthopedics, led by Dr. Arutyunyan, is a top destination in NYC for spine surgery and orthopedic spine treatments.

What is a Spine Specialist?

A spine specialist is a medical doctor with advanced training in diagnosing and treating spine-related conditions, including injuries, degenerative diseases, and structural deformities. These specialists are typically either Spine Surgeons or Orthopedic Spine Surgeons, with expertise in both non-invasive and surgical treatment options.

Spine specialists play an essential role in addressing a wide range of back and neck issues. They can provide treatments ranging from conservative management, such as physical therapy and injections, to more advanced solutions like Minimally Invasive Spine Surgery, spinal fusions, and other complex procedures.

Types of Spine Specialists:

1. Orthopedic Spine Surgeon: Orthopedic spine surgeons focus on conditions related to bones, muscles, and joints in the spine. Their training allows them to handle surgical treatments for structural issues like herniated discs, scoliosis, and spinal fractures.
2. Neurosurgeons: Neurosurgeons primarily address issues related to the central nervous system, including the brain and spinal cord. While they perform spinal surgeries, their focus is often on conditions that affect the nerves within the spine.

At Big Apple Spine & Orthopedics, Dr. Arutyunyan, a highly qualified Orthopedic Spine Surgeon, specializes in surgical and non-surgical interventions for spine-related conditions.

How Specialists Diagnose Back and Neck Pain

Accurately diagnosing back or neck pain is the essential first step in crafting an effective treatment plan. At clinics like Big Apple Spine & Orthopedics, the process typically begins with a thorough consultation. Your spine specialist will spend time discussing your symptoms, medical history, and any previous injuries or treatments.

A detailed physical exam follows, during which your doctor evaluates mobility, reflexes, and areas of discomfort. Advanced imaging studies—like X-rays, MRI, or CT scans—may be ordered to pinpoint the underlying cause of pain, whether it stems from a herniated disc, degenerative changes, or another condition. Sometimes, additional tests such as nerve conduction studies are used if neurological symptoms like numbness or weakness are present.

This comprehensive approach ensures your spine specialist can create a treatment plan tailored to your unique needs. Whenever possible, non-surgical options such as physical therapy, medication, or targeted injections are explored first—surgery is only considered when absolutely necessary and when other interventions haven’t provided sufficient relief.

Common Conditions Treated by Spine Specialists

Spine specialists treat a wide range of conditions that cause back pain and other spine-related symptoms. Some of the most common include:

1. Herniated Discs

Herniated discs occur when the soft inner material of a spinal disc pushes through its outer layer, causing irritation to the nearby nerves. This can lead to back pain, numbness, and weakness, particularly in the lower back and legs.

2. Spinal Stenosis

Spinal stenosis is the narrowing of the spinal canal, which can compress the nerves running through the spine. This condition is most common in older adults and can lead to chronic pain, weakness, and numbness in the lower back and legs.

3. Spondylolisthesis

Spondylolisthesis occurs when one vertebra slips forward over the one below it. This can cause instability in the spine, leading to pain and difficulty with movement. Depending on the severity, it may require surgical intervention.

4. Degenerative Disc Disease

Degenerative disc disease is a natural part of aging, where the spinal discs lose water content and become less flexible. This can result in pain, reduced mobility, and, in severe cases, spinal instability.

5. Scoliosis

Scoliosis is an abnormal curvature of the spine that often develops in adolescence but can worsen with age. In some cases, scoliosis can cause significant pain and discomfort, requiring surgical correction.

6. Sciatica

Sciatica is caused by compression of the sciatic nerve, which runs from the lower back down to the legs. This compression can result in sharp, shooting pain, numbness, or tingling that radiates from the lower back down the leg.

7. Spinal Fractures

Spinal fractures can result from trauma, osteoporosis, or cancer. Depending on the severity of the fracture, treatment may involve bracing, physical therapy, or surgical intervention.

Other Spine Disorders and Causes of Back Pain

The spectrum of spine disorders that can generate back or neck pain is broad. Beyond the conditions listed above, spine specialists also diagnose and treat:

• Diseased Discs: Discs can become damaged from wear and tear, leading to chronic pain and decreased mobility.
• Infections: Infection in the spine, though less common, can cause severe pain, fever, and neurological symptoms if not promptly managed.

Spine specialists rely on advanced diagnostic technology to pinpoint the source of pain—whether it’s a structural issue like a fracture or a nerve-related condition such as a herniated disc. By identifying the precise cause, they can deliver targeted and effective treatments to help patients find relief and restore mobility.

Why Choose Big Apple Spine & Orthopedics?

Choosing the right spine specialist is crucial to ensuring successful treatment and recovery from spine-related conditions. At Big Apple Spine & Orthopedics, Dr. Arutyunyan leads a team of experienced professionals dedicated to providing cutting-edge spine care.

Expertise in Spine Surgery

With years of specialized training, Dr. Arutyunyan is an expert in both traditional and Minimally Invasive Spine Surgery techniques. Minimally invasive procedures are often preferred because they result in smaller incisions, less tissue damage, and faster recovery times compared to traditional open surgery.

Procedures offered at Big Apple Spine & Orthopedics include:

• Microdiscectomy: A minimally invasive procedure to remove a herniated portion of a disc that is pressing on a nerve.
• Spinal Fusion: A surgery to join two or more vertebrae together, stabilizing the spine and reducing pain.
• Laminectomy: A procedure to remove part of the vertebra (the lamina) to relieve pressure on the spinal cord or nerves.
• Artificial Disc Replacement: An option for patients with degenerative disc disease, where the damaged disc is replaced with an artificial one to maintain motion in the spine.

Orthopedic Surgery Options

In addition to advanced spine procedures, our team is skilled in a full spectrum of orthopedic surgeries designed to restore mobility and alleviate pain throughout the body. Some of the most commonly performed orthopedic surgeries include:

• Knee Procedures: Arthroscopy for diagnosis and treatment of joint issues, ACL reconstruction for ligament injuries, and revision surgeries for previous joint repairs.
• Shoulder Surgeries: Rotator cuff repair, shoulder arthroscopy with decompression, and more comprehensive shoulder reconstruction procedures.
• Hip Surgery: Options range from minimally invasive interventions to full hip repair or replacement, tailored to patient needs.
• Ankle and Foot Repair: Including surgical management of injuries, deformities, and chronic conditions affecting the ankle.
• Hand and Wrist Procedures: Carpal tunnel release, trigger finger release, and microsurgery for nerve or tendon injuries.
• Soft Tissue Repairs: Surgical treatment of muscle, tendon, or ligament damage in various areas of the body.
• Debridement: Removal of damaged tissue to encourage healing and reduce pain in affected joints.

Our approach combines the latest techniques and technologies, including arthroscopy and microsurgery, allowing most patients to benefit from smaller incisions and quicker recoveries. Each procedure is customized to ensure the best possible outcome and a smooth return to daily activity.

Comprehensive Back Pain Treatment

In addition to surgical options, Big Apple Spine & Orthopedics offers a variety of non-surgical treatments for back pain, ensuring that each patient receives personalized care. These include:

• Physical Therapy: Often the first line of treatment, physical therapy can help strengthen the muscles around the spine, improve flexibility, and reduce pain. Physical therapy is designed not only to restore function and mobility but also to minimize disability and help you get back to your daily routine. For many people—especially those whose lifestyles put extra strain on their neck or back—early intervention with targeted exercises, stretching, and manual therapy can make all the difference.

During your sessions, a licensed physical therapist will assess your current function, pain levels, and any physical limitations. Based on this evaluation, you’ll receive a customized plan that may include strength training, cardio fitness, and endurance-building activities. Education is also a key component: you’ll learn about proper body mechanics, postural awareness, and practical home exercises to help reduce pain and prevent future injuries.

By focusing on both active therapy and self-management techniques, our goal is to empower you to make informed decisions about your long-term spine health.

• Epidural Steroid Injections: These injections deliver anti-inflammatory medication directly into the spine, helping to reduce pain and swelling.
• Pain Management: Through a combination of medications and lifestyle modifications, pain management strategies are tailored to help each patient regain function and reduce discomfort.

Advanced Pain Management Techniques

For patients dealing with chronic or severe back and neck pain, advanced pain management techniques can offer relief when conservative treatments aren’t enough. At Big Apple Spine & Orthopedics, the team takes a comprehensive, cutting-edge approach, utilizing the latest in pain management options to customize care for each patient. Some of the techniques available include:

• Injection Therapies: Targeted injections—such as epidural steroid injections, facet joint injections, and nerve blocks—can help reduce inflammation and provide significant pain relief.
• Radiofrequency Ablation: This minimally invasive procedure uses radio waves to heat and disrupt nerve function, effectively reducing chronic pain signals from the affected nerves.
• Spinal Cord Stimulation: An innovative therapy where a small device is implanted to send electrical impulses that mask pain signals before they reach the brain.
• Intrathecal Pain Pumps: For certain pain conditions, a small pump delivers medication directly to the spinal cord, allowing for stronger pain control with lower medication doses.
• Fluoroscopy and Endoscopic Procedures: Advanced imaging techniques such as fluoroscopy and endoscopy offer greater precision during diagnostic and therapeutic procedures, ensuring more effective, targeted treatment.
• Ketamine Infusion Therapy: Particularly beneficial for neuropathic pain syndromes like Complex Regional Pain Syndrome (CRPS), ketamine infusions can help reset pain pathways in the central nervous system.

These advanced options are considered when standard approaches—like physical therapy and medication—haven’t provided adequate relief. Patients at Big Apple Spine & Orthopedics benefit from a multidisciplinary strategy designed to restore function and improve quality of life.

Personalized Rehabilitation Plans Through Advanced Imaging

Designing effective rehabilitation plans begins with precise diagnostics. Utilizing advanced imaging technologies such as MRI, CT scans, and X-rays from leading medical brands like GE Healthcare and Siemens, specialists gain a clear, detailed picture of spinal conditions. These diagnostic results allow your care team to pinpoint the exact source and extent of injury or degeneration.

With this information, rehabilitation programs can be tailored to address your unique needs. For example:

• A herniated disc revealed during an MRI can guide targeted physical therapy to relieve nerve compression.
• Signs of instability or fracture on a CT scan might prompt bracing or modification of exercise intensity.
• Detailed imaging allows for careful monitoring of progress and timely adjustments to your treatment plan.

This technology-driven approach ensures you receive the most appropriate and effective care at every stage of your recovery.

What to Expect During Physical Therapy for Spinal Conditions

When you arrive for physical therapy at Big Apple Spine & Orthopedics, your experience begins with a thorough assessment by a licensed physical therapist. This initial evaluation considers your medical history, current pain levels, range of motion, and any activity limitations to create a treatment plan tailored to your unique needs.

Personalized Therapy, Every Step of the Way

Physical therapy sessions typically include:

• Targeted Exercises: Unlike generic workouts at the gym, your regimen will focus on stretching and strengthening exercises designed to support your spine and improve flexibility. These may incorporate state-of-the-art weight machines or resistance bands like those from TheraBand®.
• Manual Therapy: Hands-on techniques such as joint mobilization and soft tissue massage are often used to decrease pain, restore movement, and improve alignment.
• Education for Empowerment: Your therapist will teach you about proper body mechanics, posture, and strategies to prevent future injuries. Simple changes, like learning to bend from the hips or sit with lumbar support, can make a world of difference.

Guidance Beyond the Clinic

Your progress doesn’t stop when your appointment ends. You’ll receive guidance on effective home exercises and daily activities, empowering you to continue your recovery and protect your spine beyond the clinic.

Each therapy session is designed to provide both immediate relief and lasting results, helping you regain mobility, reduce discomfort, and return to your daily activities with confidence.

State-of-the-Art Facility

Big Apple Spine & Orthopedics prides itself on its state-of-the-art facility, equipped with the latest diagnostic and surgical technologies. From MRI scans to advanced surgical equipment, patients can expect the highest level of care and attention.

Our advanced imaging suite features a high-field short bore 1.5T MRI system—one of the most versatile tools in modern diagnostics. This technology provides crisp, detailed images of the spine, brain, joints, and other soft tissues, helping our physicians confidently diagnose conditions that may not show up on x-rays or ultrasounds. Whether it’s your shoulder, knee, hip, or back, we’re able to pinpoint the cause of discomfort and tailor a treatment plan specifically for you.

The MRI is completely noninvasive and uses powerful magnets and radio waves, so there’s no exposure to radiation. For your comfort, we offer soothing amenities like music, earplugs, and sleeping masks during the scan, because your peace of mind is as important as your diagnosis.

In addition, our digital radiology department allows radiologists to efficiently analyze digitized images of bone and soft tissue anatomy. For conditions like scoliosis, we utilize Long Length Imaging (LLI) to obtain comprehensive views, ensuring every patient receives an accurate diagnosis and a truly individualized approach to care.

Advanced Imaging: The Role of MRI in Diagnosing Musculoskeletal Disorders

When it comes to pinpointing musculoskeletal problems—whether in the spine, joints, or soft tissues—Magnetic Resonance Imaging (MRI) stands out as an invaluable tool. Unlike X-rays or CT scans, MRI uses strong magnets and radio waves to produce incredibly detailed images of both bones and soft tissues. This level of precision enables physicians to see spinal discs, nerves, ligaments, cartilage, and even subtle abnormalities that may not appear on other imaging studies.

Benefits of MRI for Musculoskeletal Diagnosis

MRI offers several important advantages for patients and doctors alike:

• Noninvasive & Safe: MRI doesn’t use radiation, making it a preferred option for repeated scans or more vulnerable populations.
• Comprehensive Views: It captures high-resolution images from multiple angles, providing a full picture of complex structures.
• Versatility: MRI is effective for evaluating a wide range of areas—including the spine, brain, joints (like the knee, shoulder, or hip), and other soft tissue injuries.
• Early Detection: Because it reveals detail in cartilage, discs, and nerves, MRI helps catch subtle changes that could lead to pain or nerve compression long before they progress.

Thanks to these capabilities, MRI allows our team to make confident, timely diagnoses and create individualized treatment plans—whether addressing herniated discs, ligament tears, or other spine-related conditions. And to ensure every patient’s comfort during the scan, we provide a welcoming atmosphere with soothing music and relaxation aids.

This commitment to advanced imaging and patient-centered comfort is just one way we deliver the highest standard of spine and orthopedic care.

Ensuring a Comfortable Imaging Experience

At Big Apple Spine & Orthopedics, we recognize that medical imaging can be a source of anxiety for many patients. That’s why we take extra steps to create an environment focused on your comfort and peace of mind from start to finish.

Personalized Care and Support

From the moment you walk in, our team is dedicated to making your imaging experience as pleasant as possible. We take the time to explain the procedure beforehand, answer any questions you might have, and ensure that you understand exactly what to expect—whether you’re here for an MRI, digital X-ray, or another diagnostic test.

A Soothing Environment

To help you relax during imaging procedures, we offer a calming atmosphere in our state-of-the-art facility. Patients are provided with earplugs to minimize noise during MRI scans, and soothing background music is available to ease any nerves. For those who wish, we can also provide a sleeping mask to promote a sense of privacy and relaxation while the imaging is performed.

The Latest in Imaging Technology

Our advanced diagnostic equipment, such as high-field short bore 1.5T MRI systems from leading brands like GE, ensures that exams are completed efficiently and comfortably. The short bore design reduces feelings of claustrophobia and shortens scan times, so you can complete your imaging with minimal discomfort.

Patient-Focused Techniques

We understand that each individual’s needs are unique. Our technologists are highly trained to position you comfortably and limit your time in the scanner, all while ensuring you receive the highest quality images necessary for accurate diagnosis. If you ever feel uneasy or need a break, we’re here to accommodate your preferences and make adjustments as needed.

These thoughtful touches, along with our commitment to compassionate care, mean you can expect a smooth and reassuring experience every time you visit our imaging department.

Dr. Arutyunyan: A Leader in Orthopedic Spine Surgery

Dr. Arutyunyan is a highly regarded Orthopedic Spine Surgeon in New York City, known for his expertise in treating a wide range of spinal conditions. With a patient-centered approach, he ensures that each individual receives a customized treatment plan tailored to their specific needs.

Patient-Centered Approach

Dr. Arutyunyan believes in taking a comprehensive, patient-centered approach to spine care. He understands that no two cases are alike and spends time listening to each patient’s concerns and goals before developing a treatment plan. His goal is to provide the least invasive yet most effective treatment option possible.

What Patients Can Expect: Quality Care and Wholehearted Support

At Big Apple Spine & Orthopedics, our commitment goes far beyond clinical expertise—we strive to deliver truly personalized, compassionate care each step of the way. From your very first consultation through every phase of treatment and recovery, our team takes the time to understand your symptoms, listen to your story, and address your questions or concerns with empathy and respect.

Tailored, Patient-Focused Approach

Every patient’s journey is unique, which is why we carefully review your symptoms, exam results, and overall health before recommending any treatment. We prioritize conservative, non-surgical solutions whenever possible, only considering surgical options if absolutely necessary for your condition. Our support extends beyond the clinic, as we work together to develop a customized care plan that fits your lifestyle, goals, and healing timeline.

Comprehensive Support Throughout Your Journey

You can expect attentive guidance from our entire team, including access to licensed physical therapists who will work closely with you on proper stretches, exercises, and manual therapies. We make a point to educate you about body mechanics, posture, and self-care strategies so you’re empowered to take charge of your long-term spinal health.

Comfort, Communication, and Well-Being

We know visiting a doctor can be stressful, so we do our utmost to create a calm, welcoming environment. From the moment you walk through our doors, our staff aims to put you at ease—whether it’s adjusting the atmosphere with soft music, offering comfort items, or simply providing a listening ear. Open and honest communication is central to our philosophy: you’ll always know where you stand, what to expect next, and how to reach us if questions arise.

Ultimately, our goal is to support you through your recovery and restore your quality of life—one careful, considered step at a time.

Commitment to Continuing Education

The field of spine surgery is constantly evolving, and Dr. Arutyunyan stays on the cutting edge by continuously updating his knowledge and skills. He attends national and international conferences, ensuring that he is well-versed in the latest research, technologies, and surgical techniques. This dedication to continuing education is a testament to his commitment to providing the best possible care for his patients.

Why See a Spine Specialist Early?

Many people delay seeking help for back pain, assuming that it will go away on its own or can be managed with over-the-counter pain medications. However, delaying treatment can often lead to worsening symptoms and more complex problems.

Some reasons to see a Spine Surgeon or Orthopedic Spine Specialist early include:

1. Preventing Further Damage: Early diagnosis and treatment can prevent the progression of spinal conditions, reducing the risk of more severe issues such as nerve damage or permanent mobility loss.
2. Faster Recovery: Timely intervention, especially with Minimally Invasive Spine Surgery, can lead to faster recovery times and better long-term outcomes.
3. Customized Treatment Plans: Seeing a specialist early allows for a comprehensive evaluation and the creation of a treatment plan tailored to your specific condition.
4. Pain Relief: Chronic back pain can significantly impact your quality of life. A spine specialist can help alleviate pain and improve mobility through both non-surgical and surgical treatments.

Schedule Your Consultation at Big Apple Spine & Orthopedics

If you’re suffering from back pain, neck pain, or any other spine-related condition, don’t wait until it worsens. Schedule a consultation with Big Apple Spine & Orthopedics and Dr. Arutyunyan, one of New York City’s leading Orthopedic Spine Surgeons. Whether you need a comprehensive evaluation or are considering Minimally Invasive Spine Surgery, the team at Big Apple Spine & Orthopedics is here to provide the expert care you deserve.

Living in New York City means maintaining an active lifestyle, but back pain can make that difficult. By seeking care from an experienced Spine Surgeon like Dr. Arutyunyan at Big Apple Spine & Orthopedics, you can address the root causes of your pain and get back to living your life to the fullest.

Don’t let back pain hold you back. With the expertise of Big Apple Spine & Orthopedics, you’re in good hands for all your spine care needs. Schedule an Appointment Today with Big Apple Spine & Orthopedic!

Convenient Locations Across New York City for Spine & Orthopedic Care

At Big Apple Spine & Orthopedics, we understand that accessibility is essential for our patients. That’s why expert spine and orthopedic care is never far from home, no matter which borough you live in. Our specialists serve the greater New York City area with offices in easily accessible locations throughout Manhattan, Brooklyn, Queens, and the Bronx.

You’ll find leading orthopedic and spine doctors providing comprehensive back and neck pain solutions at:

• Manhattan: In the heart of the city, our Manhattan office is centrally located for those living or working near Midtown or the East Side.
• Bronx: Residents in the northern borough can visit a Bronx location, providing the same high standard of spine and orthopedic care.
• Brooklyn: Our Brooklyn office offers a convenient option for those in Brooklyn or neighboring communities seeking expert back and neck treatment.
• Queens: Patients in Queens benefit from care close to home, eliminating the need to travel into Manhattan for top-tier spine and orthopedic health services.

No matter which office you choose, you’ll be met by a compassionate team committed to helping you return to the active New York lifestyle you love. Schedule your appointment at the location most convenient for you and take the first step toward relief and recovery. All Treatments16General Back Treatments7Lower Back Treatments7Neck Treatments8

To ensure every patient feels welcome and understood, our team is fluent in several languages—including Spanish, Portuguese, French, Italian, German, and Russian. No matter your background, you can communicate comfortably and confidently with our specialists throughout your care journey.

Don’t let back pain hold you back. With the expertise of Big Apple Spine & Orthopedics, you’re in good hands for all your spine care needs. Schedule an Appointment Today with Big Apple Spine & Orthopedic!