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Spine Conditions Evaluated by Fellowship-Trained Physicians
Spine conditions can affect your mobility, comfort, and quality of life, making everyday activities more difficult. At Premier Orthopaedics, our spine physicians diagnose and treat a wide range of conditions, from herniated discs and spinal stenosis to sciatica, degenerative disc disease, and spinal injuries. We take a personalized approach to care, beginning with an accurate diagnosis and exploring conservative treatments whenever appropriate. When surgery or advanced intervention is necessary, our team offers care intended to address pain, restore function, and help you return to the activities you enjoy.
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Herniated Disc
When a disc between your vertebrae slips out of place or ruptures, it can press on surrounding nerves and cause intense pain, tingling, or weakness. This condition often results from lifting heavy objects improperly or from gradual disc degeneration. It can affect people of all ages and may require therapy or even surgical intervention.
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Sciatica
When the sciatic nerve is compressed, usually by a herniated disc or bone spur, it can result in sharp, radiating pain that travels from the lower back through the legs. Sciatica can be incredibly painful and persistent, but with the right care, relief is possible.
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Spinal Stenosis
Spinal stenosis occurs when the spaces within the spine narrow, putting pressure on the spinal cord and nerves. This condition is more common in older adults and often leads to pain, numbness in the legs, or difficulty walking. Other symptoms include back pain, burning in the buttocks or legs, and tingling in the legs. Left untreated, spinal stenosis can severely affect mobility and quality of life.
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Degenerative Disc DiseaseAs we age, the discs in our spine naturally lose hydration and elasticity, and the disc structure may be affected by tears or cracks. This condition causes chronic pain and stiffness, especially after long periods of activity. While it may sound alarming, many people with this condition find relief through conservative treatment methods, such as physical therapy and medication. In severe cases, orthopedic surgery may be needed.
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Cervical SpondylosisCervical spondylosis is age-related wear and tear affecting the bones, discs, and joints in the neck. It can cause neck pain, stiffness, headaches, and other symptoms.
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Herniated Cervical DiscA herniated cervical disc occurs when a disc in the neck bulges or ruptures, potentially irritating nearby nerves. Symptoms may include neck pain, numbness, tingling, or weakness.
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Herniated Lumbar DiscA herniated lumbar disc occurs when a disc in the lower back bulges or ruptures and may compress nearby nerves. Symptoms can include back pain, leg pain, numbness, or weakness.
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Spinal FracturesSpinal fractures are breaks or cracks in the vertebrae that can result from trauma, falls, osteoporosis, or other conditions. Treatment depends on the location and severity of the fracture.
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ScoliosisScoliosis is an abnormal sideways curvature of the spine. It can develop during childhood or adolescence or occur later in life and may cause uneven shoulders, back discomfort, or other symptoms.
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SpondylolisthesisSpondylolisthesis occurs when one vertebra slips forward or backward relative to another. It can cause back pain, stiffness, and symptoms such as numbness, tingling, or weakness.
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Thoracic Compression FractureA thoracic compression fracture occurs when one of the vertebrae in the middle portion of the spine collapses. It may result from osteoporosis, trauma, or other conditions and can cause back pain, stiffness, and reduced mobility.
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Thoracic MyelopathyThoracic myelopathy occurs when the spinal cord becomes compressed in the middle portion of the spine. It may cause back pain, numbness, weakness, balance difficulties, and changes in walking or coordination.
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Sternoclavicular Joint DislocationA sternoclavicular joint dislocation occurs when the joint connecting the collarbone to the breastbone is forced out of its normal position. It can result from trauma and cause pain, swelling, tenderness, and difficulty moving the shoulder.
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Piriformis SyndromePiriformis syndrome occurs when the piriformis muscle irritates or compresses the nearby sciatic nerve, causing pain, numbness, or tingling in the buttock and sometimes down the back of the leg.
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OsteoporosisOsteoporosis is a condition that causes bones to become weaker and more prone to fractures. It often develops without noticeable symptoms until a fracture occurs. Early evaluation and appropriate treatment can help protect bone strength and reduce fracture risk.
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Cervical MyelopathyCervical myelopathy occurs when the spinal cord becomes compressed in the neck, often due to age-related changes, arthritis, or other spinal conditions. Symptoms may include neck pain, weakness, numbness, balance problems, and difficulty with coordination.
Our Spine Specialists
Symptoms, Treatments & Risks
The spine is a complex network of 33 vertebrae, intervertebral discs, nerves, and muscles responsible for supporting body weight and protecting the spinal cord. Because it supports daily movement, spine issues can disrupt routine activities like bending, lifting, sitting, walking, or using the arms and legs. At Premier Orthopaedics, our fellowship-trained spine physicians serve Greater Philadelphia patients with personalized care focused on restoring mobility and function.
Symptoms
Spinal conditions and injuries can cause a range of warning signs.
Common symptoms include:
- Persistent or sudden back or neck pain, especially following trauma
- Stiffness upon waking or pain at the end of the day
- Numbness, tingling, or weakness in the arms or legs
- Difficulty walking or loss of balance
- Partial paralysis or loss of sensation
(Note: Severe symptoms such as loss of bladder or bowel control, severe weakness or paralysis, or breathing difficulty indicate a medical emergency. Seek immediate emergency care rather than routine scheduling.)
Treatments
Evaluation helps us identify the source of symptoms and develop a treatment plan based on your diagnosis, examination findings, imaging, and response to prior care.
We provide personalized care tailored to your specific condition, including:
- Diagnostic evaluations using medical history, physical examination, MRI, CT scans, and X-rays when appropriate
- Non-operative treatments and conservative therapies, including physical therapy, medication, and heat or cold therapy
- Care from fellowship-trained spine physicians, with surgical options considered when conservative treatment isn’t sufficient
Risks
Delaying evaluation for persistent back or neck pain, progressive weakness, numbness, or walking difficulty can carry risks that depend on the underlying condition. Significant nerve compression or spinal cord involvement may contribute to worsening symptoms or loss of function when it isn’t assessed.
Potential risks of delayed evaluation include:
- Increasing pain or reduced ability to complete daily activities
- Progressive numbness, tingling, weakness, or balance changes
- Loss of mobility or function associated with an untreated spinal condition
Whether you're dealing with a recent injury or years of chronic pain, our orthopaedic specialists create personalized treatment plans that reduce pain, restore movement, and help you live more comfortably.