Spine
LATEST BLOGS
What are Non-Surgical Treatment Options for a Herniated Disc
The spine consists of 26 bones called vertebrae and between them are cushion-like pads called “intervertebral discs”. The discs serve as shock absorbers for the vertebrae and help provide stability to the spine. When one of these intervertebral discs loses its normal...
Backpack Safety – Tips All Students Should Follow
By James Guille, M.D., pediatric orthopaedic surgeon at Premier Fall is in the air and the kids are back in school. Reading, writing, and arithmetic have returned along with the books and backpacks that make learning accessible to everyone. But the weight of those...
Adult Scoliosis – How is it Diagnosed and Treated?
By Mark Tantorski, D.O., spine surgeon at Premier Adult spinal deformity and scoliosis are relatively common spinal disorders treated by spine specialists. The actual prevalence in society is not well known. However, it is estimated to be as high as 25% in the general...
Responsible for bearing our weight as well as protecting the precious spinal cord that carries signals from the brain to other parts of the body, the spine is critical to our health and well-being.
Anyone with back pain knows how disruptive it can be to daily living. More than a nuisance, it can be a sign of acute and chronic spine-related conditions and should be taken seriously. A spine doctor can help manage the pain, repair the damage, and regain complete and comfortable range of motion.
Conditions
Arthritis. Unfortunately, the spine becomes susceptible to arthritis as we age. There are several types of arthritis, but they all cause debilitating joint pain. While there’s no sure way to prevent arthritis from occurring, there are non-operative treatment methods that can help manage pain.
Degenerative disc disease. With age, spinal discs begin to show signs of wear and tear from the constant shock absorption duty they perform. The fluid inside the disc may decrease, and the disc structure can be affected when small tears or cracks develop in the outer layer. Treatment options include physical therapy, exercise, medication, and surgery in severe situations.
Herniated discs. When a disc herniates, the soft, inner material of the disc called the nucleus ruptures and leaks. Sometimes this leakage touches the nerve root and causes inflammation and pain. Another symptom of a herniated disc is tingling that travels along the nerve. This can cause pain through the back of the leg or arm. Depending on the severity of the symptoms, treatment could include physical therapy, medication, injections, or surgery.
Scoliosis. A sideways curvature of the spine that occurs most often during the growth spurt just before puberty, scoliosis is typically mild but girls run a higher risk of requiring treatment. In general, there are two treatment options for scoliosis: a brace or surgery.
Spinal infections. Discitis is when an infection, commonly bacterial but possibly viral, occurs in the discs of the spine. The discs do not contain a large blood supply, so the body does not have a good way to fight off this type of infection. The main symptom is severe back pain that remains in the center of the back rather than shooting down the leg or other areas of the body.
Spinal stenosis (cervical and thoracic). As people age, natural wear and tear can cause the spine to degenerate and narrow. This narrowing limits the amount of space between the bones and compresses the spinal cord and nerve roots. With stenosis, a patient may experience pain, numbness, or weakness in the legs. Other symptoms include back pain, burning in the buttocks or legs, and tingling in the legs.
Compression Fractures. Spinal vertebrae can fracture or collapse due to trauma or osteoporosis. While some spinal compression fractures can be treated conservatively, others require surgery to stabilize the fracture.
Evaluation and Treatment
WHEN YOU’RE SUFFERING FROM BACK PAIN, YOU NEED TO SEE A DOCTOR AS SOON AS POSSIBLE FOR A DIAGNOSIS. DURING THE APPOINTMENT, THE DOCTOR WILL EVALUATE YOUR MEDICAL HISTORY, DISCUSS SYMPTOMS, AND PERFORM A PHYSICAL EXAMINATION TO DETERMINE EXACTLY WHAT TYPE OF INJURY OR DISORDER YOU MIGHT HAVE.
Many spinal injuries and disorders can be treated by nonoperative rehabilitation, exercise, medication, heat/cold therapy and other treatments. If several non-operative treatments have not been helpful in relieving your pain, your physician may suggest that it’s time to explore your surgical options.
Expert Care
Spinal cord injuries are considered medical emergencies, so if the pain you’re experiencing is related to your spinal cord, seek immediate care. Premier’s fellowship-trained physicians offer a variety of diagnostic and non-operative procedures in a convenient, easy-to-access outpatient setting.
119 E Uwchlan Ave, Exton, PA 19341
OUR SPECIALISTS
Abhi Kasinadhuni, M.D
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Scott Ritterman, M.D.
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Kenan Aksu, D.O.
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James Guille, M.D.
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Glenn Lipton, M.D., FAAOS
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1204 Baltimore Pike, Suite 100 Chadds Ford, PA 19317
OUR SPECIALISTS
Matthew Costa, D.O.
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Larry Chou, M.D.
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Jeffrey Berger, D.O.
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1561 Medical Drive, Pottstown, PA 19464
OUR SPECIALISTS
Scott Ritterman, M.D.
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Nikos Pavlides, M.D.
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Linda D’Andrea, M.D.
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James Guille, M.D.
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Glenn Lipton, M.D., FAAOS
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266 West Lancaster Avenue, Suite 200 Malvern, PA 19355
OUR SPECIALISTS
Shawn Potteiger, D.O.
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Stephanie Morris, D.O.
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Robert Ruggiero Jr., M.D.
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Richard Balotti, M.D.
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Michael Lee, M.D.
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Louis Ciliberti, DPM
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Jonathan Garino, M.D.
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Jennifer Kwan-Morley, M.D.
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Jason R. Miller, DPM
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Itai Gans, M.D.
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Eric Zabat, M.D.
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David Raab, D.O.
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Charles Odgers IV, M.D.
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Ammarah Hussain, M.D.
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Aleksandr Emerel, DPM
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300 Springhouse Drive, Collegeville, PA 19426
OUR SPECIALISTS
Stephanie Morris, D.O.
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Shawn Potteiger, D.O.
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Robert Ruggiero Jr., M.D.
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Michael Lee, M.D.
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Louis Ciliberti, DPM
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Mark Allan Schwartz, M.D.
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Jonathan Garino, M.D.
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Jason R. Miller, DPM
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Itai Gans, M.D.
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Eric Zabat, M.D.
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David Raab, D.O.
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Charles Odgers IV, M.D.
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Ammarah Hussain, M.D.
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Aleksandr Emerel, DPM
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390 Waterloo Boulevard, Suite 200 Exton, PA 19341
OUR SPECIALISTS
400 McFarlan Road, Suite 100 Kennett Square, PA 19348
OUR SPECIALISTS
Sean Leonard OTR/L, Hand Therapy
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Spencer Monaco, DPM
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Todd Michener, M.D.
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Rowan J. Michael, M.D.
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Matthew Schaeffer, M.D.
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Mark Tantorski, D.O.
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John Benner, M.D.
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Jeffrey Citara, D.O.
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Cheston Simmons Jr., M.D.
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Daniel Evering, D.O.
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Andrew Old, M.D.
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Adrienne Towsen, M.D.
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455 West Woodview Road, Suite 205 West Grove, PA 19390
OUR SPECIALISTS
Spencer Monaco, DPM
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Todd Michener, M.D.
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Rowan J. Michael, M.D.
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Mark Tantorski, D.O.
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Jeffrey Citara, D.O.
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Cheston Simmons Jr., M.D.
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Daniel Evering, D.O.
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Andrew Old, M.D.
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Adrienne Towsen, M.D.
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491 John Young Way, Suite 200 Exton, PA 19341
OUR SPECIALISTS
Stephanie Morris, D.O.
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Shawn Potteiger, D.O.
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Robert Ruggiero Jr., M.D.
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Richard Balotti, M.D.
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Michael Lee, M.D.
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Louis Ciliberti, DPM
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Mark Allan Schwartz, M.D.
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Jonathan Garino, M.D.
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Jennifer Kwan-Morley, M.D.
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Jason R. Miller, DPM
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Itai Gans, M.D.
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Eric Zabat, M.D.
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David Raab, D.O.
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Charles Odgers IV, M.D.
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525 West Chester Pike, Havertown, PA 19083
OUR SPECIALISTS
Zachary Hauser, M.D.
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Larry Chou, M.D.
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Kelly Scollon-Grieve, M.D.
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Adriana Prawak, D.O.
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915 Old Fern Hill Road, Suite 1 B-A West Chester, PA 19380
OUR SPECIALISTS
Spencer Monaco, DPM
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Todd Michener, M.D.
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Rowan J. Michael, M.D.
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Matthew Schaeffer, M.D.
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Mark Tantorski, D.O.
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John Benner, M.D.
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Jeffrey Citara, D.O.
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Cheston Simmons Jr., M.D.
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Daniel Evering, D.O.
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Andrew Old, M.D.
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Adrienne Towsen, M.D.
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